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1.
Health Promot Int ; 37(2)2022 Apr 29.
Artículo en Inglés | MEDLINE | ID: mdl-34297814

RESUMEN

Substance use and violence are serious problems affecting Brazilian youth, prompting local authorities to invest in adapting and implementing evidence-based prevention programs developed abroad. To ensure that interventions are effective, valid and reliable measures of risk factors for substance use and violence are needed. We conducted a pilot examination of the measurement properties of risk factors in the Communities That Care Youth Survey (CTCYS), a school-based survey developed in the United States. The Brazilian-adapted CTCYS included 25 risk factors as well as measures of substance use and antisocial behaviors. The survey was translated into Brazilian Portuguese and adapted for use in Brazil, incorporating suggestions from local experts. The survey was administered to 926 students in one Brazilian community. Results indicate that scale internal consistency was acceptable for all but two scales: (i) Academic Failure and (ii) Rebelliousness. Confirmatory factor analyses suggested good model fit for most measurement models albeit with minor modifications for most scales. Findings from this pilot study provide a foundation for the use of the CTCYS in Brazil to assess community levels of adolescent risk and evaluate prevention programs.


Asunto(s)
Conducta del Adolescente , Trastornos Relacionados con Sustancias , Adolescente , Brasil , Humanos , Proyectos Piloto , Encuestas y Cuestionarios , Estados Unidos
2.
Prev Sci ; 22(5): 658-669, 2021 07.
Artículo en Inglés | MEDLINE | ID: mdl-33063234

RESUMEN

In 2013, Brazil's Ministry of Health adopted the Strengthening Families Program (SFP 10-14), developed internationally for preventing drug abuse by enhancing family bonds. The social validity of the objectives, procedures, and perceived impacts of the program were investigated for participants and facilitators in northeastern Brazil. Focus groups with parents/guardians (N = 199), adolescents (N = 111), and facilitators (N = 100) were implemented. Content analysis revealed that the program's objectives were considered socially relevant and that there was a positive short-term perceived impact on family cohesion, authoritative parenting style, adolescent life skills, and the facilitators' professional capacity. The parents/guardians and adolescents presented a positive perception of the appropriateness of the program's methodology, while facilitators indicated the need to adapt it to vulnerable families and improve its implementation conditions. Future studies may benefit from these findings when developing similarly viable and scalable interventions in low-resource settings. Brazilian Trial Register RBR-7q9xh5. Registered 5 August 2017, http://www.ensaiosclinicos.gov.br/rg/RBR-7q9xh5/.


Asunto(s)
Padres , Trastornos Relacionados con Sustancias , Adolescente , Brasil , Humanos , Responsabilidad Parental
3.
BMC Public Health ; 20(1): 391, 2020 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-32216764

RESUMEN

BACKGROUND: Dating violence has an alarming prevalence among Brazilian adolescents. School-based preventive programs have been implemented, but remain isolated initiatives with low reach. Health communication strategies based on innovative technologies with a high potential of diffusion are urgent. This study aimed to develop a computer-tailored intervention to prevent victimization and perpetration of dating violence among Brazilian youth. METHODS: The intervention, called Dating SOS (SOS Namoro), is based on the I-Change Model and attachment theory and is a comprehensive preventive program targeted to young people with a current partner. The intervention design included the stages of needs assessment; definition of objectives of change; development of the library of messages; elaboration of a questionnaire for tailoring feedbacks according to the relevant variables; integration of the content in the software Tailor Builder; pre-testing; and usability and efficacy evaluation planning. Dating SOS is composed of four online sessions. The first session gives a tailored orientation on attachment style and risk perception of violence. The second session addresses knowledge on conflict management, positive and negative social models of intimate relationships and an action plan to improve everyday interactions. The third session covers social norms, self-efficacy and an action plan to cope with conflicts. The fourth session discusses attitudes, social support and an action plan to protect from violence. Improvements on the interface and tailoring refinement was done after pre-testing to improve attractiveness and decrease risk of iatrogenic effects. DISCUSSION: The principal merit of the present study resides in the development of an innovative strategy based on the qualified use of the internet for education surrounding romantic relationships and the prevention of dating violence among adolescent and young Brazilians, a hitherto unaddressed need in the field. The intervention usability and efficacy should be investigated in further studies. TRIAL REGISTRATION: Brazilian Registry of Clinical Trials. RBR-9frj8q. Prospectively registered on July 25, 2019. http://www.ensaiosclinicos.gov.br/rg/RBR-9frj8q/.


Asunto(s)
Comunicación en Salud/métodos , Internet , Violencia de Pareja/prevención & control , Servicios Preventivos de Salud/métodos , Adolescente , Adulto , Brasil , Víctimas de Crimen/estadística & datos numéricos , Difusión de Innovaciones , Femenino , Humanos , Violencia de Pareja/estadística & datos numéricos , Masculino , Teoría Psicológica , Encuestas y Cuestionarios , Adulto Joven
4.
Psicol Reflex Crit ; 37(1): 9, 2024 Mar 14.
Artículo en Inglés | MEDLINE | ID: mdl-38483652

RESUMEN

BACKGROUND: Dating violence in adolescence is a serious public health issue due to its significant impact on mental health and its significant predictive value for intimate partner violence in adulthood. Universal and selective programs can contribute to the prevention of this issue. Nonetheless, there are few selective programs with evidence of feasibility in contexts of social vulnerability. OBJECTIVE: The present study examined evidence of the feasibility of a dating violence selective prevention program for girls in foster care by monitoring process indicators during the implementation phase of a pilot study. METHODS: The program, originally designed for adolescents in the general population, was adapted to the context of girls at risk. The pilot study was conducted in the southern region of Brazil and involved the participation of six girls aged between 15 and 17. Both quantitative and qualitative measures were used, and the data were explored through frequency analysis, the Jacobson and Truax test, and content analysis. RESULTS: The study identified favorable evidence regarding demand, acceptability, and adaptation of the intervention. On the other hand, contextual and institutional barriers hindered recruitment and restricted the reach of the intervention. CONCLUSION: Although there are changes to be made to improve the program's applicability in its specific context, it should be emphasized that this study provides evidence to maintain the methods and content of the intervention.

5.
Psicol Reflex Crit ; 37(1): 35, 2024 Sep 13.
Artículo en Inglés | MEDLINE | ID: mdl-39269564

RESUMEN

INTRODUCTION: Mental health professionals, teachers, families, and public administrators are concerned about suicide rates among young people, particularly in the university context. For every ten college students worldwide, three attempt suicide in their lifetime, and two experience suicidal ideation. Reducing these rates requires interventions that recognize the problem in terms of risk factors and protective factors. OBJECTIVE: The general aim of the study was to map the protective factors for suicide among college students, as perceived by them, mental health professionals, and coordinators of undergraduate courses in a public university in the North of Brazil. METHODS: The study followed an exploratory, mixed-method design. Data were collected through interviews and the application of a questionnaire with 54 participants, including college students (n = 20), mental health professionals (n = 22), and course coordinators (n = 12). Data were analyzed using Content Analysis and simple descriptive statistics. RESULTS: The findings show that the protective factors for suicide most cited among the three groups were social support, strengthening of internal resources, institutional support, and finding meaning about the change to enter the university. Although the three audiences did not converge, the protective factors also frequently reported were psychological treatment, leisure activities, religious engagement, medical treatment, civic engagement, employability, opportunities for social ascension offered by the university, and quality family relationships. CONCLUSION: It is suggested that these protective factors are considered when formulating policies to promote mental health and suicide prevention in the university environment.

6.
BMJ Glob Health ; 8(11)2023 11.
Artículo en Inglés | MEDLINE | ID: mdl-37949502

RESUMEN

INTRODUCTION: Coproduction of mental health research and interventions involving researchers and young people is increasingly common. However, this model raises challenges, related, for instance, to communication, power and control. This paper narrates-from a collective first-person perspective-the lived experience of coproduction of a digital intervention by institutional researchers and young citizen researchers in Brazil. METHOD: This study employed a collaborative autoethnographic methodology, utilising autobiographical data such as meeting recordings, individual notes and collective guided reflections on the coproduction process. Our analysis focused on challenges and solutions that arose during the process. RESULTS: Throughout the project, we created formal and informal mechanisms for accountability, transparency and fair inclusion of multiple voices. We engaged in mutual capacity-building, invested in building interpersonal knowledge, and implemented practices to reduce overload and promote equitable participation. Through ongoing reflection and readjustment in response to challenges, we progressively embraced more democratic and egalitarian values. The collective care invested in the process fostered synergy, trust, and intergroup friendship. CONCLUSION: Our experience points to the value of creating a space for multiple research identities: the citizen young person and the institutional researcher, both of whom critically reflect on their roles in the research process. Our focus on coproduced care calls into question participation metaphors that represent the process via a single axis-young people-who linearly progress from minimal participation to full autonomy. Instead, our analysis highlights the importance of a social and caring bond that supports the radical co-production of innovative health solutions in contexts of vulnerability.


Asunto(s)
Creación de Capacidad , Salud Mental , Humanos , Adolescente , Brasil , Comunicación , Responsabilidad Social
7.
Psicol Reflex Crit ; 35(1): 22, 2022 Jul 19.
Artículo en Inglés | MEDLINE | ID: mdl-35856124

RESUMEN

A scoping review of systematic reviews was carried out to identify evidence of efficacy, effectiveness, and cost-effectiveness of universal and selective suicide prevention programs among university students worldwide. Five databases were reviewed using terms in English, Spanish, and Portuguese. The following were the inclusion criteria: systematic review or meta-analysis or meta-synthesis, suicide prevention in college students, evaluation of the efficacy, effectiveness and/or cost-effectiveness of interventions, and peer-reviewed studies. The quality of reviews was assessed. The field of study features three decades of publication in high-income countries. The strategy used, the components of the program, and the target audience to which they are delivered interfere with efficacy. In the psychoeducation strategy, the experiential and didactic components are more efficacious in the knowledge about suicide. And the motivational enhancement component promotes greater self-efficacy in suicide prevention. Programs that take a multimodal approach are effective in increasing short-term attitudes related to suicide and reducing rates of completed suicide. The gatekeeper strategy delivered to peer counselors is the most effective one in the outcomes, including short-term and long-term knowledge about suicide and its prevention and self-efficacy in suicide prevention. A greater number of evaluated studies of gatekeeper interventions were identified, indicating a trend in this research field. No review addressed the effects on subgroups that were classified based on sex, racial or sexual minorities, and special (indigenous) populations. Only one study addressed cost-effectiveness, pointing out that the psychoeducation and gatekeeper strategies have relevant net benefit rates, but the gatekeeper strategy has a higher cost-benefit ratio compared to the psychoeducation strategy. The findings indicate that psychoeducation and gatekeeper interventions tend to be more efficacious when they combine education and skills training to intervene in suicidal behavior. The components of the intervention and the target audience to which it is delivered influence efficacy. Multimodal interventions evaluate completed suicide outcomes, but require greater implementation efforts, in terms of human and financial resources and more time for the evaluation.

8.
Psicol Reflex Crit ; 33(1): 3, 2020 Mar 13.
Artículo en Inglés | MEDLINE | ID: mdl-32170555

RESUMEN

The holotropic mind perspective, an integral part of the framework of transpersonal psychology, has been considered a revolutionary approach to a certain spectrum of experiences in Non-ordinary states of consciousness (NOSC) which conventional approaches tend to treat indiscriminately as pathological processes, because PHM recognizes in these experiences their healing and evolutionary potential. This article describes the needs assessment, implementation, and evaluation of an experiential and educational program on the holotropic mind perspective and its praxis, Holotropic Breathwork® (HB), with students and professionals from the Group for Early Intervention in First-Episode Mental Crisis of a Psychotic Type of the University of Brasilia. The intervention aimed to establish change goals and objectives that would promote the adoption of the holotropic mind perspective's elements, such as a framework to broaden and strengthen mental health programs that assist people experiencing NOSC. The stages developed, inspired by the Intervention Mapping protocol, included a needs assessment; elaboration of change objective matrices; selection and description of methods based on theory and their applications; conception, planning, and implementation of the intervention; and results evaluation. Participants reported that the intervention allowed the expansion of their theoretical-conceptual and technical frameworks, giving them a less pathologizing understanding of and approach to NOSC and allowing them to perceive and manage such states, not as indiscriminately pathological expressions, but as phenomena inherent to the human condition that can be accepted and cared for without the exclusionary and exhaustive bias of mental disorders. Limitations and practical implications are discussed.

9.
Artículo en Inglés | MEDLINE | ID: mdl-32987675

RESUMEN

This study analyzed contextual barriers and facilitators in the implementation of Strengthening Families Program (SFP 10-14), Brazilian version, a family-based preventive program focused on the prevention of risk behaviors for adolescent health. SFP 10-14 was implemented between 2016 and 2017 for socioeconomically vulnerable families in four Northeast Brazilian states as a tool of the National Drug Policy. A retrospective qualitative study was carried out in which 26 implementation agents participated. Data from 16 individual interviews and two group interviews were analyzed through content analysis. The most recurrent barriers were the group facilitators' working conditions, weak municipal administration, precarious infrastructure, inadequate group facilitator training methodologies, low adherence of managers and professionals, and funding scarcity. The conditions highlighted as favorable to the implementation were proper intersectoral coordination, engagement of involved actors, awareness of public agency administrators, municipal management efficacy, and efficient family recruitment strategies. Favorable political contexts, engagement of implementation agents, and intersectoral implementation strategies were identified as central to the success of the implementation of SFP 10-14, especially in the adoption of the intervention, community mobilization, and intervention delivery stages. Further studies should combine contexts, mechanisms, and results for a broad understanding of the effectiveness of this intervention in the public sector.


Asunto(s)
Salud de la Familia , Servicios Preventivos de Salud , Adolescente , Brasil , Humanos , Investigación Cualitativa , Estudios Retrospectivos
10.
Psicol Reflex Crit ; 32(1): 24, 2019 Dec 23.
Artículo en Inglés | MEDLINE | ID: mdl-32026108

RESUMEN

The literature shows that retirement can bring both positive and negative effects. However, there are few tested interventions for preparing workers for this transition and avoiding or minimizing its negative impacts. This paper presents a study with multiple groups that examined the social validity of an intervention for retirement education grounded in contextual behavioral science and acceptance and commitment therapy. Twenty-seven workers aged 29 to 65 divided into three intervention groups participated (group 1, N = 15; group 2, N = 9; group 3, N = 3). According to the participants' evaluations, the intervention provided socially valid goals, socially acceptable procedures, and socially important effects. However, some improvements are still needed, such as the use of more dynamic methods, better formatted printed material, and increased fidelity between the content's implementation and the prescribed activities. The positive results indicate that contextual behavioral science may bolster the development of interventions whose components possess evidence for their social validity. The further evaluation of the intervention via a clinical trial study will offer more robust evidence for its effectiveness. It is hoped that by increasing the availability of theory-based interventions in this area, the present study will promote valid strategies to facilitate better adjustment to retirement.

11.
Psicol Reflex Crit ; 32(1): 20, 2019 Oct 16.
Artículo en Inglés | MEDLINE | ID: mdl-32026072

RESUMEN

Peers are the preferred source of help for Brazilian adolescents who experience dating violence. However, they are not always the best informants for effective responses for dealing with situations of violence in romantic relationships among peers. This experimental study aimed to evaluate the short-term efficacy of three aspects of a peer- and bystander approach-based intervention: the intent to offer help, empathy, and bystander attitudes in response to dating violence in a Brazilian sample of adolescents. The study's participants were 33 adolescents randomized in two groups: experimental group (EG, n = 14) and control group (CG, n = 19). The EG underwent three weekly intervention sessions of 90 min each on the healthy versus violent romantic relationships, the quality of friendship in the peer network, and the role of the bystander, while the CG received no intervention. Evaluations were performed 1 week before and two and half months after the intervention. Statistically significant differences between EG and CG at post-test were not found in intention to help, empathy, and bystander attitudes. Future studies should include evaluations of larger samples and mid- and long-term follow-ups to identify patterns of change over the long term as well as examine barriers to utilization of bystander behaviors by adolescents in Brazilian culture.

12.
Interface (Botucatu, Online) ; 28: e230649, 2024. ilus
Artículo en Portugués | LILACS-Express | LILACS | ID: biblio-1564683

RESUMEN

Este estudo examinou a produção do cuidado nos serviços de saúde, adotando a metodologia participativa "rio da vida". Realizado em uma comunidade ribeirinha no interior do Amazonas, a pesquisa utilizou essa abordagem reflexiva, envolvendo a criação de um rio com materiais artísticos, como lápis coloridos e cartolina. A técnica promoveu a proximidade com as histórias, trajetórias e empoderamento de agentes comunitários, usuários e cuidadores. Essa experiência profunda proporcionou insights sobre os desafios territoriais no acesso à saúde em situações urgentes. A gravação das narrativas durante os trabalhos coletivos serviu como método de coleta de dados, facilitando o diálogo entre a equipe de saúde e cuidadores; e enriquecendo a compreensão das dinâmicas regionais envolvidas no cuidado emergencial.(AU)


Este estudio examinó la producción del cuidado en los servicios de salud, adoptando la metodología participativa "río de la vida". Realizado en una comunidad que vive a la orilla de un río en el interior de estado de Amazonas, la investigación utilizó ese abordaje reflexivo, envolviendo la creación de un río con materiales artísticos, tales como lápices de colores, cartulina y otros. La técnica promovió la proximidad con las historias, trayectorias y el empoderamiento de agentes comunitarios, usuarios y cuidadores. Esa experiencia profunda proporcionó insights sobre los desafíos territoriales en el acceso a la salud en situaciones urgentes. La grabación de las narrativas durante trabajos colectivos sirvió como método de colecta de datos, facilitando el diálogo entre el equipo de salud y cuidadores, enriqueciendo la comprensión de las dinámicas regionales envueltas en el cuidado de emergencia.(AU)


This study examined the production of care in healthcare services, adopting the participatory methodology "river of life". Conducted in a riverside community in the interior of the Amazonas region, the research employed this reflective approach, involving the creation of a river using artistic materials such as colored pencils and cardboard. The technique fostered closeness with the stories, trajectories, and empowerment of community agents, users, and caregivers. This profound experience provided insights into the territorial challenges in accessing healthcare during urgent situations. Recording narratives during collective work sessions served as a data collection method, facilitating dialogue between the healthcare team and caregivers, enriching the understanding of regional dynamics involved in emergency care.(AU)

13.
Paidéia (Ribeirão Preto, Online) ; 33: e3323, 2023. graf
Artículo en Inglés | LILACS, Index Psi Revistas Técnico-Científicas | ID: biblio-1529082

RESUMEN

Abstract The observation of parent/child interaction is an effective method for identifying, evaluating, and monitoring adolescents and families who need or are undergoing intervention. This study aims to (1) describe a method of direct and systematic observation of dyadic interaction and (2) discuss its application in research with families with adolescents in northeastern Brazil. The data collection and analysis procedures are presented, indicating their possibilities and limits based on the lessons learned from this experience. The experience of applying the method is discussed through potential advances and challenges for the field of observational research in Psychology. It is concluded that the method of direct and systematic observation of dyadic interaction is, on the one hand, expensive in terms of expertise, time, and resources, and, on the other hand, it is a rich source of data for understanding interaction patterns in multiple contexts.


Resumo A observação da interação pai/mãe e filha/o é um método efetivo para identificação, avaliação e monitoramento de adolescentes e famílias que necessitem ou estejam em intervenção. Este artigo tem como objetivos: (1) descrever um método de observação direta e sistemática da interação diádica; e (2) discutir sobre sua aplicação em uma pesquisa junto a famílias com adolescentes do nordeste brasileiro. Apresentam-se os procedimentos de coleta e análise de dados, indicando suas possibilidades e limites a partir das lições aprendidas com esta vivência. Discute-se a experiência de aplicação do método por meio dos potenciais avanços e desafios para o campo da pesquisa observacional em Psicologia. Conclui-se que o método da observação direta e sistemática da interação diádica é, por um lado, dispendioso em termos de expertise, tempo e recursos e, por outro, consiste em rica fonte de dados para a compreensão dos padrões de interação em múltiplos contextos.


Resumen La observación de la interacción padre/hijo es un método efectivo para identificar, evaluar y monitorear a los adolescentes y familias que necesitan o están siendo intervenidos. Objetivos: (1) describir un método de observación directa y sistemática de la interacción diádica y (2) discutir su aplicación en una investigación junto a familias con adolescentes en el noreste brasileño. Se presentan los procedimientos de recolección y análisis de datos, indicando sus posibilidades y límites a partir de las lecciones aprendidas de esta experiencia. Se discute la experiencia de aplicación del método a través de potenciales avances y desafíos para el campo de la investigación observacional en Psicología. Se concluye que el método de observación directa y sistemática de la interacción diádica es, por un lado, costoso en términos de experiencia, tiempo y recursos y, por otro, es una rica fuente de datos para comprender los patrones de interacción en múltiples contextos.


Asunto(s)
Humanos , Adolescente , Investigación Cualitativa , Relaciones Interpersonales , Relaciones Madre-Hijo
14.
Psicol Reflex Crit ; 31(1): 25, 2018 Sep 25.
Artículo en Inglés | MEDLINE | ID: mdl-32026131

RESUMEN

This study sought to evaluate the cultural adequacy of materials and procedures of the Strengthening Families Program (SFP 10-14-UK) and to identify requirements for its cultural adaptation to Brazilian families. The descriptive study had 33 informants, including external observers, managers, multipliers, facilitators, adolescents, and parents. The data were collected at a pilot application in the Federal District. Direct observation was applied to four intervention groups, with seven meetings of 150 min for families, parents/guardians and adolescents, and mixed nominal groups at the end of the interventions. The results, analyzed through content analysis and descriptive statistics, provided evidence that SFP was perceived as sufficiently appealing, culturally relevant, and partially clear. Recommendations for cultural adaptation of linguistic aspects of the materials and procedures were made, considering the cultural and educational differences of the participant families. Focus on implementation quality, including infrastructure, families' mobilization and continuous planning, was recommended. Replication studies in other Brazilian regions and analyses of contextual and political dimensions are suggested.

15.
Am J Health Promot ; 21(4): 248-54, 2007.
Artículo en Inglés | MEDLINE | ID: mdl-17375490

RESUMEN

OBJECTIVE: To conduct a systematic review of workplace stress management intervention studies that have incorporated process evaluation. Data Source. Electronic databases such as PsycINFO and MEDline were searched. STUDY INCLUSION CRITERIA: The inclusion criteria included interventions published in the English language that were focused on either individual- or organizational-level stress management interventions at the workplace, with an outcome evaluation. DATA EXTRACTION: Each article was coded on key process-relevant variables, including context, recruitment, reach, dose delivered, dose received, fidelity, implementation, and participant's attitudes toward the intervention. Studies that reported on at least one of these process variables were also coded on the following study characteristics: participants, setting, evaluation design, intervention content, intervention format, and study outcomes. DATA SYNTHESIS: Statistical Package for the Social Science was used to analyze the data with descriptive statistics. RESULTS: Of the 84 studies identified that met the study inclusion criteria, 52 (61.9%) reported findings on at least one of the key relevant process-relevant variables. Variables most frequently included were recruitment (30%), intervention dose received (22%), participants' attitudes toward intervention (19%), and program reach (13%). Fewer than half of the studies presented any findings linking process evaluation and outcome evaluation. CONCLUSIONS: The incomplete reporting of information relevant to process evaluation makes it difficult to identify reliable determinants of effective intervention implementation or outcomes.


Asunto(s)
Promoción de la Salud/métodos , Enfermedades Profesionales/terapia , Servicios de Salud del Trabajador/organización & administración , Evaluación de Procesos, Atención de Salud , Estrés Psicológico/terapia , Humanos , Aceptación de la Atención de Salud , Lugar de Trabajo
16.
Psicol. (Univ. Brasília, Online) ; 38: e38421, 2022. tab, graf
Artículo en Portugués | LILACS-Express | LILACS, Index Psi Revistas Técnico-Científicas | ID: biblio-1406327

RESUMEN

Resumo Transtornos mentais causam incapacidades e mortes prematuras, além de representarem custos psicológico, social e econômico elevados. Embora programas de prevenção e promoção em saúde mental com evidências de efetividade estejam disponíveis, são pouco difundidos mundo afora e, em particular, no Brasil. Este artigo tem o propósito de discutir a difusão de programas de prevenção e promoção em saúde mental, segundo as lentes da Teoria da Difusão de Inovações e os desdobramentos contemporâneos. Ênfase será dada às etapas de disseminação, adoção, implementação e sustentabilidade. Implicações para o ensino, a pesquisa e a gestão são discutidas.


Abstract Mental disorders cause disability and premature death, as well as represent psychological, social and economic high costs. Although prevention and promotion programs in mental health with effectiveness evidence is available, they are less disseminated worldwide, particularly in Brazil. This article aims to discuss the diffusion of prevention and promotion programs in mental health, according to the lens of the Theory of Diffusion of Innovation and contemporary developments. Emphasis will be given to the phases of dissemination, adoption, implementation and sustainability. Implications for teaching, research and management are discussed.

17.
Rev. psicol. (Fortaleza, Online) ; 13(2): 168-183, jul./dez. 2022.
Artículo en Portugués | LILACS, Index Psi Revistas Técnico-Científicas | ID: biblio-1379088

RESUMEN

Propostas de promoção de empoderamento, que visam maximizar as possibilidades de ação no ambiente de vida, podem contribuir para a mudança dessa realidade ao aumentar as chances de alcançar acesso mais igualitário a recursos que favorecem condições dignas de vida, garantias de direitos, bem-estar e saúde. Nesse sentido, o objetivo deste estudo foi investigar, a partir da visão das participantes, elementos que podem funcionar como mecanismos favorecedores de empoderamento para as mulheres negras. Participaram do estudo 23 mulheres de três estados brasileiros. A coleta de dados foi realizada por meio de entrevistas e a análise do material se deu por meio de Análise Temática, baseada em uma compreensão multidimensional de empoderamento. Os resultados apontam os mecanismos de empoderamento de mulheres negras localizados em três níveis de análise micro/pessoal, meso/comunitário e macro/social. Isso vai ao encontro de abordagens que compreendem o conceito a partir de uma perspectiva multidimensional e ressalta a importância de não se adotar apenas um foco individual. Os achados do estudo apontam ainda elementos que remetem a vivências interseccionadas por raça, gênero e classe.


Proposals to foster empowerment, aiming to increase people's possibilities of taking action in their living environment, may contribute to change this reality by increasing the chances for more equalitarian access to resources favoring more dignifying living conditions, the guarantee of rights, health and welfare. Thus, the goal of this study was to investigate, beginning from the participants' point of view, elements that could work as black women empowerment mechanisms. 23 women from three Brazilian states took part in the study. Data was collected through interviews with an open question and a sociodemographic questionnaire. The material analysis was performed using Thematic Analysis based on a multidimensional understanding of empowerment. The results point to black women empowerment mechanisms in three levels of analysis: micro/personal, meso/community, and macro/social levels. This is in accordance with approaches which understand the aforementioned concept by means of a multidimensional perspective, also emphasizing the importance of not using an individual focus, solely. The study findings also indicate elements which refer to intersectional experiences of race, gender and class.


Asunto(s)
Mujeres , Empoderamiento , Grupos Raciales , Marco Interseccional
18.
Rev. polis psique ; 12(1): 211-238, 2022/04/30. tab
Artículo en Portugués | LILACS, Index Psi Revistas Técnico-Científicas | ID: biblio-1517491

RESUMEN

A presente pesquisa teve por objetivo compreender como se manifesta a violência em relacionamentos amorosos de adolescentes do sexo feminino no contexto de internação socioeducativa. A pesquisa foi realizada tendo a inserção ecológica como método. O pesquisador realizou 32 visitas a uma unidade de internação mista, com média de 3h por visita. Considerou-se participante da pesquisa 25 pessoas (14 adolescentes e 11 servidoras). Os dados foram analisados por meio da análise temática e apontaram para a presença da violência em relacionamentos amorosos das adolescentes, tanto atuais como pregressos. A violência cumpre várias funções no relacionamento amoroso e afeta o desenvolvimento de competências psicossociais. A unidade não dispunha de intervenção que abordasse prevenção à violência no namoro, apesar de relacionamentos amorosos aparecerem como um componente do projeto de vida. É fundamental a compreensão das múltiplas violências às quais o público feminino está submetido para qualificação do atendimento socioeducativo. (AU)


La presente investigación tuvo como objetivo entender como se manifiesta la violencia en relaciones románticas de las adolescentes en el contexto de lo encarcelamiento socioeducativo. La investigación se realizó utilizandoinserción ecológica como método. El investigador realizó 32 visitas a una unidad mixta de detención, con un promedio de 3 horas por visita. Se consideró participante del estudio a 25 personas (14 adolescentes y 11 sirvientes). Los datos se analizaron mediante análisis temático y señalaron la presencia de violencia en las relaciones sentimentales, tanto actuales como pasadas. La violencia cumple varias funciones en la relación sentimental y afecta el desarrollo dehabilidades psicosociales. La unidad no contó conintervención que abordara la prevención de la violencia en el noviazgo, aunque las relaciones amorosas aparecen como un componente del proyecto de vida. Comprender la violencia múltiple a la que está sometido el público femenino es fundamental para calificar la asistencia socioeducativa. (AU)


The present article aims to comprehend how is manifested the violence in amorous relationships of female adolescents in the context of socio-educative confinement. The research was carried out with the use of ecological insertion as a method.The researcher undertook 32 visits to the facility, with an average of 3 hours per visit. Were considered as participants in the research 25 people (14 adolescents and 11 servants). The data were analyzed through thematic analysis and point to the presence ofviolence in both current and previous amorous relationships. Violence fulfills several functions in the relationship and affects the development of psychosocial skills. The facility did not haveintervention that approached prevention to violence in dating, although amorous relationships appear as a component to the project of life. These can contribute to the visibility of the female public that fulfills socio-educative confinementand to the qualification of the care provided.(AU)


Asunto(s)
Humanos , Femenino , Adolescente , Adolescente Institucionalizado/psicología , Conducta del Adolescente/psicología , Violencia de Pareja/psicología , Medida Socioeducativa
19.
Psico USF ; 27(2): 251-263, abr.-jun. 2022. tab
Artículo en Inglés | LILACS, Index Psi Revistas Técnico-Científicas | ID: biblio-1406311

RESUMEN

This study aimed to develop the Age Diversity Management in Organizations scale for the Brazilian context and verify its evidence of validity. The process included five steps: proposal of its definition and development of the items according to the literature; content and semantic validity by judges; semantic validity by the target population; exploratory factorial analysis (EFA); and confirmatory factorial analysis (CFA). The EFA sample consisted of 674 workers from different organizations and the CFA of 722 workers. The final version of the scale was composed of 20 items (α =.91), divided into four factors: retirement preparation practices (5 items, α =.93); equal treatment for workers of different ages (6 items, a=.85), training to promote age diversity (5 items, α =.81), and management practices for older workers (4 items, α =.72). The theoretical and practical implications as well as the limitations of this measure are discussed. (AU)


Este estudo objetivou desenvolver e identificar os indícios de validade da escala Gestão da Diversidade Etária nas Organizações (GeDEO) para o contexto brasileiro. Esse processo incluiu cinco etapas: proposição do conceito e redação dos itens à luz da literatura; validade de conteúdo e semântica por juízes; validação semântica pelo público-alvo; análise fatorial exploratória (AFE) e análise fatorial confirmatória (AFC). A amostra da AFE foi composta por 674 trabalhadores de diversas organizações e, a da AFC, por 722. A versão final possui 20 itens (α = 0,91), com quatro fatores: práticas de preparação para aposentadoria (5 itens, α = 0,93); tratamento equânime a trabalhadores de diferentes idades (6 itens, α = 0,85); treinamento para promoção da diversidade etária (5 itens, α = 0,81) e práticas de gestão de pessoas a trabalhadores mais velhos (4 itens, α = 0,72). As implicações teórico-práticas e as limitações desta medida são discutidas. (AU)


El objetivo fue desarrollar e identificar las evidencias de validez de la escala de Gestión de la Diversidad de Edades en las Organizaciones para el contexto brasileño. Este proceso incluyó cinco pasos: propuesta del concepto y desarrollo de los ítems; validez de contenido y semántica por los jueces; validez semántica por parte de la población objetivo; análisis factorial exploratorio (AFE) y análisis factorial confirmatorio (AFC). La muestra de AFE consistió en 674 trabajadores de diferentes organizaciones, y la de AFC, en 722. La versión final contiene 20 ítems (α = 0,91), divididos en cuatro factores: prácticas de preparación para la jubilación (5 ítems, α = 0,93); igualdad de trato pata los trabajadores de diferentes edades (6 ítems, α = 0,85), capacitación para promover la diversidad de edades (5 ítems, α = 0,81) y prácticas de gestión para trabajadores mayores (4 ítems, α = 0,72). Se discuten las implicaciones teóricas y prácticas, así como las limitaciones de esta medida. (AU)


Asunto(s)
Humanos , Masculino , Femenino , Adulto , Persona de Mediana Edad , Anciano , Jubilación/psicología , Trabajo/psicología , Envejecimiento/psicología , Ageísmo/psicología , Calidad de Vida/psicología , Encuestas y Cuestionarios , Reproducibilidad de los Resultados , Análisis Factorial
20.
Psicol. reflex. crit ; 35: 22, 2022. tab, graf
Artículo en Inglés | LILACS, Index Psi Revistas Técnico-Científicas | ID: biblio-1406432

RESUMEN

A scoping review of systematic reviews was carried out to identify evidence of efficacy, effectiveness, and costeffectiveness of universal and selective suicide prevention programs among university students worldwide. Five databases were reviewed using terms in English, Spanish, and Portuguese. The following were the inclusion criteria: systematic review or meta-analysis or meta-synthesis, suicide prevention in college students, evaluation of the efficacy, effectiveness and/or cost-effectiveness of interventions, and peer-reviewed studies. The quality of reviews was assessed. The field of study features three decades of publication in high-income countries. The strategy used, the components of the program, and the target audience to which they are delivered interfere with efficacy. In the psychoeducation strategy, the experiential and didactic components are more efficacious in the knowledge about suicide. And the motivational enhancement component promotes greater self-efficacy in suicide prevention. Programs that take a multimodal approach are effective in increasing short-term attitudes related to suicide and reducing rates of completed suicide. The gatekeeper strategy delivered to peer counselors is the most effective one in the outcomes, including short-term and long-term knowledge about suicide and its prevention and self-efficacy in suicide prevention. A greater number of evaluated studies of gatekeeper interventions were identified, indicating a trend in this research field. No review addressed the effects on subgroups that were classified based on sex, racial or sexual minorities, and special (indigenous) populations. Only one study addressed cost-effectiveness, pointing out that the psychoeducation and gatekeeper strategies have relevant net benefit rates, but the gatekeeper strategy has a higher cost-benefit ratio compared to the psychoeducation strategy. The findings indicate that psychoeducation and gatekeeper interventions tend to be more efficacious when they combine education and skills training to intervene in suicidal behavior. The components of the intervention and the target audience to which it is delivered influence efficacy. Multimodal interventions evaluate completed suicide outcomes, but require greater implementation efforts, in terms of human and financial resources and more time for the evaluation. (AU)


Asunto(s)
Efectividad , Eficacia , Prevención del Suicidio/métodos , Servicios Preventivos de Salud/estadística & datos numéricos , Estudiantes
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