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1.
Qual Life Res ; 33(6): 1569-1579, 2024 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-38553648

RESUMO

PURPOSE: Whereas Quality of Life in older populations has long been conceptualized in regards to health or illness, the Control, Autonomy, Self-Realization and Pleasure scale (CASP-12) focuses on the positive facets of aging. Although the CASP is a widely used scale, its measurement invariance has seldom been examined. The present study aims to ascertain the measurement invariance of the CASP-12 over a period of 10 years and between age, culture and gender. METHODS: Secondary data analyses were conducted on the longitudinal data collected in four waves between 2006 and 2016-2017 of the Survey of Health, Ageing and Retirement in Europe study (SHARE). The factorial validity of the CASP-12 was examined and its measurement invariance was tested with a sample of 3684 men and 4955 women aged 30-99 years, coming from 10 different European countries. RESULTS: Results showed a strong theoretical and empirical dimensionality of the CASP-12, a well as invariance of time (10 years), age and culture. It was also found that the scale is gender invariant at the strict level. These results were replicated with two more waves of SHARE, measured six years apart. CONCLUSION: This study replicates the CASP-12 dimensional structure, factorial structure and factor loadings. The scale has demonstrated to be a reliable and valid measurement of the positive aspects of quality of life to be used across time, age, gender and culture. The Autonomy dimension of the scale warrants further investigation.


Assuntos
Psicometria , Qualidade de Vida , Humanos , Feminino , Masculino , Qualidade de Vida/psicologia , Pessoa de Meia-Idade , Idoso , Adulto , Idoso de 80 Anos ou mais , Inquéritos e Questionários/normas , Europa (Continente) , Estudos Longitudinais , Fatores Sexuais , Reprodutibilidade dos Testes , Envelhecimento/psicologia , Fatores Etários , Análise Fatorial
2.
Clin Gerontol ; : 1-15, 2024 Mar 13.
Artigo em Inglês | MEDLINE | ID: mdl-38477335

RESUMO

OBJECTIVES: This study investigates mental health (MH) through the dual-factor model, emphasizing both well-being and ill-being. Our objectives were to (1) identify MH profiles based on this model; (2) track these profiles over time; and (3) explore socio-demographic and physical health factors associated with these profiles. METHODS: We employed Latent Transition Analysis on data from 5,561 individuals aged 39-92, using two waves from the Survey of Health, Ageing, and Retirement in Europe. Well-being was assessed via life satisfaction and quality of life, while ill-being was measured through depression and loneliness. The predictors were socio-demographic and physical health variables. RESULTS: Four distinct MH profiles emerged, each with unique levels of well-being and ill-being. Stability was more common in adaptive profiles. Physical health was key in predicting transition. CONCLUSIONS: Identifying MH profiles in old age enhances our understanding of how MH adapts with aging. This approach reveals the complexity of MH beyond traditional ill-being, underscoring the importance of well-being. CLINICAL IMPLICATIONS: • The majority of older adults maintain good MH, suggesting a need for a paradigm shift toward enhancing well-being rather than solely treating ill-being.• Effective MH interventions should integrate both well-being and ill-being assessments to offer understanding and support.

3.
Dev Sci ; 21(6): e12690, 2018 11.
Artigo em Inglês | MEDLINE | ID: mdl-29911347

RESUMO

Executive functions (EFs) are key abilities that allow us to control our thoughts and actions. Research suggests that two EFs, inhibitory control (IC) and working memory (WM), emerge around 9 months. Little is known about IC earlier in infancy and whether basic attentional processes form the "building blocks" of emerging IC. These questions were investigated longitudinally in 104 infants tested behaviorally on two screen-based attention tasks at 4 months, and on IC tasks at 6 and 9 months. Results provided no evidence that basic attention formed precursors for IC. However, there was full support for coherence in IC at 9 months and partial support for stability in IC from 6 months. This suggests that IC emerges earlier than previously assumed. A video abstract of this article can be viewed at: https://www.youtube.com/watch?v=rVE17hooANY.


Assuntos
Função Executiva , Inibição Psicológica , Memória de Curto Prazo , Atenção , Feminino , Humanos , Lactente , Comportamento do Lactente/fisiologia , Estudos Longitudinais , Masculino , Senso de Coerência
4.
Int J Behav Nutr Phys Act ; 14(1): 87, 2017 07 06.
Artigo em Inglês | MEDLINE | ID: mdl-28679411

RESUMO

BACKGROUND: Picky eating is prevalent in childhood. Because pickiness concerns parents and is associated with nutrient deficiency and psychological problems, the antecedents of pickiness need to be identified. We propose an etiological model of picky eating involving child temperament, sensory sensitivity and parent-child interaction. METHODS: Two cohorts of 4-year olds (born 2003 or 2004) in Trondheim, Norway were invited to participate (97.2% attendance; 82.0% consent rate, n = 2475) and a screen-stratified subsample of 1250 children was recruited. We interviewed 997 parents about their child's pickiness and sensory sensitivity using the Preschool Age Psychiatric Assessment (PAPA). Two years later, 795 of the parents completed the interview. The Children's Behavior Questionnaire (CBQ) was used to assess children's temperament. Parent- child interactions were videotaped and parental sensitivity (i.e., parental awareness and appropriate responsiveness to children's verbal and nonverbal cues) and structuring were rated using the Emotional Availability Scales (EAS). RESULTS: At both measurement times, 26% of the children were categorized as picky eaters. Pickiness was moderately stable from preschool to school age (OR = 5.92, CI = 3.95, 8.86), and about half of those who displayed pickiness at age 4 were also picky eaters two years later. While accounting for pickiness at age 4, sensory sensitivity at age 4 predicted pickiness at age 6 (OR = 1.25, CI = 1.08, 2.23), whereas temperamental surgency (OR = 0.88, CI = 0.64, 1.22) and negative affectivity (OR = 1.17, CI = 0.75, 1.84) did not. Parental structuring was found to reduce the risk of children's picky eating two years later (OR = 0.90, CI = 0.82, 0.99), whereas parental sensitivity increased the odds for pickiness (OR = 1.10, CI = 1.00, 1.21). CONCLUSIONS: Although pickiness is stable from preschool to school age, children who are more sensory sensitive are at higher risk for pickiness two years later, as are children whose parents display relatively higher levels of sensitivity and lower levels of structuring. Our findings suggest that interventions targeting children's sensory sensitivity, as well as parental sensitivity and structuring, might reduce the risk of childhood pickiness. Health care providers should support parents of picky eaters in repeatedly offering unfamiliar and rejected foods to their children without pressure and acknowledging child autonomy.


Assuntos
Comportamento Infantil/psicologia , Ingestão de Alimentos/psicologia , Comportamento Alimentar/psicologia , Preferências Alimentares/psicologia , Relações Pais-Filho , Pais , Temperamento , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Noruega , Razão de Chances , Sensação , Inquéritos e Questionários
5.
J Adv Nurs ; 70(2): 310-22, 2014 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-23772766

RESUMO

AIM: The Triple Match Principle offers insight into the interactive interplay between job demands and job resources in the prediction of work-related strain. The aim of this article was to examine the interplay among job demands, job resources and strain in the nursing profession (the Triple Match Principle) and to gain insight into potential generational differences by investigating generation as a moderator of that interplay. BACKGROUND: No research has been done to evaluate generational differences in the Triple Match Principle. In a context of nursing shortages, it seems important to examine the relevance of the Triple Match Principle with respect to different generations of nurses. DESIGN: Cross-sectional study. METHODS: A total of 1254 public healthcare sector nurses in Quebec, Canada, completed a questionnaire in the autumn of 2010. The questionnaire was used to assess cognitive, emotional and physical job demands and resources; psychological distress; psychosomatic complaints; and turnover intention. RESULTS: The results supported the Triple Match Principle and showed that job resources were more likely to buffer the effect of job demands on strain as the degree of match in qualitative dimension among demands, resources and strain increased (33·3% of triple-match interactions, 22·22% of double-match interactions and 16·67% non-match interactions were significant). Moreover, generation played a key role in this interplay, as it increased the number of significant qualitative interactions among job demands, job resources and strain. CONCLUSIONS: The results underscore the necessity of providing adequate job resources tailored to the specific job demands nurses face, to counteract the negative effects of those demands.


Assuntos
Enfermagem , Estresse Psicológico/etiologia , Adulto , Fatores Etários , Esgotamento Profissional/etiologia , Cognição/fisiologia , Estudos Transversais , Emoções , Feminino , Humanos , Satisfação no Emprego , Masculino , Quebeque , Carga de Trabalho/psicologia , Local de Trabalho/psicologia
6.
J Nurs Scholarsh ; 44(4): 418-27, 2012 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-23121763

RESUMO

PURPOSE: The recent introduction of a project management office (PMO) in a major healthcare center, led by a nurse, provides a unique opportunity to understand how a PMO facilitates successful implementation of evidence-based practices in care delivery. DESIGN: A case study with embedded units (individuals, projects, and organization). In this study, the case is operationally defined as the PMO deployed in a Canadian healthcare center. METHODS: The sources of evidence used in this study were diverse. They consisted of 38 individual interviews, internal documents, and administrative data. The data were collected from March 2009 to November 2011. Content analysis was used to analyze the qualitative data. FINDINGS: PMO experts help improve practices, and the patients thus receive safer and better quality care. Several participants point out that they could not make the changes without the PMO's support. They mention that they succeeded in changing their practices based on the evidence and acquired knowledge of change management with the PMO members that can be transferred to their practice. CONCLUSIONS: With the leadership of the nurse director of the PMO, members provide a range of expertise and fields in evidence-based change management, project management, and evaluation. CLINICAL RELEVANCE: PMO facilitates the implementation of clinical and organizational practices based on evidence to improve the quality and safety of care provided to patients.


Assuntos
Centros Médicos Acadêmicos/organização & administração , Eficiência Organizacional , Prática Clínica Baseada em Evidências , Coleta de Dados , Difusão de Inovações , Humanos , Entrevistas como Assunto , Estudos de Casos Organizacionais , Inovação Organizacional , Quebeque
7.
Arch Psychiatr Nurs ; 26(4): e41-50, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-22835756

RESUMO

Family-driven collaboration is fundamental to developing a new model of health care and eliminating fragmented services in mental health. The province of Québec (Canada) recently undertook major transformations of its mental health care system. These transformations represent an opportunity to improve collaboration between families and health care practitioners and to understand which factors facilitate this collaboration. This article describes how families and decision makers perceive collaboration in the context of a major transformation of mental health services and identifies the factors that facilitate and hinder family collaboration.


Assuntos
Cuidadores/psicologia , Comportamento Cooperativo , Tomada de Decisões , Reforma dos Serviços de Saúde , Transtornos Mentais/enfermagem , Serviços de Saúde Mental , Relações Profissional-Família , Cuidadores/educação , Confidencialidade , Comportamento do Consumidor , Enfermagem Familiar , Feminino , Grupos Focais , Acessibilidade aos Serviços de Saúde , Humanos , Relações Interprofissionais , Assistência de Longa Duração/psicologia , Masculino , Pessoa de Meia-Idade , Transferência de Pacientes , Assistência Centrada no Paciente , Quebeque , Apoio Social
8.
Health Care Manag (Frederick) ; 31(2): 154-65, 2012.
Artigo em Inglês | MEDLINE | ID: mdl-22534971

RESUMO

This article describes the contribution of a Transition Support Office (TSO) in a health care center in Canada to supporting changes in practice based on evidence and organizational performance in the early phase of a major organizational change. Semistructured individual interviews were conducted with 11 members of the TSO and 13 managers and clinicians from an ambulatory sector in the organization who received support from the TSO. The main themes addressed in the interviews were the description of the TSO, the context of implementation, and the impact. Using the Competing Value Framework by Quinn and Rohrbaugh [Public Product Rev. 1981;5(2):122-140], results revealed that the TSO is a source of expertise that facilitates innovation and implementation of change. It provides material support and human expertise for evidence-based projects. As a single organizational entity responsible for managing change, it gives a sense of cohesiveness. It also facilitates communication among human resources of the entire organization. The TSO is seen as an expertise provider that promotes competency development, training, and evidence-based practices. The impact of a TSO on change in practices and organizational performance in a health care system is discussed.


Assuntos
Centros Médicos Acadêmicos/organização & administração , Difusão de Inovações , Eficiência Organizacional , Prática Clínica Baseada em Evidências , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Estudos de Casos Organizacionais , Inovação Organizacional , Quebeque
9.
Worldviews Evid Based Nurs ; 9(3): 186-92, 2012 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-21401860

RESUMO

BACKGROUND: To improve the overall quality and effectiveness of the Canadian health care system through better decisions supported by research-based evidence (RBE), the Canadian Health Services Research Foundation (CHSRF) and partners have created the Executive Training for Research Application (EXTRA) program. OBJECTIVES: To evaluate how nurse executive fellows perceive changes in their levels of knowledge of RBE and in their level of use of RBE following participation in the EXTRA program. METHODS: Nurse executives in the first four cohorts of the program (2004-2007) completed a survey during their 2-year fellowship period. RESULTS: Statistically significant improvements were observed regarding nurse executives' perceived knowledge and use of RBE. According to the participants, the EXTRA fellowship contributes to their role and function in their organization by providing tools, learning, and access to resources and networking, which contributes to their credibility, leadership, and knowledge transfer skills. CONCLUSIONS: The EXTRA program has been structured to reduce barriers and to enhance the facilitators found in the literature on the implementation of evidence-based practices (EBP) in health care settings. Overall, nurse executives perceived that the benefits of participating in the EXTRA program were both individual and organizational.


Assuntos
Educação Continuada em Enfermagem/organização & administração , Enfermagem Baseada em Evidências/educação , Pesquisas sobre Atenção à Saúde , Liderança , Enfermeiros Administradores/educação , Enfermeiros Administradores/psicologia , Atitude do Pessoal de Saúde , Canadá , Bolsas de Estudo/organização & administração , Feminino , Conhecimentos, Atitudes e Prática em Saúde , Humanos , Masculino , Programas Nacionais de Saúde/organização & administração , Pesquisa em Avaliação de Enfermagem
10.
Health Care Manag (Frederick) ; 29(4): 293-304, 2010.
Artigo em Inglês | MEDLINE | ID: mdl-21045581

RESUMO

The aim of this study was to investigate the relationships between 4 dimensions of the psychosocial work environment (psychological demands, decision latitude, social support, and effort-reward) among health care professionals as well as their psychological distress during a reorganization process. A correlational descriptive design was used for this quantitative study. A total of 159 health care professionals completed the questionnaire at T1, and 141 at T2. First, before the work reorganization, effort-reward imbalance was the sole variable of the psychological work environment that significantly predicted psychological distress. Second, the high overall level of psychological distress increased during the process of organizational change (from T1 to T2). Finally, effort-reward imbalance, high psychological demands, and low decision latitude were all significant predictors of psychological distress at T2, during the organizational change. In conclusion, to reduce the expected negative outcomes of restructuring on health care practitioners, managers could increase the number of opportunities for rewards, carefully explain the demands, and clarify the tasks to be performed by each of the employees to reduce their psychological burden and increase their perceptions of autonomy.


Assuntos
Pessoal de Saúde/psicologia , Inovação Organizacional , Estresse Psicológico/etiologia , Local de Trabalho/psicologia , Feminino , Administração Hospitalar , Humanos , Satisfação no Emprego , Masculino , Pessoa de Meia-Idade , Quebeque , Análise de Regressão , Fatores de Risco , Apoio Social , Fatores Socioeconômicos , Estresse Psicológico/psicologia , Inquéritos e Questionários , Local de Trabalho/organização & administração
11.
J Sch Psychol ; 63: 1-12, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28633933

RESUMO

Using a longitudinal approach spanning nine years of children's formal education, this study investigated the developmental trajectories of self-evaluation bias of academic competence. The study also examined how parenting styles were associated with the trajectories of bias in mid-primary school, and how those trajectories predicted academic outcomes at the end of secondary school and the beginning of college. A total of 711 children in 4th and 5th grades (mean age=10.71years old; 358 girls) participated in this study. Using a latent class growth modeling framework, results indicated that children can be classified in three latent growth trajectories of self-evaluation bias: the optimistic, realistic and pessimistic trajectories. These trajectories differed in their initial status of bias and also in their development over time. Children's adherence to a specific trajectory was associated with parenting variables in childhood. Finally, the optimistic, realistic, or pessimistic trajectories distinctively predicted achievement and persistence.


Assuntos
Sucesso Acadêmico , Pais , Personalidade , Adolescente , Criança , Avaliação Educacional , Feminino , Humanos , Estudos Longitudinais , Masculino , Instituições Acadêmicas , Autoavaliação (Psicologia)
12.
J Pers Soc Psychol ; 105(4): 703-17, 2013 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-23895269

RESUMO

Are there developmental trends in how individuals experience and engage with music? Data from 2 large cross-sectional studies involving more than a quarter of a million individuals were used to investigate age differences in musical attitudes and preferences from adolescence through middle age. Study 1 investigated age trends in musical engagement. Results indicated that (a) the degree of importance attributed to music declines with age but that adults still consider music important, (b) young people listen to music significantly more often than do middle-aged adults, and (c) young people listen to music in a wide variety of contexts, whereas adults listen to music primarily in private contexts. Study 2 examined age trends in musical preferences. Results indicated that (a) musical preferences can be conceptualized in terms of a 5-dimensional age-invariant model, (b) certain music-preference dimensions decrease with age (e.g., Intense, Contemporary), whereas preferences for other music dimensions increase with age (e.g., Unpretentious, Sophisticated), and (c) age trends in musical preferences are closely associated with personality. Normative age trends in musical preferences corresponded with developmental changes in psychosocial development, personality, and auditory perception. Overall, the findings suggest that musical preferences are subject to a variety of developmental influences throughout the life span.


Assuntos
Comportamento de Escolha/fisiologia , Comportamento do Consumidor/estatística & dados numéricos , Música/psicologia , Adolescente , Adulto , Fatores Etários , Idoso , Atitude , Percepção Auditiva/fisiologia , Estudos Transversais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Personalidade/fisiologia , Reino Unido , Estados Unidos , Adulto Jovem
13.
Clin J Pain ; 27(1): 62-9, 2011 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-20842025

RESUMO

OBJECTIVE: One criticism of the BDI-II for assessing depressive symptoms in people experiencing chronic pain has been the potential overlap between the physical or psychological origins of some of the symptoms. Furthermore, previous studies have reported both two-factor and three-factor solutions, so that the factor solution of the instrument in this population remains unclear. The main objective of the present study was to validate the BDI-II with a chronic pain population experiencing musculoskeletal disorders. Three specific objectives were: (1) to modify the BDI-II for people with musculoskeletal disorders by adding sub-questions to better identify the perceived cause of the depressive symptoms, (2) to assess the validity and reliability of this modified version of the BDI-II, and (3) to explore the perceptions of the causes/origins of symptoms reported on the BDI-II. Results of the confirmatory factor analysis supported the presence of three dimensions within the BDI- : Cognitive, Affective and Somatic. METHODS: A total of 206 participants experiencing chronic pain answered a modified version of the BDI-II, the CES-D and a sociodemographic questionnaire. RESULTS: Results confirmed the three-dimensional factorial structure of the BDI for this population. Overall, participants experienced higher levels of somatic symptoms compared to symptoms belonging to other dimensions. The percentages of answers to the sub-questions were also similarly distributed between "pain", and "pain and state of mind", regardless of the dimension. DISCUSSION: The importance of assessing somatic symptoms of depression in pain patients and of thoroughly examining the underlying perceived cause of symptoms, regardless of the dimension, are discussed.


Assuntos
Depressão/psicologia , Doenças Musculoesqueléticas/complicações , Doenças Musculoesqueléticas/psicologia , Dor/etiologia , Dor/psicologia , Escalas de Graduação Psiquiátrica , Doença Crônica , Análise Fatorial , Humanos , Masculino , Pessoa de Meia-Idade , Medição da Dor , Quebeque , Reprodutibilidade dos Testes , Fatores Socioeconômicos , Inquéritos e Questionários
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