A Scoping Review of Biobehavioural Interventions to Improve PrEP Continuum of Care in Latin America

According to the literature, biobehavioural interventions or combined strategies would reduce the risk of HIV infection by more than 7,000 new cases each day, which would contribute to the battle facing Latin America, where despite the high incidence and prevalence of HIV in the region, access to PrEP (pre-exposure prophylaxis) is very limited. The objective of this research was, consistent with the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), to conduct a scoping review to assess the evidence of available outcome data on biobehavioural interventions and programs to address gaps in the PrEP continuum of care in Latin America. The search was conducted in the databases EBSCOhost, WoS, Scopus, and ProQuest, and include all studies published from 2010 to 2021. One hundred eighty-six studies were identified and evaluated according to the eligibility criteria in six stages starting with the elimination of duplicates until the selection of studies that met the previously mentioned criteria; at the end five studies were chosen which were submitted to the methodological quality assessment including compliance with ethical guidelines. Results show that biobehavioural interventions promoting PrEP in Latin America are effective in increasing condom use, decreasing HIV risk, and increasing PrEP awareness, uptake, adherence, and retention. The limited number of interventions in the PrEP continuum of care indicates a need for the uptake of dissemination and implementation science (D&I) frameworks. D&I could help facilitate the translation of evidence-based practices, interventions, and policies to address the HIV crisis in Latin America.

Según la literatura, las intervenciones bioconductuales o estrategias combinadas reducirían el riesgo de infección por VIH en más de 7000 nuevos casos cada día, lo que contribuiría a la batalla que enfrenta América Latina, región en la que, a pesar de la alta incidencia y prevalencia del VIH, el acceso a la PrEP (profilaxis preexposición) es muy limitado. De acuerdo con las directrices de PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), el objetivo de esta investigación fue realizar una revisión de alcance para evaluar la evidencia de los datos de resultados disponibles sobre intervenciones bioconductuales y programas para abordar las brechas en el continuo de atención de PrEP en América Latina. La búsqueda se realizó en las bases de datos EBSCOhost, WoS, Scopus y ProQuest, e incluyó todos los estudios publicados de 2010 a 2021. Se identificaron ciento ochenta y seis estudios, y se evaluaron de acuerdo con los criterios de elegibilidad en seis etapas, iniciando por la eliminación de duplicados hasta la selección de estudios que cumplieran los criterios previamente mencionados; al final se eligieron cinco estudios, los cuales fueron sometidos a la evaluación de calidad metodológica, incluyendo el cumplimiento de los lineamientos éticos. Los resultados muestran que las intervenciones bioconductuales que promueven la PrEP en América Latina son efectivas para aumentar el uso del condón, disminuir el riesgo de VIH y aumentar la conciencia, la aceptación, la adherencia y la retención de la PrEP. El número limitado de intervenciones en el continuo de atención de la PrEP indica la necesidad de adoptar marcos científicos de difusión e implementación (D&I); marcos que podrían ayudar a facilitar la traducción de prácticas, intervenciones y políticas basadas en la evidencia para abordar la crisis del VIH en América Latina.

A Scoping Review of Biobehavioural Interventions to Improve PrEP Continuum of Care in Latin America.

According to the literature, biobehavioural interventions or combined strategies would reduce the risk of HIV infection by more than 7,000 new cases each day, which would contribute to the battle facing Latin America, where despite the high incidence and prevalence of HIV in the region, access to PrEP (pre-exposure prophylaxis) is very limited. The objective of this research was, consistent with the PRISMA guidelines (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), to conduct a scoping review to assess the evidence of available outcome data on biobehavioural interventions and programs to address gaps in the PrEP continuum of care in Latin America. The search was conducted in the databases EBSCOhost, WoS, Scopus, and ProQuest, and include all studies published from 2010 to 2021. One hundred eighty-six studies were identified and evaluated according to the eligibility criteria in six stages starting with the elimination of duplicates until the selection of studies that met the previously mentioned criteria; at the end five studies were chosen which were submitted to the methodological quality assessment including compliance with ethical guidelines. Results show that biobehavioural interventions promoting PrEP in Latin America are effective in increasing condom use, decreasing HIV risk, and increasing PrEP awareness, uptake, adherence, and retention. The limited number of interventions in the PrEP continuum of care indicates a need for the uptake of dissemination and implementation science (D&I) frameworks. D&I could help facilitate the translation of evidence-based practices, interventions, and policies to address the HIV crisis in Latin America.

Según la literatura, las intervenciones bioconductuales o estrategias combinadas reducirían el riesgo de infección por VIH en más de 7000 nuevos casos cada día, lo que contribuiría a la batalla que enfrenta América Latina, región en la que, a pesar de la alta incidencia y prevalencia del VIH, el acceso a la PrEP (profilaxis preexposición) es muy limitado. De acuerdo con las directrices de PRISMA (Preferred Reporting Items for Systematic Reviews and Meta-Analyses), el objetivo de esta investigación fue realizar una revisión de alcance para evaluar la evidencia de los datos de resultados disponibles sobre intervenciones bioconductuales y programas para abordar las brechas en el continuo de atención de PrEP en América Latina. La búsqueda se realizó en las bases de datos EBSCOhost, WoS, Scopus y ProQuest, e incluyó todos los estudios publicados de 2010 a 2021. Se identificaron ciento ochenta y seis estudios, y se evaluaron de acuerdo con los criterios de elegibilidad en seis etapas, iniciando por la eliminación de duplicados hasta la selección de estudios que cumplieran los criterios previamente mencionados; al final se eligieron cinco estudios, los cuales fueron sometidos a la evaluación de calidad metodológica, incluyendo el cumplimiento de los lineamientos éticos. Los resultados muestran que las intervenciones bioconductuales que promueven la PrEP en América Latina son efectivas para aumentar el uso del condón, disminuir el riesgo de VIH y aumentar la conciencia, la aceptación, la adherencia y la retención de la PrEP. El número limitado de intervenciones en el continuo de atención de la PrEP indica la necesidad de adoptar marcos científicos de difusión e implementación (D&I); marcos que podrían ayudar a facilitar la traducción de prácticas, intervenciones y políticas basadas en la evidencia para abordar la crisis del VIH en América Latina.

Prevalence and Predictors of Perpetration of Cyberviolence Against a Dating Partner: A Cross-Cultural Study with Moroccan and Spanish Youth.

The rise in the levels of cyberviolence in adolescent couples has become a social, educational, and public health problem of enormous magnitude. This study analyzed the nature and dimensions of cyberviolence among adolescents and its association with other forms of offline violence by country of origin (Morocco or Spain) and gender. The objective of the study was to identify the predictors of the perpetration of cyberviolence against a dating partner. The predictor variables were five types of dating victimization (cyber, physical, sexual, emotional with a social impact, and emotional with an individual impact), history of violence, and parental monitoring knowledge. The sample consisted of Spanish (n = 802) and Moroccan students (n = 241) who had dated and attended secondary schools in southeastern Spain. Over half of the participants had perpetrated cyberviolence against their partners; the prevalence was higher among girls and Moroccan youth. Boys reported more physical victimization than girls. For all groups, the strongest predictor of cyberviolence perpetration was cyberviolence victimization. The influence of other forms of victimization, history of offline violence, and parental monitoring differed by the youth's country of origin and gender. The study reinforces the need for intersectional and cross-cultural analyses of online behaviors.

Violencia en las parejas adolescentes. Implicaciones del sexismo y la religión / Teen dating violence. Implications of sexism and religion

Resumen La violencia en las parejas adolescentes es un tema de especial importancia por la implicación en la salud y en las relaciones afectivas de los adolescentes. El propósito de este estudio fue determinar la influencia del género y de la religión en la violencia física, de comunicación/relación y psicológica, recibidas por los adolescentes, y en la satisfacción con la vida que estos presentan, además, del papel que juegan las conductas sexistas en esta violencia. Los participantes han sido 1 036 adolescentes pertenecientes a siete centros de educación secundaria del sudeste español, de edades comprendidas entre 14 y 19 años, de los que el 48.1 % eran hombres y el 51.9 %, mujeres. Para alcanzar los objetivos de la investigación, junto con los datos demográficos y personales, se aplicó la Escala de Satisfacción con la Vida (SWLS), la Escala de Violencia en la pareja desarrollada y validada para este estudio que recoge tres subescalas: violencia psicológica, violencia física, y violencia en la comunicación y relación con otros. Finalmente, el cuestionario sobre conductas sexistas da información sobre creencias falsas y conductas sexistas. Los resultados muestran niveles más altos de violencia física, psicológica y de comunicación/relación sufrida por los hombres. Aunque son los hombres los que se sienten más satisfechos con la vida y los que manifiestan más conductas sexistas. La creencia religiosa no interviene en la violencia ejercida, pero son los adolescentes practicantes los que se muestran más satisfechos con la vida.

Abstract Teen dating violence is defined as the physical, sexual, psycho-emotional violence that occurs within couple relationships during adolescence. These are relationships that threaten the well-being, health or integrity of the couple and that use mechanisms of control or domination of the couple through coactive or coercive tactics. With this research we have tried to find out about life satisfaction, the physical, psychological and communicative violence suffered by adolescent men and women who are religious or not. In addition, detect sexist behaviours in young people of both sexes and assess behaviours based on religious practice. A descriptive, cross-sectional and predictive study was carried out. Cluster random sampling was carried out when selecting secondary schools in South-eastern Spain. The study included 1 036 adolescents with ages between 14 and 19 years old, of whom 48.1 % were men and 51.9 % women. To fulfill the objectives together with demographic and personal data, the Satisfaction with Life Scale (SWLS) is applied, which assesses the cognitive aspects of well-being. The Psychological Violence Scale is applied with the objective of assessing the psychological and emotional violence. To know the physical violence and authoritarian behaviour, the Physical Violence Scale is applied. Finally, the Violence in Communication and Relationship with Others Scale is introduced for studying online violence and relationship violence. The three violence scales have been adapted, developed and validated by Soriano and Aguilera (2017). Finally, the questionnaire on sexist behaviours collects information on false beliefs and sexist behaviours. The data collection procedure followed the standards set out in the Helsinki Convention (2013) for scientific research involving human participants. Regarding the results, in the first of the logistic regression models, it is good for boys to go out with many girls, but not the other way around (Wald = 14.461; p = .000; OR = 4.047), it is observed to be that boys are 4.047 times more likely to agree with this attitude than girls. Also, it is statistically significant that sometimes you have to threaten others to know who is in charge, (Wald = 8.107; p = .004; OR = 2.173), which indicates that the boys are 2.173 times more likely in accordance with that conduct that the girls. It is also statistically significant that when a woman is assaulted by her partner she will have done something to provoke him, (Wald = 16.315; p = .000; OR = 3.538), making it 3.538 times more likely that boys support this attitude than girls. At the same time, it is statistically significant that the violence that occurs within the home is a family matter and should not leave there, (Wald = 4.132; p = .042; OR = 1.694), which also indicates that boys are 1.694 times more likely to adopt this behaviour than girls. Regarding the perception of violence, it is observed that men perceive more violence than women, being significant for the three types of violence studied (p < .05): Communication, psychological and physical. Personal satisfaction also shows significant results (Z = -2.61; p = .009). In this case, men perceive greatersatisfaction with their life than women. For students with religious beliefs and practices, statistically significant results were evident only in personal satisfaction (Z = -3.42; p = .001), showing that students who practice a religion have more satisfaction with life. The results show higher levels of physical, psychological and communication / relationship violence suffered by men. However, men feel more satisfation with life and show more sexist behaviour. Religious belief does not intervene in violence, but the practicing adolescents are those most satisfied with life.

Design and Validation of the Scale TDV-VP Teen Dating Violence: Victimisation and Perpetration [Violencia en Parejas Adolescentes: Victimización y Perpetración] for Spanish Speakers.

BACKGROUND: This study offers the design and validation of a scale for measuring violence in adolescent couples from the perspective of victimisation and perpetration for young Spanish speakers. METHOD: Validation study using exploratory and confirmatory factor analysis with online self-selected sampling and the participation of 422 subjects who met the requirements of being between 13 and 21 years old and currently or recently having a partner. RESULTS: A scale of victimisation in adolescent partner relationships was obtained with 25 items and a scale of violence perpetration with 22 items. Both scales presented five factors: psychological violence, verbal violence, control, jealousy, and sexual violence. Significant differences were found between men and women in victimisation and perpetration of sexual violence. CONCLUSIONS: The Teen Dating Violence-Victimisation and Perpetration (TDV)-VP complies with the reliability and validity indices, constituting a very useful instrument for the detection and measurement of violence in Spanish-speaking adolescent couples in health-promotion work.

Promoting a Healthy Lifestyle through Mindfulness in University Students: A Randomized Controlled Trial.

The present study explored the effects of a second-generation mindfulness-based intervention known as flow meditation (Meditación-Fluir) in the improvement of healthy life behaviors. A sample of university students (n = 51) in Spain were randomly assigned to a seven-week mindfulness treatment or a waiting list control group. Results showed that compared to the control group, individuals in the mindfulness group demonstrated significant improvements across all outcome measures including healthy eating habits (balanced diet, intake rate, snacking between meals, decrease in consumption by negative emotional states, increased consumption by negative emotional states, amount of consumption, meal times, consumption of low-fat products), tobacco, alcohol, and cannabis consumption, and resting habits. There were differences between males and females in some of these variables and a better effect of the treatment was evident in the females of the experimental group when compared to the males. The flow meditation program shows promise for fostering a healthy lifestyle, thus decreasing behaviors related to maladaptive eating, tobacco, alcohol, and cannabis consumption as well as negative rest habits in university students. This mindfulness program could significantly contribute to the treatment of eating disorders and addictions, wherein negative emotional states and impulsivity are central features of the condition.

Psychometric Properties of the Condom Use Self-Efficacy Scale among Young Colombians.

(1) Background: This study evaluated the psychometric properties of the Condom Use Self-Efficacy Scale among Colombian youth. (2) Method: A total of 2873 men and women between 18 and 26 years old (M = 21.45, SD = 2.26) took part in this study. All participants answered a socio-demographic survey, the Condom Use Self-Efficacy Scale, the UCLA Multidimensional Condom Attitudes Scale, The Condom Use Errors and Problems Scale, and the Sexual Assertiveness Scale. Sampling was web-based, and the survey was distributed via Facebook. (3) Results: The Condom Use Self-Efficacy Scale demonstrated adequate reliability (ordinal α ranged = 0.76 to 0.92). Exploratory and confirmatory factor analysis suggested a four-factor structure with an explained variance of 69%. This dimensionality was also invariant across gender. Moreover, positive attitudes toward condom use were significantly associated with appropriation and assertiveness. Two dimensions (appropriation and partner disapproval) showed significant gender differences. (4) Conclusions: The Spanish-Colombian version of the Condom Use Self-Efficacy Scale is a psychometrically adequate instrument to measure perceived condom use self-efficacy. This scale can be used in both research and professional settings to measure self-efficacy at using condoms in young people.

Hospitalization Experience of Muslim Migrants in Hospitals in Southern Spain-Communication, Relationship with Nurses and Culture. A Focused Ethnography.

The coast of southern Spain is one of the main entry points for Africans who want to reach Europe; in this area, there is an important immigrant community of African origin, mostly Muslims. The objective of this study is to describe and understand the hospitalization experience of Muslim migrants in public hospitals in southern Spain, especially their relationship with the nurses who care for them. Data were collected from May 2016 to June 2017. This study followed the principles associated with focused ethnography. During data collection, open interviews with 37 Muslim patients were conducted. Three themes emerged from the inductive data analysis: lack of communication with nurses, discriminatory experiences at the hospital and their experience of Islam in the hospital. We conclude that caring for Muslim patients requires specific training not only for nurses but also for other health professionals; existing communication problems must be addressed by establishing the role of the intercultural mediator as an idiomatic and cultural bridge between patients and nurses. In addition, hiring health professionals with migrant backgrounds would help convert hospitals into spaces for intercultural coexistence.

Adolescent Profiles according to Their Beliefs and Affinity to Sexting. A Cluster Study.

Sexting consists of sending, receiving, and distributing images of sexually suggestive content through electronic devices. This practice is one of the new ways of linking sex affectively through virtual environments, especially in adolescence. However, not all young people have the same relationship with the practice of sexting. This study of a sample of 603 Spanish and Moroccan adolescents residing in Andalusia analyzes beliefs towards sexting as part of a virtual sexuality and the perception of those who carry it out, defining profiles of affinity to sexting. The cluster analysis reveals the existence of three predominant profiles: adolescents who show a sexting-philia, perceiving it as a fun, flirty, and daring practice; sexting-phobes, who consider sexting to be characteristic of people, or attitudes, who are desperate, impolite, and conflicting; and a third ambivalent profile of people who appreciate the practice as something fun but conflicting. The majority discourse is one that presents a positive view of this phenomenon. Young people also recognize that sexting has some characteristics of virtual sexuality, such as a loss of privacy and a distance between virtual and real behavior. These findings allow us to deepen our understanding of the new practices of relationships and offer measures for the prevention of the associated risks.

Identification of Cultural and Transcultural Health Assets Among Moroccan, Romanian and Spanish Adolescents Through Photovoice.

The health assets model focuses on recognizing the strengths, capacities and resources of individuals and their communities to improve health control processes. This study focuses on identifying and comparing the transcultural and cultural assets in health as accounted for by 45 young Romanians, Moroccans and Spaniards living in southern Spain. The research uses a photovoice method to understand what young people consider to boost their health. Of all the photographs taken, each young person selected the six most relevant images, and individual interviews were carried out. Both images and interviews were analysed qualitatively using Atlas Ti. We identified 40 transcultural assets in health that were common among the 3 cultural groups and 7 cultural assets that were specific to cultural groups. The seven assets include religion and spirituality, cultural symbols, medicine, traditional food, thinness, freedom/autonomy and plants. The definition of transcultural and cultural health assets facilitates the development of educational health interventions that reinforce the strengths of others in a culturally sensitive manner.

A transcultural health education programme led by immigrant adolescents in Southern Spain.

Immigration to western countries is a relevant phenomenon that has been linked to health inequalities. One form of inequality is ethnocentrism in health programmes. Therefore, social innovations and a new transcultural approach have been developed to culturally adapt health education interventions. This study aimed to evaluate the effects of a double transcultural health intervention, the Leader Adolescents in Transcultural Health Education (LATES) Project, which is led by high school immigrant adolescents over elementary students of multicultural contexts in southeastern Spain. This double quasi-experimental study had experimental and control groups composed of secondary students (12 health cultural brokers with 36 controls) and elementary students (26 participant students and 26 controls). The LATES Project was delivered to two high schools and two elementary schools in Almeria (Spain). A mixed evaluation method was used. Six attitudinal scales were used pre- and post-intervention to collect the data. The quantitative evaluation was completed using qualitative techniques through in-depth interviews and focal groups. Four sociocultural gradients were identified pre-intervention: a positive rural gradient, a negative gender gradient except in traditional 'female' dimensions, a negative age gradient and a dual migrant gradient that combined the health migrant effect in some behaviours and westernization in others. Specifically, the Moroccan population demonstrated better attitudes towards eating and physical activity behaviours. After the intervention, the experimental groups showed more improvement than the controls. However, the attitudinal scale increment is modest compared with the knowledge and motivation improvements. This intervention, which used a transcultural approach, has benefited young Spaniards to a greater extent than immigrants, probably due to the worse initial health conditions of the Spanish.

"Amigos con beneficios": salud sexual y estilos de apego de hombres y mujeres / "Friends with benefits": sexual health and attachment styles in men and women

Resumen Este estudio pretende analizar las variables relacionadas con la salud sexual de los individuos que pueden tener un impacto negativo en la asunción de riesgos - el uso de preservativo y el consumo de alcohol -; también pretende describir la prevalencia de infecciones de transmisión sexual y los estilos de apego que manifiestan hombres y mujeres en el marco relacional de amigos con beneficios. Para ello, se realiza un estudio transversal descriptivo. La información fue recogida mediante un cuestionario en línea y la escala de evaluación de los estilos de apego de Casullo y Fernández Liporace. En total, una muestra de 119 personas inmersas en una relación sexual casual con un amigo cumplimentaron el cuestionario. En relación a los resultados, casi el 30% de los participantes no han utilizado el preservativo en sus relaciones sexuales aduciendo razones asociadas al displacer e incomodidad; son las mujeres las que más padecen de infecciones de transmisión sexual; el consumo de alcohol ha constituido una práctica habitual en este tipo de relación. Aunque el apego seguro ha sido el más elevado, las mujeres se han mostrado temerosas. Amigos con beneficios puede entrañar graves consecuencias para la salud de los individuos y especialmente para las mujeres. Estos resultados recomiendan que desde la salud pública se preste atención a este novedoso vínculo sexual, así como la puesta en marcha de estrategias de promoción de la salud sexual dirigidas a las prácticas de riesgo de esta relación y a la mayor fragilidad afectiva y sexual de la mujer.

Abstract This study aims to analyze the variables related to the sexual health of individuals that could have a negative impact on risk-taking - condom use and alcohol consumption -, as well as describing the prevalence of sexually transmitted infections (STIs) and attachment styles showed by women and men in the relational framework of friends with benefits. For that, a cross-sectional, descriptive study was conducted. The information was collected through an online questionnaire based on the Casullo and Fernandez Liporace's attachment styles assessment scale. The total of 119 persons involved in casual sex with a friend filled out the questionnaire. In relation to the results, nearly 30% of respondents have not used a condom during sex on grounds related to displeasure and discomfort. STIs have been suffered by women in significantly higher proportion. Alcohol consumption is a common practice in this type of relationship. Although secure attachment was the highest, women are shown fearful. Friends with benefits may entail serious consequences for the health of individuals, especially for women. Therefore, these results recommend that this new sexual bond is to be considered by Public Health, as well as the implementation of sexual health promotion strategies aimed at risks of this relationship and the greater emotional and sexual fragility of women.

Instrucción en estrategias de comprensión lectora mediante enseñanza recíproca: efectos del agrupamiento de los estudiantes / Instruction of Reading Comprehension Strategies through Reciprocal Teaching: Effects of Grouping Formats

El objetivo de este estudio es comparar el efecto que dos formatos de agrupamiento de los estudiantes tiene sobre la comprensión lectora. La instrucción en comprensión lectora empleó la Enseñanza Recíproca (ER) que es un procedimiento que enseña a los estudiantes estrategias cognitivas para incrementar la comprensión lectora. Participaron 43 alumnos de 4º de E.P.: 18 fueron instruidos mediante ER en el aula ordinaria (GG); 8 mediante ER en pequeño grupo (PG) y 17 recibieron la enseñanza tradicional. Se emplearon dos tipos de medidas: medidas de efectos específicos (idea principal y supervisión y regulación) y medidas de generalización (test estandarizado, significado implícito y recuerdo). Los resultados demuestran que los dos grupos instruidos mediante ER fueron superiores en las medidas de efectos específicos y en las de generalización al grupo de comparación. Además, el grupo instruido en pequeño grupo (PG) fue superior al GG y GC en la mayoría de las medidas de efectos específicos y de generalización (AU)

The aim of this study was to compare the effects of two grouping formats on the reading comprehension. Reading comprehension Instruction used reciprocal teaching (RT) that is an instructional procedure to teach students cognitive strategies that might lead to improved reading comprehension. A sample of 43 students in the fourth year of primary education was selected: 18 children were instructed in regular classroom (GG), 8 were instructed in small group (PG), while the remaining 17 made up the comparison group (GC). Two types of comprehension measures were used: tasks of specific effects (getting the main idea, comprehension-monitoring test) and transfer effect measures (standardized test, word meaning inference, and free recall). Thus, the results show that both RT conditions benefited from the instruction, performing better than the comparison group in measures of specific effects and in the transfer effect measures. Furthermore, students from small group (PG) outperformed students in GG and GC on specific effects and in the transfer effect measures (AU)

Enseñanza recíproca y autoobservación del uso de estrategias: efectos sobre la comprensión de textos / Reciprocal teaching and self-monitoring of strategy use: effects on reading comprehension

La Enseñanza Recíproca (ER) es un procedimiento instruccional que enseña a los estudiantes estrategias cognitivas para incrementar la comprensión lectora. Por otro lado, la autoobservación (AO) del uso de estrategias puede incrementar los beneficios de la instrucción. Así, nos planteamos dos objetivos: (a) analizar la efectividad de la ER en aulas ordinarias; (b) determinar los beneficios de la AO del uso de estrategias a la instrucción mediante ER. Participaron 59 alumnos de 4º de E.P.: 19 fueron instruidos mediante ER; 18 mediante ER+AO y 22 recibieron la enseñanza tradicional. Se emplearon dos tipos de medidas: medidas de efectos específicos (idea principal, resumen y supervisión y regulación) y medidas de generalización (tests estandarizados, significado implícito y recuerdo). Los resultados demuestran que los grupos ER mejoraron en las medidas de efectos específicos y en algunas de las de generalización. Sin embargo, la AO no aporta ningún beneficio a la instrucción mediante ER (AU)

Reciprocal teaching (RT) is an instructional procedure to teach students cognitive strategies that might lead to improved reading comprehension. However, self-monitoring (SM) strategy use can optimize instruction of comprehension. Thus, the present study analyzed: (a) the efficacy of RT in regular classes and (b) the efficacy of RT + SM of strategy use. A sample of 59 students in the fourth year of primary education was selected: 19 children were selected as an RT condition, 18 as an RT + SM condition, while the remaining 22 made up the comparison group. Two types of comprehension measures were used: tasks of specific effects (getting the main idea, writing a summary, comprehension-monitoring test) and transfer effect measures (standardised tests, word meaning inference, and free recall). Thus, the results show that both the RT condition and the RT + SM condition benefited from the instruction, performing better than the comparison group in measures of specific effects and in some of the transfer effect measures. This result shows that SM is not a necessary component in the instruction of reading comprehension with RT (AU)

[Reciprocal teaching and self-monitoring of strategy use: effects on reading comprehension]. / Enseñanza recíproca y autoobservación del uso de estrategias: efectos sobre la comprensión de textos.

Reciprocal teaching (RT) is an instructional procedure to teach students cognitive strategies that might lead to improved reading comprehension. However, self-monitoring (SM) strategy use can optimize instruction of comprehension. Thus, the present study analyzed: (a) the efficacy of RT in regular classes and (b) the efficacy of RT + SM of strategy use. A sample of 59 students in the fourth year of primary education was selected: 19 children were selected as an RT condition, 18 as an RT + SM condition, while the remaining 22 made up the comparison group. Two types of comprehension measures were used: tasks of specific effects (getting the main idea, writing a summary, comprehension-monitoring test) and transfer effect measures (standardised tests, word meaning inference, and free recall). Thus, the results show that both the RT condition and the RT + SM condition benefited from the instruction, performing better than the comparison group in measures of specific effects and in some of the transfer effect measures. This result shows that SM is not a necessary component in the instruction of reading comprehension with RT.

Formación de los profesionales de enfermería: Cuidar en la sociedad multicultural del siglo XXI / The nurse training: To take care in the multicultural society of 21th Century

El papel de la cultura es fundamental en el proceso salud-enfermedad. En las sociedad en las que conviven personas que tienen diferentes referentes culturales, los profesionales de enfermería deberán estar capacitados para comunicarse eficazmente con estos pacientes y, además, deberán conocer y tener en cuenta sus condicionantes culturales respecto al proceso salud y enfermedad. Considerando imprescindible la adquisición por parte de los enfermeros y enfermeras de estos conocimientos culturales, se ha llevado a cabo una investigación con objeto de conocer los contenidos en competencia cultural y competencia comunicativa intercultural que ofrece la formación reglada de los futuros profesionales enfermeros. Los resultados de la misma informan de un déficit de estos conocimientos en los programas y en las informaciones que reciben estos futuros profesionales. Los autores del artículo haciéndose eco de la importancia de estos contenidos, hacen una propuesta para formar a los nuevos profesionales del cuidado en competencias que les permita actuar en sociedades culturalmente plurales (AU)

The role of culture is fundamental in the health- illness process. In the societies where are living together people of different cultural references, the professionals of nursing would be prepared for efficient communication with their patients; furthermore they should know, and take into account, their cultural references in relation to the health - illness process. As being essential the acquisition of this cultural knowledge by nurses, a research has been carried out in order to determine the contents of cultural and intercultural communicative competences provided by the academic curriculum to the future nurses. The results of this study show that there is a deficit of these competences in the academic programs and in the information that receive these students. The paper concludes with a proposal to train the nursing professionals on these competences (AU)

Aproximación cualitativa a la relación enfermera-paciente musulmán / Qualitative approximation to the relationship between the nurse and muslim patients

Objetivo: conocer cómo perciben los profesionales enfermeros la relación con suspacientes musulmanes, colectivo de extranjeros más numeroso en la zona dondese desarrolla el estudio: Almería.Metodología: estudio cualitativo. Para la recogida de datos se llevaron dos gruposde discusión con profesionales de Enfermería. El análisis de datos se realizó medianteanálisis de contenido, identificando categorías y construyendo un sistemafinal de metacategorías.Resultados: emergieron dos metacategorías representativas de la relación enfermera-paciente musulmán: responsabilidad enfermera: el papel de la enfermera paramantener un ambiente cordial, tranquilo y conseguir relaciones normalizadas conlos pacientes musulmanes; normalidad ante la sociedad multicultural: la incorporaciónde la nueva realidad multicultural a la cotidianeidad de los profesionales.Conclusiones: los profesionales enfermeros deben convertirse en el agente decambio que lidere el proceso conducente a que los hospitales se conviertan en lugaresde tolerancia y convivencia. Para conseguirlo será necesario formar en loscuidados culturales, la competencia intercultural, fomentando el contacto intercultural,mejorando y adaptando los cuidados enfermeros y de esta forma ganaren respeto cultural así como en calidad en los cuidados (AU)

Objective: to ascertain how nursing professionals perceive their relationships withmuslim patients, the largest alien group in the area where the study was conducted:Almería.Methodology: qualitative study. For the collection of data two discussion groupscomprised of nursing professionals were used. Data analysis was carried out bymeans of content analysis, identifying categories and constructing a final systemof metacategories.Results: two representative metacategories of the nurse-muslim patient relationshipwere identified: 1) the nurse’s responsibility, that is the role of the nurseto maintain a pleasant, friendly and relaxing environment and to achieve theestablishment of normal relationships with muslim patients and 2) to maintain normalitywithin a multicultural community, by incorporating the new multicultural realityto the routines of the healthcare professionals.Conclusions: nursing professionals must become the change agents that lead theprocess which makes hospitals places where tolerance and co-living converge. Todo this, special training should be given on aspects such as cultural care, interculturalcompetitiveness, by fostering intercultural exchange, improving and adapting nursingcare and in so doing, gaining the cultural respect as well as the quality of car (AU)