Adapting DIALOG+ in a School Setting-A Tool to Support Well-being and Resilience in Adolescents Living in Postconflict Areas During the COVID-19 Pandemic: Protocol for a Cluster Randomized Exploratory Study.

BACKGROUND: Colombia has a long history of an armed conflict that has severely affected communities with forced internal displacement and violence. Victims of violence and armed conflicts have higher rates of mental health disorders, and children and adolescents are particularly affected. However, the mental health needs of this population are often overlooked, especially in low- and middle-Income countries, where scarcity of resources exacerbates the problem that has been further compounded by the global COVID-19 pandemic. Thus, special attention should be paid to the development of interventions that target this population. OBJECTIVE: Our research aims to adapt an existing patient-centered digital intervention called DIALOG+ from a clinical setting to an educational setting using stakeholders' (teachers' and students') perspectives. We aim to evaluate the feasibility, acceptability, and estimated effect of implementing this intervention as a tool for the identification and mobilization of personal and social resources to mitigate the impact of social difficulties and to promote mental well-being. METHODS: We will conduct an exploratory mixed methods study in public schools of postconflict areas in Tolima, Colombia. The study consists of 3 phases: adaptation, exploration, and consolidation of the DIALOG+ tool. The adaptation phase will identify possible changes that the intervention requires on the basis of data from focus groups with teachers and students. The exploration phase will be an exploratory cluster randomized trial with teachers and school counselors to assess the acceptability, feasibility, and estimated effect of DIALOG+ for adolescents in school settings. Adolescents' data about mental health symptoms and wellness will be collected before and after DIALOG+ implementation. During this phase, teachers or counselors who were part of the intervention group will share their opinions through the think-aloud method. Lastly, the consolidation phase will consist of 2 focus groups with teachers and students to discuss their experiences and to understand acceptability. RESULTS: Study recruitment was completed in March 2022, and follow-up is anticipated to last through November 2022. CONCLUSIONS: This exploratory study will evaluate the acceptability, feasibility, and estimated effect of DIALOG+ for adolescents in postconflict school settings in Colombia. The use of this technology-supported tool aims to support interactions between teachers or counselors and students and to provide an effective student-centered communication guide. This is an innovative approach in both the school and the postconflict contexts that could help improve the mental health and wellness of adolescents in vulnerable zones in Colombia. Subsequent studies will be needed to evaluate the effectiveness of DIALOG+ in an educational context as a viable option to reduce the gap and inequities of mental health care access. TRIAL REGISTRATION: ISRCTN Registry ISRCTN14396374; https://www.isrctn.com/ISRCTN14396374?q=ISRCTN14396374. INTERNATIONAL REGISTERED REPORT IDENTIFIER (IRRID): DERR1-10.2196/40286.

The Social Gradient in Mental Health and Well-Being for Indigenous Older Adults Living in Rural Areas: A Cross-Sectional Comparison With Rural Non-indigenous Population in Chile.

Objectives: To compare differences in depression, loneliness and personal well-being in a sample made up of indigenous (Aymara and Mapuche) and non-indigenous older people resident in original rural territories. Methods: A cross-sectional study involving 800 older adults living in a rural context in Chile, of whom 201 were Aymara, 368 Mapuche and 231 non-indigenous. Validated instruments were included for depression, loneliness and personal well-being (outcome variables). Ordinary least squares regression analyses were performed. Results: Membership of an indigenous group was significantly associated with lower scores for depression and loneliness and higher scores for personal well-being. The interactions of severe deprivation and housing deprivation with indigenous group membership were significantly associated with lower loneliness scores and higher personal well-being scores for Aymara and Mapuche participants. Discussion: Native rural settings and territories may offer a degree of protection to indigenous peoples. Cultural continuity enhanced by rural areas would produce a culturally constructed resilience against deprivation.

Questionário de Bem-Estar no Trabalho: estrutura e propriedades psicométricas / Questionnaire of Well-Being at Work: structure and psychometric properties

Este artigo tem como objetivo apresentar a estrutura e as propriedades psicométricas da versão brasileira do Questionário de Bem-Estar no Trabalho. Essa ferramenta foi projetada para uma medição particularmente sensível aos aspectos psicossociais do bem-estar no trabalho, bem como à natureza bipolar dessa experiência de bem-estar. O questionário foi aplicado a uma amostra constituída por 101 docentes de uma instituição comunitária de ensino superior no sul catarinense. A análise fatorial mostra dois fatores independentes no Questionário Bem-Estar no Trabalho, o primeiro considerando três escalas de bem-estar psicossocial (afetos, competências e expectativas), e o segundo levando em conta três escalas de efeitos colaterais (somatização, desgaste e alienação). As escalas mostraram uma alta consistência interna, com alfas de Cronbach de 95, 95, 97, 88, 93 e 80, respectivamente. O Questionário Bem-Estar no Trabalho reproduz fielmente a estrutura do modelo teórico assumido e reúne as propriedades técnicas necessárias para avaliar o bem-estar no trabalho em ambientes universitários.

The objective of this article is to present the structure and psychometric properties of the Brazilian version of The Work Well-Being Questionnaire. This was developed with the aim of providing a measurement tool particularly sensitive to the psychosocial dimension of work well-being, and to the bipolar nature of the well-being experience. The questionnaire was applied to a convenience and intentional sample, constituted by 101 teachers of a higher education community institution in the south of Santa Catarina. Factor analysis shows two independent factors in The Work Well-Being Questionnaire, considering the first of three scales of psychosocial well-being (emotions, skills and expectations) and the second, three other side effects (somatization, wear and alienation). The scales showed high internal consistency with Cronbach's alphas of 95, 95, 97, 88, 93 and 80, respectively. The Work Well-Being Questionnaire faithfully reproduces the structure of the theoretical model assumed and meets the technical properties needed to assess the work well-being in university environments.

Questionário de Bem-Estar no Trabalho: estrutura e propriedades psicométricas / Questionnaire of Well-Being at Work: structure and psychometric properties

Este artigo tem como objetivo apresentar a estrutura e as propriedades psicométricas da versão brasileira do Questionário de Bem-Estar no Trabalho. Essa ferramenta foi projetada para uma medição particularmente sensível aos aspectos psicossociais do bem-estar no trabalho, bem como à natureza bipolar dessa experiência de bem-estar. O questionário foi aplicado a uma amostra constituída por 101 docentes de uma instituição comunitária de ensino superior no sul catarinense. A análise fatorial mostra dois fatores independentes no Questionário Bem-Estar no Trabalho, o primeiro considerando três escalas de bem-estar psicossocial (afetos, competências e expectativas), e o segundo levando em conta três escalas de efeitos colaterais (somatização, desgaste e alienação). As escalas mostraram uma alta consistência interna, com alfas de Cronbach de 95, 95, 97, 88, 93 e 80, respectivamente. O Questionário Bem-Estar no Trabalho reproduz fielmente a estrutura do modelo teórico assumido e reúne as propriedades técnicas necessárias para avaliar o bem-estar no trabalho em ambientes universitários.(AU)

The objective of this article is to present the structure and psychometric properties of the Brazilian version of The Work Well-Being Questionnaire. This was developed with the aim of providing a measurement tool particularly sensitive to the psychosocial dimension of work well-being, and to the bipolar nature of the well-being experience. The questionnaire was applied to a convenience and intentional sample, constituted by 101 teachers of a higher education community institution in the south of Santa Catarina. Factor analysis shows two independent factors in The Work Well-Being Questionnaire, considering the first of three scales of psychosocial well-being (emotions, skills and expectations) and the second, three other side effects (somatization, wear and alienation). The scales showed high internal consistency with Cronbach's alphas of 95, 95, 97, 88, 93 and 80, respectively. The Work Well-Being Questionnaire faithfully reproduces the structure of the theoretical model assumed and meets the technical properties needed to assess the work well-being in university environments.(AU)

Análise do bem estar psicossocial de aposentados de Goiânia / Análisis del bien estar psicosocial de jubilados de Goiânia / Analysis of retired men’s psychosocial well-being in Goiânia

Este estudo analisou o bem estar psicossocial de aposentados da cidade de Goiânia. Participaram 118 homens, aposentados por tempo de serviço, cuja vida laboral ocorreu em empresas públicas, autarquias e de economia mista, de âmbito federal, estadual ou municipal. A coleta de dados foi realizada por meio de questionário com perguntas abertas e fechadas. Para a análise dos resultados foi realizada uma regressão múltipla, tendo como variável critério o índice de bem estar e, como seus possíveis preditores, oito variáveis sobre aspectos referentes aos relacionamentos sociais, vida financeira, avaliação da saúde e da vida sexual após a aposentadoria. As variáveis sobre o planejamento, satisfação com a saúde e as relações sociais nas quais eles possam se locomover com independência foram as mais significativas para o bem estar dos participantes. Esses resultados são discutidos ressaltando as especificidades da amostra aqui utilizada, as dificuldades de generalizações e a importância de futuros estudos objetivando tornar esse tema central na agenda de trabalhos sobre o envelhecimento populacional.

This study examined the psychosocial well-being of retired on pension men in Goiânia. The participants were 118 men, retired by service time, whose working life occurred in public service companies. The instrument used was a questionnaire with open and closed questions. Multiple regressions were used to analyze the data. The dependent variable was the well being index and the predictors were eight variables on aspects related to social relationships, financial life, health and sexual life after retirement. The most significant predictors for the well being of the participant were living the retirement as planned, satisfaction with their health and the possibility of social relationships where they can move more independently. These results are discussed emphasizing the peculiarities of the sample, the difficulties to generalize the results and the importance of further studies aiming at making the subject central to agenda of studies on population aging.

Este estudio analizó el bienestar psicosocial en una muestra de jubilados de la ciudad de Goiânia. Participaron 118 hombres, jubilados tras finalizar su vida laboral, cuyo trabajo transcurrió en empresas públicas y de economía mixta, de ámbito nacional, comarcal o municipal. La recogida de datos fue realizada por medio de la aplicación de un cuestionario con preguntas abiertas y cerradas. Para la obtención de los resultados fue realizado un análisis de regresión múltiple, en el que la variable criterio fue el índice de bienestar y como variables predictoras se incluyeron ocho variables acerca de aspectos referidos a las relaciones sociales, situación económica, evaluación de la salud y de la vida sexual después de la jubilación. Las variables eferidas a la planificación, la satisfacción con la vida y las relaciones sociales que permiten desplazarse con independencia fueron las más significativas en la explicación del bienestar de los participantes. En la discusión de los resultados obtenidos se destaca la especificidad de la muestra utilizada, las dificulatades para poder generalizar los resultados y la necesidad de realizar futuras investigaciones que tengan como objetivo el estudio del envejecimiento poblacional.

Análise do bem estar psicossocial de aposentados de Goiânia / Análisis del bien estar psicosocial de jubilados de Goiânia / Analysis of retired men’s psychosocial well-being in Goiânia

Este estudo analisou o bem estar psicossocial de aposentados da cidade de Goiânia. Participaram 118 homens, aposentados por tempo de serviço, cuja vida laboral ocorreu em empresas públicas, autarquias e de economia mista, de âmbito federal, estadual ou municipal. A coleta de dados foi realizada por meio de questionário com perguntas abertas e fechadas. Para a análise dos resultados foi realizada uma regressão múltipla, tendo como variável critério o índice de bem estar e, como seus possíveis preditores, oito variáveis sobre aspectos referentes aos relacionamentos sociais, vida financeira, avaliação da saúde e da vida sexual após a aposentadoria. As variáveis sobre o planejamento, satisfação com a saúde e as relações sociais nas quais eles possam se locomover com independência foram as mais significativas para o bem estar dos participantes. Esses resultados são discutidos ressaltando as especificidades da amostra aqui utilizada, as dificuldades de generalizações e a importância de futuros estudos objetivando tornar esse tema central na agenda de trabalhos sobre o envelhecimento populacional.(AU)

This study examined the psychosocial well-being of retired on pension men in Goiânia. The participants were 118 men, retired by service time, whose working life occurred in public service companies. The instrument used was a questionnaire with open and closed questions. Multiple regressions were used to analyze the data. The dependent variable was the well being index and the predictors were eight variables on aspects related to social relationships, financial life, health and sexual life after retirement. The most significant predictors for the well being of the participant were living the retirement as planned, satisfaction with their health and the possibility of social relationships where they can move more independently. These results are discussed emphasizing the peculiarities of the sample, the difficulties to generalize the results and the importance of further studies aiming at making the subject central to agenda of studies on population aging.(AU)

Este estudio analizó el bienestar psicosocial en una muestra de jubilados de la ciudad de Goiânia. Participaron 118 hombres, jubilados tras finalizar su vida laboral, cuyo trabajo transcurrió en empresas públicas y de economía mixta, de ámbito nacional, comarcal o municipal. La recogida de datos fue realizada por medio de la aplicación de un cuestionario con preguntas abiertas y cerradas. Para la obtención de los resultados fue realizado un análisis de regresión múltiple, en el que la variable criterio fue el índice de bienestar y como variables predictoras se incluyeron ocho variables acerca de aspectos referidos a las relaciones sociales, situación económica, evaluación de la salud y de la vida sexual después de la jubilación. Las variables eferidas a la planificación, la satisfacción con la vida y las relaciones sociales que permiten desplazarse con independencia fueron las más significativas en la explicación del bienestar de los participantes. En la discusión de los resultados obtenidos se destaca la especificidad de la muestra utilizada, las dificulatades para poder generalizar los resultados y la necesidad de realizar futuras investigaciones que tengan como objetivo el estudio del envejecimiento poblacional.(AU)