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2.
Actas urol. esp ; 45(1): 0-0, ene.-feb. 2021. tab, mapas, graf
Artículo en Español | IBECS | ID: ibc-194903

RESUMEN

OBJETIVO: La pandemia de la COVID-19 ha alterado sustancialmente las actividades de formación de los residentes. Si bien recientemente se han implementado nuevos programas de aprendizaje virtual, aún debe investigarse su utilidad desde la perspectiva de los aprendices de urología. MÉTODOS: Encuesta online transversal de 30 ítems, distribuida a través de Twitter, entre el 4 y el 18 de abril de 2020, con el objetivo de evaluar la perspectiva de los residentes de urología sobre las modalidades (videos pregrabados, seminarios web, podcasts y redes sociales [RRSS]) y contenidos (lecciones frontales, discusiones de casos clínicos, actualizaciones sobre guías y ensayos clínicos, videos quirúrgicos, clubes de revistas y seminarios sobre liderazgo y habilidades no técnicas) del aprendizaje inteligente (Smart learning). RESULTADOS: En total, 501 residentes de urología de 58 países completaron la encuesta. De estos, 78,4, 78,2, 56,9 y 51,9% consideraron los videos pregrabados, seminarios web interactivos, podcasts y RRSS, respectivamente, como modalidades de aprendizaje inteligente muy útiles. Los contenidos considerados como muy útiles por la mayor proporción de residentes fueron las actualizaciones de guías clínicas (84,8%) y videos quirúrgicos (81,0%). Además, más de la mitad de los residentes consideraron los seminarios de liderazgo y los de habilidades no técnicas (58,9 y 56,5%, respectivamente) como contenidos útiles para el aprendizaje inteligente. Las tres combinaciones preferidas de modalidad y contenido de aprendizaje inteligente fueron: videos quirúrgicos pregrabados, seminarios web interactivos sobre casos clínicos y videos pregrabados sobre guías. CONCLUSIÓN: Nuestro estudio proporciona la primera «visión global» de las modalidades y contenidos de aprendizaje inteligente que deben priorizarse con el objetivo de optimizar la educación virtual en urología. Aunque este estudio se llevó a cabo durante la pandemia de la COVID-19, nuestros hallazgos podrían tener un impacto aún mayor en el futuro


PURPOSE: The COVID-19 outbreak has substantially altered residents' training activities. While several new virtual learning programs have been recently implemented, the perspective of urology trainees regarding their usefulness still needs to be investigated. METHODS: A cross-sectional, 30-item, web-based Survey was conducted through Twitter from April 4th, 2020 to April 18th, 2020, aiming to evaluate the urology residents' perspective on smart learning (SL) modalities (pre-recorded videos, webinars, podcasts, and social media [SoMe]), and contents (frontal lessons, clinical case discussions, updates on Guidelines and on clinical trials, surgical videos, Journal Clubs, and seminars on leadership and non-technical skills). RESULTS: Overall, 501 urology residents from 58 countries completed the survey. Of these, 78.4, 78.2, 56.9 and 51.9% of them considered pre-recorded videos, interactive webinars, podcasts and SoMe highly useful modalities of smart learning, respectively. The contents considered as highly useful by the greatest proportion of residents were updates on guidelines (84.8%) and surgical videos (81.0%). In addition, 58.9 and 56.5% of responders deemed seminars on leadership and on non-technical skills highly useful smart learning contents. The three preferred combinations of smart learning modality and content were: pre-recorded surgical videos, interactive webinars on clinical cases, and pre-recorded videos on guidelines. CONCLUSION: Our study provides the first global «big picture» of the smart learning modalities and contents that should be prioritized to optimize virtual Urology education. While this survey was conducted during the COVID-19 outbreak, our findings might have even more impact in the future


Asunto(s)
Humanos , Masculino , Educación en Salud/métodos , Infecciones por Coronavirus , Urología/educación , Internado y Residencia/estadística & datos numéricos , Educación a Distancia , Pandemias , Neumonía Viral , Internado y Residencia/normas , Encuestas y Cuestionarios , Telemedicina , Procedimientos Quirúrgicos Urológicos/educación
4.
Medicine (Baltimore) ; 100(4): e24154, 2021 Jan 29.
Artículo en Inglés | MEDLINE | ID: mdl-33530205

RESUMEN

ABSTRACT: This study intended to discover the effect of education and muscle relaxation (EMR) program on anxiety, depression and care burden among caregivers of acute stroke survivors.This randomized, controlled study enrolled a total of 110 caregivers of first-ever acute stroke patients, and randomly assigned to EMR (N = 55) and control (N = 55) groups. The caregivers in the EMR group received 12-month health education and progressive muscle relaxation, and those in control group were provided common rehabilitation advices. Hospital Anxiety and Depression Scale (HADS) and Zarit Caregiver Burden Scale in caregivers were evaluated at the time of patients' discharge from hospital (M0), then at month(M) 3, M6 and M12 after the discharge.HADS-anxiety score, anxiety rate and severity were similar at M0, M3, while were reduced at M6 and M12 in EMR group compared to control group. Furthermore, HADS-depression score was similar at M0 and M3 but was decreased at M6 and M12 in EMR group compared with control group, however, there was no difference of depression rate and severity between the 2 groups at each time point. Moreover, Zarit Caregiver Burden Scale score was similar at M0 and M3, but was decreased at M6 and M12; meanwhile, degree of care burden was similar at M0, M3 and M6, but was reduced at M12 in EMR group compared to control group.EMR program decreases anxiety, depression and care burden in caregivers of acute stroke survivors, suggesting its potential in improving mental health and further promoting quality of lives in these caregivers.


Asunto(s)
Ansiedad/terapia , Entrenamiento Autogénico/métodos , Cuidadores/psicología , Depresión/terapia , Educación en Salud/métodos , Accidente Cerebrovascular/epidemiología , Anciano , Anciano de 80 o más Años , Ansiedad/epidemiología , Entrenamiento Autogénico/educación , Cuidadores/educación , Depresión/epidemiología , Escolaridad , Femenino , Humanos , Masculino , Persona de Mediana Edad , Índice de Severidad de la Enfermedad
5.
PLoS One ; 16(2): e0244924, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33566850

RESUMEN

Healthcare workers (HCWs) are at the frontline of the Coronavirus Disease 2019 (COVID-19) pandemic response, yet there is a paucity of literature on their knowledge, attitudes and practices (KAP) in relation to the pandemic. Community Health Workers (CHWs) in Mozambique are known locally as agentes polivalentes elementares (APEs). While technical guidance surrounding COVID-19 is available to support APEs, communicating this information has been challenging due to restrictions on travel, face-to-face group meetings and training, imposed from May to August 2020. A digital health platform, upSCALE, that already supports 1,213 APEs and 299 supervisors across three provinces, is being used to support APEs on effective COVID-19 management by delivering COVID-19 sensitive SMS messages, training modules and a COVID-19 KAP survey. The KAP survey, conducted from June 2020 to August 2020, consisted of 10 questions. Of 1,065 active upSCALE APEs, 28% completed the survey. Results indicate that only a small proportion of APEs listed the correct COVID-19 symptoms, transmission routes and appropriate prevention measures (n = (25%), n = (16%) and n = (39%), respectively) specifically included in national health education materials. Misconceptions were mainly related to transmission routes, high risk individuals and asymptomatic patients. 84% said they followed all government prevention guidelines. The results from the KAP survey were used to support the rapid development and deployment of targeted COVID-19 awareness and education materials for the APEs. A follow-up KAP survey is planned for November 2020. Adapting the existing upSCALE platform enabled a better understanding, in real time, of the KAP of APEs around COVID-19 management. Subsequently, supporting delivery of tailored messages and education, vital for ensuring a successful COVID-19 response.


Asunto(s)
/epidemiología , Agentes Comunitarios de Salud/educación , Educación en Salud/métodos , Conocimientos, Actitudes y Práctica en Salud , Adulto , Estudios Transversales , Femenino , Humanos , Masculino , Persona de Mediana Edad , Mozambique , Sistemas en Línea , Pandemias/prevención & control , Encuestas y Cuestionarios , Adulto Joven
6.
PLoS One ; 16(2): e0246391, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33592014

RESUMEN

During the Covid-19 pandemic, universities in the UK used social media to raise awareness and provide guidance and advice about the disease to students and staff. We explain why some universities used social media to communicate with stakeholders sooner than others. To do so, we identified the date of the first Covid-19 related tweet posted by each university in the country and used survival models to estimate the effect of university-specific characteristics on the timing of these messages. In order to confirm our results, we supplemented our analysis with a study of the introduction of coronavirus-related university webpages. We find that universities with large numbers of students are more likely to use social media and the web to speak about the pandemic sooner than institutions with fewer students. Universities with large financial resources are also more likely to tweet sooner, but they do not introduce Covid-19 webpages faster than other universities. We also find evidence of a strong process of emulation, whereby universities are more likely to post a coronavirus-related tweet or webpage if other universities have already done so.


Asunto(s)
/prevención & control , Control de Enfermedades Transmisibles/métodos , Comunicación , Medios de Comunicación Sociales , Universidades , /epidemiología , Educación en Salud/métodos , Humanos , Estudiantes/psicología , Tiempo , Reino Unido
7.
BMC Public Health ; 21(1): 367, 2021 02 17.
Artículo en Inglés | MEDLINE | ID: mdl-33596857

RESUMEN

BACKGROUND: The use of face masks remains contentious, with international variation in practice. Their prevalence in the UK, is likely to increase due to new legislation. Clear information regarding the appropriate use of masks is needed, to ensure compliance with policies to reduce transmission of COVID-19. We aimed to assess the impact of visual representations of guidance, or infographics, upon the knowledge of appropriate face mask usage in a representative UK cohort. METHODS: Adult patients were recruited to this randomised internet-based questionnaire study during the 12-14 May 2020 from across the UK. Respondents viewed one of five public health stimuli regarding the use of face masks, or no stimulus. The groups accessed aids by the European Centre for Disease Control (EUCDC), World Health Organisation (WHO), Singaporean Ministry of Health (SMOH), text from the UK government (UK Gov), or an infographic designed by the Behavioural Insights Team (BIT). The primary outcome was to evaluate the effect of each infographic upon participants' recall of face mask technique, sentiments and willingness to wear a face covering. Secondary outcomes included the effect of symptomology and socio-demographic factors. RESULTS: 4099 respondents were randomised (1009 control, 628 EUCDC, 526 WHO, 639 SMOH, 661 UKGOV and 606 BIT). Stimuli from the WHO, SMOH and BIT demonstrated significantly higher average recall scores compared to the controls (7.40 v. 7.38 v. 7.34 v. 6.97, P < 0.001). BIT's stimulus led to the highest confidence about mask-wearing (87%). Only 48.2% of the cohort felt stimuli reduced anxiety about COVID-19. However, willingness to use a mask was high, (range 84 to 88%). CONCLUSIONS: To ensure the appropriate use of masks, as mandated by UK law, guidance must provide sufficient information, yet remain understandable. Infographics can aid the recall of correct mask techniques by highlighting salient steps and reducing cognitive burden. They have also demonstrated greater trustworthiness than text-only guidance. The effect of infographics upon COVID-19-related anxiety was poor, and they should be further developed to address this sentiment. A willingness to wear face masks has, however, been demonstrated.


Asunto(s)
Recursos Audiovisuales , Educación en Salud/métodos , Conocimientos, Actitudes y Práctica en Salud , Máscaras/estadística & datos numéricos , Adolescente , Adulto , Estudios de Cohortes , Femenino , Humanos , Internet , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Reino Unido/epidemiología , Adulto Joven
8.
JMIR Public Health Surveill ; 7(1): e24756, 2021 01 21.
Artículo en Inglés | MEDLINE | ID: mdl-33400684

RESUMEN

BACKGROUND: COVID-19 is a highly transmissible illness caused by SARS-CoV-2. The disease has affected more than 200 countries, and the measures that have been implemented to combat its spread, as there is still no vaccine or definitive medication, have been based on supportive interventions and drug repositioning. Brazil, the largest country in South America, has had more than 140,000 recorded deaths and is one of the most affected countries. Despite the extensive quantity of scientifically recognized information, there are still conflicting discussions on how best to face the disease and the virus, especially with regard to social distancing, preventive methods, and the use of medications. OBJECTIVE: The main purpose of this study is to evaluate the Brazilian population's basic knowledge about COVID-19 to demonstrate how Brazilians are managing to identify scientifically proven information. METHODS: A cross-sectional study design was used. An original online questionnaire survey was administered from June 16 to August 21, 2020, across all five different geopolitical regions of the country (ie, the North, Northeast, Center-West, Southeast, and South). The questionnaire was comprised of questions about basic aspects of COVID-19, such as the related symptoms, conduct that should be followed when suspected of infection, risk groups, prevention, transmission, and social distancing. The wrong questionnaire response alternatives were taken from the fake news combat website of the Brazilian Ministry of Health. Participants (aged ≥18 years) were recruited through social networking platforms, including Facebook, WhatsApp, and Twitter. The mean distributions, frequencies, and similarities or dissimilarities between the responses for the different variables of the study were evaluated. The significance level for all statistical tests was less than .05. RESULTS: A total of 4180 valid responses representative of all the states and regions of Brazil were recorded. Most respondents had good knowledge about COVID-19, getting an average of 86.59% of the total score with regard to the basic aspects of the disease. The region, education level, age, sex, and social condition had a significant association (P<.001) with knowledge about the disease, which meant that women, the young, those with higher education levels, nonrecipients of social assistance, and more economically and socially developed regions had more correct answers. CONCLUSIONS: Overall, Brazilians with social media access have a good level of basic knowledge about COVID-19 but with differences depending on the analyzed subgroup. Due to the limitation of the platform used in carrying out the study, care should be taken when generalizing the study findings to populations with less education or who are not used to accessing social networking platforms.


Asunto(s)
/prevención & control , Conductas Relacionadas con la Salud , Educación en Salud/métodos , Conocimientos, Actitudes y Práctica en Salud , Medios de Comunicación Sociales/estadística & datos numéricos , Adulto , Anciano , Brasil , Estudios Transversales , Femenino , Humanos , Persona de Mediana Edad , Red Social , Encuestas y Cuestionarios , Adulto Joven
10.
Artículo en Inglés | MEDLINE | ID: mdl-33401605

RESUMEN

This study aimed to assess the effectiveness of an online high-intensity interval training (HIIT) intervention and health education on the behaviors, mental health, and cognitive function of sedentary young females. A single-blinded, six-week, randomized controlled pilot trial involving 70 sedentary young Chinese females, aged 18-30 years, was conducted. An intervention group (IG) (n = 33) underwent a HIIT intervention and health education, while a waitlist group (WG) (n = 37) only received health education. In pre-, mid-, and post-tests, both groups filled out questionnaires about physical activity, sedentary behavior, and mental health. Cognitive functions were assessed at the pre- and post-tests by computer-administered cognitive tests. A mixed-effect model with repeated measures was used to analyze outcomes of interest. The retention rate of the IG and WG was 100% and 78.38%, respectively. The IG were found to have significantly increased rates of moderate-to-vigorous physical activity (MVPA) (Mdiff = 940.61, p < 0.001, 95% confidence interval (95% CI): 576.67, 1304.55) from pre-test to post-test, while the WG demonstrated a more marked reduction in sedentary time (Mdiff = -73.02, p = 0.038, 95% CI: -141.90, -4.14) compared with the IG in the post-test. Moreover, anxiety and stress levels were shown to significantly reduce in the IG over the six-week period (Mdiff = -4.73, p = 0.002, 95% CI: -7.30, -2.15 and Mdiff = -5.09, p = 0.001, 95% CI: -8.29, -1.89, respectively). In addition, we observed a significant improvement in verbal ability (p = 0.008, ηp2 = 0.19) following the HIIT intervention and effects of the interaction with time on processing speed (p = 0.050, ηp2 = 0.10) and episodic memory (p = 0.048, ηp2 = 0.11). Moreover, the IG had better global cognitive performance than the WG in the post-test (Mdiff = 8.28, p = 0.003, 95% CI: 3.06, 13.50). In summary, both an online bodyweight HIIT intervention combined with health education, or health education alone, can effectively improve health-related behaviors, but the behavioral consequences may differ based on the emphasis of different intervention modalities. Furthermore, the "bodyweight HIIT plus health education" modality might be a more promising online intervention strategy to mitigate against negative emotions and improve cognitive function.


Asunto(s)
Cognición , Educación en Salud , Entrenamiento de Intervalos de Alta Intensidad , Intervención basada en la Internet , Salud Mental , Adolescente , Adulto , Peso Corporal , China , Cognición/fisiología , Femenino , Educación en Salud/métodos , Entrenamiento de Intervalos de Alta Intensidad/métodos , Humanos , Salud Mental/estadística & datos numéricos , Proyectos Piloto , Evaluación de Programas y Proyectos de Salud , Conducta Sedentaria , Método Simple Ciego , Adulto Joven
12.
J Am Med Inform Assoc ; 28(4): 850-855, 2021 03 18.
Artículo en Inglés | MEDLINE | ID: mdl-33517402

RESUMEN

The rapidly evolving science about the Coronavirus Disease 2019 (COVID-19) pandemic created unprecedented health information needs and dramatic changes in policies globally. We describe a platform, Watson Assistant (WA), which has been used to develop conversational agents to deliver COVID-19 related information. We characterized the diverse use cases and implementations during the early pandemic and measured adoption through a number of users, messages sent, and conversational turns (ie, pairs of interactions between users and agents). Thirty-seven institutions in 9 countries deployed COVID-19 conversational agents with WA between March 30 and August 10, 2020, including 24 governmental agencies, 7 employers, 5 provider organizations, and 1 health plan. Over 6.8 million messages were delivered through the platform. The mean number of conversational turns per session ranged between 1.9 and 3.5. Our experience demonstrates that conversational technologies can be rapidly deployed for pandemic response and are adopted globally by a wide range of users.


Asunto(s)
Inteligencia Artificial , Comunicación , Educación en Salud/métodos , Informática Aplicada a la Salud de los Consumidores , Humanos , Procesamiento de Lenguaje Natural , Telemedicina
13.
Diabetes Res Clin Pract ; 172: 108626, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33321160

RESUMEN

OBJECTIVES: The DaR Global survey was conducted to determine the impact of the COVID-19 pandemic on the intentions to fast and the outcomes of fasting in <18 years versus ≥18 years age groups with type 1 diabetes mellitus (T1DM). METHODS: Muslim people with T1DM were surveyed in 13 countries between June and August 2020, shortly after the end of Ramadan (23rd April-23rd May 2020) using a simple questionnaire. RESULTS: 71.1% of muslims with T1DM fasted during Ramadan. Concerns about COVID-19 were higher in individuals ≥18 years (p = 0.002). The number of participants who decided not to fast plus those who received Ramadan-focused education were significantly higher in the ≥18-year group (p < 0.05). Hypoglycemia (60.7%) as well as hyperglycemia (44.8%) was major complications of fasting during Ramadan in both groups irrespective of age. CONCLUSION: COVID-19 pandemic had minor impact on the decision to fast Ramadan in T1DM cohort. This was higher in the age group of ≥18 years compared to those <18 years group. Only regional differences were noted for fasting attitude and behavior among T1DM groups. This survey highlights the need for Ramadan focused diabetes education to improve glucose control and prevent complications during fasting.


Asunto(s)
/epidemiología , Diabetes Mellitus Tipo 1/epidemiología , Ayuno/fisiología , Educación en Salud/métodos , Islamismo , Pandemias , Adolescente , Adulto , Estudios de Cohortes , Diabetes Mellitus Tipo 1/psicología , Femenino , Salud Global , Humanos , Hipoglucemiantes , Masculino , Persona de Mediana Edad , Encuestas y Cuestionarios , Adulto Joven
14.
Rev. Pesqui. (Univ. Fed. Estado Rio J., Online) ; 13: 451-459, jan.-dez. 2021. ilus
Artículo en Inglés, Portugués | LILACS, BDENF - Enfermería | ID: biblio-1151553

RESUMEN

Objetivo: Avaliar as evidências, de produções científicas brasileiras, acerca da influência dos 10 passos para o sucesso do aleitamento materno na continuidade da amamentação. Método: revisão integrativa de produções científicas brasileiras, desenvolvida em junho de 2017, nas bases eletrônicas de dados LILACS, SCOPUS e PUBMED. Resultados: a normatização da assistência interfere positivamente na continuidade da amamentação. Treinar a equipe de saúde aumenta a prevalência de aleitamento materno. Orientar as vantagens e o manejo da lactação protege contra mastites, aleitamento misto e desmame precoce. Aqueles que receberam apoio no aleitamento materno na primeira meia hora após o parto estiveram mais propensos a mantê-lo no domicílio. Oferta de substitutos do leite materno, chupetas ou bicos artificiais interfere negativamente no estabelecimento e manutenção da amamentação. Conclusão: conclui-se, que os dez passos influenciam na continuidade da amamentação e, portanto, é importante que se amplie a cobertura nacional da IHAC


Objective: To evaluate the evidence of Brazilian scientific production about the influence of the 10 steps to succeed on breastfeeding continuity. Method: integrative review of Brazilian scientific literature developed at the databases LILACS, SCOPUS and MEDLINE in June of 2017. Results: the standardization of care positively interferes on breastfeeding continuity. Health team training increases the prevalence of breastfeeding. Professional orientation on the advantages and management of lactation protects against mastitis, mixed suckling and early weaning. Those who received support in breastfeeding within the first half hour after delivery were more likely to keep it at home. Provision of breast milk substitutes, pacifiers or artificial nipples interferes negatively in stablishing and maintaining breastfeeding. Conclusion: it is concluded that the ten steps influence on the continuity of breastfeeding and, therefore, it is important to expand the Child Friendly Hospital Initiative national coverage


Objetivo: Evaluar la evidencia de la producción científica brasileña sobre la influencia de los 10 pasos para tener éxito en la continuidad de la lactancia materna. Método: revisión integral de la literatura científica brasileña desarrollada en las bases de datos LILACS, SCOPUS y MEDLINE en junio de 2017. Resultados: La estandarización del cuidado interfiere positivamente en la continuidad de la lactancia materna. La capacitación de los equipos de salud aumenta la prevalencia de la lactancia materna. La orientación profesional sobre las ventajas y el manejo de la lactancia protege contra la mastitis, la lactancia mixta y el destete precoz. Aquellos que recibieron apoyo en la lactancia durante la primera media hora después del parto tenían más probabilidades de mantenerlo en casa. La provisión de sustitutos de la leche materna, chupones o pezones artificiales interfiere negativamente en el establecimiento y mantenimiento de la lactancia materna. Conclusión: se concluye que los diez pasos influyen en la continuidad de la lactancia materna y, por tanto, es importante ampliar la cobertura nacional de la Iniciativa Hospital Amigo de los Niños


Asunto(s)
Humanos , Femenino , Embarazo , Recién Nacido , Lactante , Grupo de Atención al Paciente , Lactancia Materna/instrumentación , Lactancia Materna/métodos , Educación en Salud/métodos , Destete , Chupetes , Parto , Políticas Públicas de Salud , Sustitutos de la Leche Humana , Mastitis
15.
Math Biosci Eng ; 17(6): 6355-6389, 2020 09 23.
Artículo en Inglés | MEDLINE | ID: mdl-33378859

RESUMEN

A total of more than 27 million confirmed cases of the novel coronavirus outbreak, also known as COVID-19, have been reported as of September 7, 2020. To reduce its transmission, a number of strategies have been proposed. In this study, mathematical models with nonpharmaceutical and pharmaceutical interventions were formulated and analyzed. The first model was formulated without the inclusion of community awareness. The analysis focused on investigating the mathematical behavior of the model, which can explain how medical masks, medical treatment, and rapid testing can be used to suppress the spread of COVID-19. In the second model, community awareness was taken into account, and all the interventions considered were represented as time-dependent parameters. Using the center-manifold theorem, we showed that both models exhibit forward bifurcation. The infection parameters were obtained by fitting the model to COVID-19 incidence data from three provinces in Indonesia, namely, Jakarta, West Java, and East Java. Furthermore, a global sensitivity analysis was performed to identify the most influential parameters on the number of new infections and the basic reproduction number. We found that the use of medical masks has the greatest effect in determining the number of new infections. The optimal control problem from the second model was characterized using the well-known Pontryagin's maximum principle and solved numerically. The results of a cost-effectiveness analysis showed that community awareness plays a crucial role in determining the success of COVID-19 eradication programs.


Asunto(s)
/epidemiología , /transmisión , Control de Enfermedades Transmisibles/métodos , Educación en Salud/métodos , Algoritmos , Número Básico de Reproducción , Análisis Costo-Beneficio , Brotes de Enfermedades , Humanos , Incidencia , Indonesia/epidemiología , Modelos Teóricos , Equipo de Protección Personal , Informática en Salud Pública
16.
Psychiatr Danub ; 32(3-4): 380-388, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33370736

RESUMEN

BACKGROUND: Menopause is a special stage in a woman's life, but no safe clinical treatment exists against menopausal symptoms. To analyze the effect of the information support method combined with yoga exercise on the depression, anxiety, and sleep quality of menopausal women. SUBJECTS AND METHODS: From June 2019 to December 2019, menopausal women who were newly recruited in three yoga clubs in three cities in East China were selected as the participants by convenience sampling. A total of 52 women were in the experiment group and 54 were in the control group. In 24 weeks, the experiment group engaged in yoga exercise for 60 minutes each time, three times a week. They group was given professional positive psychological information support at the same time. The Kupperman Menopausal Symptom Distress Scale, Self-rating Depression Scale (SDS), Self-rating Anxiety Scale (SAS), and Pittsburgh Sleep Quality Index (PSQI) were used before the experiment, three months into the experiment, and six months into the experiment to monitor the intervention effect on the participants. RESULTS: After the intervention, the symptoms of distress among menopausal women in the experiment group and the Kupperman score of the experiment group reduced significantly. Repeated measures of analysis of variance were conducted in the two groups (P<0.001). After the intervention, the depression score of the experiment group decreased significantly. A significant difference was found between the two groups in repeated measures analysis of variance in the SDS score (P<0.001). After the intervention, the anxiety score of the experiment group reduced significantly, and repeated measures of analysis of variance in the SAS score were conducted in the two groups (P<0.001). After the intervention, the sleep quality of the experiment group improved, and repeated measures of analysis of variance in sleep quality were conducted in the two groups (P<0.001). CONCLUSIONS: The information support method combined with yoga exercise can alleviate the depression and anxiety of menopausal women, improve their sleep quality, and reduce their symptoms of menopausal distress.


Asunto(s)
Ansiedad/terapia , Depresión/terapia , Educación en Salud/métodos , Menopausia/psicología , Sueño/fisiología , Yoga/psicología , Ansiedad/psicología , China , Depresión/psicología , Femenino , Humanos , Persona de Mediana Edad , Calidad de Vida
17.
PLoS Negl Trop Dis ; 14(12): e0009012, 2020 12.
Artículo en Inglés | MEDLINE | ID: mdl-33370300

RESUMEN

Community drug distributors (CDDs) who are volunteers have the responsibility of awareness creation, household census, drug distribution and record-keeping and are thus key stakeholders in the campaign for Lymphatic Filariasis (LF) elimination. Taking into account their experiences and perceptions is important for a successful elimination campaign. We conducted a qualitative study in 2018 to identify implementation challenges and opportunities for improved mass drug administration (MDA) uptake based on the CDDs perceptions and experiences. Within a larger study that used mixed methods quasi-experimental design, we collected qualitative data from two wards in Kaloleni Sub-County of Kilifi County which was purposively selected owing to its low, 56% and 50.5% treatment coverage in 2015 and 2016 respectively. Focus group discussions (FGDs) (n = 8) and in-depth interviews (IDIs) (n = 8) with CDDs, IDIs (n = 22) with opinion leaders and IDIs (n = 8) with health workers were conducted and the data analyzed by QSR NVIVO version 10 according to thematic areas. The results showed that based on the perceptions and experiences of the CDDs, several challenges: communities' refusal to take the drugs; absenteeism during MDA; non-adherence to CDDs selection criteria; inadequacy in number of CDDs engaged during the campaign and training provided; insufficiency of drugs issued to CDDs; lack of CDDs supervision and low motivation negatively impact on MDA uptake. Opportunities to address the challenges included: awareness creation on MDA, health education on LF and observation of hygiene during drug administration, increased duration of awareness creation and drug administration, adherence to CDDs selection criteria and putting into consideration the vastness of an area and population density while deploying CDDs. Other opportunities include: improved CDDs training and scheduling; issuing of enough drugs to CDDs to meet the communities' demand and improved supervision and motivation of CDDs. Addressing the challenges highlighted is an important step of maximizing MDA uptake. The opportunities presented need to be considered by the NTD program personnel, the county health personnel and the community while planning the implementation of MDA campaigns.


Asunto(s)
Filariasis Linfática/prevención & control , Educación en Salud/métodos , Administración Masiva de Medicamentos/métodos , Sistemas de Medicación/estadística & datos numéricos , Negativa del Paciente al Tratamiento/psicología , Adolescente , Adulto , Anciano , Albendazol/uso terapéutico , Animales , Antihelmínticos/uso terapéutico , Brugia Malayi/efectos de los fármacos , Dietilcarbamazina/uso terapéutico , Filariasis Linfática/epidemiología , Femenino , Conocimientos, Actitudes y Práctica en Salud , Humanos , Ivermectina/uso terapéutico , Kenia/epidemiología , Masculino , Persona de Mediana Edad , Cooperación del Paciente/psicología , Wuchereria bancrofti/efectos de los fármacos , Adulto Joven
18.
Trials ; 21(1): 1025, 2020 Dec 15.
Artículo en Inglés | MEDLINE | ID: mdl-33323130

RESUMEN

BACKGROUND: Entertainment-education (E-E) media can improve behavioral intent toward health-related practices. In the era of COVID-19, millions of people can be reached by E-E media without requiring any physical contact. We have designed a short, wordless, animated video about preventive COVID-19 behaviors that can be rapidly distributed through social media channels to a global audience. The E-E video's effectiveness, however, remains unclear. METHODS/DESIGN: This is a multi-site, parallel group, randomized controlled trial comparing the effectiveness of an E-E video on COVID-19 against (i) an attention placebo control (APC) video and (ii) no video. For our primary outcomes, we will measure knowledge about preventive COVID-19 behaviors. We will also use a list randomization approach to measure behavioral intent toward preventative COVID-19 behaviors. In each trial arm, participants will be randomized to a control list or a control list plus an item about social distancing, washing hands, cleaning household surfaces, sharing of eating utensils, and the stockpiling of essential goods. Using an online platform, we will recruit 17,010 participants (aged 18-59 years) from the USA, the UK, Germany, Spain, France, and Mexico. TRIAL REGISTRATION: German Clinical Trials Register #DRKS00021582 . Registered on May 12, 2020. DISCUSSION: This trial will utilize several randomization procedures, list experimentation methods, and state-of-the-art online technology to demonstrate the effectiveness of an E-E video to improve knowledge of, and behavioral intent toward, the prevention of COVID-19. Our results will inform future E-E video campaigns for COVID-19 and similar public health intervention needs.


Asunto(s)
/prevención & control , Control de Enfermedades Transmisibles , Educación en Salud/métodos , Conocimientos, Actitudes y Práctica en Salud , Películas Cinematográficas , /transmisión , Desinfección , Desinfección de las Manos , Humanos , Ensayos Clínicos Controlados Aleatorios como Asunto , Medios de Comunicación Sociales
19.
PLoS One ; 15(12): e0243599, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33338035

RESUMEN

It is known that the new coronavirus (COVID-19) is disproportionately affecting the elderly, those with underlying medical conditions, and the poor. What is the effect of informing the public about these inequalities on people's perceptions of threat and their sensitivity to the outbreak's human toll? This study answers this question using a novel survey experiment and finds that emphasis on the unequal aspect of the pandemic, especially as it relates to the elderly and those with medical conditions, could be causing the public to become less concerned about the outbreak and its human toll. Discussion situates this finding in the literature on scientific communication and persuasion and explains why language that emphasizes the impact of the virus on all of us-rather than singling out certain groups-could be more effective in increasing caution among the general public and make them take the situation more seriously.


Asunto(s)
/epidemiología , Control de Enfermedades Transmisibles/métodos , Educación en Salud/métodos , Pandemias , Opinión Pública , Anciano , Brotes de Enfermedades , Grupos Étnicos , Equidad en Salud , Disparidades en el Estado de Salud , Humanos , Modelos Lineales , Salud Poblacional , Salud Pública , Clase Social , Encuestas y Cuestionarios
20.
Pan Afr Med J ; 35(Suppl 2): 146, 2020.
Artículo en Inglés | MEDLINE | ID: mdl-33193961

RESUMEN

Prevention of exposure to the COVID-19 virus in the general population is an essential strategy to slow community transmission. This paper shares the experiences and challenges of community engagement in COVID-19 prevention in the Kilimanjaro region, Northern Tanzania implemented by our team from the Institute of Public Health (IPH), Kilimanjaro Christian Medical University College (KCMUCo) in collaboration with the COVID-19 response team in the Moshi Municipality. We conducted an education session with the COVID-19 response team and together brainstormed transmission hotspots and which interventions would be most feasible in their settings. The first hotspot identified was crowded local market spaces. Suggested interventions included targeted and mass public health education through the engagement of market opinion leaders, public announcements, and radio shows. We conducted participatory rural appraisal techniques to enable market vendors and clients to visualize two-meter distances and provided a prototype hand-washing facility that was foot operated. We found mass public health educational campaigns essential to inform and update the public about COVID-19 pandemic and to address rumors and misinformation, which hampers compliance with public health interventions. Coordinated efforts among stakeholders in the country are necessary to develop context-specific prevention and case management strategies following the national and international guidelines. Local ownership of recommended interventions is necessary to ensure compliance.


Asunto(s)
Betacoronavirus , Control de Enfermedades Transmisibles/organización & administración , Participación de la Comunidad , Infecciones por Coronavirus/prevención & control , Pandemias/prevención & control , Neumonía Viral/prevención & control , Infecciones por Coronavirus/epidemiología , Infecciones por Coronavirus/transmisión , Desinfección de las Manos/instrumentación , Educación en Salud/métodos , Educación en Salud/organización & administración , Humanos , Colaboración Intersectorial , Liderazgo , Medios de Comunicación de Masas , Aplicaciones Móviles , Equipo de Protección Personal , Neumonía Viral/epidemiología , Neumonía Viral/transmisión , Instalaciones Privadas , Salud Pública , Población Rural , Participación de los Interesados , Tanzanía/epidemiología
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