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1.
BMJ Open ; 11(5): e047240, 2021 05 31.
Artículo en Inglés | MEDLINE | ID: mdl-34059514

RESUMEN

INTRODUCTION: Goal planning is widely recognised as an integral part of mental health service delivery and an important element in supporting recovery. Goal planning identifies priorities for treatment through discussion and negotiation between service users and health practitioners. Goal planning enhances motivation, directs effort, and focuses the development of strategies and treatment options to improve recovery outcomes and promote service users' ownership of the recovery process. While goal planning is a common practice in mental health settings, evidence regarding its impact on treatment outcomes is lacking. This paper outlines a protocol for a systematic review that aims to explore the types of goals planned, experiences of service users and practitioners, and the effectiveness of goal planning as a mental health intervention. METHODS AND ANALYSIS: A systematic search will be conducted during March 2021 by searching Medline, CINAHL, Embase, Scopus and PsycINFO electronic databases to answer the following questions: (1) What types of goals are being developed within mental healthcare?; (2) What is the evidence for the effectiveness of goal planning on health and well-being for mental health service users?; (3) What are the experiences of mental health service users and their treating healthcare practitioners in relation to goal planning?; and (4) What are the barriers and facilitators to effective goal planning in mental health settings? Two independent researchers will screen the articles, selecting literature that meets criteria. All literature, regardless of study design that involves adult participants, with a mental illness and reporting on goal planning will be considered for inclusion. Data will be extracted from all eligible articles regardless of study design and summarised in a table. Appropriate quality assessment and data synthesis methods will be determined based on included study designs. ETHICS AND DISSEMINATION: No ethics approval is required. The results will be disseminated through peer-reviewed publications and conference presentations. PROSPERO REGISTRATION NUMBER: CRD42020220595.


Asunto(s)
Trastornos Mentales , Servicios de Salud Mental , Adulto , Objetivos , Humanos , Trastornos Mentales/terapia , Salud Mental , Motivación , Proyectos de Investigación
2.
Sensors (Basel) ; 21(9)2021 May 06.
Artículo en Inglés | MEDLINE | ID: mdl-34066343

RESUMEN

The objective of this study was to evaluate the reliability of four methods of assessing vastus lateralis (VL) stiffness, and to describe the influence of structural characteristics on them. The stiffness of the dominant lower-limb's VL was evaluated in 53 healthy participants (28.4 ± 9.1 years) with shear wave elastography (SWE), strain elastography (SE), myotonometry and tensiomyography (TMG). The SWE, SE and myotonometry were performed at 50%, and TMG was assessed at 30%, of the length from the upper pole of the patella to the greater trochanter. The thickness of the VL, adipose tissue and superficial connective tissue was also measured with ultrasound. Three repeated measurements were acquired to assess reliability, using intraclass correlation coefficients (ICC). Pearson's correlation coefficients were calculated to determine the relationships between methodologic assessments and between structural characteristics and stiffness assessments of the VL. Myotonometry (ICC = 0.93; 95%-CI = 0.89,0.96) and TMG (ICC = 0.89; 95%-CI = 0.82,0.94) showed excellent inter-day reliability whereas with SWE (ICC = 0.62; 95%-CI = 0.41,0.77) and SE (ICC = 0.71; 95%-CI = 0.57,0.81) reliability was moderate. Significant correlations were found between myotonometry and VL thickness (r = 0.361; p = 0.008), adipose tissue thickness (r = -0.459; p = 0.001) and superficial connective tissue thickness (r = 0.340; p = 0.013). Myotonometry and TMG showed the best reliability values, although myotonometry stiffness values were influenced by the structural variables of the supra-adjacent tissue.


Asunto(s)
Diagnóstico por Imagen de Elasticidad , Músculo Cuádriceps , Objetivos , Humanos , Músculo Cuádriceps/diagnóstico por imagen , Reproducibilidad de los Resultados , Ultrasonografía
3.
Sensors (Basel) ; 21(11)2021 May 26.
Artículo en Inglés | MEDLINE | ID: mdl-34073181

RESUMEN

The purpose of this research is to explore the roles that sports trackers and running-related data play in runners' personal goal achievement. A two-week diary study and semi-structured interviews were conducted with 22 runners to explore how runners engage with their running-related data to set and achieve their running goals. We found that participants pursued and transitioned between different running goals as their needs, abilities, and surrounding environment changed. We also found multiple motivations that shaped the use of sports trackers. We identified two main categories in runners' motivations for using trackers and data to achieve their goals. These categories were (i) documenting and tracking in running, and (ii) supporting goal-oriented reflections and actions, with various reasons for use while preparing for and during running. This study provides insights into the psychological effects of running-related data and signals practical implications for runners and developers of tracking technology.


Asunto(s)
Objetivos , Carrera , Humanos , Motivación
4.
Artículo en Inglés | MEDLINE | ID: mdl-33946837

RESUMEN

This paper aims to measure disparities among the variables associated with Sustainable Development Goal (SDG) 3 defined by the United Nations (UN) in the least developed countries (LDCs) of Asia. In the terms of the UN Conference on Trade and Development, LDCs are countries with profound economic and social inequalities. The indicator was constructed using a set of variables associated with SDG3: Good Health and Wellbeing. Applying Pena's DP2 distance method to the most recent data available (2018) enables regional ordering of Asia's LDCs based on the values of these variables. The index integrates socioeconomic variables that permit examination of the impact of each individual indicator to determine territorial disparities in terms of the partial indicators of SDG3. "Maternal education," "Proportion of women who make their own informed decisions regarding sexual relations, contraceptive use, and reproductive health care," and "Gender parity index in primary education" are the most important variables in explaining spatial disparities in good health and wellbeing in the LDCs of Asia.


Asunto(s)
Países en Desarrollo , Desarrollo Sostenible , Asia , Economía , Femenino , Objetivos , Derechos Humanos , Humanos , Factores Socioeconómicos
5.
Ann Palliat Med ; 10(4): 4532-4538, 2021 Apr.
Artículo en Inglés | MEDLINE | ID: mdl-33966401

RESUMEN

BACKGROUND: Non-valvular atrial fibrillation (NVAF) is a common type of AF, and patients with NVAF have a higher risk of ischemic stroke than non-AF patients. This study aims to investigate the goal attainment of international normalized ratio (INR) in patients with NVAF after anticoagulation therapy, and to analyze the risk factors that affect the goal attainment of INR. METHODS: NVAF patients who were admitted to our hospital from December 2019 to December 2020 and received anticoagulation therapy were selected as the research subjects. The INR goal attainment of patients was assessed, the risk factors affecting INR goal attainment were analyzed, and a ROC curve was drawn to evaluate the predictive value of risk factors for INR goal attainment in NVAF patients. RESULTS: After anticoagulation treatment, the INR of 42 cases reached the target (INR value ≥0.2, the goal attainment group), and the INR of 74 cases did not reach the target (INR value <2.0, the non-goal attainment group). The age, mean platelet volume (MPV), platelet distribution width (PDW), and large platelet ratio (P-LCR) levels of patients in the goal attainment group were significantly lower than those in the non-goal attainment group, and the platelet count (PLT) level was higher than that of the non-goal attainment group (P<0.05). The results of multivariate logistic regression analysis showed that MPV, PDW, and P-LCR were independent risk factors that affected the failure in INR goal attainment in patients with NVAF after anticoagulation therapy. The ROC curve showed that the AUC values of MPV, PDW, and P-LCR were 0.711, 0.748, 0.867, respectively, and the combined AUC was 0.876, which was higher than that of the single detection. CONCLUSIONS: MPV, PDW, and P-LCR are important factors that affect the goal attainment of INR after anticoagulant therapy in NVAF patients. For patients with risk factors, clinicians can formulate a reasonable individualized anticoagulant drug regimen based on the above-mentioned index levels.


Asunto(s)
Fibrilación Atrial , Anticoagulantes/uso terapéutico , Fibrilación Atrial/tratamiento farmacológico , Objetivos , Humanos , Relación Normalizada Internacional , Factores de Riesgo , Warfarina
7.
J Pak Med Assoc ; 71(2(B)): 596-601, 2021 Feb.
Artículo en Inglés | MEDLINE | ID: mdl-33941942

RESUMEN

OBJECTIVE: To evaluate Pakistan's progress in the context of health-related Millennium Development Goals. Methods: The cross-sectional study was conducted from March 2016 to March 2017 at Quaid-i-Azam University Islamabad and National Institution of Health, assessed the chronological landscape of health conditions with temporal limit of 2000 to 2015 while measuring progress in 5, 10 and 15 years of Millennium Development Goals in the Public Sector Health Care Segment. Data was analysed using SPSS 21. RESULTS: No significant difference in infrastructure was observed during the 2000-2015 era of Millennium Development Goals (p>0.05) except in the number of dispensaries (p=0.001). There was a significant increase in workforce (p<0.05), but no significant difference was observed in health expenditure (p>0.05). Family planning sector was also without any significant change (p>0.05). CONCLUSIONS: There was no significant difference in most healthcare segments during 2000-2015 and Millennium Development Goals remained underachieved.


Asunto(s)
Objetivos , Desarrollo Sostenible , Estudios Transversales , Prestación de Atención de Salud , Salud Global , Humanos , Pakistán/epidemiología , Sector Público
8.
BMC Neurol ; 21(1): 149, 2021 Apr 07.
Artículo en Inglés | MEDLINE | ID: mdl-33827462

RESUMEN

BACKGROUND: A central goal of rehabilitation in patients with paralysis syndromes after stroke or spinal cord injury (SCI) is to restore independent mobility as a pedestrian or wheelchair user. However, after acute rehabilitation, the mobility frequently deteriorates in the ambulatory setting, despite the delivery of rehabilitative interventions such as physical therapy or the prescription of assistive devices. The aim of the NeuroMoves study is to identify factors that are associated with changes of mobility in the ambulatory setting after acute inpatient rehabilitation, with a particular focus on participation according to the ICF (International Classification of Functioning, Disability and Health). METHODS: The NeuroMoves study is intended as a national multicenter observational cohort study with 9 clinical sites in Germany. A total of 500 patients with mobility-restricting paralysis syndromes (i.e. stroke or SCI) are to be recruited during acute inpatient rehabilitation prior to discharge to the ambulatory setting. Patients will have 8 months of follow-up in the ambulatory setting. Three study visits at the clinical sites (baseline, midterm, and final) are planned at 4-months intervals. The baseline visit is scheduled at the end of the acute inpatient rehabilitation. During the visits, demographical data, neurological, functional, quality of life, and implementation measures will be assessed. At baseline, each study participant receives an activity tracker (sensor for recording ambulatory mobility) along with a tablet computer for home use over the 8 months study duration. While mounted, the activity tracker records mobility data from which the daily distance covered by walking or wheelchair use can be calculated. Customized applications on the tablet computer remind the study participants to answer structured questionnaires about their health condition and treatment goals for physical therapy. Using the study participants' tablet, therapists will be asked to answer structured questionnaires concerning treatment goals and therapeutic measures they have applied. The primary analysis concerns the association between mobility (daily distance covered) and the degree of participation-oriented rehab interventions. Further exploratory analyses are planned. DISCUSSION: The findings could inform healthcare decision-making regarding ambulatory care in Germany focusing on mobility-promoting interventions for patients with mobility-restricting paralysis syndromes. STUDY REGISTRATION: German Clinical Trials Register, DRKS-ID: DRKS00020487 (18.02.2020).


Asunto(s)
Parálisis/rehabilitación , Modalidades de Fisioterapia , Traumatismos de la Médula Espinal/rehabilitación , Estudios de Cohortes , Personas con Discapacidad , Alemania , Objetivos , Humanos , Alta del Paciente , Calidad de Vida , Dispositivos de Autoayuda , Encuestas y Cuestionarios , Síndrome
9.
Trends Plant Sci ; 26(6): 600-606, 2021 06.
Artículo en Inglés | MEDLINE | ID: mdl-33893049

RESUMEN

The European Commission's Farm to Fork (F2F) strategy, under the European Green Deal, acknowledges that innovative techniques, including biotechnology, may play a role in increasing sustainability. At the same time, organic farming will be promoted, and at least 25% of the EU's agricultural land shall be under organic farming by 2030. How can both biotechnology and organic farming be developed and promoted simultaneously to contribute to achieving the Sustainable Development Goals (SDGs)? We illustrate that achieving the SDGs benefits from the inclusion of recent innovations in biotechnology in organic farming. This requires a change in the law. Otherwise, the planned increase of organic production in the F2F strategy may result in less sustainable, not more sustainable, food systems.


Asunto(s)
Objetivos , Agricultura Orgánica , Biotecnología , Europa (Continente) , Granjas
10.
Artículo en Inglés | MEDLINE | ID: mdl-33917074

RESUMEN

Attention deficit hyperactivity disorder is the most common neuropsychological disorder in childhood and adolescence, affecting the basic psychological processes involved in learning, social adaptation and affective adjustment. From previous research, the disorder is linked to problems in different areas of development, with deficiencies in psychological processes leading to the development of the most common characteristics of the disorder such as inattention, excess of activity and lack of inhibitory control. As for the diagnosis, in spite of being a very frequent disorder, there are multiple controversies about which tools are the most suitable for evaluation. One of the most widespread tools in the professional field is behavior inventories such as the Strengths and Difficulties Questionnaires for Parents and Teachers or the ADHD Rating Scale-V. The main disadvantage of these assessment tools is that they do not provide an objective observation. For this reason, there are different studies focused on recording objective measures of the subjects' movement, since hyperkinesia is one of the most characteristic symptoms of this disorder. In this sense, we have developed an application that, using a Kinect device, is capable of measuring the movement of the different parts of the body of up to six subjects in the classroom, being a natural context for the student. The main objective of this work is twofold, on the one hand, to investigate whether there are correlations between excessive movement and high scores in the inventories for the diagnosis of ADHD, Rating Scale-V and Strengths and Difficulties Questionnaire (SDQ) and, on the other hand, to determine which sections of the body present the most significant mobility in subjects diagnosed with ADHD. Results show that the control group, composed of neurotypical subjects, presents less kinaesthetic activity than the clinical group diagnosed with ADHD. This indicates that the experimental group presents one of the main characteristics of the disorder. In addition, results also show that practically all the measured body parts present significant differences, being higher in the clinical group, highlighting the head as the joint with the highest effect size.


Asunto(s)
Trastorno por Déficit de Atención con Hiperactividad , Adolescente , Trastorno por Déficit de Atención con Hiperactividad/diagnóstico , Objetivos , Humanos , Aprendizaje , Estudiantes
11.
Molecules ; 26(5)2021 Mar 05.
Artículo en Inglés | MEDLINE | ID: mdl-33807763

RESUMEN

The Sustainable Development Goals (SDGs) have been proposed to give a possible future to humankind. Due to the multidimensional characteristic of sustainability, SDGs need research activities with a multidisciplinary approach. This work aims to provide a critical review of the results concerning sustainable materials obtained by Italian researchers affiliated to the National Interuniversity Consortium of Materials Science and Technology (INSTM) and their contribution to reaching specific indicators of the 17 SDGs. Data were exposed by using the Web of Science (WoS) database. In the investigated period (from 2016 to 2020), 333 works about sustainable materials are found and grouped in one of the following categories: chemicals (33%), composites (11%), novel materials for pollutants sequestration (8%), bio-based and food-based materials (10%), materials for green building (8%), and materials for energy (29%). This review contributes to increasing the awareness of several of the issues concerning sustainable materials but also to encouraging the researchers to focus on SDGs' interconnections. Indeed, the mapping of the achievements can be relevant to the decision-makers to identify the opportunities that materials can offer to achieve the final goals. In this frame, a "Sustainable Materials Partnership for SDGs" is envisaged for more suitable resource management in the future.


Asunto(s)
Materiales Biocompatibles , Desarrollo Sostenible , Fuentes Generadoras de Energía , Contaminantes Ambientales/química , Contaminantes Ambientales/aislamiento & purificación , Alimentos , Objetivos , Italia
12.
Rehabilitation (Stuttg) ; 60(2): 124-131, 2021 Apr.
Artículo en Alemán | MEDLINE | ID: mdl-33858021

RESUMEN

PURPOSE: Childhood cancer often leads to physical and psychosocial burdens that can persist beyond the end of treatment. Family-oriented rehabilitation programs (FOR) focus on long-term consequences and support families in returning to daily life. The objectives of this study were to describe rehabilitation goals and goal attainment, to analyze the relationship between physical functioning and physical well-being and to examine predictors of changes in physical functioning during the FOR. METHODS: In a prospective observational study, statements of physicians regarding rehabilitation goals, goal achievement and physical functioning of 175 children (<18 years of age at the time of diagnosis of leukemia or central nervous system tumor) at the beginning and the end of a FOR were analyzed. The physical well-being of the patients was assessed from a parent and child perspective. Correlation coefficients were calculated to analyze the relation between physical functioning and physical well-being. Predictors of changes in physical functioning were examined with a multiple regression analysis. RESULTS: The most frequently mentioned rehabilitation goals were the increase of physical functioning and the integration into the peer group. Overall, the goal achievement ranged from 82 to 100%. Physical functioning improved significantly during the FOR. A significant positive correlation between the physician's assessment of physical functioning and the parental assessment of physical well-being could be found at the beginning of the FOR. According to the regression model, female gender of the child and a longer time since diagnosis were associated with a lower change in physical functioning. Furthermore, a higher degree of physical consequential damages was associated with a larger change. CONCLUSIONS: The 4-week multimodal rehabilitation program of the FOR addressed various physical and psychosocial burdens and was accompanied by a significant improvement of the physical functioning of childhood cancer patients. The change in physical functioning was associated with different sociodemographic and medical factors (eg, sex). The consideration of these factors could help with optimizing the program.


Asunto(s)
Objetivos , Neoplasias , Niño , Femenino , Alemania , Humanos , Padres , Estudios Prospectivos
14.
BMC Pregnancy Childbirth ; 21(1): 270, 2021 Apr 01.
Artículo en Inglés | MEDLINE | ID: mdl-33794794

RESUMEN

BACKGROUND: In most of the sub-Sahara African countries, use of herbal medications is widely practiced during pregnancy or delivery for various reasons despite uncertainties on their pharmacological profiles. Use of unregistered herbal medicines has the potential of causing adverse health effects to the mother and the newborn, thus deterring achievement of Sustainable Development Goal 3, which aims to "ensure healthy lives and promote well-being for all at all ages". One of the targets is on reduction of morbidity and mortality among mothers and newborns. This study investigated use of herbal medicines and predictors of usage during pregnancy or delivery as a forgotten exposure towards understanding some of the challenges in achieving Sustainable Development Goal 3. METHODS: This cross-sectional quantitative study gathered information from women who delivered a live-born baby in the preceding two years. Using a two-stage-sampling technique, women attending reproductive, maternal and child health clinics in Tabora were selected and interviewed. Proportions were compared using chi-square test and Poisson regression analysis was performed to determine independent correlates of herbal medicine use. RESULTS: Of 340 recruited women, 208 [61.2 %; 95 % confidence interval: 55.4, 66.3 %] used herbal medicines during pregnancy or delivery. Major reasons for use included accelerating labour, 81 (38.9 %) and reducing labour pains, 58 (27.9 %). Women who made less than four antenatal visits had a 24 % higher adjusted prevalence ratio of using herbal medicines as compared to those who had at least four visits [adjusted prevalence ratio:1.24; 95 % confidence interval: 1.02, 1.50, p = 0.03]. Furthermore, the adjusted prevalence ratio of using herbal medicines was 35 % higher among women who were not discouraged by health care providers against their use as compared to those who were discouraged (adjusted prevalence ratio: 1.35; 95 % confidence interval: 1.13, 1.60, p = 0.01). CONCLUSIONS: Use of herbal medicines during pregnancy or delivery among women in Tanzania is common. Independent predictors of herbal medicine use were number of antenatal visits and stance of maternity health care providers on their use. Comprehensive investigations on the magnitude, patterns and predictors of use of herbal medicines during pregnancy or delivery are warranted.


Asunto(s)
Medicina Tradicional Africana/estadística & datos numéricos , Fitoterapia/estadística & datos numéricos , Atención Prenatal/métodos , Desarrollo Sostenible , Adolescente , Adulto , Estudios Transversales , Femenino , Objetivos , Humanos , Recién Nacido , Trabajo de Parto , Nacimiento Vivo , Medicina Tradicional Africana/efectos adversos , Persona de Mediana Edad , Fitoterapia/efectos adversos , Embarazo , Complicaciones del Embarazo/epidemiología , Complicaciones del Embarazo/prevención & control , Atención Prenatal/estadística & datos numéricos , Prevalencia , Tanzanía , Adulto Joven
16.
Sensors (Basel) ; 21(7)2021 Mar 26.
Artículo en Inglés | MEDLINE | ID: mdl-33810606

RESUMEN

We live in complex times in the health, social, political, and energy spheres, and we must be aware of and implement new trends in intelligent social health systems powered by the Internet of Things (IoT). Sustainable development, energy efficiency, and public health are interrelated parameters that can transform a system or an environment for the benefit of people and the planet. The integration of sensors and smart devices should promote energy efficiency and ensure that sustainable development goals are met. This work is carried out according to a mixed approach, with a literature review and an analysis of the impact of the Sustainable Development Goals on the applications of the Internet of Things and smart systems. In the analysis of results, the following questions are answered about these systems and applications: (a) Are IoT applications key to the improvement of people's health and the environment? (b) Are there research and case studies implemented in cities or territories that demonstrate the effectiveness of IoT applications and their benefits to public health?


Asunto(s)
Internet de las Cosas , Desarrollo Sostenible , Ciudades , Prestación de Atención de Salud , Objetivos , Humanos
17.
Acta Obstet Gynecol Scand ; 100 Suppl 1: 3-6, 2021 03.
Artículo en Inglés | MEDLINE | ID: mdl-33811334

RESUMEN

Almost 10 years ago, clinicians at multiple locations all over Europe observed an increased number of antenatally undiagnosed cases of placenta accreta spectrum (PAS) resulting in significant morbidity and the occasional maternal death. Even with an improvement in antenatal imaging, the management of severe PAS remains challenging. One solution to improve understanding in rare but potentially lethal conditions is international collaboration. Consequently, a European working group was formed, which over the next few years grew into an international society, the IS-PAS. The collective goals are to develop a large shared database of cases, generate high-quality research into all aspects of PAS, and improve education of both healthcare professionals and patients. The first results of this collaboration are presented within this supplement.


Asunto(s)
Objetivos , Cooperación Internacional , Placenta Accreta/patología , Sociedades Científicas/organización & administración , Femenino , Historia del Siglo XXI , Humanos , Placenta Accreta/historia , Embarazo , Sociedades Científicas/historia
18.
Artículo en Inglés | MEDLINE | ID: mdl-33802749

RESUMEN

Recent research suggests people typically "give up" pursuing their New Year resolutions within the first month. The present study investigated goal features proposed to be implicated in promoting both mental wellbeing and sustained New Year resolution pursuit. Australian and UK participants (n = 182) took part in an online longitudinal study, including four timepoints over a two-month period. At baseline, participants listed the New Year resolution to which they were most committed, and completed self-report measures to assess mental wellbeing, goal flexibility and tenacity. At the follow-up surveys, participants completed the wellbeing measure and their New Year resolution commitment, effort and stickability. As predicted, flexibility predicted wellbeing across time, however, tenacity did not. Counter to prediction, neither flexibility nor tenacity reported at baseline predicted "sticking" with one's New Year resolution. The predicted interaction between flexibility and tenacity was not significant. New Year resolutions focused predominantly on "diet" and "exercise" were predominantly the same resolutions previously pursued and tended to be relatively abstract. Although goal flexibility predicted greater wellbeing, the findings overall tend to support the view that people are not particularly good at sticking with their New Year resolutions. Implications of the findings are discussed.


Asunto(s)
Objetivos , Motivación , Australia , Humanos , Estudios Longitudinales , Encuestas y Cuestionarios
19.
J Psychol ; 155(4): 426-440, 2021.
Artículo en Inglés | MEDLINE | ID: mdl-33830877

RESUMEN

The present study aimed to examine the psychological mechanism underlying the relationship between attachment style and intimate relationship satisfaction in women. For this purpose, a cross-sectional research design was employed in which 233 women (Mage = 28.16 years) who were currently in a romantic relationship completed a questionnaire that assessed attachment style, relationship satisfaction, self-esteem, and flexible goal adjustment (FGA). The results showed that both high attachment anxiety and high attachment avoidance were associated with low relationship satisfaction. Self-esteem mediated the relationship between attachment insecurity and relationship satisfaction. Moreover, the mediation effect of self-esteem was moderated by FGA, such that only in women with high FGA was self-esteem a significant mediator in the relationship between an insecure attachment style and relationship satisfaction. The results have implications for enhancing women's relationship satisfaction.


Asunto(s)
Objetivos , Satisfacción Personal , Adulto , Estudios Transversales , Femenino , Humanos , Apego a Objetos , Parejas Sexuales , Encuestas y Cuestionarios
20.
Artículo en Inglés | MEDLINE | ID: mdl-33806724

RESUMEN

Many patients with lifestyle-related chronic diseases find it difficult to adhere to a healthy and active lifestyle, often due to psychosocial difficulties. The aim of the current study was to develop an eHealth care pathway aimed at detecting and treating psychosocial and lifestyle-related difficulties that fits the needs and preferences of individual patients across various lifestyle-related chronic diseases. Each intervention component was developed by (1) developing initial versions based on scientific evidence and/or the Behavior Change Wheel; (2) co-creation: acquiring feedback from patients and health professionals; and (3) refining to address users' needs. In the final eHealth care pathway, patients complete brief online screening questionnaires to detect psychosocial and lifestyle-related difficulties, i.e., increased-risk profiles. Scores are visualized in personal profile charts. Patients with increased-risk profiles receive complementary questionnaires to tailor a 3-month guided web-based cognitive behavioral therapy intervention to their priorities and goals. Progress is assessed with the screening tool. This systematic development process with a theory-based framework and co-creation methods resulted in a personalized eHealth care pathway that aids patients to overcome psychosocial barriers and adopt a healthy lifestyle. Prior to implementation in healthcare, randomized controlled trials will be conducted to evaluate its cost-effectiveness and effectiveness on psychosocial, lifestyle, and health-related outcomes.


Asunto(s)
Objetivos , Telemedicina , Enfermedad Crónica , Protocolos Clínicos , Humanos , Estilo de Vida
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