RESUMO
Filipino adolescents are underrepresented in obesity research, although Filipinos are the second largest Asian-American and Pacific Islander (AAPI) subpopulation in the USA. An understanding of how well the theories of behavior change apply to Filipino and other AAPI adolescents is critical to addressing obesogenic behaviors in these groups. This study aimed to validate the transtheoretical model of behavior change (TTM) for physical activity (PA) and fruit and vegetable intake (FV) among a majority Filipino adolescent population. Adolescents in grades 9-11 (N = 159, 82.4% female) completed measures of PA and FV behaviors and PA and FV stages of change. One-way ANOVAs and Tukey's HSD post hoc tests were computed to assess the validity of the PA and FV stages of change with the respective behaviors. There was a significant effect for fruit (action > contemplation, preparation) and vegetable (maintenance, action > contemplation) intakes across the FV stages of change. There was a significant effect of strenuous PA (precontemplation/contemplation, preparation < action < maintenance) and moderate PA (precontemplation/contemplation < action, maintenance) across the PA stages of change. Some variability in associations emerged when the sample was stratified by gender. This study provides validity evidence for the TTM stages of change for FV and PA among Filipino and other AAPI adolescents. This validation, in turn, extends the generalizability of the stages of change construct to include this ethnic group and replicates other adolescent studies.
Assuntos
Asiático/psicologia , Dieta , Exercício Físico , Comportamentos Relacionados com a Saúde , Havaiano Nativo ou Outro Ilhéu do Pacífico/psicologia , Obesidade , Adolescente , Terapia Comportamental , Ciências Biocomportamentais , Feminino , Frutas , Humanos , Masculino , Reprodutibilidade dos Testes , Comportamento Sedentário , VerdurasRESUMO
OBJECTIVE: This study introduces the rubrics of Native Hawaiian values developed to measure youth knowledge and understanding of indigenous values along with 8 other tools to evaluate Hui Malama o ke Kai (HMK), a culturally relevant, positive youth development, after-school program in a Native Hawaiian community. Findings from our efforts to validate the rubrics tool, as an evaluation measure, using triangulation are presented. METHODS: Evaluation tools were modified through community input and measured youth risk and protective factors, including knowledge and practice of Hawaiian values. Validity and reliability of the tools were tested by analyzing internal consistency, intraclass correlations, and triangulating data sources. RESULTS: Corroboration of results from the different data sources indicated convergent validity of measures to evaluate youth understanding and practice of Hawaiian values. CONCLUSIONS: This community-focused approach to evaluation demonstrates how multiple evaluation instruments may reliably evaluate a program.
Assuntos
Desenvolvimento Infantil , Havaiano Nativo ou Outro Ilhéu do Pacífico , Valores Sociais , Adolescente , Criança , Feminino , Havaí , Humanos , Reprodutibilidade dos Testes , Características de ResidênciaRESUMO
PROBLEM STATEMENT: Rigorous evaluation assures that research endeavors meet their purpose and achieve stated goals. This is especially true for federally funded exploratory research centers, which tend to be more complex due to the involvement of multiple, interdisciplinary investigators. This study provides an overview of the approach used to develop an evaluation strategy and reports the lessons learned during the initial development of the Center for Ohana Self-Management of Chronic Illness (COSMCI) at the University of Hawai'i at Manoa School of Nursing and Dental Hygiene. The COSMCI is composed of an interdisciplinary team of researchers and practitioners and aims to advance knowledge in the field of self management of chronic disease in the community setting. APPROACH: A systematic approach was utilized that included formative and summative strategies for ongoing evaluation. The problem was solved by addressing five key concerns: (1) development of research structure, (2) observing the process of the research pilot projects, (3) scholarly activity of COSMCI faculty, (4) dissemination and translation and (5) sustainability prospects. The method of research included formulating process strategies and determine if the plans for developing the Center were followed and whether these plans were effective. Interviews were also conducted at year one and at mid-point though the project. RESULTS: Themes that emerged from our evaluation included inclusion, timelines, realistic expectations, ongoing evaluation and preparing for changes in the team. This provided timely recognition of successes and challenges and facilitated a rapid response for interventions especially during the early development stage of the center. CONCLUSION/RECOMMENDATIONS: Effective development of a successful Center is highly dependent upon having a strong evaluation process in place that can inform ongoing development. An exploratory research center requires ongoing evaluation that allows for celebration of successes, as well as early identification of problems and rapid response.
Assuntos
Depressão , Antidepressivos/administração & dosagem , Antidepressivos/efeitos adversos , Antidepressivos/uso terapêutico , Antidepressivos de Segunda Geração/uso terapêutico , Antidepressivos Tricíclicos/administração & dosagem , Antidepressivos Tricíclicos/uso terapêutico , Citalopram/administração & dosagem , Citalopram/efeitos adversos , Citalopram/uso terapêutico , Depressão/diagnóstico , Depressão/tratamento farmacológico , Depressão/psicologia , Depressão/terapia , Diagnóstico Diferencial , Feminino , Infecções por HIV/complicações , Humanos , Hypericum , Mianserina/análogos & derivados , Mianserina/uso terapêutico , Pessoa de Meia-Idade , Mirtazapina , Fitoterapia , Psicoterapia , Recidiva , Fatores de Risco , Inibidores Seletivos de Recaptação de Serotonina/efeitos adversos , Inibidores Seletivos de Recaptação de Serotonina/uso terapêutico , Fatores SocioeconômicosAssuntos
Sedimentação Sanguínea , Fadiga/etiologia , Arterite de Células Gigantes/diagnóstico , Cefaleia/etiologia , Transtornos da Visão/etiologia , Idoso , Diagnóstico Diferencial , Testes Diagnósticos de Rotina , Feminino , Arterite de Células Gigantes/tratamento farmacológico , Glucocorticoides/uso terapêutico , Humanos , Metotrexato/uso terapêutico , Prednisona/uso terapêutico , Ultrassonografia Doppler em CoresAssuntos
Fadiga/etiologia , Doenças Musculares/etiologia , Dor/etiologia , Polimialgia Reumática/diagnóstico , Idoso , Sedimentação Sanguínea , Proteína C-Reativa/metabolismo , Comorbidade , Diagnóstico Diferencial , Fadiga/tratamento farmacológico , Feminino , Arterite de Células Gigantes/sangue , Arterite de Células Gigantes/diagnóstico , Arterite de Células Gigantes/tratamento farmacológico , Glucocorticoides/uso terapêutico , Hemoglobinometria , Humanos , Doenças Musculares/tratamento farmacológico , Dor/tratamento farmacológico , Polimialgia Reumática/sangue , Polimialgia Reumática/tratamento farmacológico , PrognósticoAssuntos
Adenoma , Síndrome de Fadiga Crônica/diagnóstico , Fadiga/etiologia , Hipopituitarismo , Neoplasias Hipofisárias , Adenoma/complicações , Adenoma/diagnóstico , Adenoma/cirurgia , Diagnóstico Diferencial , Fadiga/diagnóstico , Seguimentos , Humanos , Hipofisectomia , Hipopituitarismo/diagnóstico , Hipopituitarismo/etiologia , Masculino , Pessoa de Meia-Idade , Neoplasias Hipofisárias/complicações , Neoplasias Hipofisárias/diagnóstico , Neoplasias Hipofisárias/cirurgia , Prognóstico , Fatores de TempoAssuntos
Transtornos Somatoformes/diagnóstico , Adulto , Diagnóstico Diferencial , Avaliação da Deficiência , Feminino , Humanos , Equipe de Assistência ao Paciente , Encaminhamento e Consulta , Papel do Doente , Transtornos Somatoformes/psicologia , Transtornos Somatoformes/terapia , Recusa do Paciente ao Tratamento/psicologiaAssuntos
Situs Inversus , Adulto , Fatores Etários , Dextrocardia/diagnóstico , Diagnóstico Diferencial , Eletrocardiografia , Feminino , Humanos , Levocardia/diagnóstico , Imageamento por Ressonância Magnética , Prognóstico , Radiografia Abdominal , Radiografia Torácica , Situs Inversus/complicações , Situs Inversus/diagnóstico , Situs Inversus/diagnóstico por imagem , Tomografia Computadorizada por Raios XAssuntos
Eritema Nodoso/etiologia , Corticosteroides/uso terapêutico , Anti-Inflamatórios não Esteroides/uso terapêutico , Aspirina/uso terapêutico , Diagnóstico Diferencial , Eritema Nodoso/diagnóstico , Eritema Nodoso/tratamento farmacológico , Feminino , Humanos , Pessoa de Meia-Idade , Penicilinas/uso terapêutico , Faringite/diagnóstico , Faringite/tratamento farmacológico , Infecções Estreptocócicas/diagnóstico , Infecções Estreptocócicas/tratamento farmacológicoAssuntos
Dispneia/etiologia , Insuficiência Cardíaca/diagnóstico , Idoso , Cardiomiopatia Dilatada/diagnóstico , Fármacos Cardiovasculares/uso terapêutico , Doença Crônica , Doença das Coronárias/diagnóstico , Progressão da Doença , Quimioterapia Combinada , Evolução Fatal , Insuficiência Cardíaca/tratamento farmacológico , Insuficiência Cardíaca/etiologia , Humanos , Leucemia Linfoide/diagnóstico , Masculino , Miocárdio Atordoado/diagnóstico , Derrame Pleural/tratamento farmacológico , Derrame Pleural/etiologiaAssuntos
Amenorreia/etiologia , Anorexia Nervosa/diagnóstico , Doenças Ósseas Metabólicas/etiologia , Hipertireoidismo/induzido quimicamente , Magreza , Tiroxina/efeitos adversos , Adulto , Anorexia Nervosa/complicações , Imagem Corporal , Feminino , Humanos , Automedicação , Tiroxina/administração & dosagem , Recusa do Paciente ao TratamentoAssuntos
Osso e Ossos , Fraturas Ósseas/etiologia , Osteíte Deformante/diagnóstico , Osteosclerose/etiologia , Dor/etiologia , Fosfatase Alcalina/sangue , Diagnóstico Diferencial , Difosfonatos/uso terapêutico , Humanos , Osteíte Deformante/tratamento farmacológico , Osteólise/etiologia , Tomografia Computadorizada por Raios XAssuntos
Imunodeficiência de Variável Comum , Adulto , Antibacterianos/administração & dosagem , Antibacterianos/uso terapêutico , Imunodeficiência de Variável Comum/complicações , Imunodeficiência de Variável Comum/diagnóstico , Imunodeficiência de Variável Comum/tratamento farmacológico , Imunodeficiência de Variável Comum/imunologia , Diagnóstico Diferencial , Feminino , Seguimentos , Humanos , Imunoglobulinas/sangue , Imunoglobulinas Intravenosas/administração & dosagem , Imunoglobulinas Intravenosas/uso terapêutico , Expectativa de Vida , Masculino , Gravidez , Prognóstico , Fatores de Tempo , Resultado do TratamentoRESUMO
A 73-years old patient came to our outpatient clinic because of a blue discoloration of his hands. Furthermore there was a systemic inflammatory reaction, burning pain and numbness of his feet due to a polyneuropathy, and an indolent enlargement of the cervical lymph nodes. In 1996 and 2001 cervical lymph node resections were done because of localized angiofollicular lymphnode hyperplasia (Castleman's disease). The laboratory values confirmed a systemic inflammatory reaction, a hypothyreosis and a monoclonal gammopathy. A CT-scan showed enlarged cervical, intrathoracic and abdominal lymphnodes and a splenomegaly. So all the criterias for a POEMS syndrome (special form of multiple myeloma) were met with polyneuropathy, organomegaly, endocrinopathy, monoclonal protein and skin changes. The generalized lymphadenopathy corresponded histologically to the prior mentioned Castleman's disease. The patient responded well to systemic glucocorticoid treatment and today he is asymptomatic.
Assuntos
Hiperplasia do Linfonodo Gigante/diagnóstico , Pé/inervação , Dermatoses da Mão/etiologia , Hiperpigmentação/etiologia , Hipestesia/etiologia , Idoso , Hiperplasia do Linfonodo Gigante/tratamento farmacológico , Diagnóstico Diferencial , Esquema de Medicação , Dermatoses da Mão/tratamento farmacológico , Humanos , Hiperpigmentação/tratamento farmacológico , Hipestesia/tratamento farmacológico , Masculino , Pescoço , Prednisona/administração & dosagem , RecidivaAssuntos
Exantema/etiologia , Febre Familiar do Mediterrâneo/diagnóstico , Febre/etiologia , Serosite/etiologia , Sinovite/etiologia , Dor Abdominal/etiologia , Adulto , Colchicina/efeitos adversos , Colchicina/uso terapêutico , Diagnóstico Diferencial , Febre Familiar do Mediterrâneo/tratamento farmacológico , Humanos , Masculino , RecidivaRESUMO
RESEARCH QUESTIONS: To investigate how the daily physical activities of elderly patients can be enhanced by systematic counselling conducted by general practitioners (GPs). METHODS: In this feasibility study with pre-post design, 29 people (14 females, mean age 72.2 years, SD = 6.1) were enrolled during routine visits by two general practitioners. A baseline assessment of current physical activity based on the stages according to the Transtheoretical Model was followed by a counselling session. The target behaviour was defined by performance of 30 minutes of daily moderate-intensity activities that increase the breathing rate, on five days per week. At the 2-month follow-up, subjects were assessed for improvement in stage of physical activity since baseline. After the end of the intervention, participating GPs and patients were asked questions focusing on the feasibility, acceptance and usefulness of counselling. RESULTS: Interview results showed that the two GPs considered the counselling protocol easy to handle and useful for promoting physical activity. Counselling sessions were especially encouraging for the not sufficiently active people. Most of them would like to have additional counselling session. At baseline, 9 of 29 people were sufficiently active. After 2 months, this proportion was 21 of 29. The mean of the number of minutes of physical activity during the previous 4 weeks increased from 247 to 436 minutes (weekly). CONCLUSIONS: The programme was judged positively by the general practitioners and the participating elderly patients. Systematic counselling by general practitioners led to an increase in the physical activity behaviour. Therefore, a more rigorous randomised controlled trial with adequate followup is recommended.