Effectiveness of an Interpersonal Influence Intervention to Increase Commitment to Adopt Health-Promoting Behavior in Nursing Students.

Purpose: To determine the efficacy of the "interpersonal influence intervention" conducted by health professionals to increase the commitment to adopt health-promoting behavior in nursing students compared to the usual care of a university wellness program. Patients and Methods: A quasi-experimental study was performed. The study included 114 nursing students from a university in Cali, Colombia, who were divided into a control group (n = 57) that received usual care and an experimental group (n = 57) that received the intervention designed and validated according to Nola Pender's Health Promotion Model. The main outcome was the lifestyle measured before and after the test using the Health-Promoting Lifestyle Profile II Spanish version. The effect of the intervention was carried out through the average comparison, effect size measures were calculated using Cohen's d and analysis of the effect of possible confounding variables on the intervention (ANCOVA). Results: A statistically significant difference was observed between the experimental group and the control group (p = 0.015; 95% CI -0.42, -0.05). The effect size of the intervention was 0.49. The interpersonal influences exhibited by health professionals can increase the commitment to adopt health-promoting behaviors (Hypothesis 1), and the greater the commitment to a specific action plan, the more likely it is that health-promoting behaviors will be maintained over time (Hypothesis 2). Conclusion: The effectiveness of the intervention interpersonal influences exerted by health professionals to increase the commitment to adopt health-promoting behavior is proven. Evidence demonstrates the practical utility of the Health Promotion Model.

Influence of Personal Factors on Health-Promoting Behavior in College Students: A Structural Equation Modeling Approach.

Purpose: This study aimed to determine how personal factors influence health-promoting behavior in university students using a structural equation modeling approach guided by the Health Promotion Model. Patients and Methods: An analytical cross-sectional study was conducted. The study included 763 health science students from four universities in Cali, Colombia, who answered a questionnaire on personal factors and Health Promoting Lifestyle Profile II, Spanish version, which was validated in the study population. The direct and indirect relationships between personal factors and health-promoting behaviors were assessed using structural equation modeling. Data analysis was performed using descriptive statistics and structural equation modeling. Results: A significant relationship was noted between the biological and psychological personal factors of the measurement model (p < 0.05). Psychological personal factors (self-esteem and perceived health status) positively influence health promoting behavior in university students (Hypothesis 2). It's not possible to demonstrate that health promoting behavior is positively influenced by personal biological factors (Hypothesis 1) and by personal sociocultural factors (Hypothesis 3). Conclusion: There is a need for interventions that help improve the health-promoting lifestyle profile and are focused on enhancing the self-esteem and perceived health status of university students.

Cultura alimentaria, tejidos que fortalecen el cuidado colectivo en una comunidad indígena / Cultura alimentar, tecelagens que reforçam os cuidados colectivos numa comunidade indígena / Food culture, weavings that strengthen collective care in an indigenous community

Objective: To describe the factors of the social structure and food culture of an indigenouscommunity that strengthen collective care. Materials and methods: Qualitative study, ethnographicmethod; through purposive sampling: 10 semi-structured interviews and participant observation;the content analysis was supported by the Atlas ti 7.0 tool. Results: economic-political, educational, social cultural and spiritual factors provided evidence of food exercises and practices thatfrom the indigenous worldview of balance and awareness with "mother earth" and of its territorialorganization contribute to the collective and identity practices of the community. Conclusions:Around food, many practices are woven that strengthen care in the community; from the shagraphysical and spiritual food is harvested, as well as it is also constituted as a space of identity affirmation and survival of ancestral knowledge that must be preserved.(AU)

Objetivo: Describir los factores de la estructura social y de cultura alimentaria de unacomunidad indígena que fortalecen el cuidado colectivo. Materiales y métodos: Estudio cualitativo,método etnográfico; a través de muestreo propositivo: se realizaron 10 entrevistas semiestructura das y observación participante; el análisis de contenido se apoyó en la herramienta Atlas ti 7.0. Resultados: Factores de tipo económico-político, educativo, social-cultural y espiritual aportaron evidencias de ejercicios y prácticas alimentarias que desde la cosmovisión indígena de equilibrio yconciencia con la “madre tierra” y de su ordenamiento territorial aportan a las prácticas colectivase identitarias de la comunidad. Conclusiones: Alrededor de la alimentación, se tejen muchasprácticas que fortalecen el cuidado en la comunidad; de la shagra, se cosecha el alimento físico yespiritual, como también se constituye como un espacio de afirmación de identidad y pervivenciade saberes ancestrales que deben ser conservados.(AU)

Objectivo: Descrever os factores da estrutura social e da cultura alimentar de uma comunidade indígena que reforçam os cuidados colectivos. Materiais e métodos: Estudo qualitativo, método etnográfico; através de amostragem propositada: 10 entrevistas semi-estruturadas e observação dos participantes; a análise do conteúdo foi apoiada pela ferramenta Atlas ti 7.0. Resultados:factores económicos-políticos, educacionais, sócio-culturais e espirituais forneceram provas de exercícios e práticas alimentares que a partir da cosmovisão indígena de equilíbrio e consciência com a"mãe terra" e a sua ordenação territorial contribuem para as práticas colectivas e de identidade dacomunidade. Conclusões: Em torno da alimentação, muitas práticas são tecidas que reforçam oscuidados na comunidade; a partir do shagra, colhe-se alimento físico e espiritual, bem como se constitui também como um espaço de afirmação de identidade e sobrevivência do conhecimento ancestral que deve ser preservado.(AU)

Educational Strategies to Promote Adherence to Treatment in Patients with Cardiovascular Disease.

INTRODUCTION: Educational material is a key strategy for primary health care promotion. PURPOSE: To design and validate educational material adapted to the population and aimed to increase knowledge about adherence to the treatment of arterial hypertension and diabetes mellitus. METHODOLOGY: Methodological study for the design of educational material for people with diabetes mellitus and high blood pressure. For the design, content validity tests were carried out, with the participation of six experts in health education and six patients with chronic diseases. Validation was performed pursuant to the attraction, understanding, engagement, and acceptance criteria. RESULTS: The validation confirmed that all items and criteria were above the minimal expected range. CONCLUSION: The design and validation of educational material provide elements that improve the education of patients about their pathologies and their adherence to treatment.

Prácticas alimentarias de las mujeres rurales: Desarrollo del concepto / Food practices of rural women: Development of the concept

Problema: Los conceptos son la base para el desarrollo del conocimiento disciplinar y es de vital importancia conocer los atributos para que el concepto pueda ayudar a resolver el fenómeno que se presenta en la práctica. Se encontró que el concepto de Prácticas alimentarias de las mujeres rurales, no estaba desarrollado y que de las distintas disciplinas se referían a él como consumo de alimentos, hábitos alimentarios, patrones alimentarios y conocimientos sobre alimentación, entre otros; por lo tanto, al no estar desarrollado el concepto de prácticas alimentarias de las mujeres rurales y no haber claridad en su definición se desarrolló el concepto de Prácticas Alimentarias de las Mujeres Rurales, bajo la estrategia de Meleis (2012), para darle precisión al concepto, facilitar y mejorar la comunicación entre los sujetos de cuidado, comprender el significado de las palabras y como parte del desarrollo continuo del conocimiento de la disciplina de enfermería. Método: se utilizó la estrategia de enfoque integrado para el desarrollo de conceptos, propuesto por Meleis (2012). Los datos fueron obtenidos mediante revisión de la literatura y entrevistas a mujeres rurales, analizados mediante el análisis de contenido dirigido a partir de los elementos de la teoría de la práctica social. Resultado: las prácticas alimentarias de las mujeres rurales son acciones que surgen de la interconexión de elementos materiales, competencias y significados. Conclusión: El concepto de prácticas alimentarias de las mujeres rurales, es un foco para el desarrollo de la teoría permitiendo explicar y describir un fenómeno de interés para la práctica e investigación en enfermería.

Problem: Concepts are the basis for disciplinary knowledge development. Knowing concept attributes is extremely important so that the concept helps to solve the phenomenon that occurs in practice. It was found that a concept for feeding practices of rural women had not been developed, and different disciplines referred to it as food consumption, eating habits, eating patterns, food knowledge, among others names. Therefore, since a concept for feeding practices was not developed, and its definition was not clear, the concept of feeding practices was developed using Meleis' strategy (2012) to specify de concept, facilitate and improve communication among subjects of care, and understand words' meaning; this as part of a continuous development in nursing discipline. Method: An integrated approach to concept development proposed by Meleis (2012) was used as methodology. Data was obtained from literature review and interviews with rural women; it was analyzed through content analysis based on elements of the Social Practice Theory. Results: Rural women' feeding practices are actions that emerge from the interconnection of material, competence and meaning elements. Conclusions: The concept of feeding practices of rural women is a central point for theory development allowing explanation and description of a phenomenon of interest for nursing practice and research

Estilo de vida de una comunidad rural del municipio de Tarqui (Huila) y su relación con la salud cardiovascular / Lifestyle of a rural community in the municipality of Tarqui (Huila) and its relationship with cardiovascular health

Objetivo: Describir el estilo de vida y su relación con la salud cardiovascular de la población entre 20 y 60 años, de las veredas: Potrerillo, La Esperanza y el Tablón, del corregimiento de Maito, municipio de Tarqui (Huila). Diseño: estudio descriptivo, censal de corte transversal con abordaje cuantitativo; incluyo 70 personas del área rural; se les aplico el instrumento FANTASTICO, para conocer el estilo de vida y se relacionó con indicadores antropométricos y pruebas bioquímicas para conocer la salud cardiovascular. Resultados: Respecto al estilo de vida los participantes se ubicaron en cuatro categorías: buen estilo de vida el 70%, en regular estilo de vida el 21.4%, excelente estilo de vida 5.7%. y estilo de vida malo 2.9%. Se encontró mayor dislipidemia en los hombres, respecto a las mujeres, con un 57.10%; el género femenino es más propenso a sufrir de obesidad, con un 45.57%; el 41.43% de las mujeres tienen presión arterial optima y el 1.43% de los hombres padece hipertensión grado I. Conclusiones: El instrumento FANTASTICO, se constituye en un instrumento que sirve de punto de partida para medir el estilo de vida de grupos poblacionales para el caso uno rural, con el objetivo de elaborar propuestas a nivel local de promoción de la salud y prevención de la enfermedad cardiovascular.

Objective: this study aims to describe lifestyle and its relationship with cardiovascular health of the population between the ages of 20 and 60 years old, living in the following villages: Potrerillo, La Esperanza and el Tablón, within the small town of Maito, Tarqui city (Huila). Design: the current study is a descriptive censual one, of cross section type within the quantitative approach; it includes 70 people from a rural area; to which the FANTASTICO instrument was applied, in order to know their lifestyle. This last one was then processed using anthropometrical indicators and biochemical proves to get to know their cardiovascular health. Results: we found a 70% good lifestyle followed by a regular one with 21.4% and an excellent one 5.7%. We found more dyslipidemia in men, and as for women, a 57.10%; females are more likely to suffer from this obesity, with a 45.57%; the 41.43% of women have an optimal arterial pressure and the 1.43% of men suffer from hypertension in I grade. Conclusions: the FANTASTICO instrument is a departure point to measure rural population's lifestyle, since it poorly evaluates population's cardiovascular health. Key words: .lifestyle, rural population, cardiovascular health.