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1.
PLoS One ; 13(11): e0206294, 2018.
Artigo em Inglês | MEDLINE | ID: mdl-30427874

RESUMO

OBJECTIVE: The aim of this study was to verify the efficacy of using theory-based strategies on implementation intentions in promoting physical activity (PA) among adults. METHODS: This review was conducted in accordance with the PRISMA recommendations. The search was carried out in seven electronic databases (LILACS, PubMed, SciELO, Cochrane, Web of Science) and two searches of the "grey literature" were performed (Openthesis and OpenGrey). Randomized clinical trials (RCT), published up to September 2016, were considered eligible for this study. Two reviewers independently and systematically evaluated the eligibility criteria, and performed data extraction. A meta-analysis was performed for the purpose of comparing the effect between the intervention and control groups. The effect sizes were grouped in two subgroups with the purpose of more accurately verifying the effect caused by reinforcing the implementation intentions strategy, and using the inverse variance statistical method with random effects models to estimate the main effect of the implementation intention strategy on the PA behavior. Heterogeneity among the studies was evaluated by using I-square statistics, and the Jadad scale to evaluate the quality of included papers. RESULTS: The search resulted in 12,147 records, of which 13 RCTs were considered eligible for this review. Sample age ranged from 18 to 76 years, and participants had conditions such as medullary lesion, coronary disease, obesity, diabetes mellitus, sedentarism or occupational stress. When the summary of the effect was analyzed in the meta-analysis, the result found in the subgroup with reinforcement of the implementation intentions strategy was 0.25 (IC 95% = 0.05-0.45) in favor of the intervention group. This demonstrated that application of the implementation intentions strategy was capable of increasing PA practice in the participants of these studies, in comparison with others that did not use this reinforcement. CONCLUSION: The findings of this review indicated that application of the theory of implementation intentions promoted PA behavior among the adults who received reinforcement of this strategy. The systematic review protocol was registered in the PROSPERO database under the number CRD42018090482.


Assuntos
Exercício , Promoção da Saúde/métodos , Intenção , Ensaios Clínicos Controlados Aleatórios como Assunto , Adulto , Humanos
2.
J. Health Sci. Inst ; 33(2): 144-150, abr.-jun. 2015.
Artigo em Português | LILACS-Express | ID: biblio-883284

RESUMO

bjetivo ­ Avaliar as características socioeconômicas, processo de trabalho, capacitação, comportamento, autopercepção do conhecimento e acesso das famílias ao serviço odontológico em saúde bucal entre os grupos de Agentes Comunitários de Saúde (ACS) vinculados a Unidade de Saúde da Família (USF) com e sem Equipe de Saúde Bucal (ESB). Métodos ­ Trata-se de um estudo transversal de cunho quantitativo. No total, 162 sujeitos participaram do estudo, sendo 81 ACS vinculados a USF com ESB (Grupo 2) e 81 ACS vinculados a USF sem ESB (Grupo 1). Para a coleta dos dados, utilizou-se um questionário previamente testado. Foram aplicados os testes Qui-Quadrado e Exato de Fischer para verificar diferenças entre os grupos de ACS. O nível de significância adotado nos testes foi de 5%. Resultados ­ Constatou-se diferença estatística significativa entre os grupos de ACS somente nas questões que abordaram o tema capacitação em saúde bucal (p<0,0002) e acesso das famílias ao serviço odontológico (p<0,0001). Conclusão ­ Os ACS que atuam em PSF com Equipe de Saúde Bucal tem autopercepção mais positiva sobre o acesso das famílias ao serviço de saúde bucal, e receberam mais capacitação em Saúde Buca


Objective ­ To evaluate the characteristics socioeconomic, work process, training, behavior, perception of knowledge and access of households to service dental oral health between of Community Workers Health (CHW) Unit linked to Family Health with and without Oral Health Team. Methods ­ This was a cross-sectional study of quantitative. A total of 162 subjects participated in the study, with 81 CHW linked to Family Health Unit with Oral Health Team (Group 2) and 81 ACS linked to Family Health Unit without ESB (Group 1). To collect the data, we used a previously tested questionnaire. Chi-square and Fisher exact tests were used to assess the differences between the CHW groups. The significance level used in the tests was 5%. Results ­ There was significant statistical difference between the CHW groups only on issues that focused on training in oral health (p <0.0002) and household access to dental care (p <0.0001). Conclusion ­ CHW who work in Family Health Unit with Oral Health Team has more positive perception on household access to oral health services, and received more training in Oral Health.

3.
Ciênc. saúde coletiva ; 20(3): 875-886, 03/2015. tab, graf
Artigo em Português | LILACS | ID: lil-742241

RESUMO

O diabetes mellitus, tipo II, é uma doença com alta prevalência na população adulta brasileira e que pode ser controlada, dentre outras intervenções, por meio da atividade física. Este estudo teve como objetivo avaliar o impacto de uma estratégia motivacional tradicional, bem como sua associação à estratégia de ativação da intenção, na adesão à atividade física, nos portadores do diabetes mellitus, tipo II, usuários do Sistema Único de Saúde (SUS), por meio de um ensaio clínico randomizado. Os participantes foram alocados em Grupo Controle (GC) e Grupo Intervenção (GI). Ambos os grupos receberam uma estratégia motivacional tradicional, porém, somente o GI recebeu a estratégia de ativação da intenção. Após dois meses de seguimento, observaram-se diferenças estatisticamente significativas entre os grupos, relativas à prática de caminhada (p = 0,0050), número de dias por semana (p = 0,0076), minutos por dia (p = 0,0050) e minutos por semana (p = 0,0015) de caminhada. Ao final das intervenções, observaram-se, também, diferenças na circunferência abdominal (p = 0,0048) entre os grupos. Conclui-se que a estratégia de ativação da intenção teve maior impacto na adesão à prática de atividade física e diminuição da circunferência abdominal de diabéticos, tipo II, do que a estratégia motivacional tradicional.


Type II diabetes mellitus is a highly prevalent disease among the adult Brazilian population, and one that can be controlled by interventions such as physical activity, among others. The aim of this randomized controlled study was to evaluate the impact of a traditional motivational strategy, associated with the activation of intention theory, on adherence to physical activity in patients with type II, diabetes mellitus who are part of the Unified Health System (SUS). Participants were divided into a control group (CG) and an intervention group (IG). In both groups, the traditional motivational strategy was applied, but the activation of intention strategy was only applied to the IG Group. After a two-month follow-up, statistically significant differences were verified between the groups, related to the practice of walking (p = 0.0050), number of days per week (p = 0.0076), minutes per day (p = 0.0050) and minutes walking per week (p = 0.0015). At the end of the intervention, statistically significant differences in abdominal circumference (p = 0.0048) between the groups were observed. The conclusion drawn is that the activation of intention strategy had greater impact on adherence to physical activity and reduction in abdominal circumference in type II diabetics, than traditional motivational strategy.


Assuntos
Criança , Feminino , Humanos , Puberdade Precoce/etiologia , Síndrome de Rett/fisiopatologia , Desenvolvimento Infantil/efeitos dos fármacos , Progressão da Doença , Hormônio Liberador de Gonadotropina/análogos & derivados , Hormônio Liberador de Gonadotropina , Hormônio Liberador de Gonadotropina/uso terapêutico , Mutação de Sentido Incorreto , /genética , Osteoporose/etiologia , Puberdade Precoce/tratamento farmacológico , Puberdade Precoce/metabolismo , Síndrome de Rett/genética , Resultado do Tratamento
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