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1.
Artigo em Inglês | MEDLINE | ID: mdl-30991744

RESUMO

Dispositional Mindfulness (DM) is the awareness of the thoughts and feelings in the present moment. DM in children and adolescents has been related to mechanisms of change in mindfulness-based interventions, which have shown significant mediation relationships with mental health outcomes (for instance, lower social anxiety, depression symptoms, or perceived stress). However, the assessment of DM among children and adolescents is being unsatisfactory due cultural biases and/or reliability issues. In this study, we examined the psychometric properties of the Spanish version of the Child and Adolescent Mindfulness Measure (CAMM) in a sample of 687 children and adolescents between 8 and 16 years old. Although the CAMM has been validated in English, Portuguese, Italian, and Catalonian versions, until now no data has been reported in a Spanish context. Results showed that the best CAMM factor structure was constituted by five items from the original version (1, 4, 7, 8, and 9). These items defined dispositional mindfulness. The rest of the items (2, 3, 5, 6, and 10) were eliminated from the Spanish final version. The analyses revealed good reliability and internal consistency for the Spanish version of the CAMM. As we expected, the confirmatory factor analysis showed the unidimensional structure of the CAMM.


Assuntos
Inquéritos Epidemiológicos/instrumentação , Atenção Plena/instrumentação , Psicometria/instrumentação , Adolescente , Criança , Análise Fatorial , Feminino , Humanos , Masculino , Reprodutibilidade dos Testes , Espanha
2.
Sensors (Basel) ; 18(5)2018 May 17.
Artigo em Inglês | MEDLINE | ID: mdl-29772756

RESUMO

Overexposure to high levels of noise can cause permanent hearing disorders, which have a significant adverse effect on the quality of life of those affected. Injury due to noise can affect people in a variety of careers including construction workers, factory workers, and members of the armed forces. By monitoring the noise exposure of workers, overexposure can be avoided and suitable protective equipment can be provided. This work focused on the creation of a noise dosimeter suitable for use by members of the armed forces, where a discrete dosimeter was integrated into a textile helmet cover. In this way the sensing elements could be incorporated very close to the ears, providing a highly representative indication of the sound level entering the body, and also creating a device that would not interfere with military activities. This was achieved by utilising commercial microelectromechanical system microphones integrated within the fibres of yarn to create an acoustic sensing yarn. The acoustic sensing yarns were fully characterised over a range of relevant sound levels and frequencies at each stage in the yarn production process. The yarns were ultimately integrated into a knitted helmet cover to create a functional acoustic sensing helmet cover prototype.


Assuntos
Inquéritos Epidemiológicos/métodos , Militares , Som , Dispositivos de Proteção da Cabeça , Inquéritos Epidemiológicos/instrumentação , Humanos , Sistemas Microeletromecânicos , Doenças Profissionais/diagnóstico , Zumbido/diagnóstico
3.
Wound Repair Regen ; 26(2): 200-205, 2018 03.
Artigo em Inglês | MEDLINE | ID: mdl-29524343

RESUMO

The objectives of this study were to translate the powerlessness assessment tool (PAT) into Chinese, and to evaluate its psychometric performance. The PAT was translated into Chinese and was evaluated in patients with chronic wounds. Mean PAT scores were compared between various wound types to evaluate the scale's power to differentiate wound severity (PUSH score). There were 154 consecutive patients included in this study. All items were included, and the results of item-domain correlation (r ranged from 0.838 to 0.967) and small-group analysis (critical ratio, p < 0.05) were satisfactory. Furthermore, the Chinese PAT also showed good criterion validity when correlated with the Cardiff wound impact schedule (r = 0.726, p < 0.01). Exploratory factor analysis of these items extracted only two domains instead of the hypothesized three domains: self-perception of behavioral control and decision making (9 items) and emotional responses to perceived control (3 items), explained 82.045% of the variance. Sensitivity was demonstrated between patients with different activity of daily living, wound severity (PUSH score) and wound types. The internal consistency of all scales of the Chinese PAT was consistently high (Cronbach's alpha ranged from 0.939 to 0. 965) and split-half reliability was 0.901. In conclusion, the validated Chinese PAT has good psychometric properties, and may be used to objectively evaluate the powerlessness experience of Chinese patients with chronic wounds.


Assuntos
Grupo com Ancestrais do Continente Asiático , Doença Crônica/psicologia , Inquéritos Epidemiológicos , Linguística/métodos , Traduções , Idoso , Doença Crônica/reabilitação , Análise Fatorial , Feminino , Inquéritos Epidemiológicos/instrumentação , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria , Reprodutibilidade dos Testes , Índice de Gravidade de Doença , Perfil de Impacto da Doença
4.
Cad Saude Publica ; 34(2): e00002817, 2018 02 19.
Artigo em Português | MEDLINE | ID: mdl-29489939

RESUMO

Population-based health surveys are important tools for identifying disease determinants, especially in regions with widely dispersed populations and low health system coverage. The aim of this study was to describe the principal methodological aspects and to describe the socioeconomic, demographic, and health characteristics of the riverine populations of Coari, Amazonas State, Brazil. This was a population-based cross-sectional study in river-dwelling communities in the rural area of Coari, from April to July 2015. The probabilistic cluster sample consisted of 492 individuals. The results showed that the majority of the river-dwellers were females (53%), had up to 9 years of schooling (68.5%), and earned a monthly family income equivalent to one-third the minimum wage. The health problems reported in the previous 30 days featured conditions involving pain (45.2%). The main healthcare resources were allopathic medicines (70.3%), exceeding herbal remedies (44.3%). The river-dwellers travel an average of 60.4km and take some 4.2 hours to reach the urban area of Coari. The riverine population generally presents low economic status and limited access to the urban area. Health problems are mostly solved with allopathic medicines. Geographic characteristics, as barriers to access to health services and to improvements in living conditions for the riverine population, can limit the collection of epidemiological data on these populations.


Assuntos
Acesso aos Serviços de Saúde/estatística & dados numéricos , Inquéritos Epidemiológicos/métodos , Adolescente , Adulto , Brasil/epidemiologia , Estudos Transversais , Feminino , Inquéritos Epidemiológicos/instrumentação , Humanos , Masculino , Pessoa de Meia-Idade , Características de Residência , Rios , População Rural , Fatores Socioeconômicos , Inquéritos e Questionários , Adulto Jovem
5.
Arch. argent. pediatr ; 115(6): 541-546, dic. 2017. ilus, tab
Artigo em Inglês, Espanhol | LILACS, BINACIS | ID: biblio-887393

RESUMO

Introducción. La evaluación de la calidad de vida relacionada con la salud (CVRS) permite detectar cambios en el tiempo en la salud de pacientes y posibilita realizar un análisis de coste-efectividad de tratamientos. En niños con características especiales de salud que no pueden autoevaluarse, existe la posibilidad de evaluar su CVRS a través de padres o cuidadores. Hasta la fecha, no se ha analizado la discrepancia en la evaluación de la CVRS a través del cuestionario EQ-5D-Y entre niños con parálisis cerebral (PC) y sus padres. El objetivo del presente estudio fue analizar el grado de concordancia en la evaluación de la CVRS a través del cuestionario EQ-5D-Y y su versión Proxy entre niños con PC y sus padres o cuidadores. Población y métodos. Participaron, en el estudio, niños y adolescentes con PC, así como sus padres y madres, procedentes de un centro de educación especial de la región de Extremadura (España). Se utilizó el cuestionario EQ-5D-Y para los niños y el EQ-5D-Y Proxy para los padres. Las entrevistas fueron llevabas a cabo durante el primer trimestre de 2015. Se analizó la concordancia en las respuestas mediante el nivel de acuerdo con kappa de Cohen para las 5 dimensiones que componen el EQ-5D-Y y el coeficiente de correlación intraclase para la escala visual analógica. Resultados. Participaron 62 niños con PC con afectación leve y/o moderada de su capacidad funcional, sus padres y madres. Hubo una pobre concordancia en la evaluación de la CVRS entre niños y padres en todas las dimensiones del cuestionario (< 0, 20) y justo o pobre (< 0, 60) en la escala visual analógica. Conclusiones. Existe un alto desacuerdo en la evaluación de la CVRS entre padres e hijos en población con PC a través del cuestionario EQ-5D-Y.


Introduction. The assessment of health-related quality of life (HRQoL) serves to detect changes over time in patients' health status and allows to do a cost-effectiveness analysis of treatments. When children with special health features cannot perform a self-assessment, it is possible to assess their HRQoL through their parents or caregivers. To date, the discrepancy in the assessment of HRQoL using the EQ-5D-Y questionnaire among children with cerebral palsy (CP) and their parents has not been analyzed. The objective of this study was to analyze the level of agreement in the HRQoL assessment using the EQ-5D-Y questionnaire and its proxy version among children with CP and their parents or caregivers. Population and methods. Children and adolescents with CP, and their parents, from a special education school in the region of Extremadura (Spain) participated in the study. The EQ-5D-Y questionnaire was used for children and the EQ-5D-Y proxy version, for parents. Interviews were conducted in the first quarter of 2015. The level of agreement in the responses was analyzed using the Cohen's kappa coefficient for the five domains of the EQ-5D-Y and the intraclass correlation coefficient for the visual analogue scale. Results. Sixty-two children with CP and mild and/or moderate functional capacity impairment, and their parents, participated in the study. The level of agreement was poor in the HRQoL assessment between children and parents in all the questionnaire domains (<0.20) and fair or poor (<0.60) in the visual analogue scale. Conclusions. A high level of parent-child disagreement was observed in the HRQoL assessment in the population with CP using the EQ-5D-Y questionnaire.


Assuntos
Humanos , Masculino , Feminino , Criança , Adolescente , Adulto , Pais/psicologia , Qualidade de Vida , Paralisia Cerebral/psicologia , Inquéritos Epidemiológicos/instrumentação , Procurador/psicologia
6.
Arch Argent Pediatr ; 115(6): 541-546, 2017 Dec 01.
Artigo em Inglês, Espanhol | MEDLINE | ID: mdl-29087107

RESUMO

INTRODUCTION: The assessment of health-related quality of life (HRQoL) serves to detect changes over time in patients' health status and allows to do a cost-effectiveness analysis of treatments. When children with special health features cannot perform a self-assessment, it is possible to assess their HRQoL through their parents or caregivers. To date, the discrepancy in the assessment of HRQoL using the EQ-5D-Y questionnaire among children with cerebral palsy (CP) and their parents has not been analyzed. The objective of this study was to analyze the level of agreement in the HRQoL assessment using the EQ-5D-Y questionnaire and its proxy version among children with CP and their parents or caregivers. POPULATION AND METHODS: Children and adolescents with CP, and their parents, from a special education school in the region of Extremadura (Spain) participated in the study. The EQ-5D-Y questionnaire was used for children and the EQ-5D-Y proxy version, for parents. Interviews were conducted in the first quarter of 2015. The level of agreement in the responses was analyzed using the Cohen's kappa coefficient for the five domains of the EQ-5D-Y and the intraclass correlation coefficient for the visual analogue scale. RESULTS: Sixty-two children with CP and mild and/or moderate functional capacity impairment, and their parents, participated in the study. The level of agreement was poor in the HRQoL assessment between children and parents in all the questionnaire domains ( <0.20) and fair or poor ( <0.60) in the visual analogue scale. CONCLUSIONS: A high level of parent-child disagreement was observed in the HRQoL assessment in the population with CP using the EQ-5D-Y questionnaire.


Assuntos
Paralisia Cerebral/psicologia , Inquéritos Epidemiológicos/instrumentação , Pais/psicologia , Procurador/psicologia , Qualidade de Vida , Adolescente , Adulto , Criança , Pai , Feminino , Humanos , Masculino , Mães
7.
Cad Saude Publica ; 33Suppl 3(Suppl 3): e00118015, 2017 Sep 21.
Artigo em Português, Inglês | MEDLINE | ID: mdl-28954051

RESUMO

The objectives of this research were to evaluate whether there was an association between seeing an actor smoke in telenovelas, Brazilian films, or international films, and trying to quit and quitting among adult Brazilian smokers. Data from 39,425 participants in the Global Adult Tobacco Survey were used. Quit ratio (former smoker/former smoker + ever smoker) and proportions of current, former, and never smokers were calculated. Multivariable weighted regression was used to determine significant associations between quitting smoking and exposure to telenovelas and films. For current smokers, the odds of trying to quit were significantly higher among those who saw an actor smoking in a Brazilian film. Those who believed smoking caused serious illness and had rules in the home prohibiting smoking were significantly more likely to have tried to quit or had quit smoking. Exposure to smoking in the media may be different in adults than adolescents. Influential factors for trying to quit and quitting are rules prohibiting smoking at home, belief that smoking causes serious illness, and hearing about dangers of smoking in media.


Assuntos
Drama , Filmes Cinematográficos , Abandono do Hábito de Fumar/estatística & dados numéricos , Prevenção do Hábito de Fumar , Televisão , Adolescente , Adulto , Idoso , Brasil/epidemiologia , Estudos Transversais , Feminino , Inquéritos Epidemiológicos/instrumentação , Humanos , Masculino , Pessoa de Meia-Idade , Fumar/epidemiologia , Fatores Socioeconômicos , Adulto Jovem
9.
Zhongguo Fei Ai Za Zhi ; 20(7): 468-472, 2017 Jul 20.
Artigo em Chinês | MEDLINE | ID: mdl-28738962

RESUMO

BACKGROUND: Patients often have cough after lung surgery, and there is a lack of tools to specifically assess postoperative coughs. LCQ-MC (Leicester Cough Questionnaire in Mandarin-Chinese) was revised and validated to explore its value on clinical application. METHODS: A total of 250 patients undergone the lung operation of single medical team, from September 2015 to December 2016 in the Department ofThoracic Surgery, West China Hospital, Sichuan University, were investigated. Among them, 121 patients completed LCQ-MC and 129 patients completed simplified LCQ-MC, we verified the reliability and validity. RESULTS: The new questionnaire was not changed in terms of content layout and the scoring method of LCQ-MC, consisting of 12 items and three domains (physical, psychological and social). There was good content validity (S-CVI/UA=0.83). Concurrent validity was high when the simplified LCQ-MC was compared with daytime cough symptom score (r=-0.578, P<0.001). There was a moderate relationship with response to night-time cough symptom score (r=-0.358, P=-0.004) and SF36 total score (r=0.346, P=0.030), and weak relationship with the Hospital Anxiety and Depression Scale total score (r=-0.241, P=0.046). Cronbach's alpha coefficients of simplified LCQ-CM total and three domains varied between 0.79 and 0.89. One week apart test-retest reliability (n=30) was high (r=0.88-0.96). CONCLUSIONS: Simplified LCQ-MC has good reliability and validity that can be used for clinical applications.


Assuntos
Tosse/epidemiologia , Inquéritos Epidemiológicos/métodos , Neoplasias Pulmonares/cirurgia , Complicações Pós-Operatórias/epidemiologia , Adolescente , Adulto , Idoso , China/epidemiologia , Tosse/etiologia , Feminino , Inquéritos Epidemiológicos/instrumentação , Humanos , Neoplasias Pulmonares/complicações , Masculino , Pessoa de Meia-Idade , Complicações Pós-Operatórias/etiologia , Inquéritos e Questionários/estatística & dados numéricos , Adulto Jovem
10.
Rev Saude Publica ; 51(suppl 1): 15s, 2017 Jun 01.
Artigo em Inglês, Português | MEDLINE | ID: mdl-28591355

RESUMO

OBJECTIVE: To evaluate the impact on the prevalence changes of risk factors for chronic diseases, published in the Surveillance System of Risk and Protection Factors for Chronic Diseases by Telephone Survey (Vigitel), after the inclusion of data from the population only with mobile phone. METHODS: Our study used data from the 26 State capitals and Federal District of Brazil obtained by the National Survey on Health (PNS) and Vigitel, both held in 2013. In each capital, we added a subsample of 200 adults living in households with only mobile phones, extracted from PNS, to the Vigitel 2013 database, with approximately 1,900 households, named Vigitel dual frame. RESULTS: Vigitel results showed absolute relative biases between 0.18% and 14.85%. The system underestimated the frequency of adult smokers (10.77%), whole milk consumption (52.82%), and soft drink consumption (22.22%). Additionally, it overestimated the prevalence of hypertension (25.46%). In the simulations using Vigitel dual frame, with inclusion of the sample of adults living in households with only mobile phones, the bias of estimates was reduced in five out of eight analyzed indicators, with greater effects in regions with lower rates of landline coverage. In comparing regions, we observed negative correlation (ρ = -0.91) between the percentage of indicators with presence of bias and the percentage of households with only mobile phone. CONCLUSIONS: The results of this study indicate the benefits of including a subsample of 200 adults with only mobile phone on the Vigitel sample, especially in the capitals of the North and Northeast regions. OBJETIVO: Avaliar o impacto nas mudanças das prevalências de fatores de risco de doenças crônicas, divulgadas no Vigitel, após a inclusão de dados provenientes da população com somente telefone celular. MÉTODOS: O estudo utilizou os dados das capitais obtidos da Pesquisa Nacional de Saúde e do Vigitel, que foram realizados em 2013. Em cada capital, acrescentou-se uma subamostra de 200 adultos residentes em domicílios com somente celular, extraída da PNS, à base de dados do Vigitel 2013, com aproximadamente 1.900 domicílios, denominado Vigitel cadastro duplo. RESULTADOS: Os resultados do Vigitel mostraram vícios relativos absolutos entre 0,18% e 14,85%. O sistema subestimou a frequência de adultos fumantes (10,77%), o consumo de leite com teor integral de gordura (52,82%) e o consumo de refrigerante (22,22%). Adicionalmente, superestimou a prevalência de hipertensão (25,46%). Nas simulações utilizando o Vigitel cadastro duplo, com inclusão da amostra de adultos residentes em domicílios com somente celular, o vício das estimativas foi reduzido em cinco de oito indicadores analisados, com maiores efeitos nas regiões com menores taxas de cobertura de telefonia fixa. Na comparação entre as regiões, observa-se correlação negativa (ρ = -0,91) entre o percentual de indicadores com presença de vício e o percentual de cobertura de domicílios com somente celular. CONCLUSÕES: Os resultados do presente estudo indicam os benefícios da inclusão de uma subamostra de 200 adultos com somente celular na amostra do Vigitel, especialmente nas capitais das regiões Norte e Nordeste.


Assuntos
Telefone Celular/estatística & dados numéricos , Doença Crônica , Inquéritos Epidemiológicos/instrumentação , Inquéritos Epidemiológicos/métodos , Entrevistas como Assunto/métodos , Adolescente , Adulto , Idoso , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Sistema de Registros , Fatores de Risco , Adulto Jovem
11.
J Int Assoc Provid AIDS Care ; 16(3): 233-238, 2017.
Artigo em Inglês | MEDLINE | ID: mdl-28485706

RESUMO

Serodiscussion-the mutual discussion of HIV statuses between sexual partners-can be viewed as an essential prerequisite for risk-reduction behaviors among men who have sex with men (MSM). The current study aimed to assess the prevalence of serodiscussion with one's most recent sexual partner and its association with sexual behaviors with these partners. Broadcast advertisements were placed on a geosocial-networking smartphone application, encouraging users to complete an online survey. A total of 200 MSM completed the survey. Serodiscussion occurred in 43.5% of dyads, and it was most common in dyads where both partners were reported to be HIV positive, χ2(5) = 60.3, P < .001. Serodiscussion was associated with engagement in both condomless insertive, χ2(1) = 3.847, P = .046, and receptive anal intercourse, χ2(1) = 6.5, P = .011. However, there were no significant differences in how recently a respondent was tested for HIV, representing potentially high-risk scenarios.


Assuntos
Infecções por HIV/psicologia , Inquéritos Epidemiológicos/métodos , Homossexualidade Masculina/psicologia , Smartphone/estatística & dados numéricos , Adulto , Infecções por HIV/diagnóstico , Soropositividade para HIV , Inquéritos Epidemiológicos/instrumentação , Humanos , Londres , Masculino , Pessoa de Meia-Idade , Percepção , Comportamento Sexual , Inquéritos e Questionários , Adulto Jovem
12.
Res Nurs Health ; 40(4): 360-371, 2017 08.
Artigo em Inglês | MEDLINE | ID: mdl-28431187

RESUMO

Many older adult immigrants in the US, including Hmong older adults, have limited English proficiency (LEP), and cannot read or have difficulty reading even in their first language (non-literate [NL]). Little has been done to identify feasible data collection approaches to enable inclusion of LEP or NL populations in research, limiting knowledge about their health. This study's purpose was to test the feasibility of culturally and linguistically adapted audio computer-assisted self-interviewing (ACASI) with color-labeled response categories and helper assistance (ACASI-H) for collection of health data with Hmong older adults. Thirty dyads (older adult and a helper) completed an ACASI-H survey with 13 health questions and a face-to-face debriefing interview. ACASI-H survey completion was video-recorded and reviewed with participants. Video review and debriefing interviews were audio-recorded and transcribed. Directed and conventional content analyses were used to analyze the interviews. All respondents reported that ACASI-H survey questions were consistent with their health experience. They lacked computer experience and found ACASI-H's interface user-friendly. All used the pre-recorded Hmong oral translation except for one, whose helper provided translation. Some Hmong older adults struggled with the color labeling at first, but helpers guided them to use the colors correctly. All dyads liked the color-labeled response categories and confirmed that a helper was necessary during the survey process. Findings support use of oral survey question administration with a technologically competent helper and color-labeled response categories when engaging LEP older adults in health-related data collection. © 2017 Wiley Periodicals, Inc.


Assuntos
Americanos Asiáticos/estatística & dados numéricos , Computadores , Coleta de Dados/instrumentação , Coleta de Dados/métodos , Inquéritos Epidemiológicos/instrumentação , Inquéritos Epidemiológicos/métodos , Gravação em Vídeo , Adulto , Cor , Feminino , Humanos , Entrevistas como Assunto , Masculino , Pessoa de Meia-Idade , Inquéritos e Questionários , Estados Unidos , Interface Usuário-Computador
13.
Eur J Public Health ; 27(suppl_1): 34-39, 2017 02 01.
Artigo em Inglês | MEDLINE | ID: mdl-28355644

RESUMO

Background: Despite increasing overall life expectancy, substantial differences in health between socioeconomic groups persist. Research on inequalities in health often draws on data from different, single surveys. An important question that arises is whether these surveys reflect health and inequalities in the same way. When occupational class is utilized, data are often not analysed for women. The aim of this study therefore is to investigate whether patterns of occupational class inequalities in self-reported health differ across sex and country, between four major European surveys. Methods: Data on self-reported health and occupational class are taken from the European Social Survey (ESS), the EU Statistics on Income and Living Conditions (EU-SILC), the European Working Conditions Survey (EWCS) and the International Social Survey Programme (ISSP). Data from 35 countries for men and women aged 25­65 years are analysed. Occupational class is measured according to manual and non-manual workers. Age-standardized prevalence rates, and prevalence ratios (PR) between non-manual and manual workers and likelihood ratio (LR) tests are estimated to determine occupational class inequalities in self-rated health in Europe. Results: Results show that prevalence rates of less than good health differ noticeably between countries and surveys. Furthermore, occupational class inequalities in health differ between countries. In some countries inequalities are larger for women than for men. This is especially true in Eastern, Central and Baltic European countries. Besides that no regional patterns, consistent over all surveys, in inequalities could be detected. Inequalities differed significantly between surveys. Conclusion: The magnitude of inequalities in all countries depend on the survey used in the analysis. When undertaking a comparative analysis of inequalities in health, or other determinants, these differences have to be taken into account, as results might differ according to the data source used.


Assuntos
Inquéritos Epidemiológicos/instrumentação , Inquéritos Epidemiológicos/métodos , Ocupações/estatística & dados numéricos , Autorrelato , Classe Social , Fatores Socioeconômicos , Adulto , Idoso , Europa (Continente) , Feminino , Inquéritos Epidemiológicos/estatística & dados numéricos , Humanos , Masculino , Pessoa de Meia-Idade
14.
Am J Phys Med Rehabil ; 96(2 Suppl 1): S5-S16, 2017 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-28059874

RESUMO

The International Spinal Cord Injury (InSCI) community survey has been developed to collect internationally comparable data on the lived experience of persons with spinal cord injury (SCI) in all 6 WHO regions. The InSCI survey provides a crucial first step to generate evidence on functioning, health maintenance, and subjective well-being in persons with SCI globally. A major challenge in setting up the InSCI community survey was to develop a data model and questionnaire that comprehensively captures what matters to people and, at the same time, is feasible and parsimonious in terms of participant's burden. This paper outlines the components of the InSCI data model and presents the question selection to operationalize the data model along the 4 guiding principles of efficiency, feasibility, comparability, and truth and discrimination. The data model consists of 6 components operationalized with 125 questions including functioning (n = 28 body functions and structures; n = 42 activities and participation), contextual factors (n = 26 environmental; n = 19 personal factors), lesion characteristics (n = 2), and appraisal of health and well-being (n = 8). The InSCI questionnaire presents an efficient and feasible solution with satisfying comparability to other populations; however, its validity and reliability still needs to be confirmed.


Assuntos
Avaliação da Deficiência , Inquéritos Epidemiológicos/instrumentação , Traumatismos da Medula Espinal/classificação , Traumatismos da Medula Espinal/reabilitação , Atividades Cotidianas , Pessoas com Deficiência/reabilitação , Humanos , Classificação Internacional de Funcionalidade, Incapacidade e Saúde , Variações Dependentes do Observador , Reprodutibilidade dos Testes , Inquéritos e Questionários
15.
Hawaii J Med Public Health ; 76(1): 27-32, 2017 01.
Artigo em Inglês | MEDLINE | ID: mdl-28090401

RESUMO

Chinese Americans constitute the largest percentage of Asian Americans. In Hawai'i, Chinese Americans make up approximately 4.7% of the total state population. Accurately assessing health disparities across specific Asian American subgroups is critically important to health research and policy, as there is often substantial variability in risk and outcomes. However, even for Chinese Americans, the largest of the Asian American subgroups, such analyses can present challenges in population-based surveys. This article considers these challenges generally and then specifically in terms of the issue of health literacy and heart disease in Chinese Americans using existing population-based survey data sets in the United States, California, and Hawai'i.


Assuntos
Americanos Asiáticos/estatística & dados numéricos , Inquéritos Epidemiológicos/instrumentação , Saúde Pública/métodos , Barreiras de Comunicação , Feminino , Hawaii , Alfabetização em Saúde/normas , Alfabetização em Saúde/estatística & dados numéricos , Humanos , Masculino , Fatores de Risco
16.
J Bras Pneumol ; 43(6): 456-463, 2017.
Artigo em Inglês, Português | MEDLINE | ID: mdl-29340495

RESUMO

OBJECTIVE: To validate the Portuguese-language version of the STOP-Bang (acronym for Snoring, Tiredness, Observed apnea, high blood Pressure, Body mass index, Age, Neck circumference, and Gender) questionnaire, culturally adapted for use in Brazil, as a means of screening for obstructive sleep apnea (OSA) in adults. METHODS: In this validation study, we enrolled patients ≥ 18 years of age, recruited between May of 2015 and November of 2016. All patients completed the STOP-Bang questionnaire and underwent overnight polysomnography. To evaluate the performance of the questionnaire, we used contingency tables and areas under the (receiver operating characteristic) curve (AUCs). RESULTS: We included 456 patients. The mean age was 43.7 ± 12.5 years, and 291 (63.8%) of the patients were male. On the basis of the apnea-hypopnea index (AHI), we categorized OSA as mild/moderate/severe (any OSA; AHI ≥ 5 events/h), moderate/severe (AHI ≥ 15 events/h), or severe (AHI ≥ 30 events/h). The overall prevalence of OSA was 78.3%, compared with 52.0%, and 28.5% for moderate/severe and severe OSA, respectively. The most common score on the STOP-Bang questionnaire was 4 points (n = 106), followed by 3 points (n = 85) and 5 points (n = 82). An increase in the score was paralleled by a reduction in sensitivity with a corresponding increase in specificity for all AHI cut-off points. The AUCs obtained for the identification of any, moderate/severe, and severe OSA were: 0.743, 0.731, and 0.779, respectively. For any OSA, the score on the questionnaire (cut-off, ≥ 3 points) presented sensitivity, specificity, and accuracy of 83.5%, 45.5%, and 75.2%, respectively. CONCLUSIONS: The STOP-Bang questionnaire performed adequately for OSA screening, indicating that it could be used as an effective screening tool for the disorder.


Assuntos
Técnicas e Procedimentos Diagnósticos/instrumentação , Inquéritos Epidemiológicos/instrumentação , Apneia Obstrutiva do Sono/diagnóstico , Adulto , Brasil , Feminino , Humanos , Masculino , Polissonografia , Valor Preditivo dos Testes , Índice de Gravidade de Doença
17.
Knee Surg Sports Traumatol Arthrosc ; 25(10): 3116-3122, 2017 Oct.
Artigo em Inglês | MEDLINE | ID: mdl-27316698

RESUMO

PURPOSE: Knee-specific patient reported outcome measures (PROMs) are important tools in evaluating the effectiveness of sports medicine interventions. The PROMs were originally developed for paper administration, but electronic data capture technologies offer potential benefits such as increased efficiency and accuracy. The aim of this study was to assess the validity of touch screen versus paper administration using several common knee-specific and general health surveys. METHODS: Agreement between scores was compared for knee-specific PROMs administered on paper versus computer; paper versus tablet; computer versus tablet in 60 patients per group undergoing ACL reconstruction. Surveys were given at pre-operative assessment and between 1 and 7 days later. Weighted kappa statistic (κ) and intraclass correlation coefficients (ICC) were calculated to test agreement between the two modalities in: IKDC Subjective Knee Form, Marx Activity Scale, Tegner Activity Level Scale, and Lysholm Knee Scale. SF-12 Physical and Mental Component Summary scores were also assessed. RESULTS: Response rate was over 90 %. Mean age was 29.6 ± 10.9 years, with patients in the paper-computer cohort being 4 years older than in the other groups. Agreement was substantial or better for all PROMs collected: IKDC Subjective (ICC: 0.79); Marx (ICC: 0.70); Lysholm (ICC: 0.65); and Tegner (κ = 0.67). Agreement for the SF-12 PCS (ICC: 0.77) and MCS (ICC: 0.73) was also found to have substantial agreement. CONCLUSION: In conclusion, touch screen-based PROMs are a valid capture method, providing reliable results relative to traditional paper survey administration. Digital methods of direct data capture may also foster multi-centre collaborations and allow for more accurate comparisons of outcomes between patient groups in clinical practice and orthopaedic research. LEVEL OF EVIDENCE: II.


Assuntos
Lesões do Ligamento Cruzado Anterior , Inquéritos Epidemiológicos/instrumentação , Inquéritos Epidemiológicos/métodos , Adulto , Lesões do Ligamento Cruzado Anterior/cirurgia , Reconstrução do Ligamento Cruzado Anterior/métodos , Estudos de Coortes , Feminino , Humanos , Traumatismos do Joelho/cirurgia , Articulação do Joelho/cirurgia , Escore de Lysholm para Joelho , Masculino , Estudos Prospectivos , Adulto Jovem
18.
Rev. saúde pública ; 51(supl.1): 15s, 2017. tab, graf
Artigo em Inglês | LILACS | ID: biblio-845908

RESUMO

ABSTRACT OBJECTIVE To evaluate the impact on the prevalence changes of risk factors for chronic diseases, published in the Surveillance System of Risk and Protection Factors for Chronic Diseases by Telephone Survey (Vigitel), after the inclusion of data from the population only with mobile phone. METHODS Our study used data from the 26 State capitals and Federal District of Brazil obtained by the National Survey on Health (PNS) and Vigitel, both held in 2013. In each capital, we added a subsample of 200 adults living in households with only mobile phones, extracted from PNS, to the Vigitel 2013 database, with approximately 1,900 households, named Vigitel dual frame. RESULTS Vigitel results showed absolute relative biases between 0.18% and 14.85%. The system underestimated the frequency of adult smokers (10.77%), whole milk consumption (52.82%), and soft drink consumption (22.22%). Additionally, it overestimated the prevalence of hypertension (25.46%). In the simulations using Vigitel dual frame, with inclusion of the sample of adults living in households with only mobile phones, the bias of estimates was reduced in five out of eight analyzed indicators, with greater effects in regions with lower rates of landline coverage. In comparing regions, we observed negative correlation (ρ = −0.91) between the percentage of indicators with presence of bias and the percentage of households with only mobile phone. CONCLUSIONS The results of this study indicate the benefits of including a subsample of 200 adults with only mobile phone on the Vigitel sample, especially in the capitals of the North and Northeast regions.


RESUMO OBJETIVO Avaliar o impacto nas mudanças das prevalências de fatores de risco de doenças crônicas, divulgadas no Vigitel, após a inclusão de dados provenientes da população com somente telefone celular. MÉTODOS O estudo utilizou os dados das capitais obtidos da Pesquisa Nacional de Saúde e do Vigitel, que foram realizados em 2013. Em cada capital, acrescentou-se uma subamostra de 200 adultos residentes em domicílios com somente celular, extraída da PNS, à base de dados do Vigitel 2013, com aproximadamente 1.900 domicílios, denominado Vigitel cadastro duplo. RESULTADOS Os resultados do Vigitel mostraram vícios relativos absolutos entre 0,18% e 14,85%. O sistema subestimou a frequência de adultos fumantes (10,77%), o consumo de leite com teor integral de gordura (52,82%) e o consumo de refrigerante (22,22%). Adicionalmente, superestimou a prevalência de hipertensão (25,46%). Nas simulações utilizando o Vigitel cadastro duplo, com inclusão da amostra de adultos residentes em domicílios com somente celular, o vício das estimativas foi reduzido em cinco de oito indicadores analisados, com maiores efeitos nas regiões com menores taxas de cobertura de telefonia fixa. Na comparação entre as regiões, observa-se correlação negativa (ρ = -0,91) entre o percentual de indicadores com presença de vício e o percentual de cobertura de domicílios com somente celular. CONCLUSÕES Os resultados do presente estudo indicam os benefícios da inclusão de uma subamostra de 200 adultos com somente celular na amostra do Vigitel, especialmente nas capitais das regiões Norte e Nordeste.


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto , Pessoa de Meia-Idade , Idoso , Adulto Jovem , Telefone Celular/estatística & dados numéricos , Doença Crônica , Inquéritos Epidemiológicos/instrumentação , Inquéritos Epidemiológicos/métodos , Entrevistas como Assunto/métodos , Sistema de Registros , Fatores de Risco
19.
Med. clín (Ed. impr.) ; 146(11): 471-477, jun. 2016. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-152126

RESUMO

Objetivo: Analizar las características sociodemográficas de la población adulta española que suponen un mayor riesgo de sobrepeso y obesidad. Por otro lado, analizar las diferencias por sexo en cuanto a la presencia de sobrepeso y obesidad en las diferentes franjas de edad. Material y métodos: Estudio transversal de la Encuesta Nacional de Salud del año 2012. Se calculó el índice de masa corporal y se analizaron una serie de variables sociodemográficas. Se llevó a cabo un análisis de regresión logística multinomial. Resultados: En el año 2012 la prevalencia de obesidad en España fue del 18,5% y la de sobrepeso fue del 39,0%. El mayor riesgo de sobrepeso y obesidad frente al peso normal correspondió a varones, casados, entre los 65 y los 74 años, en las clases sociales en que se realizan trabajos no cualificados, en la ciudad autónoma de Ceuta y las comunidades autónomas de Extremadura y Andalucía, y en los municipios de menos de 10.000 habitantes. Por otro lado, el riesgo de obesidad frente a normopeso fue de más del doble en varones respecto a mujeres entre los 25 y los 64 años y el riesgo de sobrepeso fue muy superior en todos los grupos de edad. Conclusiones: Las características sociodemográficas asociadas a un mayor riesgo de sobrepeso y obesidad en España han cambiado con respecto a lo publicado anteriormente. En el año 2012, la obesidad es más frecuente en varones, el pico máximo se encuentra entre los 65 y los 74 años para luego estabilizarse, y la zona con mayor prevalencia de obesidad es la ciudad autónoma de Ceuta (AU)


Objective: To analyze the adult Spanish sociodemographic characteristics associated with a higher risk of excess weight and obesity. As a second aim, we analyze if there are gender differences regarding the development of overweight and obesity in different age groups. Material and methods: Transversal study of the National Health Survey of 2012. Body mass index was calculated and a number of sociodemographic variables were analyzed. An analysis of multinomial logistic regression was conducted. Results: In 2012 the prevalence of obesity in Spain was 18.5% for obesity and 39.0% for being overweight. The greatest risk of being overweight or obese versus being of normal weight corresponded to men, married, between 65 and 74 years old, in social classes where unskilled work is performed, in the autonomous city of Ceuta, and the autonomous communities of Extremadura and Andalucía, and in municipalities with fewer than 10,000 inhabitants. On the other hand, obesity risk is 2 times higher in men versus women between 25 and 64 years while overweight risk is higher in all age groups. Conclusions: The sociodemographic characteristics associated with a higher risk of being overweight or obese in Spain have changed compared to those published previously. In the year 2012, obesity was more common in males, the maximum peak was between 65 and 74 years and the area with the highest prevalence of obesity was the autonomous city of Ceuta (AU)


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Idoso , Idoso de 80 Anos ou mais , Obesidade/complicações , Obesidade/mortalidade , Obesidade/prevenção & controle , Sobrepeso/complicações , Sobrepeso/epidemiologia , Sobrepeso/prevenção & controle , Índice de Massa Corporal , Efeito Idade , Fatores de Risco , Prevenção de Doenças , Doença Crônica/economia , Doença Crônica/epidemiologia , Doença Crônica/mortalidade , Estudos Transversais/instrumentação , Estudos Transversais/métodos , Estudos Transversais , Inquéritos Epidemiológicos/instrumentação , Inquéritos Epidemiológicos/métodos , Inquéritos Epidemiológicos , Espanha/epidemiologia
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