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1.
Recurso na Internet em Português | LIS - Localizador de Informação em Saúde | ID: lis-48243

RESUMO

Em parceria com o Fundo das Nações Unidas para a Infância (Unicef), o Ministério da Saúde, a Agência Nacional de Vigilância Sanitária (Anvisa), a Rede Internacional em Defesa do Direito de Amamentar (IBFAN Brasil), o Instituto Brasileiro de Defesa do Consumidor (IDEC) e a Fundação Oswaldo Cruz (Fiocruz), a Organização Pan-Americana da Saúde (OPAS) promoverá no dia 21 de maio, um webinar voltado aos pais, mães, cuidadores, gestores e profissionais de saúde, estudantes, pesquisadores e representantes da sociedade civil interessados no tema. Durante a transmissão, que terá início às 15h, o público poderá enviar perguntas por meio do canal do organismo internacional no Youtube.


Assuntos
Aleitamento Materno , Promoção da Saúde , Substitutos do Leite Humano
2.
Cien Saude Colet ; 26(5): 1713-1725, 2021 May.
Artigo em Português, Inglês | MEDLINE | ID: mdl-34076113

RESUMO

Brazilian postgraduate education has grown in recent years, but there is a knowledge gap regarding whether the course's planned educational objective is being achieved. We aimed to evaluate the contribution of the Postgraduate Program in Family Health for the postgraduates' professional practice. This is a cross-sectional study conducted with 225 postgraduates from October 2019 to July 2020. Data were collected by an online questionnaire containing different sociodemographic and educational variables and competencies developed in the master's degree program and identifying the domains of Health Promotion Competencies. Most of the participants were female (78.2%), nurses (58.2%), public servants (64%), and SUS workers (93.3%). Two hundred and twenty-two (98.7%) postgraduates' final paper theme built on a practice-related issue. A high mean score was observed for all competencies analyzed. The mean scores for domains in Health Promotion competencies were high. We can conclude that the postgraduate program has contributed satisfactorily to the formation of critical, active masters, with competencies developed and being realized in professional practice.


Assuntos
Saúde da Família , Promoção da Saúde , Brasil , Estudos Transversais , Feminino , Humanos , Masculino , Inquéritos e Questionários
3.
Artigo em Inglês | MEDLINE | ID: mdl-34070519

RESUMO

This methodological article argues for the potential of positive organisational arts-based youth scholarship as a methodology to understand and promote positive experiences among young people. With reference to COVID-19, exemplars sourced from social media platforms and relevant organisations demonstrate the remarkable creative brilliance of young people. During these difficult times, young people used song, dance, storytelling, and art to express themselves, (re)connect with others, champion social change, and promote health and wellbeing. This article demonstrates the power of positive organisational arts-based youth scholarship to understand how young people use art to redress negativity via a positive lens of agency, peace, collectedness, and calm.


Assuntos
COVID-19 , Promoção da Saúde , Adolescente , Bolsas de Estudo , Humanos , Grupos Populacionais , SARS-CoV-2
4.
Rev Bras Enferm ; 74Suppl 4(Suppl 4): e20200118, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34105643

RESUMO

OBJECTIVE: to describe the health promotion competency domains, performed by nurses, for adolescents, according to the Galway Consensus. METHOD: a qualitative study based on the Galway Consensus theoretical methodological framework. Fifteen nurses from northeastern Brazil participated. Data were collected between April and May 2017 through pre-structured interviews, submitted to the content analysis technique and analyzed according to the Galway Consensus dimensions. RESULTS: the following competency areas were found: catalyzing changes, leadership, needs assessment, planning, implementation, and partnerships. These competencies were contemplated from embracement of adolescents at health unit, guidance, teamwork, educational activities and lectures, as well as active search. CONCLUSION: most health promotion domains were observed; however, it is still suggested that there are challenges to an effective performance of health promotion among adolescents because some competency domains in health promotion have not been evidenced.


Assuntos
Serviços de Saúde do Adolescente/organização & administração , Promoção da Saúde/métodos , Enfermeiras e Enfermeiros , Enfermagem/normas , Competência Profissional/normas , Adolescente , Brasil , Humanos , Entrevistas como Assunto , Liderança , Pesquisa Qualitativa
5.
Reprod Health ; 18(1): 125, 2021 Jun 12.
Artigo em Inglês | MEDLINE | ID: mdl-34118954

RESUMO

BACKGROUND: Sexual and reproductive health and rights are critical entitlements best supported through human rights-based approaches empowering rights-holders to claim their rights and duty bearers to fulfil their obligations. Implementing these requires information on the current needs and challenges faced by those seeking to claim their sexual and reproductive health and rights. We aimed to identify the underlying factors influencing the realisation of sexual and reproductive health and rights for adolescent girls and young women living Ugandan slums by: (1) exploring the role of relevant service providers and stakeholders; and (2) uncovering knowledge and gaps in protecting adolescent girls' and young women's sexual and reproductive health and rights. METHODS: Qualitative data were collected through focus groups and interviews focused on current knowledge, behaviours and attitudes towards sexual and reproductive health and rights among adolescent girls and young women, service providers and stakeholders. Data were analysed thematically using NVivo software. Ten in-depth interviews were conducted with key informants; two focus groups were held with adolescent girls and young women living in two slums in Uganda (21 participants in total); and three focus groups were held with community leaders, service providers, teachers and parents (30 participants in total). RESULTS: Adolescent girls and young women lacked information regarding their sexual health, services available, and redress mechanisms for rights violations. Formal sources of information were frequently inaccessible. Family members were sometimes the source of rights violations, and informal methods of redressing rights were often sought. Stigma and fear were common features both in healthcare and in the pursuit of formal justice, with duty-bearers habitually breaking confidentiality. Education and training were the predominant suggestions offered for change. CONCLUSIONS: Adolescent girls and young women continue to face obstacles in achieving their full sexual and reproductive health and rights. Targeted interventions for the realisation of adolescent girls' and young women's sexual and reproductive health and rights can address underlying causes and positively shift attitudes to promote health.


Assuntos
Áreas de Pobreza , Serviços de Saúde Reprodutiva , Saúde Reprodutiva , Direitos Sexuais e Reprodutivos , Saúde Sexual , Adolescente , Feminino , Grupos Focais , Promoção da Saúde , Humanos , Entrevistas como Assunto , Defesa do Paciente , Pesquisa Qualitativa , Comportamento Sexual , Uganda
6.
Molecules ; 26(10)2021 May 16.
Artigo em Inglês | MEDLINE | ID: mdl-34065647

RESUMO

Phytoestrogens are naturally occurring non-steroidal phenolic plant compounds. Their structure is similar to 17-ß-estradiol, the main female sex hormone. This review offers a concise summary of the current literature on several potential health benefits of phytoestrogens, mainly their neuroprotective effect. Phytoestrogens lower the risk of menopausal symptoms and osteoporosis, as well as cardiovascular disease. They also reduce the risk of brain disease. The effects of phytoestrogens and their derivatives on cancer are mainly due to the inhibition of estrogen synthesis and metabolism, leading to antiangiogenic, antimetastatic, and epigenetic effects. The brain controls the secretion of estrogen (hypothalamus-pituitary-gonads axis). However, it has not been unequivocally established whether estrogen therapy has a neuroprotective effect on brain function. The neuroprotective effects of phytoestrogens seem to be related to both their antioxidant properties and interaction with the estrogen receptor. The possible effects of phytoestrogens on the thyroid cause some concern; nevertheless, generally, no serious side effects have been reported, and these compounds can be recommended as health-promoting food components or supplements.


Assuntos
Antioxidantes/farmacologia , Fármacos Neuroprotetores/farmacologia , Fitoestrógenos/farmacologia , Antineoplásicos Fitogênicos/química , Antineoplásicos Fitogênicos/farmacologia , Antineoplásicos Fitogênicos/uso terapêutico , Antioxidantes/química , Antioxidantes/uso terapêutico , Feminino , Promoção da Saúde , Humanos , Fármacos Neuroprotetores/química , Fármacos Neuroprotetores/uso terapêutico , Fitoestrógenos/química , Fitoestrógenos/uso terapêutico , Receptores de Estrogênio/metabolismo
7.
Wiad Lek ; 74(5): 1061-1064, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34090264

RESUMO

OBJECTIVE: The aim: Is toevaluate students' use of online tools to obtain information on health and healthy lifestyle. PATIENTS AND METHODS: Materials and methods: A sociological survey was conducted among 1,563 students of vocational education institutions in Transcarpathian region, using a specially designed questionnaire on the use of information and communication channels to inform about health and healthy lifestyle. RESULTS: Results: It was found that a large proportion of students of vocational education institutions (71.8 ± 2.2%) spend more than 2 hours a day browsing Internet resources, which makes it possible to use these information and communication channels to inform about health and healthy lifestyle. The most relevant sources of information about health for young people are social networks Facebook (58.3±2.4%) and Instagram (56.7±2.5%), webpages of famous doctors (34.9±2.4%) and official websites of health care institutions (32.4±2.3%). CONCLUSION: Conclusions: Effective use of modern information and communication channels for health promotion among students aged 15-18 is possible taking into account the preferences of the target group, their features, reliable information content.


Assuntos
Estudantes , Educação Vocacional , Adolescente , Comunicação , Promoção da Saúde , Humanos , Internet
8.
Rev Med Suisse ; 17(742): 1118-1121, 2021 Jun 09.
Artigo em Francês | MEDLINE | ID: mdl-34106537

RESUMO

Internet has become a tool of our daily lives; it can nevertheless be at health risks for excessive users. This is a global and national public health challenge, and health policy responses have been shaping up for a decade. Doctors are key players in health systems for the early detection of these disorders and for the health promotion in this area. In order to be able to play their role, they must benefit from increasing their awareness of the health risks of these uses, the vulnerable people profiles, the possible clinical pictures of these disorders and the strategic and regulatory framework at the national level. This article synthesizes these aspects in Switzerland to facilitate access to this corpus of knowledge for medical practitioners.


Assuntos
Promoção da Saúde , Saúde Pública , Política de Saúde , Humanos , Internet , Suíça
9.
J Allied Health ; 50(2): e63-e66, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-34061942

RESUMO

INTRODUCTION: The health status of adults with disabilities is recognized as a formal health disparity. Due to COVID-19, participation in wellness programs for this population has been restricted. To provide program participants with continued accessibility, one regional wellness program for adults with disabilities adopted a virtual format. The purpose of this research is to determine the effectiveness of a virtual wellness program for this population. METHODS: Study subjects consisted of adults with disabilities who participated in a regional virtual wellness program. A survey was developed and disseminated electronically to study participants through Qualtrics software. Part 1 of the survey included demographic information, while Part 2 surveyed participants' perceptions and satisfaction with the virtual program using a 5-point Likert scale. RESULTS: 10 out of 14 participants responded to the survey. Results indicated that the majority (80%) of participants utilized the program at least 1-2 times/week. All participants reported that, despite preferring in-person wellness classes, they were satisfied with the virtual format of the program. Positive responses were also reported for survey items related to self-perceived health and functional benefits from participation, degree of staff and peer support offered through virtual means, ease of technology use, and the degree of safety within the virtual environment. DISCUSSION: Given the health status of adults with disabilities during an ongoing global pandemic, continued restrictions limiting participation with in-person wellness programs is anticipated. Virtual formats may offer an advantageous solution to provide adults with disabilities with continued access to this essential programming. While the current study showed positive self-perceived health and functional benefits from participation, further research is needed to determine the effectiveness of this format through expanded and standardized objective outcome measures and to better understand factors that may impact participation.


Assuntos
COVID-19/epidemiologia , Pessoas com Deficiência/educação , Exercício Físico/fisiologia , Promoção da Saúde/organização & administração , Telemedicina/organização & administração , Adulto , Idoso , Feminino , Nível de Saúde , Humanos , Masculino , Pessoa de Meia-Idade , Pandemias , Satisfação do Paciente , SARS-CoV-2
10.
Artigo em Inglês | PAHO-IRIS | ID: phr-54152

RESUMO

[ABSTRACT]. Objective. Evaluate the sustainability of the Healthy Municipalities strategy in Guatemala in order to have solid evidence to support decision-making. Methods. A concurrent mixed-methods study was carried out in five phases: 1) theoretical-conceptual (based on a narrative review of the literature on sustainability, dimensions and categories were proposed for evaluation); 2) empirical (four municipalities were selected for convenience and 29 semi-structured interviews and four focus groups were conducted with key actors to explore sustainability; with this information, a score was assigned to each category and dimension); 3) analytical, by category and dimension (content analysis was performed for qualitative information, and totals and averages were calculated for quantitative information); 4) integrative (qualitative data were integrated into matrices by category and dimension, and quantitative data were supported by qualitative information); and 5) meta-inference (consideration was given to the context and its influence on the results). Results. Ninety-two (92) informants participated. In operational terms, progress was observed in the transfer and use of results, and in rotations in leadership. In the legal and political sphere, accountability and local planning were highlighted. In the economic sphere, progressive investment in health, water and sanitation was emphasized, as well as insufficient investment in social determinants of health. In the social sphere, few mechanisms were observed to promote and strengthen social participation. Conclusions. In the municipalities that participated in the study, a fair level of sustainability was observed in the Healthy Municipalities strategy.


[RESUMEN]. Objetivo. Evaluar la sostenibilidad de la estrategia Municipios Saludables en Guatemala, para disponer de evidencia sólida que permita apoyar la toma de decisiones. Métodos. Se realizó un estudio mixto concurrente en cinco fases: 1) teórica-conceptual, se realizó una revisión narrativa de literatura en sostenibilidad, con base en la cual se propusieron dimensiones y categorías para su evaluación; 2) empírica, se seleccionaron por conveniencia cuatro municipios y se realizaron 29 entrevistas semiestructuradas y cuatro grupos focales a actores clave para explorar la sostenibilidad; con esta información, se asignó un puntaje a cada categoría y dimensión; 3) analítica, por categoría y dimensión, se realizó el análisis del contenido para la información cualitativa y sumatorias y promedios para la información cuantitativa; 4) integrativa, los datos cualitativos se integraron en matrices por categoría y dimensión; y los datos cuantitativos se respaldaron con información cualitativa; y 5) metainferencia, se reflexionó sobre el contexto y su influencia en los resultados. Resultados. Participaron 92 informantes. En la dimensión operativa, se destacan avances en la transferencia y el uso de resultados, así como en el relevo de liderazgo. En la dimensión legal y política, se destacaron la rendición de cuentas y los planes locales. En la dimensión económica, se destacó la inversión progresiva en salud, agua y saneamiento, con deficiencia de inversiones en determinantes sociales de la salud. En la dimensión social, se observaron pocos mecanismos para impulsar y fortalecer la participación social. Conclusiones. En los municipios que participaron del estudio se observó un nivel regular de sostenibilidad de la estrategia Municipios Saludables.


[RESUMO]. Objetivo. Avaliar a sustentabilidade da estratégia de Municípios Saudáveis na Guatemala para dispor de evidências sólidas para apoiar o processo decisório. Métodos. Foi realizado um estudo de método misto concorrente em cinco fases: 1) fase teórica-conceitual em que foi feita a revisão narrativa da literatura em sustentabilidade a partir da qual foram propostas dimensões e categorias a serem avaliadas; 2) fase empírica em que foi feita a seleção por conveniência de quatro municípios, com 29 entrevistas semiestruturadas e quatro grupos de discussão com as principais partes interessadas para explorar a sustentabilidade; a partir das informações coletadas, foi dada uma pontuação a cada categoria e dimensão; 3) fase analítica, por categoria e dimensão, em que foi realizada a análise do conteúdo para os dados qualitativos e feito o cálculo de somatórias e médias para os dados quantitativos; 4) fase integrativa em que os dados qualitativos foram integrados em matrizes por categoria e dimensão e os dados quantitativos foram respaldados com a informação qualitativa e 5) metainferência em que foi analisado o contexto e sua influência nos resultados. Resultados. O estudo incluiu 92 participantes. Na dimensão operacional, destacam-se os avanços na transferência e no uso de resultados, bem como a ênfase em liderança. Na dimensão jurídico-política, destacam-se a prestação de contas e os planos locais. Na dimensão econômica, destaca-se o investimento progressivo em saúde, água e saneamento, com investimento inadequado nos determinantes sociais da saúde. Na dimensão social, observam-se poucos mecanismos para incentivar e reforçar a participação social. Conclusões. Foi observado nos municípios participantes do estudo um nível constante de sustentabilidade da estratégia de Municípios Saudáveis.


Assuntos
Estudo de Avaliação , Cidade Saudável , Promoção da Saúde , Governo Local , Guatemala , Estudo de Avaliação , Cidade Saudável , Promoção da Saúde , Governo Local , Estudo de Avaliação , Cidade Saudável , Promoção da Saúde , Governo Local
11.
Arq. ciências saúde UNIPAR ; 25(2): 145-153, maio-ago. 2021.
Artigo em Português | LILACS | ID: biblio-1252386

RESUMO

A adolescência é considerada um rito de passagem da fase infantil para a adulta. Nessa fase muitos hábitos e atitudes sofrerão variações na idade adulta, tornando-se mais difíceis de serem contornados. Para transformar essa realidade, faz-se necessário implementar estratégias educativas que por meio da supervisão de profissionais que facilitem os adolescentes a expressarem sentimentos, trocarem experiências, proporcionando atitudes de respeito e reflexão sobre os temas abordados. O artigo trata de um relato de experiência cujo objetivo é analisar as atividades de educação e promoção da saúde planejadas e implementadas por um grupo de residentes participantes da Residência Multiprofissional em Saúde da Família da UNEB em parceria com um GT de adolescentes na USF Professor Humberto Castro Lima, localizado no bairro de Pernambués, Salvador-Ba, no ano de 2018. As ações realizadas no grupo tiveram como objetivo, incentivar o autoconhecimento, protagonismo, desenvolvimento pessoal, social, coletivo e reflexão do processo saúde/doença. Como resultados destaca-se a contribuição do grupo para a promoção da saúde dos jovens, a construção do vínculo entre os adolescentes com a unidade, a contribuição para o protagonismo no processo ensino-aprendizagem e a sensibilização dos adolescentes para a adoção de práticas preventivas. Conclui-se que a implementação de práticas educativas de caráter participativo, reflexivo, dialógico, dinâmico e problematizador se tornou cada vez mais necessária. Pôde-se perceber a potencialidade dessa estratégia que transcende o modelo biomédico, visando à atenção integral do sujeito, bem como o atendimento às demandas e necessidades dos usuários através da escuta, da construção conjunta do conhecimento, de modo que esses possam ser participativos no processo de mudança de atitudes diante do cuidado com a saúde.(AU)


Adolescence is considered a rite of passage from childhood to adulthood. In this phase, many habits and attitudes will suffer variations as going into adulthood, becoming more difficult to be circumvented. In order to transform this reality, educational strategies should be implemented so that, through the supervision of professionals, can help adolescents to express their feelings, exchange experiences, providing attitudes of respect and reflection on the topics addressed. This article is a report on an experiment which had the objective of analyzing the education and health promotion activities planned and implemented by a group of residents participating in the Multi-professional Residency in Family Health at UNEB in partnership with a Working Group of adolescents at USF Professor Humberto Castro Lima, located in the neighborhood of Pernambués, in the city of Salvador, state of Bahia, in 2018. . The actions carried out in the group aimed at fostering self-knowledge, leadership, personal, social, collective development, and reflections on the health/disease process. As a result, the authors highlight the contribution of the group to the promotion of young people's health, the construction of the bond between adolescents and the health unit, the contribution to becoming protagonists in the teaching-learning process, and the raising of the adolescents' awareness on the adoption of preventive practices. It can be concluded that the implementation of educational practices of a participatory, reflective, dialogical, dynamic, and problem-solving character is increasingly necessary. It was possible to perceive the potential of this strategy that transcends the biomedical model, aiming at the integral care of the subject, as well as meeting the demands and needs of users through listening, and the joint construction of knowledge so that they can participate in the process of changing attitudes towards health care.(AU)


Assuntos
Humanos , Educação em Saúde/métodos , Estratégia Saúde da Família , Promoção da Saúde/métodos , Epidemiologia Descritiva , Adolescente , Pesquisa Qualitativa
12.
Rev. SPAGESP ; 22(1): 67-82, ene.-jun. 2021.
Artigo em Português | LILACS, Index Psicologia - Periódicos | ID: biblio-1155515

RESUMO

Visando analisar as concepções sobre a saúde mental infantojuvenil de enfermeiros da Estratégia Saúde da Família, este estudo, de natureza descritivo qualitativa, foi realizado com 47 enfermeiras, nas Unidades de Saúde da Família de João Pessoa PB, e partiu dos pressupostos das Políticas Públicas de Atenção à Saúde Mental para crianças e adol escentes Para coletar os dados utilizaram se um questionário sociodemográfico e entrevistas semiestruturadas, analisadas por meio da Análise Categorial Temática de Bardin, das quais emergiram uma classe temática, três categorias e sete subcategorias. Os resultados apontaram que as concepções sobre a SMI se pautam no modelo biomédico, sem ênfase na promoção da saúde e com pouca especificidade e familiaridade com questões relativas à saúde mental dessa população.


In order to analyze Family Health Strategy nurses' conceptions of child adolescent mental health, this descriptive qualitative study was conducted with 47 nurses, in the Family Health Units of João Pessoa PB, and started from the assumptions of the Public Policies of Mental Health Care for children and adolescents. Data were collected using a questionnaire, which captured the sociodemographic data, and semi structured interviews were analyzed through Bardin's Thematic Categorical Analysis, which originated a thematic class, three categories and seven subcategories. The results showed that the conceptions a re based on the biomedical model, with no emphasis on health promotion and with little specificity and familiarity with issues related to the mental healt h of this population.


Con el fin de analizar las concepciones sobre la salud mental de niños y adolescentes en las enfermer í as de la Estrategia de Salud Familiar, este estudio descriptivo cualitativo se llevó a cabo con 47 enfermeras, en Unidades de Salud Familiar de Joao Pesso a PB, a partir de los supuestos de las Políticas Públicas de Atención de Salud Mental para niños y adolescentes. Para recopilar los datos, se utilizó un cuestionario, que capturó los datos sociodemográficos, y entrevistas semiestructuradas, analizadas a tr avés del Análisis Categórico Temático de Bardin, de la que surgieron una clase temática, tres categorías y siete subcategorías. Los resultados mostraron que las concepciones sobre SMNA se basan en el modelo biomédico, sin énfasis en la promoción de la salu d y con poca especificidad y familiaridad con los temas relacionados con la salud mental de esta población.


Assuntos
Humanos , Feminino , Pessoa de Meia-Idade , Saúde Mental , Saúde da Família , Reconhecimento Psicológico , Estratégia Saúde da Família , Atenção à Saúde , Promoção da Saúde , Enfermeiras e Enfermeiros
13.
Cochrane Database Syst Rev ; 5: CD013544, 2021 May 24.
Artigo em Inglês | MEDLINE | ID: mdl-34027632

RESUMO

BACKGROUND: The World Health Organization (WHO) recommends that people of all ages take regular and adequate physical activity. If unable to meet the recommendations due to health conditions, international guidance advises being as physically active as possible. Evidence from community interventions of physical activity indicate that people living with medical conditions are sometimes excluded from participation in studies. In this review, we considered the effects of activity-promoting interventions on physical activity and well-being in studies, as well as any adverse events experienced by participants living with inherited or acquired neuromuscular diseases (NMDs).  OBJECTIVES: To assess the effects of interventions designed to promote physical activity in people with NMD compared with no intervention or alternative interventions. SEARCH METHODS: On 30 April 2020, we searched Cochrane Neuromuscular Specialised Register, CENTRAL, Embase, MEDLINE, and ClinicalTrials.Gov. WHO ICTRP was not accessible at the time. SELECTION CRITERIA: We considered randomised or quasi-randomised trials, including cross-over trials, of interventions designed to promote physical activity in people with NMD compared to no intervention or alternative interventions. We specifically included studies that reported physical activity as an outcome measure. Our main focus was studies in which promoting physical activity was a stated aim but we also included studies in which physical activity was assessed as a secondary or exploratory outcome. DATA COLLECTION AND ANALYSIS: We used standard Cochrane procedures. MAIN RESULTS: The review included 13 studies (795 randomised participants from 12 studies; number of participants unclear in one study) of different interventions to promote physical activity. Most studies randomised a minority of invited participants. No study involved children or adolescents and nine studies reported minimal entry criteria for walking. Participants had one of nine inherited or acquired NMDs. Types of intervention included structured physical activity support, exercise support (as a specific form of physical activity), and behaviour change support that included physical activity or exercise. Only one included study clearly reported that the aim of intervention was to increase physical activity. Other studies reported or planned to analyse the effects of intervention on physical activity as a secondary or exploratory outcome measure. Six studies did not report results for physical activity outcomes, or the data were not usable. We judged 10 of the 13 included studies at high or unclear risk of bias from incomplete physical activity outcome reporting. We did not perform a meta-analysis for any comparison because of differences in interventions and in usual care. We also found considerable variation in how studies reported physical activity as an outcome measure. The studies that reported physical activity measurement did not always clearly report intention-to-treat (ITT) analysis or whether final assessments occurred during or after intervention. Based on prespecified measures, we included three comparisons in our summary of findings. A physical activity programme (weight-bearing) compared to no physical activity programme One study involved adults with diabetic peripheral neuropathy (DPN) and reported weekly duration of walking during and at the end of a one-year intervention using a StepWatch ankle accelerometer. Based on the point estimate and low-certainty evidence, intervention may have led to an important increase in physical activity per week; however, the 95% confidence interval (CI) included the possibility of no difference or an effect in either direction at three months (mean difference (MD) 34 minutes per week, 95% CI -92.19 to 160.19; 69 participants), six months (MD 68 minutes per week, 95% CI -55.35 to 191.35; 74 participants), and 12 months (MD 49 minutes per week, 95% CI -75.73 to 173.73; 70 participants). Study-reported effect estimates for foot lesions and full-thickness ulcers also included the possibility of no difference, a higher, or lower risk with intervention. A sensor-based, interactive exercise programme compared to no sensor-based, interactive exercise programme One study involved adults with DPN and reported duration of walking over 48 hours at the end of four weeks' intervention using a t-shirt embedded PAMSys sensor. It was not possible to draw conclusions about the effectiveness of the intervention from the very low-certainty evidence (MD -0.64 hours per 48 hours, 95% CI -2.42 to 1.13; 25 participants). We were also unable to draw conclusions about impact on the Physical Component Score (PCS) for quality of life (MD 0.24 points, 95% CI -5.98 to 6.46; 35 participants; very low-certainty evidence), although intervention may have made little or no difference to the Mental Component Score (MCS) for quality of life (MD 5.10 points, 95% CI -0.58 to 10.78; 35 participants; low-certainty evidence). A functional exercise programme compared to a stretching exercise programme One study involved adults with spinal and bulbar muscular atrophy and reported a daily physical activity count at the end of 12 weeks' intervention using an Actical accelerometer. It was not possible to draw conclusions about the effectiveness of either intervention (requiring compliance) due to low-certainty evidence and unconfirmed measurement units (MD -8701, 95% CI -38,293.30 to 20,891.30; 43 participants). Functional exercise may have made little or no difference to quality of life compared to stretching (PCS: MD -1.10 points, 95% CI -5.22 to 3.02; MCS: MD -1.10 points, 95% CI -6.79 to 4.59; 49 participants; low-certainty evidence). Although studies reported adverse events incompletely, we found no evidence of supported activity increasing the risk of serious adverse events. AUTHORS' CONCLUSIONS: We found a lack of evidence relating to children, adolescents, and non-ambulant people of any age. Many people living with NMD did not meet randomised controlled trial eligibility criteria. There was variation in the components of supported activity intervention and usual care, such as physical therapy provision. We identified variation among studies in how physical activity was monitored, analysed, and reported. We remain uncertain of the effectiveness of promotional intervention for physical activity and its impact on quality of life and adverse events. More information is needed on the ITT population, as well as more complete reporting of outcomes. While there may be no single objective measure of physical activity, the study of qualitative and dichotomous change in self-reported overall physical activity might offer a pragmatic approach to capturing important change at an individual and population level.


Assuntos
Exercício Físico , Promoção da Saúde/métodos , Doenças Neuromusculares/reabilitação , Viés , Humanos , Exercícios de Alongamento Muscular , Avaliação de Resultados em Cuidados de Saúde , Qualidade de Vida , Ensaios Clínicos Controlados Aleatórios como Assunto , Treinamento de Força/estatística & dados numéricos , Fatores de Tempo , Caminhada/estatística & dados numéricos
14.
Health Promot Pract ; 22(1_suppl): 91S-100S, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33942636

RESUMO

Arts have long addressed the conditions that cause ill health, such as poverty, social inequality, and structural racism, and have recently taken on increased significance for public health. This article illuminates the potential for cross-sector collaboration between community-based health promotion and community-engaged arts to address the social determinants of health and build neighborhood assets at multiple levels of the social-ecological model. It features Skywatchers, a collaborative community arts ensemble of artists and residents of the culturally rich but economically poor Tenderloin neighborhood in San Francisco, California, and its original values-based "relational, durational, conversational, and structural" methodology focused on process over product and leveraging arts for justice and equity. Now, 10 years into its work, Skywatchers offers lessons about building reciprocal relationships, cocreating artworks, and promoting arts-based advocacy to improve the conditions that foster poor health in the neighborhood. The article discusses implications for community-based health promotion practice that delineate commitments and challenges shared between the two fields, their distinct roles and tools, and the potential for more widespread partnerships. It concludes with implications for policy and advocacy and a vision for expanded community-based participatory research to better understand the impact of arts on community health and well-being.


Assuntos
Saúde Pública , Justiça Social , Pesquisa Participativa Baseada na Comunidade , Promoção da Saúde , Humanos , São Francisco
15.
16.
Health Promot Pract ; 22(1_suppl): 12S-16S, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33942647

RESUMO

In this commentary essay, I examine the collective moral responsibility of leveraging arts and culture for health promotion, and the role ethical storytelling can play in reframing how health educators promote "good health" with specific regard to the next generation of the workforce. I reflect on the impact of racism, White supremacy, and anti-Blackness when merging the arts and culture sector with public health disciplines, and close with a call to action as our niche field expands. I argue that no matter our role as artists, cultural workers, heritage holders, and/or focus within public health education and health promotion, our work is both an art and a science. Just as the language we use forms a story, the collection of scholars we choose to cite exposes a narrative. I hope this commentary encourages readers to reflect on opportunities in their work to close the health equity gap with recognition of the knowledge, skills, abilities, and capital within and across Black culture while also lifting up the community cultural wealth that exists in Indigenous, Latinx, and Asian and Pacific Islander communities.


Assuntos
Equidade em Saúde , Racismo , Promoção da Saúde , Humanos , Princípios Morais , Saúde Pública
17.
Health Promot Pract ; 22(1_suppl): 141S-146S, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33942651

RESUMO

As the public health field deepens its focus on social and environmental determinants of health and, as that field expands its attention to finding allied interests in the community development field, a critical opportunity to better understand the power of arts and culture in pursuit of shared goals has emerged. This is an extraordinary time in which the confluence of public health, community development, and the arts can lead to transformational ways of working, resulting in changes in industry standards in all three fields and most importantly, more healthy, just, and equitable communities. Drawing from 30 years of work to better understand the roles of arts and cultural activity in historically marginalized communities, this article presents reasons for and ways in which these fields can and should be allied. Specifically, it calls attention to gaps in community development and planning that have resulted in the fields' lack of attention to historic and present harm in the form of often racialized dehumanization. It also draws attention to the role of the arts in the critical collective work of reframing community concerns and conditions, retooling or finding new more effective ways of working toward repair-the redress of historic and current harm experienced in low-income and historically marginalized communities. The essay lifts up the possibility of transformational work and also presents important barriers that must be overcome by stakeholders from all three fields.


Assuntos
Arte , Saúde Pública , Promoção da Saúde , Nível de Saúde , Humanos
18.
Health Promot Pract ; 22(1_suppl): 27S-30S, 2021 05.
Artigo em Inglês | MEDLINE | ID: mdl-33942654

RESUMO

A cross-sector collaboration among a community-based organization, a prison arts program, and state departments of Public Health, Education, and Correction was established to address critical health education prevention efforts for at-risk high school-aged youth. The Tell Me What You See initiative utilizes artwork and poetry created by incarcerated youth to promote sexually transmitted disease (STD), HIV, and hepatitis prevention with students in public high schools and juvenile justice facilities. This innovative intervention integrates functional health knowledge and skills-based education through an art-based interdisciplinary approach reaching various populations of youth in multiple settings across a state. Evaluation results indicated that the materials effectively engage youth and open up a critical dialogue among peers and adults by addressing the role personal behavior can have in the prevention of STDs, hepatitis, and HIV. Lessons learned and recommendations are provided.


Assuntos
Educação em Saúde , Doenças Sexualmente Transmissíveis , Adolescente , Adulto , Criança , Escolaridade , Promoção da Saúde , Humanos , Instituições Acadêmicas , Doenças Sexualmente Transmissíveis/prevenção & controle
19.
Braz J Med Biol Res ; 54(6): e11098, 2021.
Artigo em Inglês | MEDLINE | ID: mdl-33950070

RESUMO

Living with chronic kidney disease (CKD) is associated with hardships for patients and their care-partners. Empowering patients and their care-partners, including family members or friends involved in their care, may help minimize burden and consequences of CKD-related symptoms to enable life participation. There is a need to broaden the focus on living well with kidney disease and re-engagement in life, including emphasis on patients being in control. The World Kidney Day (WKD) Joint Steering Committee has declared 2021 the year of "Living Well with Kidney Disease" in an effort to increase education and awareness on the important goal of patient empowerment and life participation. This calls for the development and implementation of validated patient-reported outcome measures to assess and address areas of life participation in routine care. It could be supported by regulatory agencies as a metric for quality care or to support labelling claims for medicines and devices. Funding agencies could establish targeted calls for research that address the priorities of patients. Patients with kidney disease and their care-partners should feel supported to live well through concerted efforts by kidney care communities including during pandemics. In the overall wellness program for kidney disease patients, the need for prevention should be reiterated. Early detection with prolonged course of wellness despite kidney disease, after effective secondary and tertiary prevention programs, should be promoted. WKD 2021 continues to call for increased awareness of the importance of preventive measures throughout populations, professionals, and policy makers, applicable to both developed and developing countries.


Assuntos
Acesso aos Serviços de Saúde , Insuficiência Renal Crônica , Diagnóstico Precoce , Promoção da Saúde , Humanos , Rim , Insuficiência Renal Crônica/prevenção & controle
20.
J Occup Health ; 63(1): e12224, 2021 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-33955633

RESUMO

OBJECTIVES: Little is known about workplace measures against coronavirus disease 2019 (COVID-19) in Japan during the winter of 2020, especially in micro-, small-, and medium-sized enterprises (MSMEs). This study aimed to provide an overview of the current situation of anti-COVID-19 measures in Japanese enterprises during the winter, considering company size. METHODS: This study was an Internet-based nationwide cross-sectional study. Individuals who were registered as full-time workers were invited to participate in the survey. Data were collected using an online self-administered questionnaire in December 2020. The chi-squared test for trend was performed to calculate the P-value for trend for each workplace measure across company sizes. RESULTS: For the 27 036 participants, across company sizes, the most prevalent workplace measure was encouraging mask wearing at work, followed by requesting that employees refrain from going to work when ill and restricting work-related social gatherings and entertainment. These measures were implemented by approximately 90% of large-scale enterprises and by more than 40% of micro- and small-scale enterprises. In contrast, encouraging remote working was implemented by less than half of large-scale enterprises and by around 20% of micro- and small-scale enterprises. There were statistically significant differences in all workplace measures by company size (all P < .001). CONCLUSIONS: We found that various responses to COVID-19 had been taken in workplaces. However, some measures, including remote working, were still not well-implemented, especially in smaller enterprises. The findings suggest that occupational health support for MSMEs is urgently needed to mitigate the current wave of COVID-19.


Assuntos
COVID-19/epidemiologia , COVID-19/prevenção & controle , Promoção da Saúde/organização & administração , Serviços de Saúde do Trabalhador/organização & administração , Local de Trabalho/organização & administração , Adulto , Estudos Transversais , Humanos , Japão , Masculino , Saúde do Trabalhador/estatística & dados numéricos
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