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1.
J Clin Nurs ; 29(1-2): 107-118, 2020 Jan.
Artigo em Inglês | MEDLINE | ID: mdl-31531995

RESUMO

AIMS AND OBJECTIVES: To develop and evaluate the psychometric properties of a self-report instrument measuring 6- to 12-year-old children's own experiences of participation in health care. BACKGROUND: Validated measures to evaluate children's participation in health care can play a critical role in strategic work towards supporting children's participation at an individual level and in working towards quality improvements at an organisational level. There are, however, no available instruments to achieve this. METHODS: An instrument development design was used, together with the TRIPOD checklist. Item construction was based on research about children's perspectives on participation in health care and Shier's model for participation. The face and content validity was evaluated by 14 healthy children, 9 paediatric nurses and 8 children with different diseases. The construct validity, internal consistency and stability reliability were evaluated based on data from 138 children visiting a paediatric clinic. RESULTS: The testing of the face and content validity resulted in an instrument with child-friendly language, additional instructions and visual attractive presentation. The principle component analysis resulted in the four-factor solution: "To be included," "To trust professionals," "To take control," and "To understand information." Internal consistency and intraclass correlation coefficients were acceptable. CONCLUSION: We conclude that the child participation in health care (ChiPaC) instrument has adequate reliability and validity when used to evaluate children's participation in health care. The involvement of children in the development of ChiPaC resulted in a brief, colourful and user-friendly instrument for use in paediatric health care. RELEVANCE TO CLINICAL PRACTICE: This new questionnaire, ChiPaC, is adapted for children between 6-12 years measuring participation in health care from a child perspective. ChiPaC can be used in the practical work of supporting individual children's participation in health care as well as in the strategical work towards quality improvements on an organisational level.


Assuntos
Participação do Paciente , Autorrelato/normas , Adolescente , Criança , Feminino , Humanos , Masculino , Enfermagem Pediátrica/métodos , Psicometria/instrumentação , Reprodutibilidade dos Testes , Inquéritos e Questionários
2.
Ann Agric Environ Med ; 26(3): 420-424, 2019 Sep 19.
Artigo em Inglês | MEDLINE | ID: mdl-31559797

RESUMO

INTRODUCTION: Depressive disorders are one of the most common psychiatric disorders. Recognition of signs of mental health disorders is not always easy, hence the availability of simple and accurate tools for assessing them is very important in the practice of primary care. OBJECTIVE: The aim of the study is to assess the theoretical accuracy and reliability of the Patient Health Questionnaire-9 (PHQ-9) in Polish conditions, when applied to general population studies for adults aged between 35-64. MATERIAL AND METHODS: The study comprised a population of 4,040 people. Women constituted 59% of the research population and people living in the countryside 65%. The average age of participants was 53.45 ± 7.05 years. According to PHQ-9, 727 people (18.0%) had moderate, moderate to severe or severe depression. PHQ-9 showed a significant positive internal cohesion (Cronbach's alpha = 0.77), and factor charges oscillated between 0.43-0.63, and the R2 coefficients of determination were in the range of 0.21-0.40. CONCLUSIONS: The Polish version of PHQ-9 is a valid tool for diagnosing depression in the general population aged 35-64. Good psychometric properties and compactness make the PHQ-9 a useful clinical and research tool.


Assuntos
Depressão/psicologia , Questionário de Saúde do Paciente/estatística & dados numéricos , Psicometria/métodos , Adulto , Depressão/diagnóstico , Feminino , Humanos , Linguagem , Masculino , Pessoa de Meia-Idade , Polônia , Psicometria/instrumentação
3.
Niger J Clin Pract ; 22(9): 1281-1285, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31489867

RESUMO

Background: The Medication Adherence Rating Scale (MARS) is a 10-item self-report measure of medication adherence in psychosis which is a vital predictor of illness course and outcome in patient with schizophrenia. The initial and subsequent studies have shown that MARS has good reliability and validity scores after correction for the small sample size in the index study. Aim: This study aimed to determine the psychometric properties of MARS among outpatients with schizophrenia at the outpatient clinic of the Neuropsychiatric Hospital Aro Abeokuta Ogun State Nigeria. Methods: Intra-class correlation coefficient (ICC) was used to determine the internal consistency, item-total correlations, and reliability of the instrument. Factor analysis was done using principal component analysis with varimax rotation. Results: The intra-class correlation coefficient (ICC) for these 10 items (at time T1) was 0.6 with a P value of <0.001 while for the test--retest analysis was 0.7 with a P value of 0.04. A principal components factor analysis with varimax rotation produced a four-factor solution and factor 4 was found to be the most internally consistent, with Cronbach's alpha of 0.63. Conclusion: This study supports the internal consistency, test--retest reliability, and constructs validity of the MARS.


Assuntos
Adesão à Medicação/psicologia , Adesão à Medicação/estatística & dados numéricos , Psicometria/instrumentação , Esquizofrenia/tratamento farmacológico , Inquéritos e Questionários/normas , Adulto , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Nigéria , Pacientes Ambulatoriais , Transtornos Psicóticos , Reprodutibilidade dos Testes , Esquizofrenia/diagnóstico , Autorrelato
4.
Actas dermo-sifiliogr. (Ed. impr.) ; 110(7): 554-560, sept. 2019. tab, graf
Artigo em Espanhol | IBECS | ID: ibc-185527

RESUMO

Introducción y objetivos: La hidradenitis supurativa (HS) es una enfermedad inflamatoria crónica de la piel que influencia negativamente la calidad de vida. En la actualidad no existen escalas en español que la evalúen. El objetivo del presente estudio fue desarrollar y validar un cuestionario específico para evaluar la calidad de vida en pacientes con HS. Material y métodos: Se desarrolló un estudio multicéntrico en España entre 2016 y 2017 para elaborar un cuestionario. Para ello se consideró tanto el marco conceptual como el conocimiento de la situación del paciente mediante la revisión de la bibliografía, reuniones de profesionales de diferentes áreas y entrevistas con pacientes. El cuestionario resultante se pasó a un grupo de 30 pacientes con 30 ± 10 días de intervalo entre uno y otro. Resultados: El análisis de fiabilidad muestra una buena consistencia interna y reproductibilidad con puntuación alfa de Cronbach de 0,920 (test) y 0,917 (retest) y coeficiente de correlación intraclase con DLQI y Skindex-29 de 0,698 IC 95% (0,456-0,844) y 0,900 IC 95% (0,801-0,951) respectivamente. Se establecieron puntos de corte para su uso y se comprobó que el instrumento es sensible al cambio. Conclusiones: El cuestionario HSQoL-24 es la primera prueba autoadministrada específica para evaluar la calidad de vida en HS en español. Sencillo de usar y puntuar por los profesionales. Este estudio demuestra que el instrumento es fiable, válido y sensible al cambio, pendiente de realizar estudio confirmatorio con una muestra mayor con 100 pacientes con HS


Introduction and objectives: Hidradenitis suppurativa (HS) is a chronic inflammatory disease of the skin with a negative impact on quality of life. Up to now, there are no disease specific instruments in Spanish to assess quality of life in HS. The objective of this study was to develop and validate a questionnaire to evaluate the quality of life in patients with HS. Material and methods: A multicentre study was carried out in Spain between 2016 and 2017 to develop the questionnaire. Both the conceptual framework and understanding of the patient's situation were considered through a review of the literature, consensus of professionals from different related health areas, and in-depth interviews with patients. The resulting questionnaire was passed to a group of 30 patients with 30±10 days of interval between both assessments. Results: The reliability analysis shows a good internal consistency and reproducibility with Cronbach's alpha score of 0.920 (test) and 0.917 (retest) and intraclass correlation coefficient with DLQI and Skindex-29 of 0.698 IC 95% (0.456-0.844) and 0.900 IC 95% (0.801-0.951) respectively. Cut-off points were established for its use and the instrument was found to be sensitive to change. Conclusions: The HSQoL-24 is the first disease-specific self-administered instrument to assess quality of life in patients with HS in Spanish. It is user friendly, and easy to score. This study shows that the instrument is reliable, valid and sensitive to change, pending confirmatory study with a larger sample of 100 patients with HS


Assuntos
Humanos , Masculino , Feminino , Adolescente , Adulto Jovem , Adulto , Pessoa de Meia-Idade , Hidradenite Supurativa/diagnóstico , Qualidade de Vida , Estudos de Validação como Assunto , Psicometria/instrumentação , Reprodutibilidade dos Testes , Inquéritos e Questionários , Correlação de Dados
5.
Rev. logop. foniatr. audiol. (Ed. impr.) ; 39(3): 105-114, jul.-sept. 2019. tab
Artigo em Inglês | IBECS | ID: ibc-ET1-3785

RESUMO

Background: pragmatics is an area of language that may be impaired in a wide variety of disorders. However, there is a dearth of instruments for the assessment of pragmatic abilities. The Children's Communication Checklist (CCC-2) is the most widespread test, although more adaptations of this instrument to other languages are necessary. Aims: in this paper we (1) develop a pilot study to adapt the CCC-2 to the Galician language, (2) check the capacity of this version to assess communicative difficulties in Galician speakers from 4 to 16 years of age, and (3) we also check its capacity to discriminate the linguistic profiles of different disorders. Method: the reference profile of the Galician CCC-2 was established with a sample of 48 schoolchildren. Comparisons of the scores obtained by children with ASD (n=11), ADHD (n=10), Down Syndrome (DS) (n=9) and Typical Development (n=10) were carried out. Results: the Galician CCC-2 (1) accurately identified children with and without communicative impairments, (2) distinguished between profiles with predominance of pragmatic (ASD and ADHD) and structural disorders (DS), and (3) distinguished between different profiles with predominance of pragmatic impairment. Conclusions: the Galician CCC-2 seems to be a useful instrument to assess pragmatic disorders and to differentiate among different clinical groups


Introducción: la pragmática es un área del lenguaje que puede verse afectada en una amplia variedad de trastornos. Sin embargo, hay una escasez de instrumentos para la evaluación de las habilidades pragmáticas. El Children's Communication Checklist (CCC-2) es la prueba más utilizada, aunque se necesitan más adaptaciones de este instrumento a otros idiomas. Objetivos: en este documento 1)desarrollamos un estudio piloto para adaptar el CCC-2 al gallego; 2)comprobamos la capacidad de esta versión para evaluar las dificultades comunicativas en hablantes de gallego de 4 a 16años, y 3)también comprobamos su capacidad para discriminar perfiles lingüísticos de diferentes trastornos. Método: el perfil de referencia del CCC-2 gallego se estableció con una muestra de 48 escolares. Se realizaron comparaciones de las puntuaciones obtenidas por los niños con TEA (n=11), TDAH (n=10), síndrome de Down (SD; n=9) y desarrollo normal (n=10). Resultados: el CCC-2 gallego 1)identificó con precisión a los niños con trastornos comunicativos y sin ellos; 2)distinguió entre los perfiles con predominio de trastornos pragmáticos (TEA y TDAH) y estructurales (SD), y 3)distinguió entre los diferentes perfiles con predominio del deterioro pragmático. Conclusiones: parece que el CCC-2 gallego es un instrumento útil para evaluar trastornos pragmáticos y para diferenciar entre diferentes grupos clínicos


Assuntos
Humanos , Masculino , Feminino , Pré-Escolar , Criança , Adolescente , Desenvolvimento da Linguagem , Testes de Linguagem , Transtornos da Comunicação , Psicometria/instrumentação , Transtorno do Espectro Autista , Síndrome de Down , Comparação Transcultural , Transtorno do Deficit de Atenção com Hiperatividade
6.
J Nurs Adm ; 49(9): 447-453, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31436744

RESUMO

OBJECTIVE: To identify and compare validated tools used to assess incivility in healthcare settings. BACKGROUND: Incivility in the workforce is associated with poor quality outcomes, increased employee turnover, and decreased job satisfaction. Validated tools are essential for accurate measurement of incivility. The aim of this study was to compare characteristics of validated tools for use in a busy clinical setting. METHODS: In a scoping review, English language research studies using incivility tools published in PubMed or CINAHL between March 1, 2013, and March 14, 2018, were assessed for sound psychometric properties and feasibility of use (eg, short, easy to administer). RESULTS: After screening 869 articles and full text review of 244, 5 identified tools met the criteria; the Short Negative Acts Questionnaire seemed best suited for use in a busy healthcare setting. CONCLUSION: Adoption of a standardized and validated incivility tool makes it possible to compare across clinical settings and track progress over time.


Assuntos
Assistência à Saúde/normas , Incivilidade/estatística & dados numéricos , Satisfação no Emprego , Psicometria/instrumentação , Local de Trabalho/psicologia , Local de Trabalho/normas , Humanos , Inquéritos e Questionários
7.
J Sport Exerc Psychol ; 41(4): 215-229, 2019 Aug 01.
Artigo em Inglês | MEDLINE | ID: mdl-31461243

RESUMO

Research suggests 5 forms of social support: companionship, emotional, informational, instrumental, and validation. Despite this, existing measures of social support for physical activity are limited to emotional, companionship, and instrumental support. The purpose was to develop the Physical Activity and Social Support Scale (PASSS) with subscales that reflected all 5 forms. Participants (N = 506, mean age = 34.3 yr) who were active at least twice per week completed a 235-item questionnaire assessing physical activity behaviors, social support for physical activity, general social support, and other psychosocial questions. Exploratory and confirmatory factor analyses were used to develop and validate the PASSS. Exploratory factor analysis supported a 5-factor, 20-item model, χ2(100) = 146.22, p < .05, root mean square error of approximation = .05. Confirmatory factor analysis indicated good fit, Satorra­Bentler χ2(143) = 199.57, p < .001, root mean square error of approximation = .04, comparative-fit index = .97, standardized root mean square residual = .06. Findings support the PASSS to measure all 5 forms for physical activity.


Assuntos
Exercício/psicologia , Psicometria/instrumentação , Apoio Social , Adulto , Análise Fatorial , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Reprodutibilidade dos Testes , Inquéritos e Questionários , Adulto Jovem
8.
Ophthalmic Physiol Opt ; 39(5): 378-391, 2019 09.
Artigo em Inglês | MEDLINE | ID: mdl-31468574

RESUMO

PURPOSE: The Participation and Activity Inventory for Children and Youth 3-6 years (PAI-CY 3-6) was recently developed to assess the participation needs of children with visual impairment (VI) by means of parent-proxy report. This study reports on its psychometric properties. METHODS: Parents of children aged 3-6 years registered at two low vision rehabilitation centers in the Netherlands were invited to participate and completed the 52-item PAI-CY. Satisfaction with the PAI-CY 3-6 was determined using an evaluation form. Basic item analyses was conducted, after which an item response theory (IRT) model (i.e. the graded response model, GRM) was fitted. Deletion of items was informed by results of item analyses, fulfillment of IRT assumptions, differential item functioning, fit to the GRM and item information content. Face and content validity were considered; professionals from low vision rehabilitation centers were asked for their opinion in the item deletion process. After obtaining a satisfactory set of items, known-group validity, concurrent validity and test-retest reliability were also investigated. RESULTS: Data of 237 parents were included in the analyses. Various aspects of the PAI-CY 3-6 were perceived as neutral to positive by over 85% of the respondents. After removing 17 items, the remaining 35 items reflected satisfactory fit to the GRM. Known-group validity was supported, since participants with more severe VI and comorbidity scored significantly worse than those with less severe VI and without comorbidity after correcting for potential confounders. Test-retest reliability was adequate, and the PAI-CY showed to have good concurrent validity. Feedback from professionals motivated the maintenance of 3 of the 17 deleted items, although not included in the scoring. Furthermore, two new items were added, resulting in a 40-item instrument. CONCLUSIONS: The PAI-CY 3-6 has sound psychometric properties and can now be used to assess the participation needs of children aged 3-6 years with VI by means of proxy. Implementation in routine low vision rehabilitation care enables further optimization and investigation of its acceptability and feasibility.


Assuntos
Técnicas de Diagnóstico Oftalmológico/normas , Psicometria/instrumentação , Transtornos da Visão/diagnóstico , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Satisfação do Paciente , Reprodutibilidade dos Testes
9.
Intellect Dev Disabil ; 57(4): 274-288, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31373543

RESUMO

The purpose of this study was to explore the cross-cultural validity of the Self-Determination Inventory: Student Report, a newly developed measure of self-determination grounded in Causal Agency Theory. The tool was translated to Spanish and administered to American and Spanish adolescents. The sample was structured to include adolescents with and without intellectual disability in both cultural contexts. More than 3,000 students in the U.S. and Spain aged 13 to 22 completed the assessment. Findings suggest that the same set of items can be used across cultural contexts and in youth with and without intellectual disability, although there are some specific differences in item functioning across students with and without intellectual disability in Spain that must be further researched. There were specific patterns of differences in latent self-determination means, with students with intellectual disability scoring lower in the U.S. and Spain. Implications for assessment research and practice in diverse cultural contexts are explored.


Assuntos
Deficiência Intelectual/psicologia , Autonomia Pessoal , Psicometria/normas , Autorrelato , Estudantes , Adolescente , Comparação Transcultural , Feminino , Humanos , Masculino , Psicometria/instrumentação , Reprodutibilidade dos Testes , Espanha , Estados Unidos , Adulto Jovem
10.
Fisioterapia (Madr., Ed. impr.) ; 41(4): 179-184, jul.-ago. 2019. tab
Artigo em Espanhol | IBECS | ID: ibc-183093

RESUMO

Antecedentes y objetivo: La evaluación del niño con discapacidad es fundamental tanto para el diagnóstico preciso, como para la evaluación de las diferentes intervenciones. La Escala de actividades para niños (Activities Scale for Kids [ASK]) es identificada como una de las herramientas más utilizadas para evaluar a los niños con problemas musculoesqueléticos. El objetivo de este trabajo es describir el proceso de traducción y adaptación cultural del ASK al contexto español. Materiales y métodos: Obtenido el permiso de los autores originales del ASK, se realiza el proceso de traducción y retrotraducción. Posteriormente, se lleva a cabo la prueba piloto sobre una muestra de 9 niños con parálisis cerebral, uno de los padres o tutores legales, y 4 profesionales del ámbito de la rehabilitación infantil. Se analizan los resultados y se alcanza la versión final, con aprobación de los autores. Resultados: Tras completar el proceso de adaptación cultural, no se han añadido ítems nuevos y se ha cambiado únicamente la denominación de uno de los productos de apoyo a los que se hace referencia, el «scooter», por la «silla eléctrica». Se han añadido algunas aclaraciones y se han ampliado algunos ejemplos de las tareas a las que se hace referencia. Conclusiones: Los resultados muestran un buen nivel de aplicabilidad y de comprensión de ambos cuestionarios. Queda pendiente la realización de los análisis psicométricos de la versión española


Background and objective: The assessment of the child with disability is fundamental for an accurate diagnosis and for the evaluation of the different interventions. The Activities Scale for Kids (ASK) is identified as one of the most used tools to assess children with musculoskeletal problems. The objective of this work is to describe the process of translation and cultural adaptation of the ASK questionnaire to the Spanish context. Methods: The process of the translation and back-translation was carried out after obtaining the permission of the original ASK authors. A pilot test was then performed on a sample of 9 children with cerebral palsy, one parent or legal tutor, and 4 professionals in the field of child rehabilitation. The results were analysed and the final version was reached with the approval of the authors. Results: The cultural adaptation process, no new items were added to the cultural adaptation, and only the name of one of the support devices referred to the "scooter", has been changed to "electric chair". Some clarifications have been added and some examples of the tasks referred to have been expanded. Conclusions: The results show a good level of applicability and understanding of both questionnaires. A psychometric analysis of the Spanish version is pending


Assuntos
Humanos , Pré-Escolar , Criança , Escalas de Graduação Psiquiátrica , Psicometria/instrumentação , Avaliação da Deficiência , Características Culturais , Reprodutibilidade dos Testes , Deficiências do Desenvolvimento/terapia , Atividade Motora , Deficiências do Desenvolvimento/psicologia , Deficiências do Desenvolvimento/reabilitação , Inquéritos e Questionários/normas , Tradução , Recreação
11.
BMC Palliat Care ; 18(1): 61, 2019 Jul 23.
Artigo em Inglês | MEDLINE | ID: mdl-31337388

RESUMO

BACKGROUND: Providing quality palliative care in residential aged care facilities (RACFs) (aged care homes) is a high priority for ageing populations worldwide. Older people admitted to these facilities have palliative care needs. Nursing assistants (however termed) are the least qualified staff and provide most of the direct care. They have an important role at the frontline of care spending more time with residents than any other care provider but have been found to lack the necessary knowledge and skills to provide palliative care. The level of competence of this workforce to provide palliative care requires evaluation using a valid and reliable instrument designed for nursing assistants' level of education and the responsibilities and practices of their role. METHOD: The overall study purpose was to develop and test an instrument capable of evaluating the knowledge, skills and attitudes of nursing assistants within a palliative approach in RACFs. Development consisted of a four-phase mixed-methods sequential design. In this paper, the results and key findings following psychometric testing of the instrument in Phase 4 is reported using data collected from a random sample of 17 RACFs and 348 nursing assistants in the Greater Sydney region. Study hypotheses were tested to confirm discriminative validity and establish the utility of the instrument in both research and training assessment. RESULTS: Individual item properties were analysed for difficulty, discrimination and item-total correlations. Discriminative and structural validity, and internal consistency and test-retest reliability were demonstrated. Three separate questionnaires comprising 40 items were finalised: The Palliative Approach for Nursing Assistants (PANA)_Knowledge Questionnaire (17 items), the PANA_Skills Questionnaire (13 items) and the PANA_Attitudes Questionnaire (10 items). CONCLUSIONS: This study provides preliminary evidence for the validity and reliability of three new questionnaires that demonstrate sensitivity for nursing assistants' level of education and required knowledge, skills and attitudes for providing a palliative approach. Implications for practice include the development of palliative care competencies through structured education and training across this workforce, and ongoing professional development opportunities for nursing assistants, especially for those with the longest tenure.


Assuntos
Determinação de Necessidades de Cuidados de Saúde , Assistentes de Enfermagem/educação , Cuidados Paliativos/métodos , Adulto , Feminino , Grupos Focais/métodos , Humanos , Masculino , New South Wales , Assistentes de Enfermagem/estatística & dados numéricos , Casas de Saúde/organização & administração , Casas de Saúde/estatística & dados numéricos , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários
12.
Medicina (Kaunas) ; 55(7)2019 Jul 19.
Artigo em Inglês | MEDLINE | ID: mdl-31331102

RESUMO

Background and Objectives: Suicide is the leading cause of death in patients with Bipolar Disorder (BD). In particular, the high mortality rate is due to violent suicide attempts. Several risk factors associated with suicide attempts in patients with BD have been identified. Affective temperaments are associated with suicidal risk, but their predictive role is still understudied. The aim of this study is to assess the relationship between affective temperaments and personal history of violent suicide attempts. Materials and Methods: 74 patients with Bipolar Disorder type I (BD-I) or II (BD-II) were included. All patients filled in the short version of Munster Temperament Evaluation of the Memphis, Pisa, Paris and San Diego (short TEMPS-M) and the Temperament and Character Inventory, revised version (TCI-R). The sample was divided into two groups on the basis of a positive history for suicidal attempts and the suicidal group was further divided into two subgroups according to violent suicide attempts. Results: Violent suicide attempts were positively associated with the cyclothymic temperament and inversely to the hyperthymic one. BD-I patients and patients with a clinical history of rapid cycling were significantly more represented in the group of patients with a history of violent suicide attempts. Conclusions: Our study highlights that several clinical and temperamental characteristics are associated with violent suicide attempts, suggesting the importance of affective temperaments in the clinical management of patients with BPI.


Assuntos
Transtorno Bipolar/complicações , Tentativa de Suicídio/psicologia , Temperamento , Adulto , Agressão/psicologia , Transtorno Bipolar/psicologia , Feminino , Humanos , Itália , Masculino , Pessoa de Meia-Idade , Psicometria/instrumentação , Psicometria/métodos , Tentativa de Suicídio/prevenção & controle
13.
Crit Care ; 23(1): 253, 2019 07 12.
Artigo em Inglês | MEDLINE | ID: mdl-31300016

RESUMO

BACKGROUND: Cognitive impairment and psychological distress are common in intensive care unit (ICU) survivors. Early identification of affected individuals is important, so intervention and treatment can be utilized at an early stage. Cognitive Failures Questionnaire (CFQ) is commonly used to screen for subjective cognitive function, but it is unclear whether CFQ scores correlate to objective cognitive function in this population. METHODS: Between 2014 and 2018, 100 ICU survivors aged 18-70 years from the general ICU at the Karolinska University Hospital, Solna, were included in the study. Out of these, 58 patients completed follow-up at 3 months after ICU discharge, 51 at 6 months, and 45 at 12 months. Follow-up included objective cognitive function testing using the Cambridge Neuropsychological Test Automated Battery (CANTAB) and subjective cognitive function testing with the self-rating Cognitive Failures Questionnaire (CFQ), as well as psychological self-rating with the Post-Traumatic Stress Symptoms Scale-10 (PTSS-10) and Hospital Anxiety and Depression Scale (HADS). RESULTS: The prevalence of cognitive impairment as measured by four selected CANTAB tests was 34% at 3 months after discharge, 18% at 6 months, and 16% at 12 months. There was a lack of significant correlation between CANTAB scores and CFQ scores at 3 months (r = - 0.134-0.207, p > 0.05), at 6 months (r = - 0.106-0.257, p > 0.05), and at 12 months after discharge (r = - 0.070-0.109, p > 0.05). Correlations between CFQ and PTSS-10 scores and HADS scores, respectively, were significant over the follow-up period (r = 0.372-0.710, p ≤ 0.001-0.023). In contrast, CANTAB test scores showed a weak correlation with PTSS-10 and HADS scores, respectively, at 3 months only (r = - 0.319-0.348, p = 0.008-0.015). CONCLUSION: We found no clinically relevant correlation between subjective and objective cognitive function in this cohort of ICU survivors, while subjective cognitive function correlated significantly with psychological symptoms throughout the follow-up period. Treatment and evaluation of ICU survivors' recovery need to consider both subjective and objective aspects of cognitive impairment, and subjective reports must be interpreted with caution as an indicator of objective cognitive function.


Assuntos
Cognição , Disfunção Cognitiva/psicologia , Sobreviventes/psicologia , Adolescente , Adulto , Idoso , Disfunção Cognitiva/complicações , Disfunção Cognitiva/etiologia , Feminino , Seguimentos , Humanos , Unidades de Terapia Intensiva/organização & administração , Unidades de Terapia Intensiva/estatística & dados numéricos , Masculino , Pessoa de Meia-Idade , Estudos Prospectivos , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários , Sobreviventes/estatística & dados numéricos , Suécia
14.
JMIR Mhealth Uhealth ; 7(7): e12347, 2019 07 02.
Artigo em Inglês | MEDLINE | ID: mdl-31267980

RESUMO

BACKGROUND: Youth homelessness is a substantial issue, and many youths experiencing homelessness have mental health issues as both a cause and consequence of homelessness. These youths face many barriers to receiving traditional mental health services, and as a result, only a few youths experiencing homelessness receive any form of mental health care. OBJECTIVE: This project aimed to develop and determine the feasibility and acceptability of engaging young adults (ie, individuals aged 18-24 years) experiencing homelessness in a remotely delivered mental health intervention. This intervention provided brief emotional support and coping skills, drawing from cognitive behavioral principles as an introduction into psychosocial support. The intervention was piloted in a homeless shelter network. METHODS: A total of 35 young adults experiencing homelessness participated in a single-arm feasibility pilot trial. Participants received a mobile phone, a service and data plan, and 1 month of support from a coach consisting of up to 3 brief phone sessions, text messaging, and mobile mental health apps. We evaluated feasibility by looking at completion of sessions as well as the overall program and acceptability with satisfaction ratings. We also collected clinical symptoms at baseline and the end of the 1-month support period. We used validity items to identify participants who might be responding inappropriately and thus only report satisfaction ratings and clinical outcomes from valid responses. RESULTS: Most participants (20/35, 57%) completed all 3 of their phone sessions, with an average of 2.09 sessions (SD 1.22) completed by each participant. Participants sent an average of 15.06 text messages (SD 12.62) and received an average of 19.34 messages (SD 12.70). We found higher rates of satisfaction among the participants with valid responses, with 100% (23/23) of such participants indicating that they would recommend participation to someone else and 52% (12/23) reporting that they were very or extremely satisfied with their participation. We found very little change from pre- to posttreatment on measures of depression (d=0.27), post-traumatic stress disorder (d=0.17), and emotion regulation (d=0.10). CONCLUSIONS: This study demonstrated that it was feasible to engage homeless young adults in mental health services in this technology-based intervention with high rates of satisfaction. We did not find changes in clinical outcomes; however, we had a small sample size and a brief intervention. Technology might be an important avenue to reach young adults experiencing homelessness, but additional work could explore proper interventions to deliver with such a platform. TRIAL REGISTRATION: ClinicalTrials.gov NCT03620682; https://clinicaltrials.gov/ct2/show/NCT03620682.


Assuntos
Jovens em Situação de Rua/psicologia , Serviços de Saúde Mental/tendências , Aplicativos Móveis/normas , Adaptação Psicológica , Adolescente , Chicago , Estudos de Viabilidade , Feminino , Jovens em Situação de Rua/estatística & dados numéricos , Humanos , Masculino , Serviços de Saúde Mental/estatística & dados numéricos , Aplicativos Móveis/estatística & dados numéricos , Projetos Piloto , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários , Mensagem de Texto/instrumentação , Mensagem de Texto/normas , Mensagem de Texto/estatística & dados numéricos , Adulto Jovem
15.
Nurse Educ Today ; 80: 59-66, 2019 Sep.
Artigo em Inglês | MEDLINE | ID: mdl-31271940

RESUMO

BACKGROUND: In both the United Kingdom (UK) and the United States (US), health inequities are proving resistant to improvement. Nurses are ideally placed to advocate for social justice. It is therefore important that nurse education encourages awareness of the social determinants of health and equips students to act to address health inequity. However, little is known about student nurses' attitudes to social justice and poverty and the impact of pedagogical strategies used to teach the determinants and patterns of health inequities. OBJECTIVES: To assess and compare UK and US student nurses' attitudes towards social justice and poverty before and after learning about social determinants of health and health inequities. DESIGN: Cross-sectional study with embedded before and after design using validated measures. SETTING: Two universities: one urban UK university and one US university with urban and rural campuses. PARTICIPANTS: 230 student nurses in the UK (n = 143) and US (n = 87) enrolled in courses teaching content including health inequities and social determinants of health. RESULTS: Student nurses generally disagreed with stigmatizing statements about people living in poverty and mostly agreed with statements promoting social justice. However, US students were significantly more likely to have positive attitudes towards both social justice (p = 0.001) and poverty (p < 0.001). In multiple regression analyses, engagement in social justice-promoting activities, activism and higher levels of education were associated with positive attitudes to social justice and poverty. Statistically significant positive changes in attitudes to poverty and social justice after their courses were observed only among US student nurses. CONCLUSION: UK and US student nurses' attitudes to poverty and social justice were generally positive. Education around social determinants of health and health inequity had a different effect in the UK and the US. There is a need to explore further what specific components of educational programmes lead to positive changes in attitudes.


Assuntos
Atitude do Pessoal de Saúde , Pobreza/psicologia , Justiça Social/psicologia , Estudantes de Enfermagem/psicologia , Adulto , Estudos Transversais , Bacharelado em Enfermagem , Feminino , Humanos , Masculino , Psicometria/instrumentação , Psicometria/métodos , Reino Unido , Estados Unidos , População Urbana
16.
Work ; 63(3): 469-477, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31256099

RESUMO

BACKGROUND: The phenomenon of cyberbullying is on the rise among adolescents and in schools. OBJECTIVE: To evaluate the relationship between personality characteristics such as empathy, the tendency to implement cognitive mechanisms aimed at moral disengagement, and the use of social media. PARTICIPANTS: Italian students from first to fifth year in high school classes (n = 264). METHODS: A questionnaire was used to gather information on the sociodemographic characteristics of the participants, their use of social media, their level of empathy (Basic Empathy Scale, BES), and mechanisms of moral disengagement (Moral Disengagement Scale MDS). Two questions were included to determine whether each participant had ever been a victim of or witness to cyberbullying. RESULTS: Results suggest that offensive behaviors are related to mechanisms of moral disengagement and to interaction using forms of communication that allow anonymity. In addition, offensive behavior appears to be related to forms of Internet addiction, while prosocial behavior is linked with cognitive empathy. CONCLUSION: In order to promote the establishment of prosocial behavior, it would seem necessary for the various players involved - schools, parents, social network developers - to make an effort to implement educational environments and virtual social networks based on a hypothesis of "design for reflection", educating young people about the need to take the time to understand their feelings and relationships expressed via social media.


Assuntos
Comportamento de Ajuda , Mídias Sociais , Estudantes/psicologia , Adolescente , Adulto , Cyberbullying/psicologia , Empatia , Feminino , Humanos , Internet , Itália , Masculino , Psicometria/instrumentação , Psicometria/métodos , Estudantes/estatística & dados numéricos , Inquéritos e Questionários
17.
Work ; 63(3): 325-334, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31256102

RESUMO

BACKGROUND: Currently, there are no assessment tools for measuring coping strategies for stress at work in the Korean language. OBJECTIVE: The purpose of this study was to translate the Latack Coping Scale to workplace stress into Korean and examine its psychometric properties in a Korean working population. METHODS: Translation of the the Latack Coping Scale was performed according to the scientific guidelines for cross-cultural adaptation. Two hundred and forty one general workers in Korea completed the new Korean version of the Latack Coping Scale as well as the Type D Personality Scale-14 (negative affectivity). Psychometric properties (reliability and validity) were evaluated. RESULTS: Factor analysis yielded a model that was consistent with the originally proposed subscales of the questionnaire. Good to excellent internal consistency and measurement consistency over a one week interval were obtained for five subscales (Cronbach's alpha; 0.61 to 0.86 and ICC (2.2); 0.80 to 0.87). Escape coping scales were positively associated with Type D personality while control coping scales were negatively associated with Type D personality. CONCLUSIONS: This Korean version of the Latack Coping Scale has shown excellent validity and reliability in the Korean working population. Organizations investigating work stress and coping methods in Korean workers can use this instrument with confidence.


Assuntos
Adaptação Psicológica/classificação , Psicometria/normas , Adulto , Avaliação da Deficiência , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Psicometria/instrumentação , Psicometria/métodos , Reprodutibilidade dos Testes , República da Coreia , Estresse Psicológico/classificação , Estresse Psicológico/etiologia , Inquéritos e Questionários , Tradução
18.
Work ; 63(3): 427-433, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-31256109

RESUMO

BACKGROUND: Industrialization and rising standards of living have contributed to a growing amount of solid waste and consequent disposal problems. Solid waste collection is among the occupations with the highest risk for musculoskeletal disorders. OBJECTIVE: We have conducted this study to assess musculoskeletal complaints and work-related stress levels among municipal solid waste (MSW) collectors. METHODS: The subjects were all currently employed at the MSW Department of the City of Ankara, Turkey. Validated questionnaires were completed by 267 MSW collectors. Data analysis was performed using SPSS software (22.0 version). RESULTS: Upper back pain rate was 89.1% among the collectors. 47.9% of collectors reported having had upper back pain during the last 12 months and 38.7% had experienced it during the last month. 80.9% of the sample complained of shoulder pain. Wrists/hands and neck pain rates were found at rates of 78.7% and 67.8% respectively. Psychological demands, were significantly higher among MSW collectors living with moderate-severe pain. CONCLUSIONS: Ergonomics education, healthy work habits, occupational safety training and improvements in the psychosocial work environment should be considered.


Assuntos
Doenças Musculoesqueléticas/psicologia , Estresse Ocupacional/complicações , Resíduos Sólidos/efeitos adversos , Adulto , Estudos Transversais , Ergonomia/normas , Humanos , Masculino , Pessoa de Meia-Idade , Estresse Ocupacional/psicologia , Medição da Dor/métodos , Prevalência , Psicometria/instrumentação , Psicometria/métodos , Eliminação de Resíduos/métodos , Eliminação de Resíduos/normas , Fatores de Risco , Inquéritos e Questionários , Turquia , Local de Trabalho/psicologia , Local de Trabalho/normas
19.
Medicina (Kaunas) ; 55(7)2019 Jul 16.
Artigo em Inglês | MEDLINE | ID: mdl-31315290

RESUMO

Background and objectives: Lymphoma patients experience a psychological and physiological decline that could be reversed by exercise. However, little is known about the effects of the exercise on psychological and physical fitness variables. Therefore, the purpose of this longitudinal study was to assess self-efficacy, fatigue and physical fitness before and after an eight-week exercise intervention. Materials and Methods: Thirty-six participants (54.4 ± 19.1 years) performed a supervised exercise program (~60 min, 2d·wk-1). Each session included a combined progressive training of cardiorespiratory, resistance, flexibility and postural education exercises. Self-efficacy and fatigue were measured with the Regulatory Emotional Self-Efficacy scale and 0-10 rating scale, respectively. Physical fitness was assessed with the body mass index, lower back flexibility, static balance, muscle strength and functional mobility. Results: Adherence to exercise was high (91.2% ± 4.8%) and no major health problems were noted in the patients over the intervention period. At baseline, significant differences were found between Hodgkin's lymphoma and non-Hodgkin's lymphoma patients by age and all dependent measures (p < 0.05). Fatigue significantly decreased and the perceived capability to regulate negative affect and to express positive emotions improved after exercise (p < 0.001). Significant improvements were found for body mass index, trunk lateral flexibility, monopodalic balance, isometric handgrip force and functional mobility (p < 0.001). Fatigue was significantly correlated with handgrip force (r = -0.56, p < 0.001) and functional mobility (r = -0.69, p < 0.001). Conclusions: The supervised exercise program improved psychological and physical fitness without causing adverse effects and health problems. Therefore, exercise to improve fitness levels and reduce perceived fatigue should be considered in the management of lymphoma patients.


Assuntos
Terapia por Exercício/normas , Linfoma/psicologia , Adulto , Idoso , Exercício/psicologia , Terapia por Exercício/métodos , Terapia por Exercício/psicologia , Fadiga/diagnóstico , Fadiga/etiologia , Feminino , Força da Mão/fisiologia , Humanos , Estudos Longitudinais , Linfoma/complicações , Linfoma/terapia , Masculino , Pessoa de Meia-Idade , Aptidão Física/psicologia , Psicometria/instrumentação , Psicometria/métodos , Autoeficácia
20.
Rev Bras Enferm ; 72(3): 640-645, 2019 Jun 27.
Artigo em Inglês, Português | MEDLINE | ID: mdl-31269127

RESUMO

AIM: To demonstrate the relationship between religious/spiritual coping and hope in cancer patients undergoing chemotherapy. METHOD: This is a cross-sectional, descriptive study with a quantitative approach performed in a reference outpatient clinic in Caruaru, PE, between August and October 2017. A total of 82 cancer patients undergoing chemotherapy were included in the study, using the brief religious/spiritual coping scale (RCOPE-Brief) and the Herth Hope Scale (HHS). RESULTS: The sample presented mean positive RCOPE scores (3.03 ± 0.41) and the level of hope was considered high (42.7 points ± 3.67). Patients who had a high RCOPE score were found to have a higher mean of Herth's level of hope (44.12 points). CONCLUSION: This study becomes relevant to nursing professionals by encouraging care that takes into account the patient's spiritual dimension in order to stimulate positive mechanisms of religious coping and, consequently, raise the levels of hope.


Assuntos
Adaptação Psicológica , Esperança , Neoplasias/complicações , Espiritualidade , Adulto , Estudos Transversais , Tratamento Farmacológico/métodos , Tratamento Farmacológico/psicologia , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Neoplasias/tratamento farmacológico , Psicometria/instrumentação , Psicometria/métodos , Inquéritos e Questionários
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