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1.
Cyberpsychol Behav Soc Netw ; 22(12): 753-760, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31841647

RESUMO

Family belonging may influence relationships between the amount of time spent on social networking sites (SNS) and well-being. We examined the SNS and well-being association among young adults and investigated whether different markers of family belonging moderated this association. SNS, well-being, and family data (n = 2,229) were collected from adults aged 16-21 years living with their parent(s) in the United Kingdom. Participants were classed as nonusers (0 hours/weekday spent chatting or interacting with friends through social Web sites), moderate (nonzero to 4 hours/weekday), or heavy users (4+ hours/weekday). Multivariable linear regressions examined the SNS use and well-being associations; interaction terms tested whether these varied by family belonging (family meal frequency, strength of family support, and importance of family to personal identity). Well-being scores were lower for heavy users of SNS compared with moderate users (p = 0.044), and for those sharing few or no family meals (p < 0.001). The SNS use and well-being association was significantly moderated by family meal frequency (p = 0.009). Among those reporting no family meals, well-being scores were lower for heavy users versus nonusers (22.4 vs. 25.3). Well-being scores were similar across the SNS use categories among those having more family meals. Among heavy users of SNS, young adults having no family meals may be particularly vulnerable to the harms of being online. Our findings highlight the importance of minimizing the harms of heavy SNS use, including support for families to enable them to develop and build young adults' resilience to the stresses and anxieties that potentially accompany online social networking.


Assuntos
Relações Familiares/psicologia , Refeições/psicologia , Autoimagem , Mídias Sociais/estatística & dados numéricos , Fatores de Tempo , Adolescente , Feminino , Humanos , Modelos Lineares , Masculino , Rede Social , Reino Unido , Adulto Jovem
3.
Health Psychol ; 38(12): 1137-1149, 2019 Dec.
Artigo em Inglês | MEDLINE | ID: mdl-31556657

RESUMO

OBJECTIVE: A greater frequency of family meals is associated with better diet quality and lower body mass index (BMI) in children. However, the effect sizes are small, and it remains unclear which qualitative components of family meals contribute to these positive health outcomes. This meta-analysis synthesizes studies on social, environmental, and behavioral attributes of family meals and identifies components of family meals that are related to better nutritional health in children. METHOD: A systematic literature search (50 studies; 49,137 participants; 61 reported effect sizes) identified 6 different components of healthy family mealtimes. Separate meta-analyses examined the association between each component and children's nutritional health. Age (children vs. adolescents), outcome type (BMI vs. diet quality), and socioeconomic status (SES; controlled vs. not controlled for SES) were examined as potential moderators. RESULTS: Positive associations consistently emerged between 5 components and children's nutritional health: turning the TV off during meals (r = .09), parental modeling of healthy eating (r = .12), higher food quality (r = .12), positive atmosphere (r = .13), children's involvement in meal preparation (r = .08), and longer meal duration (r = .20). No moderating effects were found. CONCLUSIONS: How a family eats together shows significant associations with nutritional health in children. Randomized control trials are needed to further verify these findings. The generalizability of the identified mealtime components to other contexts of social eating is also discussed. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
/psicologia , Dieta/psicologia , Saúde da Família/normas , Comportamento Alimentar/psicologia , Refeições/psicologia , Adolescente , Índice de Massa Corporal , Criança , Pré-Escolar , Feminino , Humanos , Masculino
4.
Int J Behav Nutr Phys Act ; 16(1): 75, 2019 08 28.
Artigo em Inglês | MEDLINE | ID: mdl-31462252

RESUMO

BACKGROUND: There is considerable uncertainty regarding the impact of tableware size on food consumption. Most existing studies have used small and unrepresentative samples and have not followed recommended procedures for randomised controlled trials, leading to increased risk of bias. In the first pre-registered study to date, we examined the impact on consumption of using larger versus smaller plates for self-served food. We also assessed impact on the underlying meal micro-structure, such as number of servings and eating rate, which has not previously been studied. METHODS: The setting was a purpose-built naturalistic eating behaviour laboratory. A general population sample of 134 adult participants (aged 18-61 years) was randomly allocated to one of two groups varying in the size of plate used for self-serving lunch: large or small. The primary outcome was amount of food energy (kcal) consumed during a meal. Additionally, we assessed impact on meal micro-structure, and examined potential modifying effects of executive function, socio-economic position, and sensitivity to perceptual cues. RESULTS: There was no clear evidence of a difference in consumption between the two groups: Cohen's d = 0.07 (95% CI [- 0.27, 0.41]), with participants in the large plate group consuming on average 19.2 (95% CI [- 76.5, 115.0]) more calories (3%) compared to the small plate group (large: mean (SD) = 644.1 (265.0) kcal, versus small: 624.9 (292.3) kcal). The difference between the groups was not modified by individual characteristics. There was no evidence of impact on meal micro-structure, with the exception of more food being left on the plate when larger plates were used. CONCLUSIONS: This study suggests that previous meta-analyses of a low-quality body of evidence may have considerably overestimated the effects of plate size on consumption. However, the possibility of a clinically significant effect - in either direction - cannot be excluded. Well-conducted trials of tableware size in real-world field settings are now needed to determine whether changing the size of tableware has potential to contribute to efforts to reduce consumption at population-level. TRIAL REGISTRATION: The study protocol ( https://osf.io/e3dfh/ ) and data analysis plan ( https://osf.io/sh5u7/ ) were pre-registered on the Open Science Framework.


Assuntos
Ingestão de Energia/fisiologia , Comportamento Alimentar/fisiologia , Comportamento Alimentar/psicologia , Refeições , Adolescente , Adulto , Estudos de Coortes , Humanos , Refeições/fisiologia , Refeições/psicologia , Pessoa de Meia-Idade , Adulto Jovem
5.
Artigo em Inglês | MEDLINE | ID: mdl-31373293

RESUMO

The objective was to determine if cooking skills and meal planning behaviors are associated with greater fruit and vegetable intake and lower body mass index (BMI) in first-year college students who are at risk for excessive weight gain. A cross-sectional analysis was conducted using baseline data from a multi-state research project aimed at preventing weight gain in first-year college students. Cooking type, frequency and confidence, self-instruction for healthful mealtime behavior intention, self-regulation of healthful mealtime behavior, and cup equivalents of fruits and vegetables (FV) were measured using validated surveys. BMI was calculated from measured height and weight. First-year students (n = 1108) considered at risk for weight gain from eight universities completed baseline assessments within the first month of entering college. Multiple linear regression was used to determine associations among independent variables of cooking patterns, meal planning behaviors, and dependent variables of fruit and vegetable intake and BMI, after controlling for the influence of sex. Cooking more frequently, cooking with greater skills, and practicing meal planning behaviors are associated with greater fruit and vegetable intake and lower BMI in first-year college students. Interventions aimed at improving health in college students may be enhanced by incorporating cooking and meal planning components.


Assuntos
Culinária/estatística & dados numéricos , Dieta/estatística & dados numéricos , Ingestão de Alimentos , Frutas , Refeições/psicologia , Verduras , Adolescente , Índice de Massa Corporal , Estudos Transversais , Feminino , Humanos , Masculino , Estudantes , Fatores de Tempo , Estados Unidos , Universidades , Ganho de Peso , Adulto Jovem
6.
Asian Nurs Res (Korean Soc Nurs Sci) ; 13(3): 169-176, 2019 Aug.
Artigo em Inglês | MEDLINE | ID: mdl-31228607

RESUMO

PURPOSE: The aim of this study was to identify factors influencing meal satisfaction in older adults. METHODS: Authors searched four databases Ovid MEDLINE, Ovid EMBASE, the Cochrane Library, and KoreaMed using the following key search terms: "(elderly-mp. OR aged), AND (meal OR food OR eating OR feeding), AND satisfaction." Only articles published between January 1946 and May 2018 were considered. The preferred reporting items for systematic reviews and meta-analyses guidelines were adopted for quality assessment. The authors ultimately selected 7 of 1,695 references for review and meta-analysis. RESULTS: A meta-analysis was conducted to determine the factors influencing meal satisfaction in older adults aged more than 60 years. The results showed that meal satisfaction was low when age increased and the individual was served frozen meals. Satisfaction with meals was high when food choices were available and individuals were served high-quality food and when the food smelled and tasted good or was personally tailored. Satisfaction was also high when individuals ate with their families. Moreover, meal satisfaction seemed to be influenced by physical health, whereas it did not show a significant correlation with mental health. CONCLUSION: Intending to improve the quality of life of older adults by increasing their meal satisfaction, the authors pointed out factors that institutions should attend to when providing meals to older adults. To contribute to the lack of any existing conceptual and theoretical framework in this field, further steps to be taken by the authors shall involve concept analysis that would assist in building a conceptual framework.


Assuntos
Comportamento Alimentar/psicologia , Refeições/psicologia , Satisfação Pessoal , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Masculino , Pessoa de Meia-Idade , Qualidade de Vida
7.
Nutr Hosp ; 36(4): 805-812, 2019 Aug 26.
Artigo em Espanhol | MEDLINE | ID: mdl-31232574

RESUMO

Introduction: The present study seeks to determine which demographic and behavioral factors affect satisfaction with food-related life in older Chilean adults. A questionnaire was applied to 785 older adults belonging to the adult centers of 30 communes in the Maule region, Chile. The questionnaires Satisfaction with Food-related Life, Satisfaction with Life Scale, Subjective Happiness Scale and independence in Activities of the Daily Life were applied. Sociodemographic characterization questions were included, in addition to questions about the consumption of eleven groups of foods and drinks at home, besides the expenses in restaurants. A descriptive analysis and logistic regression were performed, using statistical adjustment measures and collinearity diagnosis of the variables. In conclusion, the main factors positively related to a high satisfaction related to food are the female gender, being married or in a couple, greater perception of satisfaction with life and consumption of fish and wine. Good levels of commensality were determined in the three meals studied; consequently, reuniting the family and sharing daily can contribute positively to well-being. However, satisfaction with food was higher in rural areas than in urban areas and the group with the highest age (> 80 years) reported lower satisfaction with food when it was analyzed in a bivariable manner.


Assuntos
Alimentos , Satisfação Pessoal , Atividades Cotidianas , Idoso , Idoso de 80 Anos ou mais , Bebidas , Chile , Comportamento Alimentar , Feminino , Alimentos/economia , Felicidade , Humanos , Modelos Logísticos , Masculino , Estado Civil , Refeições/psicologia , Pessoa de Meia-Idade , Qualidade de Vida , Restaurantes/economia , População Rural , Fatores Sexuais , Inquéritos e Questionários , População Urbana
8.
Eat Behav ; 34: 101306, 2019 08.
Artigo em Inglês | MEDLINE | ID: mdl-31226668

RESUMO

OBJECTIVE: To explore differences in family mealtime characteristics and family mealtime emotions among adolescents who report engaging in binge-eating in comparison to those who do not. METHOD: Adolescents (N = 495) recruited from UK schools/colleges reported on their family mealtime frequency and atmosphere, family mealtime emotions, anxiety, depression and eating psychopathology. RESULTS: No significant differences were found between adolescents who reported binge-eating (n = 32 boys; n = 82 girls) and those who did not (n = 196 boys; n = 185 girls) on family mealtime frequency or mealtime atmosphere scores. However, boys and girls who binge-eat reported significantly lower levels of positive family mealtime emotions and significantly higher levels of family mealtime anxiety and anger (girls only), compared with their peers who did not report binge-eating. DISCUSSION: Adolescents who binge-eat experience significantly greater negative emotional responses to family mealtimes than their peers. Further research should explore why these experiences are more negative, including broader familial factors and interactions.


Assuntos
Comportamento do Adolescente/psicologia , Transtorno da Compulsão Alimentar/psicologia , Bulimia/psicologia , Comportamento Alimentar/psicologia , Refeições/psicologia , Adolescente , Ansiedade/psicologia , Transtornos de Ansiedade/psicologia , Depressão/psicologia , Emoções , Feminino , Humanos , Masculino , Psicopatologia , Instituições Acadêmicas
9.
BMC Public Health ; 19(1): 701, 2019 Jun 06.
Artigo em Inglês | MEDLINE | ID: mdl-31170950

RESUMO

BACKGROUND: Parental support is an important element in overweight prevention programs for children. The purpose of this study was to examine everyday life situations in which mothers encounter difficulties encouraging healthy energy balance-related behavior in their school-age children. METHODS: We formed four focus groups containing 6-9 participants each. The participants were mothers of Dutch, Turkish, or Moroccan descent with a child 8-13 years of age. All focus group sessions were recorded, transcribed, and coded. Content was analyzed conventionally using ATLAS.ti 6. RESULTS: Twenty-seven difficult everyday life situations were identified in 14 settings. The five most frequently reported situations were a daily struggle regarding eating vegetables, eating breakfast on time before going to school, eating candy and snacks between meals, and spending excessive time watching television and using the computer. A perceived loss of parental control, the inability to establish rules and the failure to consistently enforce those rules were the most commonly cited reasons for why the mothers experience these situations as being difficult. CONCLUSIONS: We identified five difficult everyday life situations related to healthy energy balance-related behavior. These five difficult situations were used as the input for developing a web-based parenting program designed to prevent children from becoming overweight. We reasoned that if we use these situations and the underlying reasons, many parents would recognize these situations and are willing to learn how to deal with them and complete the e-learning.


Assuntos
Comportamento Infantil/psicologia , Comportamentos Relacionados com a Saúde , Mães/psicologia , Relações Pais-Filho , Poder Familiar/psicologia , Adolescente , Adulto , Atitude Frente a Saúde , Criança , Comportamento Infantil/etnologia , Ingestão de Alimentos/psicologia , Feminino , Grupos Focais , Humanos , Masculino , Refeições/psicologia , Marrocos/etnologia , Países Baixos/etnologia , Sobrepeso/prevenção & controle , Sobrepeso/psicologia , Poder Familiar/etnologia , Percepção , Turquia/etnologia
10.
J Autism Dev Disord ; 49(6): 2536-2544, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30968319

RESUMO

This study aims to translate the Brief Autism Mealtime Behaviour Inventory (BAMBI) questionnaire to Brazilian Portuguese, in order to provide a tool to be used in clinic routine that encourages the evaluation of the feeding behaviour of patients with Autism Spectrum Disorder (ASD). The final sample contained 410 participants, the mean age was 9.58 ± 1.2 and the majority of participants were male (95%). Validation of this questionnaire allows a structured evaluation for this population to be integrated not only into the clinical routine but also to help parent's interventions about the eating problems and possible consequences. This is of utmost importance, since parents are reporting the nutritional aspects more often, and studies indicate that up to 80% of ASD patients may present feeding behavior problems.


Assuntos
Transtorno do Espectro Autista/psicologia , Comportamento Alimentar/psicologia , Refeições/psicologia , Brasil , Criança , Pré-Escolar , Feminino , Humanos , Masculino , Pais , Comportamento Problema , Inquéritos e Questionários
11.
J Fam Psychol ; 33(4): 465-475, 2019 Jun.
Artigo em Inglês | MEDLINE | ID: mdl-30816780

RESUMO

Responsive feeding and frequency of family mealtimes are related to healthier eating behaviors and weight outcomes in children and adolescents. Distractions at mealtimes are related to greater intake of unhealthy food and a less positive mealtime emotional climate. However, there is little understanding of the effects of routines and father availability on distractions at family meals, and there is limited research investigating the effects of distractions among all family members on maternal feeding practices in toddlerhood. This study aims to characterize distractions at family mealtimes and examine associations between father availability, distractions, and observed responsive feeding. Descriptive analyses, nonlinear mixed models, and path analyses were conducted using observational (home-based family mealtimes) and self-report data collected from a subsample of families (n = 109) of 18- to 24-month-old children in the larger STRONG Kids 2 Study (N = 468). Between fathers, mothers, and children, families spent almost half of the mealtime distracted. Fathers and mothers engaged in about equal amounts of distractions, and children engaged in more technology-related distractions than parents. Fathers' absence at the mealtime was associated with more child distractions and less maternal feeding responsiveness. Lower paternal total distractions, maternal non-technology-object-related distractions, and higher household income were significantly associated with more observed maternal feeding responsiveness. Future research should investigate how father availability and family mealtime distractions may be associated directly and indirectly with children's eating behaviors and weight outcomes. (PsycINFO Database Record (c) 2019 APA, all rights reserved).


Assuntos
Comportamento Infantil/psicologia , Pai , Comportamento Alimentar/psicologia , Comportamento Materno/psicologia , Refeições/psicologia , Mães , Comportamento Paterno , Adulto , Desenvolvimento Infantil , Pré-Escolar , Ingestão de Alimentos/psicologia , Feminino , Humanos , Comportamento Imitativo/fisiologia , Lactente , Masculino , Comportamento Paterno/psicologia
12.
Am J Occup Ther ; 73(1): 7301205070p1-7301205070p10, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30839262

RESUMO

OBJECTIVE: We identified and described the strategies parents use to support the mealtime participation of their child with autism spectrum disorder (ASD). METHOD: Twelve families with children with ASD (ages 2-7 yr) participated in videotaped mealtime observations. Qualitative content analysis was used to identify strategies families used to facilitate participation. RESULTS: Six categories were identified: (1) parent intervening and ignoring, (2) meal preparation and adaptability, (3) play and imagination, (4) distractions, (5) positive reinforcements, and (6) modeling. Props-common child objects that support the child's mealtime participation-were used in the context of multiple strategies. In addition, increased parental vigilance emerged as an important component of all family mealtimes. CONCLUSION: Families used multiple strategies within and across mealtimes, highlighting the individualistic nature of feeding challenges. Understanding parent mealtime strategies allows for further investigation into the efficacy and development of intervention strategies to promote mealtime participation of children with ASD.


Assuntos
Transtorno do Espectro Autista , Ingestão de Alimentos , Refeições/psicologia , Poder Familiar , Pais , Participação Social/psicologia , Criança , Pré-Escolar , Características da Família , Comportamento Alimentar/psicologia , Feminino , Humanos , Masculino , Gravação em Vídeo
13.
Int J Eat Disord ; 52(4): 428-434, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30779365

RESUMO

OBJECTIVE: Information on nutritional rehabilitation for underweight patients with avoidant/restrictive food intake disorder (ARFID) is scarce. This study characterized hospitalized youth with ARFID treated in an inpatient (IP)-partial hospitalization behavioral eating disorders (EDs) program employing an exclusively meal-based rapid refeeding protocol and compared weight restoration outcomes to those of patients with anorexia nervosa (AN). METHOD: Data from retrospective chart review of consecutive underweight admissions (N = 275; age 11-26 years) with ARFID (n = 27) were compared to those with AN (n = 248) on clinical features, reason for discharge, and weight restoration variables. For patients with ARFID, presenting phenomenology was further characterized by detailed chart review. RESULTS: At admission, 53% of patients with ARFID were vomiting regularly. The predominant ARFID subtype was ARFID-aversive, with close to a third being mixed subtype. Gastrointestinal (GI) symptomatology (81.5%) was the most commonly endorsed reason for restriction. A third had undergone unsuccessful parenteral or enteral tube feeding. Patients with ARFID were more likely male, had higher admission BMI, and slower IP weight gain (1.36 kg /week vs 1.92) compared to patients with AN. Fewer patients with ARFID transitioned to the partial hospitalization program, although the proportion discharged for clinical improvement did not differ and both groups had a mean program discharge BMI >18.5. DISCUSSION: GI symptoms appear a common contributor to restrictive eating amongst hospitalized youth with ARFID. Despite a slightly lower rate of IP weight gain, clinical improvement and weight restoration at discharge were similar for patients with ARFID compared to AN.


Assuntos
Anorexia Nervosa/terapia , Transtornos da Alimentação e da Ingestão de Alimentos/terapia , Refeições/psicologia , Magreza/terapia , Adolescente , Adulto , Anorexia Nervosa/psicologia , Criança , Transtornos da Alimentação e da Ingestão de Alimentos/psicologia , Feminino , Hospitalização , Humanos , Pacientes Internados , Masculino , Estudos Retrospectivos , Magreza/psicologia , Adulto Jovem
14.
Int J Eat Disord ; 52(4): 473-477, 2019 04.
Artigo em Inglês | MEDLINE | ID: mdl-30793778

RESUMO

OBJECTIVE: The current case report details the treatment of a 16-year-old adolescent with anorexia nervosa utilizing a novel adjunct, acceptance-based interoceptive exposure, prior to family-based treatment (FBT) for eating disorders. METHOD: The exposure-based module focused particularly on the tolerance of disgust. For six sessions, the clinician taught the client skills that could be used to tolerate distress to visceral sensations associated with disgust. These skills were to be used during in- and between-session exposures. Each session included exposure to physical sensations that occurred while drinking a milkshake. RESULTS: Across six sessions, the client reported improvement in symptoms in addition to gaining weight. Additionally, she consumed more calories of a test meal following the intervention. Within broader FBT, the client reached an established weight goal, was able to return to physical activity, and reported an increased ability to manage distress. DISCUSSION: Given the client's improvement on the Eating Disorders Examination-Questionnaire (EDE-Q) within six sessions, we believe IE may be a useful adjunct to FBT. Interoceptive exposure may augment the efficacy of FBT for anorexia nervosa as it provides clients with skills to utilize during the refeeding phase of treatment.


Assuntos
Anorexia Nervosa/psicologia , Asco , Refeições/psicologia , Adolescente , Anorexia Nervosa/terapia , Feminino , Humanos
15.
J Women Aging ; 31(3): 213-230, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-29432075

RESUMO

The present study explored the experiences of Indian elderly women in meal preparation and food procurement. Ten elderly women aged 60-72 years residing in a metropolis were interviewed. Thematic analysis identified two overarching themes: "Meal preparation and food procurement are meaningful occupations" and "Meal preparation and food procurement change with age." The findings suggests that Indian elderly women valued their participation in these activities. They actively adopted alternative strategies and technologies to overcome the challenges experienced while performing these activities. The findings highlight the strong influence of family and financial aspects on the decisions of elderly women with regard to meal preparation and food procurement. The study findings provide salient information on personal and environmental factors that could guide interventions to promote and maintain Indian elderly women's participation in these meaningful occupations.


Assuntos
Culinária/métodos , Comportamento Alimentar/psicologia , Abastecimento de Alimentos/métodos , Refeições/psicologia , Fatores Etários , Idoso , Idoso de 80 Anos ou mais , Feminino , Humanos , Índia , Pessoa de Meia-Idade , Pesquisa Qualitativa
16.
Nurs Health Sci ; 21(1): 78-84, 2019 Mar.
Artigo em Inglês | MEDLINE | ID: mdl-30105899

RESUMO

Nutrition care is a fundamental component of quality health care provided to patients in hospital, yet little is known about the staff who deliver this care and their interrelationships, and how this impacts nutrition care. In this ethnographic study on two subacute wards, 67 h of fieldwork was conducted over 3 months to explore the relationships, roles, and responsibilities of those involved at mealtimes, and the influence on meal provision. Data were analyzed inductively and thematically. Three themes describing ward culture and staff relationships emerged: (i) defining mealtime roles and maintaining boundaries; (ii) balancing the need for teamwork and having time and space; and (iii) effective communication supports role completion and problem solving. Lack of appreciation of workflow enablers and barriers degraded working relationships between staff with and without central roles at mealtimes. The present study informs health-care organizations on building a culture that supports interprofessional collaboration in nutrition care in the subacute setting. All staff need to be aware of their and others' mealtime roles and responsibilities to support a coordinated approach.


Assuntos
Refeições/psicologia , Cultura Organizacional , Quartos de Pacientes/normas , Adulto , Antropologia Cultural/métodos , Austrália , Ingestão de Alimentos/psicologia , Feminino , Humanos , Relações Interpessoais , Satisfação no Emprego , Masculino , Pesquisa Qualitativa
18.
J Nurs Care Qual ; 34(1): 80-85, 2019.
Artigo em Inglês | MEDLINE | ID: mdl-30198944

RESUMO

BACKGROUND: Providing appropriate and timely mealtime assistance to hospitalized patients should be part of a multifaceted and multidisciplinary approach to optimizing a patient's nutritional care plan. PROBLEM: There was anecdotal evidence at the study hospital that patients did not receive adequate and/or timely assistance at mealtimes. APPROACH: A best practice implementation project, using a proven strategy of audit, feedback, and reaudit, was used to effect practice change on an acute general medical ward. OUTCOMES: The combined interventions of staff engagement, redesigning the model of care to reprioritize activities at mealtimes, clarifying nutritional care roles and responsibilities, introducing a protected mealtime and a novel 2-tiered colored tray system, and implementing an awareness and education program have resulted in significant improvements in mealtime assistance. CONCLUSIONS: Success of the project is considered to be replicable and sustainable hospitalwide and more broadly.


Assuntos
Comportamento Cooperativo , Refeições/psicologia , Guias de Prática Clínica como Assunto , Hospitais , Humanos , Papel do Profissional de Enfermagem , Inovação Organizacional
19.
Laryngoscope ; 129(7): 1572-1578, 2019 07.
Artigo em Inglês | MEDLINE | ID: mdl-30284283

RESUMO

OBJECTIVES/HYPOTHESIS: The objectives of the study were to develop a mealtime experience self-assessment questionnaire that was head and neck cancer (HNC) survivors-driven and based on the International Classification of Functioning, Disability and Health (ICF) framework, and to identify common mealtime issues reported by HNC survivors. STUDY DESIGN: Outcomes research. METHODS: Mealtime issues reported by HNC survivors in prior research was synthesized and classified using the ICF framework to develop the content and structure of the Head and Neck Cancer Survivors' Assessment of Mealtimes (HNSAM). A total of 122 HNC survivors completed both HNSAM and M.D. Anderson Dysphagia Inventory (MDADI) to assess for concurrent validity, whereas 51% of participants completed a second HNSAM for test-retest reliability. RESULTS: The HNSAM scores were significantly correlated with the MDADI scores. Dysphagic participants (n = 45) had significantly higher HNSAM scores than the nondysphagic participants (n = 77). Principal component analysis revealed three factors that matched with the HNSAM subscales. Good internal consistency (Cronbach's α = 0.72-0.96) and test-retest reliability (intraclass correlation = 0.76-0.91) were found. Both dysphagic and nondysphagic participants reported difficulties with saliva-related issues and were not able to enjoy food/drinks that they previously enjoyed. CONCLUSIONS: HNC survivors experience mealtime changes after cancer treatment. These initial validity data support the potential for the HNSAM to help HNC survivors' identify changes to the mealtime experience. Validation of the English version of the tool is now required. LEVEL OF EVIDENCE: 2c Laryngoscope, 129:1572-1578, 2019.


Assuntos
Sobreviventes de Câncer/psicologia , Transtornos de Deglutição/psicologia , Neoplasias de Cabeça e Pescoço/psicologia , Refeições/psicologia , Inquéritos e Questionários/normas , Adulto , Idoso , Idoso de 80 Anos ou mais , Transtornos de Deglutição/diagnóstico , Transtornos de Deglutição/etiologia , Feminino , Neoplasias de Cabeça e Pescoço/terapia , Humanos , Masculino , Pessoa de Meia-Idade , Análise de Componente Principal , Psicometria , Reprodutibilidade dos Testes
20.
J Autism Dev Disord ; 49(2): 441-452, 2019 Feb.
Artigo em Inglês | MEDLINE | ID: mdl-30136117

RESUMO

Families with children on the autism spectrum are often viewed in terms of their deficits rather than their strengths. Family meals are portrayed as sources of stress and struggle for parents and children. In this study, we take a resilience perspective to challenge underlying assumptions and get a more accurate picture of the nature of shared family meals. In-depth interviews were conducted and mealtimes were video recorded with 16 families for this thematic analysis. We identified four themes as being particularly salient to the mealtime experience: (1) schools and homework, (2) managing eating, (3) chores, and (4) intimate conversations. Our results elucidate the context of mealtimes as a site where parents struggle, yet negotiate, the challenges of everyday family life.


Assuntos
Transtorno do Espectro Autista/psicologia , Relações Familiares/psicologia , Comportamento Alimentar/psicologia , Refeições/psicologia , Gravação em Vídeo , Adulto , Transtorno do Espectro Autista/diagnóstico , Criança , Comportamento Alimentar/fisiologia , Feminino , Humanos , Masculino , Refeições/fisiologia
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