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  1 / 195 MEDLINE  
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[PMID]:29016612
[Au] Autor:Park S; Shin J
[Ad] Endereço:Department of Education, Sejong University, Seoul, Republic of Korea.
[Ti] Título:The influence of anonymous peers on prosocial behavior.
[So] Source:PLoS One;12(10):e0185521, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Peer influence on students' maladaptive behaviors has been well documented; however, the influence on positive development is less acknowledged. PURPOSE: The purpose of this study was to examine anonymous peer influence on college students' prosocial behavior, specifically behavior for the improvement of society (i.e., donating money or participating in social campaigns) via an experimental approach. The effects of indirect peer influence (IP) and direct peer influence (DP) on college students' prosocial behavior were examined. METHODS: A total of 125 college students participated in an online survey and laboratory experiment. Self-reported helping behavior, social concern goals, and empathy were measured by the online survey. In the laboratory experiments, reading of a prosocial paragraph (IP) and confederates' prosocial behavior (DP) were manipulated. Participation in a signature campaign and money donation for illness were observed. Furthermore, 19 participants among those who donated were asked about their reasons for participating in such prosocial behavior. RESULTS: Prosocial behavior of anonymous peers (confederates) exerts a profound influence on college students' participation in a signature campaign and money donation, whereas the reading of a prosocial paragraph has no effect. Furthermore, no participants reported peer influence as a reason for engaging in prosocial behavior. CONCLUSION: This finding supports and extends recent research examining the positive impacts of anonymous peers on prosocial behavior. Prosocial behavior is not only a foundational and consistent aspect of personality, as previous studies report, but is also highly malleable and unstable in response to immediate situations.
[Mh] Termos MeSH primário: Comportamento do Adolescente/psicologia
Empatia/fisiologia
Personalidade
Comportamento Social
[Mh] Termos MeSH secundário: Adolescente
Adulto
Feminino
Comportamento de Ajuda
Seres Humanos
Masculino
Grupo Associado
Infuência dos Pares
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171031
[Lr] Data última revisão:
171031
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:171011
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0185521


  2 / 195 MEDLINE  
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[PMID]:28816808
[Au] Autor:Majee W; Thullen MJ; Davis AN; Sethi TK
[Ad] Endereço:Wilson Majee is an Assistant Professor, Dept. of Health Sciences and Public Health, University of Missouri, Columbia, MO. The author can be reached via e-mail at majeew@missouri.edu Matthew J. Thullen is an Assistant Professor, University of Missouri, Columbia, MO. Alexandra N. Davis, an Assistant Professor, University of New Mexico, Albuquerque, NM. Tarunjot K. Sethi, is a Senior Student Support Specialist, University of Missouri, Columbia, MO.
[Ti] Título:Influences on Infant Feeding: Perceptions of Mother-Father Parent Dyads.
[So] Source:MCN Am J Matern Child Nurs;42(5):289-294, 2017 Sep/Oct.
[Is] ISSN:1539-0683
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:PURPOSE: The purpose of this study was to examine interrelational-, organizational-, and community-level influences on how coparents collaborate about infant and toddler feeding. STUDY DESIGN AND SAMPLE: Using qualitative methods, we interviewed mother-father parent dyads to explore the potential influences on infant and toddler feeding. Participants were purposively recruited from two Midwest, rural, university-system pediatric clinics. Thematic analysis was used to code the data. MEASURES: Mother-father dyadic interviews were conducted using a semistructured interview schedule. Twenty-four mother-father dyads who had a child between the ages of 6 and 36 months were interviewed together. RESULTS: Major themes include interpersonal factors (peer behavior reinforcement, dyad and important others infant feeding conflict, conflict resolution proactiveness), organizational factors (healthcare provider infant-feeding support, workplace flexibility), and community factors (public perception on breastfeeding and social media influence). CLINICAL IMPLICATIONS: Community-based collaboration can be a platform for mother-father dyads, researchers, public health nurses, and other healthcare providers to proactively create interventions that include opportunity for building coparenting skills and infant-feeding knowledge that promote team management of common early childhood feeding challenges.
[Mh] Termos MeSH primário: Comportamento Alimentar/psicologia
Pais/psicologia
Percepção
[Mh] Termos MeSH secundário: Adulto
Alimentação Artificial
Aleitamento Materno
Pré-Escolar
Comportamento Cooperativo
Pai/psicologia
Feminino
Seres Humanos
Lactente
Cuidado do Lactente/métodos
Cuidado do Lactente/psicologia
Recém-Nascido
Masculino
Mães/psicologia
Cultura Organizacional
Infuência dos Pares
Pesquisa Qualitativa
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171102
[Lr] Data última revisão:
171102
[Sb] Subgrupo de revista:IM; N
[Da] Data de entrada para processamento:170818
[St] Status:MEDLINE
[do] DOI:10.1097/NMC.0000000000000357


  3 / 195 MEDLINE  
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[PMID]:28792519
[Au] Autor:González-Alcaide G; Park J; Huamaní C; Ramos JM
[Ad] Endereço:Department of History of Science and Documentation, University of Valencia, Valencia, Spain.
[Ti] Título:Dominance and leadership in research activities: Collaboration between countries of differing human development is reflected through authorship order and designation as corresponding authors in scientific publications.
[So] Source:PLoS One;12(8):e0182513, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:INTRODUCTION: Scientific collaboration is an important mechanism that enables the integration of the least developed countries into research activities. In the present study, we use the order of author signatures and addresses for correspondence in scientific publications as variables to analyze the interactions between countries of very high (VHHD), high (HHD), medium (MHD), and low human development (LHD). METHODOLOGY: We identified all documents published between 2011 and 2015 in journals included in the Science Citation Index-Expanded categories' of Tropical Medicine, Infectious Diseases, Parasitology, and Pediatrics. We then classified the countries participating in the publications according to their Human Development Index (HDI), analyzing the international collaboration; positioning and influence of some countries over others in cooperative networks; their leadership; and the impact of the work based on the HDI and the type of collaboration. RESULTS: We observed a high degree of international collaboration in all the areas analyzed, in the case of both LHD and MHD countries. We identified numerous cooperative links between VHHD countries and MHD/LHD countries, reflecting the fact that cooperative links are an important mechanism for integrating research activities into the latter. The countries with large emerging economies, such as Brazil and China stand out due to the dominance they exert in the collaborations established with the United States, the UK, and other European countries. The analysis of the leadership role of the countries, measured by the frequency of lead authorships, shows limited participation by MHD/LHD countries. This reduced participation among less developed countries is further accentuated by their limited presence in the addresses for correspondence. We observed significant statistical differences in the degree of citation according to the HDI of the participating countries. CONCLUSIONS: The order of signatures and the address for correspondence in scientific publications are bibliographic characteristics that facilitate a precise, in-depth analysis of cooperative practices and their associations with concepts like dominance or leadership. This is useful to monitor the existing balance in research participation in health research publications.
[Mh] Termos MeSH primário: Autoria
Países Desenvolvidos
Países em Desenvolvimento
Cooperação Internacional
Editoração
[Mh] Termos MeSH secundário: Seres Humanos
Liderança
Infuência dos Pares
Predomínio Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171003
[Lr] Data última revisão:
171003
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170810
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0182513


  4 / 195 MEDLINE  
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[PMID]:28686719
[Au] Autor:Sprague DA; House T
[Ad] Endereço:Spectra Analytics, 40-42 Scrutton St, London EC2A 4PP, United Kingdom.
[Ti] Título:Evidence for complex contagion models of social contagion from observational data.
[So] Source:PLoS One;12(7):e0180802, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Social influence can lead to behavioural 'fads' that are briefly popular and quickly die out. Various models have been proposed for these phenomena, but empirical evidence of their accuracy as real-world predictive tools has so far been absent. Here we find that a 'complex contagion' model accurately describes the spread of behaviours driven by online sharing. We found that standard, 'simple', contagion often fails to capture both the rapid spread and the long tails of popularity seen in real fads, where our complex contagion model succeeds. Complex contagion also has predictive power: it successfully predicted the peak time and duration of the ALS Icebucket Challenge. The fast spread and longer duration of fads driven by complex contagion has important implications for activities such as publicity campaigns and charity drives.
[Mh] Termos MeSH primário: Comportamento Imitativo/fisiologia
Modelos Estatísticos
Infuência dos Pares
Meio Social
[Mh] Termos MeSH secundário: Seres Humanos
Internet
Modelos Psicológicos
Rede Social
Percepção Social
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170922
[Lr] Data última revisão:
170922
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170708
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0180802


  5 / 195 MEDLINE  
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[PMID]:28592268
[Au] Autor:Bowden JA; Delfabbro P; Room R; Miller CL; Wilson C
[Ad] Endereço:Population Health Research Group, South Australian Health and Medical Research Institute, Adelaide, South Australia, 5001, Australia. jacqueline.bowden@sahmri.com.
[Ti] Título:Prevalence, perceptions and predictors of alcohol consumption and abstinence among South Australian school students: a cross-sectional analysis.
[So] Source:BMC Public Health;17(1):549, 2017 Jun 07.
[Is] ISSN:1471-2458
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Alcohol consumption by young people (particularly early initiation) is a predictor for poorer health in later life. In addition, evidence now clearly shows a causal link between alcohol and cancer. This study investigated prevalence, predictors of alcohol consumption among adolescents including perceptions of the link between alcohol and cancer, and the role of parents and peers. METHODS: A sample of Australian school students aged 12-17 years participated in a survey (n = 2885). Logistic regression analysis was undertaken to determine predictors. RESULTS: Alcohol use increased with age and by 16, most had tried alcohol with 33.1% of students aged 12-17 reporting that they drank at least occasionally (95% CI = 31.0-35.2). Awareness of the link between alcohol and cancer was low (28.5%). Smoking status and friends' approval were predictive of drinking, whereas parental disapproval was protective. Those aged 14-17 who did not think the link between alcohol and cancer was important were more likely to drink, as were those living in areas of least disadvantage. The only factors that predicted recent drinking were smoking and the perception that alcohol was easy to purchase. CONCLUSIONS: An education campaign highlighting the link between alcohol and cancer may have positive flow-on effects for young people, and schools should incorporate this messaging into any alcohol education programs. Consideration should be given to factors that serve to regulate under-aged accessibility of alcohol.
[Mh] Termos MeSH primário: Abstinência de Álcool/psicologia
Abstinência de Álcool/tendências
Consumo de Bebidas Alcoólicas/psicologia
Consumo de Bebidas Alcoólicas/tendências
Amigos/psicologia
Educação em Saúde/estatística & dados numéricos
Estudantes/estatística & dados numéricos
[Mh] Termos MeSH secundário: Adolescente
Consumo de Bebidas Alcoólicas/epidemiologia
Austrália/epidemiologia
Criança
Estudos Transversais
Feminino
Previsões
Seres Humanos
Masculino
Infuência dos Pares
Prevalência
Instituições Acadêmicas
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1711
[Cu] Atualização por classe:171113
[Lr] Data última revisão:
171113
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170609
[St] Status:MEDLINE
[do] DOI:10.1186/s12889-017-4475-5


  6 / 195 MEDLINE  
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Pordeus, Isabela Almeida
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[PMID]:28575029
[Au] Autor:Martins JG; de Paiva HN; Paiva PCP; Ferreira RC; Pordeus IA; Zarzar PM; Kawachi I
[Ad] Endereço:Pediatric Dentistry and Orthodontics, School of Dentistry, Federal University of Minas Gerais, Belo Horizonte, Minas Gerais, Brazil.
[Ti] Título:New evidence about the "dark side" of social cohesion in promoting binge drinking among adolescents.
[So] Source:PLoS One;12(6):e0178652, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Adolescence is characterized by heightened susceptibility to peer influence, which makes adolescents vulnerable to initiating or maintaining risky habits such as heavy drinking. The aim of the study was to investigate the association of social capital with longitudinal changes in the frequency of binge drinking among adolescents at public and private high schools in the city of Diamantina, Brazil. This longitudinal study used two waves of data collected when the adolescents were 12 and 13 years old. At the baseline assessment in 2013 a classroom survey was carried out with a representative sample of 588 students. In 2014, a follow-up survey was carried out with the same adolescents when they were aged 13 years. The Alcohol Use Disorder Identification Test-C (AUDIT C) was employed for the evaluation of alcohol intake. Our predictor variables included sociodemographic and economic characteristics (gender, type of school, mother's education, family income) and Social Capital. For evaluation of social capital, we used the Social Capital Questionnaire for Adolescent Students (SCQ-AS). Descriptive and bivariate analyzes were performed (p <0.05). The log-binomial model was used to calculate prevalence ratios (PR) and 95% confidence intervals. The two-tailed p value was set at <0.05. The prevalence of binge drinking in 2013 was 23.1% and in 2014 the prevalence had risen to 30.1%. Gender (PR 1.48; 95% CI 0.87-2.52) and socioeconomic status (type of school and mother's education) were not associated with the increase in the frequency of binge drinking. However, higher social capital was significantly associated with an increase in binge drinking by students. Adolescents who reported that they had an increase in social cohesion in the community/neighborhood subscale were 3.4 times more likely (95%CI 1.96-6.10) to binge drink themselves. Our results provide new evidence about the "dark side" of social cohesion in promoting binge drinking among adolescents.
[Mh] Termos MeSH primário: Bebedeira/psicologia
Infuência dos Pares
Psicologia do Adolescente
Capital Social
[Mh] Termos MeSH secundário: Adolescente
Consumo de Bebidas Alcoólicas/epidemiologia
Bebedeira/epidemiologia
Brasil
Criança
Feminino
Seres Humanos
Masculino
Prevalência
Psicologia da Criança
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170911
[Lr] Data última revisão:
170911
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170603
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0178652


  7 / 195 MEDLINE  
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[PMID]:28568480
[Au] Autor:Fong A; Clark L; Cheng T; Franklin E; Fernandez N; Ratwani R; Parker SH
[Ad] Endereço:National Center for Human Factors in Healthcare, MedStar Health, Washington, DC, USA.
[Ti] Título:Identifying influential individuals on intensive care units: using cluster analysis to explore culture.
[So] Source:J Nurs Manag;25(5):384-391, 2017 Jul.
[Is] ISSN:1365-2834
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: The objective of this paper is to identify attribute patterns of influential individuals in intensive care units using unsupervised cluster analysis. BACKGROUND: Despite the acknowledgement that culture of an organisation is critical to improving patient safety, specific methods to shift culture have not been explicitly identified. METHODS: A social network analysis survey was conducted and an unsupervised cluster analysis was used. RESULTS: A total of 100 surveys were gathered. Unsupervised cluster analysis was used to group individuals with similar dimensions highlighting three general genres of influencers: well-rounded, knowledge and relational. CONCLUSIONS: Culture is created locally by individual influencers. Cluster analysis is an effective way to identify common characteristics among members of an intensive care unit team that are noted as highly influential by their peers. To change culture, identifying and then integrating the influencers in intervention development and dissemination may create more sustainable and effective culture change. Additional studies are ongoing to test the effectiveness of utilising these influencers to disseminate patient safety interventions. IMPLICATIONS FOR NURSING MANAGEMENT: This study offers an approach that can be helpful in both identifying and understanding influential team members and may be an important aspect of developing methods to change organisational culture.
[Mh] Termos MeSH primário: Pessoal de Saúde/psicologia
Unidades de Terapia Intensiva/recursos humanos
Cultura Organizacional
Infuência dos Pares
Apoio Social
[Mh] Termos MeSH secundário: Centros Médicos Acadêmicos/organização & administração
Análise por Conglomerados
Pessoal de Saúde/normas
Pessoal de Saúde/estatística & dados numéricos
Seres Humanos
Unidades de Terapia Intensiva/organização & administração
Unidades de Terapia Intensiva/estatística & dados numéricos
Gestão da Segurança/normas
Gestão da Segurança/estatística & dados numéricos
Inquéritos e Questionários
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170602
[St] Status:MEDLINE
[do] DOI:10.1111/jonm.12476


  8 / 195 MEDLINE  
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[PMID]:28543942
[Au] Autor:Dirik HF; Seren Intepeler S
[Ad] Endereço:Dokuz Eylul University, Izmir, Turkey.
[Ti] Título:The influence of authentic leadership on safety climate in nursing.
[So] Source:J Nurs Manag;25(5):392-401, 2017 Jul.
[Is] ISSN:1365-2834
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:AIM: This study analysed nurses' perceptions of authentic leadership and safety climate and examined the contribution of authentic leadership to the safety climate. BACKGROUND: It has been suggested and emphasised that authentic leadership should be used as a guidance to ensure quality care and the safety of patients and health-care personnel. METHODS: This predictive study was conducted with 350 nurses in three Turkish hospitals. The data were collected using the Authentic Leadership Questionnaire and the Safety Climate Survey and analysed using hierarchical regression analysis. RESULTS: The mean authentic leadership perception and the safety climate scores of the nurses were 2.92 and 3.50, respectively. The percentage of problematic responses was found to be less than 10% for only four safety climate items. Hierarchical regression analysis revealed that authentic leadership significantly predicted the safety climate. CONCLUSIONS: Procedural and political improvements are required in terms of the safety climate in institutions, where the study was conducted, and authentic leadership increases positive perceptions of safety climate. RECOMMENDATIONS FOR NURSING MANAGEMENT: Exhibiting the characteristics of authentic leadership, or improving them and reflecting them on to personnel can enhance the safety climate. Planning information sharing meetings to raise the personnel's awareness of safety climate and systemic improvements can contribute to creating safe care climates.
[Mh] Termos MeSH primário: Liderança
Enfermeiras e Enfermeiros/psicologia
Percepção
Gestão da Segurança/normas
Local de Trabalho/psicologia
[Mh] Termos MeSH secundário: Adulto
Atitude do Pessoal de Saúde
Feminino
Seres Humanos
Masculino
Enfermeiras e Enfermeiros/normas
Enfermeiras e Enfermeiros/estatística & dados numéricos
Infuência dos Pares
Psicometria/instrumentação
Psicometria/métodos
Psicometria/estatística & dados numéricos
Análise de Regressão
Gestão da Segurança/estatística & dados numéricos
Inquéritos e Questionários
Turquia
Local de Trabalho/normas
Local de Trabalho/estatística & dados numéricos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1710
[Cu] Atualização por classe:171002
[Lr] Data última revisão:
171002
[Sb] Subgrupo de revista:N
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1111/jonm.12480


  9 / 195 MEDLINE  
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[PMID]:28542409
[Au] Autor:Braha D; de Aguiar MAM
[Ad] Endereço:New England Complex Systems Institute, Cambridge, Massachusetts, United States of America.
[Ti] Título:Voting contagion: Modeling and analysis of a century of U.S. presidential elections.
[So] Source:PLoS One;12(5):e0177970, 2017.
[Is] ISSN:1932-6203
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Social influence plays an important role in human behavior and decisions. Sources of influence can be divided as external, which are independent of social context, or as originating from peers, such as family and friends. An important question is how to disentangle the social contagion by peers from external influences. While a variety of experimental and observational studies provided insight into this problem, identifying the extent of contagion based on large-scale observational data with an unknown network structure remains largely unexplored. By bridging the gap between the large-scale complex systems perspective of collective human dynamics and the detailed approach of social sciences, we present a parsimonious model of social influence, and apply it to a central topic in political science-elections and voting behavior. We provide an analytical expression of the county vote-share distribution, which is in excellent agreement with almost a century of observed U.S. presidential election data. Analyzing the social influence topography over this period reveals an abrupt phase transition from low to high levels of social contagion, and robust differences among regions. These results suggest that social contagion effects are becoming more instrumental in shaping large-scale collective political behavior, with implications on democratic electoral processes and policies.
[Mh] Termos MeSH primário: Modelos Teóricos
Política
[Mh] Termos MeSH secundário: Seres Humanos
Infuência dos Pares
Estados Unidos
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1709
[Cu] Atualização por classe:170915
[Lr] Data última revisão:
170915
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170526
[St] Status:MEDLINE
[do] DOI:10.1371/journal.pone.0177970


  10 / 195 MEDLINE  
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Texto completo
[PMID]:28421600
[Au] Autor:Kew KM; Carr R; Crossingham I
[Ad] Endereço:British Medical Journal Technology Assessment Group (BMJ-TAG), BMJ Knowledge Centre, BMA House, Tavistock Square, London, UK, WC1H 9JR.
[Ti] Título:Lay-led and peer support interventions for adolescents with asthma.
[So] Source:Cochrane Database Syst Rev;4:CD012331, 2017 Apr 19.
[Is] ISSN:1469-493X
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Adolescents with asthma are at high risk of poor adherence with treatment. This may be compounded by activities that worsen asthma, in particular smoking. Additional support above and beyond routine care has the potential to encourage good self-management. We wanted to find out whether sessions led by their peers or by lay leaders help to reduce these risks and improve asthma outcomes among adolescents. OBJECTIVES: To assess the safety and efficacy of lay-led and peer support interventions for adolescents with asthma. SEARCH METHODS: We identified trials from the Cochrane Airways Trials Register, which contains reports of randomised trials obtained from multiple electronic and handsearched sources, and we searched trial registries and reference lists of primary studies. We conducted the most recent searches on 25 November 2016. SELECTION CRITERIA: Eligible studies randomised adolescents with asthma to an intervention led by lay people or peers or to a control. We included parallel randomised controlled trials with individual or cluster designs. We included studies reported as full text, those published as abstract only and unpublished data. DATA COLLECTION AND ANALYSIS: Two review authors screened the searches, extracted numerical data and study characteristics and assessed each included study for risk of bias. Primary outcomes were asthma-related quality of life and exacerbations requiring at least a course of oral steroids. We graded the analyses and presented evidence in a 'Summary of findings' table.We analysed dichotomous data as odds ratios, and continuous data as mean differences (MD) or standardised mean differences, all with a random-effects model. We assessed clinical, methodological and statistical heterogeneity when performing meta-analyses, and we described skewed data narratively. MAIN RESULTS: Five studies including a total of 1146 participants met the inclusion criteria for this review. As ever with systematic reviews of complex interventions, studies varied by design (cluster and individually randomised), duration (2.5 to 9 months), setting (school, day camp, primary care) and intervention content. Most risk of bias concerns were related to blinding and incomplete reporting, which limited the meta-analyses that could be performed. Studies generally controlled well for selection and attrition biases.All participants were between 11 and 17 years of age. Asthma diagnosis and severity varied, as did smoking prevalence. Three studies used the Triple A programme; one of these studies tested the addition of a smoke-free pledge; another delivered peer support group sessions and mp3 messaging to encourage adherence; and the third compared a peer-led asthma day camp with an equivalent camp led by healthcare practitioners.We had low confidence in all findings owing to risk of bias, inconsistency and imprecision. Results from an analysis of asthma-related quality of life based on the prespecified random-effects model were imprecise and showed no differences (MD 0.40, 95% confidence interval (CI) -0.02 to 0.81); a sensitivity analysis based on a fixed-effect model and a responder analysis suggested small benefit may be derived for this outcome. Most other results were summarised narratively and did not show an important benefit of the intervention; studies provided no analysable data on asthma exacerbations or unscheduled visits (data were skewed), and one study measuring adherence reported a drop in both groups. Effects on asthma control favoured the intervention but findings were not statistically significant. Results from two studies with high levels of baseline smoking showed some promise for self-efficacy to stop smoking, but overall nicotine dependence and smoking-related knowledge were not significantly better in the intervention group. Investigators did not report adverse events. AUTHORS' CONCLUSIONS: Although weak evidence suggests that lay-led and peer support interventions could lead to a small improvement in asthma-related quality of life for adolescents, benefits for asthma control, exacerbations and medication adherence remain unproven. Current evidence is insufficient to reveal whether routine use of lay-led or peer support programmes is beneficial for adolescents receiving asthma care.Ongoing and future research may help to identify target populations for lay-led and peer support interventions, along with attributes that constitute a successful programme.
[Mh] Termos MeSH primário: Asma/prevenção & controle
Infuência dos Pares
Autocuidado
Abandono do Hábito de Fumar
Apoio Social
[Mh] Termos MeSH secundário: Adolescente
Criança
Progressão da Doença
Seres Humanos
Adesão à Medicação/estatística & dados numéricos
Qualidade de Vida
Ensaios Clínicos Controlados Aleatórios como Assunto
Fumar/efeitos adversos
Tabagismo/epidemiologia
[Pt] Tipo de publicação:JOURNAL ARTICLE; META-ANALYSIS; REVIEW
[Em] Mês de entrada:1708
[Cu] Atualização por classe:170801
[Lr] Data última revisão:
170801
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170420
[St] Status:MEDLINE
[do] DOI:10.1002/14651858.CD012331.pub2



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