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[PMID]:29240655
[Au] Autor:Worawong C; Borden MJ; Cooper KM; Pérez OA; Lauver D
[Ad] Endereço:Chiraporn Worawong, PhD, is Director, Boromrajonani College of Nursing, Udon Thani, Thailand. Mary Jo Borden, RN, WHNP-BC, CCM, MSN, is Faculty and Co-Director, National RN Case Manager Training Center, Boaz, Wisconsin. Karen M. Cooper, RN, BSN, MA, is Integrative Health Private Practitioner, Fort Collins, Colorado. Oscar A. Pérez, PhD, is Assistant Professor, Skidmore College, Saratoga Springs, New York. Diane Lauver, PhD, RN, FAAN, is Professor, School of Nursing, University of Wisconsin, Madison.
[Ti] Título:Evaluation of a Person-Centered, Theory-Based Intervention to Promote Health Behaviors.
[So] Source:Nurs Res;67(1):6-15, 2018 Jan/Feb.
[Is] ISSN:1538-9847
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:BACKGROUND: Effective promotion of health behaviors requires strong interventions. Applying person-centered approaches and concepts synthesized from two motivational theories could strengthen the effects of such interventions. OBJECTIVES: The aim of the study was to report the effect sizes, fidelity, and acceptability of a person-centered, health behavior intervention based on self-regulation and self-determination theories. METHODS: Using a pre- and postintervention design, with a 4-week follow-up, advanced practice registered nurses made six weekly contacts with 52 volunteer participants. Most participants were educated White women. Advanced practice registered nurses elicited participant motives and particular goals for either healthy diet or physical activity behaviors. Minutes and type of activity and servings of fat and fruit/vegetables were assessed. RESULTS: Effect sizes for engaging in moderate aerobic activity and in fruit/vegetable and fat intake were 0.53, 0.82, and -0.57, respectively. The fidelity of delivery was 80-97% across contacts, and fidelity of participants' receipt of intervention components was supported. Participant acceptance of the intervention was supported by positive ratings on aspects of relevance and usefulness. DISCUSSION: To advance the science of health behavior change and improve client health status, person-centered approaches and concepts synthesized from motivational theories can be applied and tested with a randomized, controlled design and diverse samples to replicate and extend this promising behavioral intervention.
[Mh] Termos MeSH primário: Comportamentos Relacionados com a Saúde
Promoção da Saúde/métodos
Entrevista Motivacional/métodos
Autoeficácia
[Mh] Termos MeSH secundário: Adulto
Instrução por Computador/métodos
Seres Humanos
Masculino
Meia-Idade
Avaliação de Programas e Projetos de Saúde
[Pt] Tipo de publicação:JOURNAL ARTICLE; RESEARCH SUPPORT, NON-U.S. GOV'T; RESEARCH SUPPORT, N.I.H., EXTRAMURAL
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180309
[Lr] Data última revisão:
180309
[Sb] Subgrupo de revista:AIM; IM; N
[Da] Data de entrada para processamento:171215
[St] Status:MEDLINE
[do] DOI:10.1097/NNR.0000000000000254


  2 / 63745 MEDLINE  
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[PMID]:28746168
[Au] Autor:Pittalis S; Orchi N; De Carli G; Navarra A; Chiaradia G; Puro V; Girardi E
[Ad] Endereço:*Clinical Epidemiology Unit, National Institute for Infectious Disease "L. Spallanzani"-IRCCS, Rome, Italy †Infectious Disease Epidemiology Unit, AIDS Reference Centre, National Institute for Infectious Disease "L. Spallanzani"-IRCCS, Rome, Italy.
[Ti] Título:HIV Self-Testing in Italy.
[So] Source:J Acquir Immune Defic Syndr;76(3):e84-e85, 2017 11 01.
[Is] ISSN:1944-7884
[Cp] País de publicação:United States
[La] Idioma:eng
[Mh] Termos MeSH primário: Sorodiagnóstico da AIDS
Infecções por HIV/diagnóstico
Acesso aos Serviços de Saúde/estatística & dados numéricos
Kit de Reagentes para Diagnóstico/utilização
Autocuidado
[Mh] Termos MeSH secundário: Sorodiagnóstico da AIDS/utilização
Adulto
Aconselhamento Diretivo
Infecções por HIV/epidemiologia
Conhecimentos, Atitudes e Prática em Saúde
Promoção da Saúde
Homossexualidade Masculina
Seres Humanos
Itália/epidemiologia
Masculino
Estudos Prospectivos
Adulto Jovem
[Pt] Tipo de publicação:LETTER; RESEARCH SUPPORT, NON-U.S. GOV'T
[Nm] Nome de substância:
0 (Reagent Kits, Diagnostic)
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:IM; X
[Da] Data de entrada para processamento:170727
[St] Status:MEDLINE
[do] DOI:10.1097/QAI.0000000000001507


  3 / 63745 MEDLINE  
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[PMID]:29440600
[Ti] Título:Protecting equine vets from work injuries.
[So] Source:Vet Rec;182(6):156, 2018 02 10.
[Is] ISSN:2042-7670
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Promoção da Saúde/métodos
Cavalos
Traumatismos Ocupacionais/prevenção & controle
Médicos Veterinários
[Mh] Termos MeSH secundário: Animais
Comportamento Animal
Cavalos/psicologia
Seres Humanos
Propriedade
Reino Unido
Gravação de Videoteipe
[Pt] Tipo de publicação:NEWS
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180307
[Lr] Data última revisão:
180307
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180215
[St] Status:MEDLINE


  4 / 63745 MEDLINE  
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[PMID]:29186634
[Au] Autor:Lein DH; Clark D; Graham C; Perez P; Morris D
[Ad] Endereço:Department of Physical Therapy, University of Alabama at Birmingham, SHPB 376, 1720 2nd Avenue South, Birmingham, AL, 35294-1212.
[Ti] Título:A Model to Integrate Health Promotion and Wellness in Physical Therapist Practice: Development and Validation.
[So] Source:Phys Ther;97(12):1169-1181, 2017 Dec 01.
[Is] ISSN:1538-6724
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Background: Globally, physical therapy professional organizations have called for physical therapists to perform lifestyle behavior management during customary care, or health-focused care, due to increasing morbidity and mortality related to noncommunicable diseases. Given the potential for health-focused care to improve health outcomes, physical therapists should integrate health promotion into their daily clinical practice. A clinical model that illustrates necessary steps to deliver health-focused care would be helpful to educate present and future physical therapists. Objective: The purpose of the study was to develop and validate the Health-Focused Physical Therapy Model (HFPTM) for physical inactivity and smoking. Methods: The authors used a mixed method approach. The preliminary model was informed by previous research and the investigators' shared experience in health promotion and physical therapy. An interdisciplinary group of health professionals provided input into the preliminary model by way of a World Café format. Eight physical therapists with health promotion and education expertise then engaged in a Delphi process to establish content validity. Results: World Café participants indicated that: (1) physical therapists are well positioned to engage in health promotion and wellness, and (2) the model facilitates interdisciplinary collaboration and consultation. Delphi process participants reached majority consensus in 1 round. The average model content validity index (CVI) was .915 for physical inactivity and .899 for smoking. Agreement concerning the model schematic was 88% for either behavior. Investigators made few editorial changes after the Delphi process. Limitations: Limitations of this study include using only 2 unhealthy lifestyle behaviors for testing, and performing the testing in a nonclinical setting. Conclusions: An interdisciplinary group of health professionals believes that physical therapists should practice health-focused care and that the HFPTM is a valid model. This model could help physical therapist educators when educating physical therapist students and clinicians to practice health-focused care.
[Mh] Termos MeSH primário: Comportamentos Relacionados com a Saúde
Promoção da Saúde
Modalidades de Fisioterapia
[Mh] Termos MeSH secundário: Protocolos Clínicos
Exercício
Seres Humanos
Estilo de Vida
Educação de Pacientes como Assunto
Reprodutibilidade dos Testes
Fumar
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1712
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:171130
[St] Status:MEDLINE
[do] DOI:10.1093/ptj/pzx090


  5 / 63745 MEDLINE  
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[PMID]:28453714
[Au] Autor:Lorenzetti LMJ; Leatherman S; Flax VL
[Ad] Endereço:Department of Health Policy & Management, Gillings School of Global Public Health, University of North Carolina at Chapel Hill, NC, USA.
[Ti] Título:Evaluating the effect of integrated microfinance and health interventions: an updated review of the evidence.
[So] Source:Health Policy Plan;32(5):732-756, 2017 Jun 01.
[Is] ISSN:1460-2237
[Cp] País de publicação:England
[La] Idioma:eng
[Ab] Resumo:Background: Solutions delivered within firm sectoral boundaries are inadequate in achieving income security and better health for poor populations. Integrated microfinance and health interventions leverage networks of women to promote financial inclusion, build livelihoods, and safeguard against high cost illnesses. Our understanding of the effect of integrated interventions has been limited by variability in intervention, outcome, design, and methodological rigour. This systematic review synthesises the literature through 2015 to understand the effect of integrated microfinance and health programs. Methods: We searched PubMed, Scopus, Embase, EconLit, and Global Health databases and sourced bibliographies, identifying 964 articles exclusive of duplicates. Title, abstract, and full text review yielded 35 articles. Articles evaluated the effect of intentionally integrated microfinance and health programs on client outcomes. We rated the quality of evidence for each article. Results: Most interventions combined microfinance with health education, which demonstrated positive effects on health knowledge and behaviours, though not health status. Among programs that integrated microfinance with other health components ( i.e. health micro-insurance, linkages to health providers, and access to health products), results were generally positive but mixed due to the smaller number and quality of studies. Interventions combining multiple health components in a given study demonstrated positive effects, though it was unclear which component was driving the effect. Most articles (57%) were moderate in quality. Discussion: Integrated microfinance and health education programs were effective, though longer intervention periods are necessary to measure more complex pathways to health status. The effect of microfinance combined with other health components was less clear. Stronger randomized research designs with multiple study arms are required to improve evidence and disentangle the effects of multiple component microfinance and health interventions. Few studies attempted to understand changes in economic outcomes, limiting our understanding of the relationship between health and income effects.
[Mh] Termos MeSH primário: Apoio Financeiro
Promoção da Saúde/métodos
Pobreza
[Mh] Termos MeSH secundário: Redes Comunitárias/economia
Conhecimentos, Atitudes e Prática em Saúde
Acesso aos Serviços de Saúde/economia
Seres Humanos
[Pt] Tipo de publicação:JOURNAL ARTICLE; REVIEW
[Em] Mês de entrada:1711
[Cu] Atualização por classe:180308
[Lr] Data última revisão:
180308
[Sb] Subgrupo de revista:H
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1093/heapol/czw170


  6 / 63745 MEDLINE  
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[PMID]:29494567
[Au] Autor:Murphy WJ; Eichwald J; Meinke DK; Chadha S; Iskander J
[Ti] Título:CDC Grand Rounds: Promoting Hearing Health Across the Lifespan.
[So] Source:MMWR Morb Mortal Wkly Rep;67(8):243-246, 2018 Mar 02.
[Is] ISSN:1545-861X
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:Globally, one in three adults has some level of measurable hearing loss, and 1.1 billion young persons are at risk for hearing loss attributable to noise exposure. Although noisy occupations such as construction, mining, and manufacturing are primary causes of hearing loss in adults, nonoccupational noise also can damage hearing. Loud noises can cause permanent hearing loss through metabolic exhaustion or mechanical destruction of the sensory cells within the cochlea. Some of the sounds of daily life, including those made by lawn mowers, recreational vehicles, power tools, and music, might play a role in the decline in hearing health. Hearing loss as a disability largely depends on a person's communication needs and how hearing loss affects the ability to function in a job. The loss of critical middle and high frequencies can significantly impair communication in hearing-critical jobs (e.g., law enforcement and air traffic control).
[Mh] Termos MeSH primário: Promoção da Saúde/organização & administração
Perda Auditiva Provocada por Ruído/prevenção & controle
[Mh] Termos MeSH secundário: Adulto
Idoso
Centers for Disease Control and Prevention (U.S.)
Feminino
Saúde Global/estatística & dados numéricos
Perda Auditiva Provocada por Ruído/epidemiologia
Seres Humanos
Masculino
Meia-Idade
Ruído Ocupacional/efeitos adversos
Doenças Profissionais/epidemiologia
Doenças Profissionais/prevenção & controle
Estados Unidos/epidemiologia
Adulto Jovem
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:180302
[St] Status:MEDLINE
[do] DOI:10.15585/mmwr.mm6708a2


  7 / 63745 MEDLINE  
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[PMID]:28452692
[Au] Autor:An R; Sturm R
[Ad] Endereço:Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
[Ti] Título:A Cash-back Rebate Program for Healthy Food Purchases in South Africa: Selection and Program Effects in Self-reported Diet Patterns.
[So] Source:Am J Health Behav;41(2):152-162, 2017 Mar 01.
[Is] ISSN:1945-7359
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: A South African insurer launched a rebate program for healthy food purchases for its members, but only available in program-designated supermarkets. To eliminate selection bias in program enrollment, we estimated the impact of subsidies in nudging the population towards a healthier diet using an instrumental variable approach. METHODS: Data came from a health behavior questionnaire administered among members in the health promotion program. Individual and supermarket addresses were geocoded and differential distances from home to program-designated supermarkets versus competing supermarkets were calculated. Bivariate probit and linear instrumental variable models were performed to control for likely unobserved selection biases, employing differential distances as a predictor of program enrollment. RESULTS: For regular fast-food, processed meat, and salty food consumption, approximately two-thirds of the difference between participants and nonparticipants was attributable to the intervention and one-third to selection effects. For fruit/ vegetable and fried food consumption, merely one-eighth of the difference was selection. The rebate reduced regular consumption of fast food by 15% and foods high in salt/sugar and fried foods by 22%- 26%, and increased fruit/vegetable consumption by 21% (0.66 serving/day). CONCLUSIONS: Large population interventions are an essential complement to laboratory experiments, but selection biases require explicit attention in evaluation studies conducted in naturalistic settings.
[Mh] Termos MeSH primário: Comportamentos Relacionados com a Saúde
Promoção da Saúde/métodos
Dieta Saudável
Seguro Saúde
Motivação
Recompensa
[Mh] Termos MeSH secundário: Adulto
Feminino
Seres Humanos
Seleção Tendenciosa de Seguro
Masculino
Meia-Idade
África do Sul
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.5993/AJHB.41.2.6


  8 / 63745 MEDLINE  
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[PMID]:28452044
[Au] Autor:Luckmann R; White MJ; Costanza ME; Frisard CF; Cranos C; Sama S; Yood R
[Ad] Endereço:Department of Family Medicine and Community Health, University of Massachusetts Medical School, 55 Lave Ave. N, Worcester, MA, 01655, USA. LuckmanR@ummhc.org.
[Ti] Título:Implementation and process evaluation of three interventions to promote screening mammograms delivered for 4 years in a large primary care population.
[So] Source:Transl Behav Med;7(3):547-556, 2017 Sep.
[Is] ISSN:1613-9860
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:The optimal form of outreach to promote repeated, on time screening mammograms in primary care has not been established. The purpose of this study is to assess the implementation process and process outcomes for three interventions for promoting biannual screening mammography in a randomized trial. In a large urban primary care practice over a 4-year period, we randomized women aged 40-85 and eligible for mammograms to three interventions: reminder letter only (LO), reminder letter + reminder call (RC), and reminder letter + counseling call (CC). We tracked information system development, staff training, patient and provider recruitment, reach, dose delivered and received, fidelity, and context measures. Ninety-three of 95 providers approved participation by 80% (23,999) of age-eligible patients, of whom only 207 (0.9%) opted not to receive any intervention. Of 9161 initial reminder letters mailed to women coming due or overdue for mammograms, 0.8% were undeliverable. Of women in the RC and CC arms unresponsive to the first reminder letter (n = 3982), 71.4% were called and reached, and of those, 49.1% scheduled a mammogram. Only 33.4% of women reached in the CC arm received full counseling, and women in the CC arm were less likely to schedule a mammogram than those in the RC arm. Implementing mail and telephone mammography reminders is feasible and acceptable in a large urban practice and reaches a majority of patients. Many schedule a mammogram when reached. A reminder letter followed by a simple reminder call if needed may be the optimal approach to promoting screening mammograms.
[Mh] Termos MeSH primário: Aconselhamento
Detecção Precoce de Câncer/métodos
Promoção da Saúde/métodos
Mamografia
Atenção Primária à Saúde
Sistemas de Alerta
[Mh] Termos MeSH secundário: Adulto
Idoso
Idoso de 80 Anos ou mais
Neoplasias da Mama/diagnóstico por imagem
Neoplasias da Mama/prevenção & controle
Feminino
Implementação de Plano de Saúde
Política de Saúde
Seres Humanos
Meia-Idade
Atenção Primária à Saúde/métodos
Avaliação de Programas e Projetos de Saúde
Software
Telefone
[Pt] Tipo de publicação:JOURNAL ARTICLE; RANDOMIZED CONTROLLED TRIAL
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.1007/s13142-017-0497-x


  9 / 63745 MEDLINE  
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[PMID]:28452689
[Au] Autor:An R; Khan N; Loehmer E; McCaffrey J
[Ad] Endereço:Department of Kinesiology and Community Health, College of Applied Health Sciences, University of Illinois at Urbana-Champaign, Champaign, IL, USA.
[Ti] Título:Assessing the Network of Agencies in Local Communities that Promote Healthy Eating and Lifestyles among Populations with Limited Resources.
[So] Source:Am J Health Behav;41(2):127-138, 2017 Mar 01.
[Is] ISSN:1945-7359
[Cp] País de publicação:United States
[La] Idioma:eng
[Ab] Resumo:OBJECTIVES: We assessed the network of agencies in local communities that promote healthy eating and lifestyles among populations with limited resources. METHODS: Network surveys were administered among 159 Illinois agencies identified as serving limited-resource audiences categorized into 8 types: K-12 schools, early childhood centers, emergency food providers, health-related agencies, social resource centers, low-income/subsidized housing complexes, continuing education organizations, and others. Network analysis was conducted to examine 4 network structures - communications, funding, cooperation, and collaboration networks between agencies within each county/county cluster. RESULTS: Agencies in a network were found to be loosely connected, indicated by low network density. Reporting accuracy might be of concern, indicated by low reciprocity. Agencies in a network are decentralized rather than centralized around a few influential agencies, indicated by low betweenness centrality. There is suggestive evidence regarding homophily in a network, indicated by some significant correlations within agencies of the same type. Agencies connected in one network are significantly more likely to be connected in all the other networks as well. CONCLUSIONS: Promoting healthy eating and lifestyles among populations with limited resources warrants strong partnership across agencies in communities. Network analysis serves as a useful tool to evaluate community partnerships and facilitate coalition building..
[Mh] Termos MeSH primário: Órgãos Governamentais
Promoção da Saúde
Dieta Saudável
Colaboração Intersetorial
Estilo de Vida
Populações Vulneráveis
[Mh] Termos MeSH secundário: Seres Humanos
Illinois
[Pt] Tipo de publicação:JOURNAL ARTICLE
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180306
[Lr] Data última revisão:
180306
[Sb] Subgrupo de revista:IM
[Da] Data de entrada para processamento:170429
[St] Status:MEDLINE
[do] DOI:10.5993/AJHB.41.2.3


  10 / 63745 MEDLINE  
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[PMID]:29437669
[Au] Autor:Wake M
[Ad] Endereço:Murdoch Children's Research Institute, and The University of Melbourne, Parkville, VIC 3052, Australia.
[Ti] Título:The failure of anti-obesity programmes in schools.
[So] Source:BMJ;360:k507, 2018 02 07.
[Is] ISSN:1756-1833
[Cp] País de publicação:England
[La] Idioma:eng
[Mh] Termos MeSH primário: Obesidade
Instituições Acadêmicas
[Mh] Termos MeSH secundário: Promoção da Saúde
Seres Humanos
Serviços de Saúde Escolar
[Pt] Tipo de publicação:EDITORIAL; COMMENT
[Em] Mês de entrada:1803
[Cu] Atualização por classe:180305
[Lr] Data última revisão:
180305
[Sb] Subgrupo de revista:AIM; IM
[Da] Data de entrada para processamento:180214
[St] Status:MEDLINE
[do] DOI:10.1136/bmj.k507



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