Comparação do nível da presença do rasgo bs entre motoristas de motocicletas infratores e não infratores às normas de trânsito

Objective: To establish the differences in the level of presence of the trait between two groups of motorcyclists in the municipality of Piedecuesta. Method: BS Zuckerman Scale to two groups of motorcyclists, one of offenders and other of non-offenders of traffic rules, was applied. Descriptive statistical analysis using Student t was performed. Results: Significant differences were found in the subscales of thrill seeking-adventure, disinhibition and boredom-impulsivity, which means that the offending riders have a higher score on the three subscales compared to non-offenders. However, in the total score, no significant differences were found. Conclusions: The components that make the difference between both groups relate to the need to seek emotions, disinhibition and impulsivity versus the other part of the BS, search of experiences. Overall, the results are similar to those presented by literature from other countries and contexts in terms of age and gender differences.Objetivo: Establecer las diferencias en el nivel de presencia del rasgo entre dos grupos de conductores de motocicletas en el Municipio de Piedecuesta. Método: Se aplicó la Escala BS de Zuckerman a dos grupos de conductores de motocicletas, uno infractor y otro no infractor de las normas de tránsito. Se realizó el análisis estadístico descriptivo mediante la T de Student. Resultados: Se encontraron diferencias significativas en las subescalas búsqueda de emociones-aventura, desinhibición y aburrimiento-impulsividad, lo que significa que los conductores infractores registran un puntaje más alto en estas tres subescalas frente a los no infractores; en cambio, en la puntuación total no se encontraron diferencias significativas. Conclusiones: Los componentes que hacen la diferencia entre los dos grupos estudiados se relacionan con la necesidad de buscar emociones, desinhibición e impulsividad versus el otro componente de la BS, búsqueda de experiencias. En general, los resultados obtenidos son similares a lo que presenta la literatura proveniente de otros países y contextos en cuanto a las diferencias por edad y género.Objetivo: Estabelecer as diferenças no nível de presença do rasgo entre dois grupos de motoristas de motocicletas no Município de Piedecuesta. Método: Aplicou-se a Escala BS de Zuckerman a dois grupos de motoristas de motocicletas, uno infrator e outro não infrator das normas de trânsito. Realizou-se a análise estatística descritivo mediante o T de Student. Resultados: Encontraram-se diferenças significativas nas subescalas busca de emoções-aventura, desinibição e aborrecimento-impulsividade, o que significa que os condutores infratores registram uma pontuação mais alta nestas três subescalas frente aos não infratores; em mudança, na pontuação total não se encontraram diferenças significativas. Conclusões: Os componentes que fazem a diferença entre os dois grupos estudados se relacionam com a necessidade de procurar emoções, desinibição e impulsividade contra o outro componente da BS, busca de experiências. Em general, os resultados obtidos são similares ao que apresenta a literatura proveniente de outros países e contextos quanto às diferenças por idade e gênero

Effectiveness of an intervention for improving drug prescription in primary care patients with multimorbidity and polypharmacy:Study protocol of a cluster randomized clinical trial (Multi-PAP project)

This study was funded by the Fondo de Investigaciones Sanitarias ISCIII (Grant Numbers PI15/00276, PI15/00572, PI15/00996), REDISSEC (Project Numbers RD12/0001/0012, RD16/0001/0005), and the European Regional Development Fund ("A way to build Europe").Background: Multimorbidity is associated with negative effects both on people's health and on healthcare systems. A key problem linked to multimorbidity is polypharmacy, which in turn is associated with increased risk of partly preventable adverse effects, including mortality. The Ariadne principles describe a model of care based on a thorough assessment of diseases, treatments (and potential interactions), clinical status, context and preferences of patients with multimorbidity, with the aim of prioritizing and sharing realistic treatment goals that guide an individualized management. The aim of this study is to evaluate the effectiveness of a complex intervention that implements the Ariadne principles in a population of young-old patients with multimorbidity and polypharmacy. The intervention seeks to improve the appropriateness of prescribing in primary care (PC), as measured by the medication appropriateness index (MAI) score at 6 and 12months, as compared with usual care. Methods/Design: Design:pragmatic cluster randomized clinical trial. Unit of randomization: family physician (FP). Unit of analysis: patient. Scope: PC health centres in three autonomous communities: Aragon, Madrid, and Andalusia (Spain). Population: patients aged 65-74years with multimorbidity (≥3 chronic diseases) and polypharmacy (≥5 drugs prescribed in ≥3months). Sample size: n=400 (200 per study arm). Intervention: complex intervention based on the implementation of the Ariadne principles with two components: (1) FP training and (2) FP-patient interview. Outcomes: MAI score, health services use, quality of life (Euroqol 5D-5L), pharmacotherapy and adherence to treatment (Morisky-Green, Haynes-Sackett), and clinical and socio-demographic variables. Statistical analysis: primary outcome is the difference in MAI score between T0 and T1 and corresponding 95% confidence interval. Adjustment for confounding factors will be performed by multilevel analysis. All analyses will be carried out in accordance with the intention-to-treat principle. Discussion: It is essential to provide evidence concerning interventions on PC patients with polypharmacy and multimorbidity, conducted in the context of routine clinical practice, and involving young-old patients with significant potential for preventing negative health outcomes. Trial registration: Clinicaltrials.gov, NCT02866799Publisher PDFPeer reviewe