17 research outputs found
Development and validation of a questionnaire for assessing the characteristics of diet and physical activity in patients with type 2 diabetes
Resumen tomado de la publicaciónDesarrollo y validación de un cuestionario para medir las características de la dieta y la actividad física en pacientes con diabetes tipo 2. Antecedentes: el objetivo de este estudio fue evaluar las propiedades psicométricas del cuestionario Motiva.Diaf-DM2, diseñado para medir la adherencia a las recomendaciones dietéticas y de actividad física en pacientes con diabetes tipo 2. Método: participaron 206 pacientes que asistieron a consultas en atención primaria, cuya media de edad era de 69,63 años (DE = 11,05). El 39,3% fueron mujeres. Para evaluar la fiabilidad test-retest se seleccionaron 40 pacientes de la muestra inicial de entre los que tenían otra cita en el centro de salud, a los que se les administró nuevamente el cuestionario dos semanas tras la primera entrega. Resultados: se observó que la fiabilidad de las puntuaciones era adecuada en cuanto a consistencia interna (αprimer factor = .756; αsegundo factor = .821) y estabilidad temporal (r primer factor = .604; r segundo factor = .638). La estructura del test es bidimensional. Las puntuaciones de la segunda dimensión (actividad física) convergen con las puntuaciones de las necesidades psicológicas básicas (r actividad física = .281), resiliencia (r = .216) y hemoglobina glicosilada (r = -.182). Conclusiones: Motiva.Diaf-DM2 ha demostrado tener una adecuada fiabilidad y validez para evaluar la adherencia a las recomendaciones relacionadas con la dieta y la actividad física en pacientes con diabetes tipo 2.Universidad de Oviedo. Biblioteca de Psicología; Plaza Feijoo, s/n.; 33003 Oviedo; Tel. +34985104146; Fax +34985104126; [email protected]
Use a web-app to improve breast cancer risk factors and symptoms knowledge and adherence to healthy diet and physical activity in women without breast cancer diagnosis (Precam project)
Breast neoplasm; Health promotion; TelemedicineCáncer de mama; Promoción de la salud; TelemedicinaCàncer de mama; Promoció de la salut; TelemedicinaPurpose: This study aimed to evaluate the preliminary effectiveness of an educational intervention using a web-app to improve knowledge of breast cancer risk factors and symptoms and adherence to healthy eating and physical activity among women without breast cancer diagnosis in Asturias (Spain).
Methods: A pragmatic randomized pilot trial was conducted to evaluate the impact of a web-app-based intervention for women without breast cancer diagnosis. Women in the intervention group participated in a 6-month intervention web-app based on the Behaviour Change Wheel Model. The web-app includes information about breast cancer risk factors, early detection, physical activity and diet.
Results: Two hundred and eighty-fifth women aged 25-50 were invited to join the study. Two hundred and twenty-four were randomly assigned to either the intervention group (IG = 134) or control group (CG = 90) according to their place of residence. Adherence among women in the IG increased significantly from pre- to post-intervention for eight of the 12 healthy behaviors and for the identification of six risk factors and six symptoms compared to women in the CG and, among whom adherence only increased for two behaviors, the identification of one risk factor and 0 symptoms. The intervention significantly improved the mean number of risk factors + 1.06 (p < 0.001) and symptoms + 1.18 (p < 0.001) identified by women in the IG.
Conclusions: The preliminary results of this study suggest that an educational intervention using a web-app and based on the Behaviour Change Wheel model could be useful to improve knowledge of breast cancer risk factors and symptoms and to improve adherence to a healthy diet and physical activity in women without a previous breast cancer diagnosis
Adherence to healthy diet and physical activity in clinical patients
Antecedentes: el objetivo de este estudio ha sido explorar las propiedades psicométricas del cuestionario Motiva.Diaf, diseñado para medir la adherencia a las características de la dieta saludable y realización de actividad física en personas enfermas. Método: participaron 230 pacientes, que asistieron a consultas hospitalarias, con una edad media de 49,28 años (SD = 12,34), siendo un 55,7 % mujeres. Dos semanas tras la administración inicial, se seleccionaron al azar 40 participantes, de los que tenían otra cita hospitalaria, para completar nuevamente el cuestionario con el fin de evaluar la fiabilidad test-retest. Resultados: la precisión de las puntuaciones es adecuada en términos de consistencia interna (α = .802; Ω = .776) y de estabilidad temporal (r =.786). La estructura del test es esencialmente unidimensional y las puntuaciones en esta dimensión convergen con las medidas de necesidades psicológicas básicas (r Diet = .294; r Physical Activity= .359) y salud percibida (r = .266). También se encontró una relación moderada con IMC (r = - .129). Conclusiones: Motiva.Diaf ha demostrado una fiabilidad y validez. La disponibilidad de un instrumento de estas características tiene implicaciones significativas en la evaluación de las conductas, diseño e implementación de intervenciones conductuales
Feasibility Study of an Educational Intervention to Improve Water Intake in Adolescent Soccer Players: A Two-Arm, Non-Randomized Controlled Cluster Trial
Futbol; Comportament; Promoció de la salut; Adolescent; Estat d’hidratació corporalFútbol; Comportamiento; Promoción de la salud; Adolescente; Estado de hidratación corporalSoccer; Behavior; Health promotion; Adolescent; Body hydration statusThis study aimed to assess the feasibility of an educational intervention on hydration behavior in adolescent soccer players. A pilot study of a two-arm, non-randomized controlled cluster trial was conducted. A total of 316 players aged 13-16 agreed to participate. The response variables were the players' participation in the intervention, their perception of the knowledge acquired, the usefulness and the overall assessment of the intervention. Hydration patterns and acquisition of knowledge on hydration behavior were also assessed. The intervention involved two elements: posters and a web app. A total of 259 adolescents completed the study (intervention group (IG) = 131; control group (CG) = 128). 80.6% of the players responded to the survey assessing the feasibility of the intervention. The mean number of correct answers regarding behavior was significantly higher in the IG (3.54; SD = 1.162) than in the CG (2.64; SD = 1.174) (p < 0.001). The water consumption pattern at all the clubs was ad libitum. Of the players, 10% did not drink any water at all during the game. In conclusion, this intervention has been shown to be feasible for implementation with adolescent soccer players. It suggests that hydration guidelines should be informed by personal factors and that ad libitum water consumption should be avoided
Evaluación de la calidad de la dieta y de la actividad física en jugadores de fútbol, de 13 a 16 años, del Principado de Asturias
Dieta mediterrània; Activitat física; Nens; Futbol; ObesitatDieta mediterránea; Actividad física; Ninos; Fútbol; ObesidadMediterranean diet; Physical activity; Children; Soccer; ObesityIntroducción: La dieta y la actividad física son 2 conductas que juegan un papel clave en la aparición de sobrepeso y la obesidad infantil. Es una tarea esencial en salud pública el análisis de su prevalencia en diferentes contextos. Objetivo: Describir la composición corporal, el nivel de actividad física y la adherencia a la dieta mediterránea de jugadores de fútbol de 13 a 16 años de Asturias. Secundariamente, determinar la relación entre dieta, actividad física, composición corporal y variables personales. Métodos: Estudio descriptivo transversal. Participaron 303 niños, con una edad media de 14,15 años (DE = 1,06). Se analizaron la adherencia a la dieta mediterránea y el nivel de actividad física con los cuestionarios KIDMED y PAQ-A, respectivamente, y se estableció su composición corporal de acuerdo con su índice de masa corporal. Resultados: Un 23,1% de los participantes presentó exceso de peso. El 54,8% y el 8,9% tenían una adherencia media o baja, respectivamente, a la dieta mediterránea. La puntuación media del PAQ-A fue de 2,69 (DE = 0,47). El exceso de peso se asoció con jugar de portero (p = 0,001), mayor puntuación de PAQ-A (p = 0,011) y menor de KIDMED (p = 0,032). El análisis de correlación presentó una asociación inversa entre edad y puntuación de PAQ-A (r = −0,122) y directa entre las puntuaciones de KIDMED e PAQ-A (r = 0,152). Conclusiones: Los participantes en el estudio mostraron un adecuado nivel de actividad física. Sin embargo, presentaron un perfil obesogénico similar al de la población de su edad y una potencial necesidad de mejora sobre la adherencia a las recomendaciones de la dieta saludable.Introduction: Diet and physical activity are factors that have key roles in childhood overweight and obesity prevention. Appropriate assessment of these factors is an essential task in public health. Objective: The main aims of the study are to assess body composition, physical activity, and adherence to Mediterranean diet of soccer players, aged 13 to 16 years old in Asturias, Spain. It also aims to evaluate the relationships between diet, physical activity, body composition, and personal characteristics. Methods: A cross-sectional descriptive survey approach was used involving children (n = 303) with a mean age of 14.15 years (SD = 1.06), and using the KIDMED and PAQ-A questionnaires to assess adherence to Mediterranean diet and level of physical activity, respectively. Body composition was represented using the participants’ body mass index. Results: Approximately 23.1% of the participants were overweight or obese. With regards to adherence to Mediterranean diet, 54.8% of the participants had medium adherence, while 8.9% had low adherence. PAQ-A mean score was 2.69 (SD = 0.47). Excess weight was associated with being a goalkeeper (P = .001), higher PAQ-A (P = .011), and lower KIDMED scores (P = .032). Correlation analysis showed an inverse association between age and PAQ-A score (r = −0.122), and a direct association between KIDMED and PAQ-A scores (r = 0.152). Conclusion: Participants had an adequate level of physical activity. However, they had an obesogenic profile similar to that of their age population, who were not soccer players. Actions to improve adherence to healthy diet practices are highly recommended
Research on missed nursing care during the COVID-19 pandemic: A scoping review
COVID-19; Atenció d'infermeria perduda; Atenció al pacientCOVID-19; Atención de enfermería perdida; Atención al pacienteCOVID-19; Missed nursing care; Patient careAbstract Background: Missed nursing care is defined as care that is delayed, partially completed, or not completed at all. The scenario created by the COVID-19 pandemic may have influenced multifactorial determinants related to the care environment, nursing processes, internal processes, and decision-making processes, increasing missed nursing care. Aim: This scoping review aimed to establish the quantity and type of research undertaken on missed nursing care during the COVID-19 pandemic. Methods: This review was conducted following the Joanna Briggs Institute methodology for scoping reviews. We searched CINAHL, MEDLINE, Scopus, two national and regional databases, two dissertations and theses databases, a gray literature database, two study registers, and a search engine from November 1, 2019, to March 23, 2023. We included quantitative, qualitative, and mixed studies carried out in all healthcare settings that examined missed nursing care during the COVID-19 pandemic. Language restrictions were not applied. Two independent reviewers conducted study selection and data extraction. Disagreements between the reviewers were resolved through discussion or with an additional reviewer. Results: We included 25 studies with different designs, the most common being acute care cross-sectional survey designs. Studies focused on determining the frequency and reasons for missed nursing care and its influence on nurses and organizational outcomes. Linking Evidence to Action: Missed nursing care studies during the COVID-19 pandemic were essentially nurses-based prevalence surveys. There is an urgent need to advance the design and development of longitudinal and intervention studies, as well as to broaden the focus of research beyond acute care. Further research is needed to determine the impact of missed nursing care on nursing-sensitive outcomes and from the patient's perspective
Prescribing fitness apps for people with cancer: a preliminary assessment of content and quality of commercially available apps
Purpose
The benefits of physical activity for cancer survivors are increasingly recognised and smartphone applications are available to assist them to become more physically active. Cancer clinicians, however, lack confidence about which physical activity apps to recommend as evidence on their quality and content is limited. Therefore, we reviewed freely available commercial physical activity/fitness apps to systematically assess their behavioural change content and quality of their design.
Methods
Systematic searches of the app stores for Apple and Android operating systems were conducted and apps were screened to identify free apps appropriate for cancer survivors. Quality was assessed using the Mobile App Rating Scale (MARS) and behavioural content was evaluated using the Behavioural Change Techniques Taxonomy (BCTT).
Results
Of 341 apps identified, 67 were judged appropriate for cancer survivors and 46% combined aerobic and strength/stretching content. The overall number of behavioural change techniques (BCT) included was 3.96 (SD = 2.09), with the most frequent being ‘feedback on behaviour’ and ‘goal setting behaviour’. The mean scores for objective and subjective quality were 4.11 (SD = 0.59) and 3.07 (SD = 0.91) respectively (range 0 to 5). Finally, a modest positive correlation was found between the number of BCT and the quality of engagement, awareness and knowledge as assessed by the MARS.
Conclusion
Only a fifth of retrieved physical activity apps contained potentially suitable content for people affected by cancer. Overall, most apps we reviewed appeared to perform well in terms of their objective quality, but less well at promoting knowledge and awareness or help seeking related to physical activity.
Implications for Cancer Survivors
Many physical activity apps are available but the combined use of MARS and BCTT suggests that not all of them are suitable to the needs is a promising and feasible approach for assessing the applicability, usability and content of physical activity of apps employed by cancer survivors and this study is a first step toward developing a guide.</p
Impact of two nurse-led interventions targeting diet among breast cancer survivors: Results from a randomized controlled trial
Psicothema
Resumen tomado de la publicaciónIntervención educativa sobre alimentación en futbolistas adolescentes: proyecto IDEHA-F. Antecedentes: alimentación y actividad física son objeto de abordaje prioritario, mediante intervenciones conductuales, dada su influencia sobre los principales problemas de salud infantil. El objetivo de este estudio fue evaluar la factibilidad de una intervención educativa, basada en el modelo Behaviour Change Wheel, sobre adherencia a la alimentación saludable en adolescentes jugadores de fútbol del Principado de Asturias. Método: estudio piloto sobre 319 jugadores de fútbol, edad media 14,19 años (DE= 1.089), distribuidos en grupo control (GC) e intervención (GI). Las variables de respuesta fueron: tasa de uso, adherencia y adquisición de conocimientos en relación con la dieta mediterránea. La intervención estuvo compuesta por 3 elementos: carteles, web-app y actividades prácticas. Resultados: la puntuación media del cuestionario de conocimientos fue de 2.53 y 3.42 en GC y GI, respectivamente (p<.001). Se observó correlación directa baja entre conocimientos y puntuación de KIDMED (r=.222, p=.013). La puntuación total de KIDMED en PRE (p<.001) y los conocimientos (p=.05) explicaron aproximadamente el 33% de la puntuación total de KIDMED en POST. Conclusiones: la combinación de carteles y el uso de una web-app como herramientas han demostrado factibilidad para aportar información sobre la alimentación saludable y mantener su calidad en adolescentes que juegan al fútbol.Universidad de Oviedo. Biblioteca de Psicología; Plaza Feijoo, s/n.; 33003 Oviedo; Tel. +34985104146; Fax +34985104126; [email protected]
Psicothema
Resumen tomado de la publicaciónAdherencia a la dieta saludable y a la realización de actividad física en pacientes. Antecedentes: el objetivo de este estudio ha sido explorar las propiedades psicométricas del cuestionario Motiva.Diaf, diseñado para medir la adherencia a las características de la dieta saludable y realización de actividad física en personas enfermas. Método: participaron 230 pacientes, que asistieron a consultas hospitalarias, con una edad media de 49,28 años (SD = 12,34), siendo un 55,7 % mujeres. Dos semanas tras la administración inicial, se seleccionaron al azar 40 participantes, de los que tenían otra cita hospitalaria, para completar nuevamente el cuestionario con el fin de evaluar la fiabilidad test-retest. Resultados: la precisión de las puntuaciones es adecuada en términos de consistencia interna (α = .802; Ω = .776) y de estabilidad temporal (r =.786). La estructura del test es esencialmente unidimensional y las puntuaciones en esta dimensión convergen con las medidas de necesidades psicológicas básicas (r Diet = .294; r Physical Activity= .359) y salud percibida (r = .266). También se encontró una relación moderada con IMC (r = - .129). Conclusiones: Motiva.Diaf ha demostrado una fiabilidad y validez. La disponibilidad de un instrumento de estas características tiene implicaciones significativas en la evaluación de las conductas, diseño e implementación de intervenciones conductuales.Universidad de Oviedo. Biblioteca de Psicología; Plaza Feijoo, s/n.; 33003 Oviedo; Tel. +34985104146; Fax +34985104126; [email protected]