La imagen y la narrativa como herramienta para el abordaje psicosocial en escenarios de violencia. Departamento de Tolima y Cundinamarca

El siguiente trabajo dará a conocer las actividades realizadas durante el diplomado de profundización acompañamiento psicosocial en escenarios de violencia, en donde se abordaron temas como la importancia de la imagen y la narrativa como herramienta para el abordaje psicosocial en escenarios de violencia. Inicialmente de manera colaborativa se seleccionó un relato de violencia, la historia de Ana Ligia quien era del corregimiento de Aquitania y a raíz de la violencia debió salir por un desplazamiento forzado, sufrió experiencias traumáticas al igual que sus hijos, pero logro salir delante de una manera resiliente y a través de la poesía. En esta actividad se brindó respuesta a una serie de preguntas relacionadas al caso con el fin de identificar los emergentes psicosociales, luego se diseñó una serie de preguntas a la protagonista en donde se identifica la diferencia de cada una de ellas, se formuló para Ana Ligia una pregunta estratégica, una circular y otra reflexiva con el fin de abordar el caso desde el rol del Psicólogo. Posteriormente se tomó el caso de Peñas Colorada con el fin de brindar o aportar las estrategias psicosociales necesarias según las problemáticas evidenciadas como la estigmatización; desarraigo, estas estrategias y acciones van enfocadas al afrontamiento de crisis, traumas a raíz de los hechos de violencia, abordándolo desde la terapia narrativa como una herramienta psicosocial. Para finalizar en el documento se encontrará un informe analítico y reflexivo de la técnica de la foto voz y sus conclusiones, en donde se resalta su importancia, adicional a esto se anexa link de la página wix diseñada como una galería de exposiciones con la experiencia de cada estudiante con el uso de la foto voz, allí se ven reflejas las experiencias fotografías de cada comunidad con sus problematicas sociales y de violencia acompañada de una narrativa metafórica que resalta y da importancia de la imagen y la narrativa. Palabras claves Acción Psicosocial, victimas, violencia, estigmatización, desplazamiento forzado.The following work will present the activities carried out during the psychosocial accompaniment in-depth diploma in violence scenarios, where issues such as the importance of the image and the narrative as a tool for the psychosocial approach in violence scenarios were addressed. Initially, in a collaborative way, a story of violence was selected, the story of Ana Ligia who was from the Aquitaine district and as a result of the violence had to leave due to forced displacement, suffered traumatic experiences like her children, but managed to come out ahead in a way resilient and through poetry. In this activity, an answer was provided to a series of questions related to the case in order to identify the psychosocial emergencies, then a series of questions was designed to the protagonist where the difference of each of them is identified, it was formulated for Ana Ligia a strategic question, a circular and a reflective one in order to approach the case from the role of the Psychologist. Subsequently, the case of Peñas Colorada was taken in order to offer or contribute the necessary psychosocial strategies according to the problems evidenced such as stigmatization; uprooting, these strategies and actions are focused on coping with crises, traumas as a result of the acts of violence, approaching it from narrative therapy as a psychosocial tool. To finish in the document, there will be an analytical and reflective report on the photo-voice technique and its conclusions, where its importance is highlighted, in addition to this, a link to the wix page is attached, designed as a gallery of exhibitions with the experience of Each student with the use of the photo voice, there are reflected the experiences photographs of each community with their social problems and violence accompanied by a metaphorical narrative that highlights and gives importance to the image and the narrative. Keywords Psychosocial Action, victims, violence, stigmatization, forced displacement

Assessing the feasibility, acceptability, and fidelity of a tele-retinopathy-based intervention to encourage greater attendance to diabetic retinopathy screening in immigrants living with diabetes from China and African-Caribbean countries in Ottawa, Canada: a protocol

Background: Diabetic retinopathy is a leading cause of preventable blindness in Canada. Clinical guidelines recommend annual diabetic retinopathy screening for people living with diabetes to reduce the risk and progression of vision loss. However, many Canadians with diabetes do not attend screening. Screening rates are even lower in immigrants to Canada including people from China, Africa, and the Caribbean, and these groups are also at higher risk of developing diabetes complications. We aim to assess the feasibility, acceptability, and fidelity of a co-developed, linguistically and culturally tailored tele-retinopathy screening intervention for Mandarin-speaking immigrants from China and French-speaking immigrants from African-Caribbean countries living with diabetes in Ottawa, Canada, and identify how many from each population group attend screening during the pilot period. // Methods: We will work with our health system and patient partners to conduct a 6-month feasibility pilot of a tele-retinopathy screening intervention in a Community Health Centre in Ottawa. We anticipate recruiting 50–150 patients and 5–10 health care providers involved in delivering the intervention for the pilot. Acceptability will be assessed via a Theoretical Framework of Acceptability-informed survey with patients and health care providers. To assess feasibility, we will use a Theoretical Domains Framework-informed interview guide and to assess fidelity, and we will use a survey informed by the National Institutes of Health framework from the perspective of health care providers. We will also collect patient demographics (i.e., age, gender, ethnicity, health insurance status, and immigration information), screening outcomes (i.e., patients with retinopathy identified, patients requiring specialist care), patient costs, and other intervention-related variables such as preferred language. Survey data will be descriptively analyzed and qualitative data will undergo content analysis. // Discussion: This feasibility pilot study will capture how many people living with diabetes from each group attend the diabetic retinopathy screening, costs, and implementation processes for the tele-retinopathy screening intervention. The study will indicate the practicability and suitability of the intervention in increasing screening attendance in the target population groups. The study results will inform a patient-randomized trial, provide evidence to conduct an economic evaluation of the intervention, and optimize the community-based intervention

Assessing the feasibility, acceptability, and fidelity of a tele-retinopathy-based intervention to encourage greater attendance to diabetic retinopathy screening in immigrants living with diabetes from China and African-Caribbean countries in Ottawa, Canada: a protocol

Abstract Background Diabetic retinopathy is a leading cause of preventable blindness in Canada. Clinical guidelines recommend annual diabetic retinopathy screening for people living with diabetes to reduce the risk and progression of vision loss. However, many Canadians with diabetes do not attend screening. Screening rates are even lower in immigrants to Canada including people from China, Africa, and the Caribbean, and these groups are also at higher risk of developing diabetes complications. We aim to assess the feasibility, acceptability, and fidelity of a co-developed, linguistically and culturally tailored tele-retinopathy screening intervention for Mandarin-speaking immigrants from China and French-speaking immigrants from African-Caribbean countries living with diabetes in Ottawa, Canada, and identify how many from each population group attend screening during the pilot period. Methods We will work with our health system and patient partners to conduct a 6-month feasibility pilot of a tele-retinopathy screening intervention in a Community Health Centre in Ottawa. We anticipate recruiting 50–150 patients and 5–10 health care providers involved in delivering the intervention for the pilot. Acceptability will be assessed via a Theoretical Framework of Acceptability-informed survey with patients and health care providers. To assess feasibility, we will use a Theoretical Domains Framework-informed interview guide and to assess fidelity, and we will use a survey informed by the National Institutes of Health framework from the perspective of health care providers. We will also collect patient demographics (i.e., age, gender, ethnicity, health insurance status, and immigration information), screening outcomes (i.e., patients with retinopathy identified, patients requiring specialist care), patient costs, and other intervention-related variables such as preferred language. Survey data will be descriptively analyzed and qualitative data will undergo content analysis. Discussion This feasibility pilot study will capture how many people living with diabetes from each group attend the diabetic retinopathy screening, costs, and implementation processes for the tele-retinopathy screening intervention. The study will indicate the practicability and suitability of the intervention in increasing screening attendance in the target population groups. The study results will inform a patient-randomized trial, provide evidence to conduct an economic evaluation of the intervention, and optimize the community-based intervention