A contribuição da avaliação in loco como fator de consolidação dos principios estruturantes do SINAES The contribution of on-site evaluation as a factor of consolidation of the structuring principles of SINAES

O artigo versa sobre a contribuição de avaliação in loco no sentido de promover a consolidação dos princípios norteadores do SINAES a partir de uma reflexão construtiva entre os consultores ad hoc e a instituição. A digressão teórica elenca aspectos relacionados a construção da identidade institucional, a partir da contribuição da avaliação e o retrospecto da avaliação institucional no Brasil. Elenca, ainda uma reflexão sobre o modelo do SINAES e os princípios estruturantes e norteadores do Sistema, destacando a contribuição do processo de avaliação in loco na construção da epistemologia institucional. Para tanto, as interações metodológicas ocorrem sob as bases da pesquisa acadêmica, de caráter documental indireto e que se classifica como sendo descritiva-explicativa, predominantemente qualitativa e designada como sendo uma pesquisa participante. As investigações construtivistas permitem concluir, entre outros desígnios, que do ponto de vista dos avaliadores ad hoc os aspectos que determinam o cumprimento dos princípios estruturantes do SINAES no contexto da avaliação institucional das instituições de educação superior no Brasil ensejam uma relação construtivista, democrática e de aprendizado mutuo e continuo entre avaliadores e a própria instituição, a qual é a responsável pela consolidação destes princípios no âmbito do ensino superior brasileiro.<br>The paper focuses on the contribution of on-site evaluation in order to promote the consolidation of the guiding principles of SINAES based on the constructive thinking of consultants and the ad hoc institution. The theoretical discussion presents aspects related to the construction of institutional identity, based on the contribution of evaluation and on the definitions of institutional evaluation in Brazil. It also discusses Sinaes as a model along with the guiding principles that structure the System, emphasizing the contribution of the on-site evaluation process on the construction of institutional epistemology. Methodological interactions occur on the bases of academic research, of indirect documental character, which can be classified as descriptive-explanatory, predominantly qualitative and designed as participative research. The constructivist investigations allow us to conclude, among other things, that, from the standpoint of the peer review panel, the aspects that determine the compliance with the structural principles of Sinaes in the context of the institutional evaluation of higher education institutions in Brazil promote a constructivist and democratic relationship of mutual and continuous learning between evaluators and the institution itself, which is responsible for consolidating these principles in Brazilian higher education

Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial

Background: Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD. Methods: In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels. Results: From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P <.01), mainly due to a 0.5-serving/d greater intake of fruits and of vegetables in the BALANCE group. Primary end point events occurred in 236 participants (18.8%) in the BALANCE group and in 207 participants (16.4%) in the control group (hazard ratio, 1.15; 95% CI 0.95-1.38; P =.15). Secondary end points did not differ between groups after follow-up. Conclusions: The BALANCE Program only slightly improved adherence to a healthy diet in patients with established CVD and had no significant effect on the incidence of cardiovascular events or death. © 2019 The Author