Peer-led alcohol intervention for college students: A pilot randomized controlled trial

This study aims to assess the preliminary efficacy and feasibility of a brief, peer-led alcohol intervention to reduce alcohol consumption in binge-drinking Spanish nursing students. A pilot randomized controlled trial was conducted with 50 first-year nursing students who were randomly assigned either a 50-min peer-led motivational intervention with individual feedback or a control condition. Primary outcomes for testing the preliminary efficacy were alcohol use and alcohol-related consequences. Quantitative and content analyses of open-ended survey questions were performed. Participants in the intervention condition significantly reduced binge-drinking episodes, peak blood alcohol content, and consequences compared to the control group. Principal facilitators were completing the questionnaire during the academic schedule and providing tailored feedback through a graphic report. The main barrier was the unreliability of students' initial commitment. The findings suggest that a brief motivational intervention could be effective for reducing alcohol consumption and alcohol-related consequences in Spanish college students. Peer counselors and participants reported high satisfaction, indicating that the intervention is feasible. However, a full trial should be conducted taking into account the identified barriers and facilitators

Necesidades de los familiares de un paciente terminal institucionalizado en un centro geriátrico: caso clínico

Los cuidados al final de la vida se ofrecen en una variedad de contextos en todo el mundo, incluyendo los centros residenciales. El objetivo de este trabajo es profundizar en las necesidades de la familia de un paciente terminal institucionalizado en un centro residencial. Para ello, se presenta un caso clínico que, junto con la evidencia científica, nos ayuda a determinar cuáles son las necesidades de la familia en este momento. El análisis del caso se estructura en cuatro subtemas: necesidad de contacto y comunicación entre la familia y los profesionales sanitarios, necesidad de presencia médica, necesidad de presencia enfermera y necesidades emocionales y sociales. Este trabajo evidencia la importancia de desarrollar, por parte del profesional de enfermería, un plan de identificación y atención de las necesidades familiares. Este enfoque familiar permitirá proporcionar una asistencia de mayor calidad, que derivará en una mejora de la salud de los miembros de la familia

Necesidades de los familiares de un paciente terminal institucionalizado en un centro geriátrico. Caso clínico

Los cuidados al final de la vida se ofrecen en una variedad de contextos en todo el mundo, incluyendo los centros residenciales. El objetivo de este trabajo es profundizar en las necesidades de la familia de un paciente terminal institucionalizado en un centro residencial. Para ello, se presenta un caso clínico que, junto con la evidencia científica, nos ayuda a determinar cuáles son las necesidades de la familia en este momento. El análisis del caso se estructura en cuatro subtemas: necesidad de contacto y comunicación entre la familia y los profesionales sanitarios, necesidad de presencia médica, necesidad de presencia enfermera y necesidades emocionales y sociales. Este trabajo evidencia la importancia de desarrollar, por parte del profesional de enfermería, un plan de identificación y atención de las necesidades familiares. Este enfoque familiar permitirá proporcionar una asistencia de mayor calidad, que derivará en una mejora de la salud de los miembros de la familia.The end of life care is offered in multiple contexts all over the world in places such as in nursing homes. The aim of this work is to analyze more in depth the needs of the relatives of the terminal phase patients who undergo treatment at a nursing home. We take into consideration a clinic case that together with a concrete literature, it assists us to determine which are the families’ needs in that moment. The analysis of the case is structured in 4 subunits which are: Communication with the medical experts and professionals, medical assistance, infirmary/nursing assistance and emotional and social needs. This work gives a clear picture of the importance of developing the function of the nursing professionals, an identification plan and the attention given to the families’ necessities. This approach will provide a better quality assistance which will derive onto an improvement of the family member’s healt

Peer-led alcohol intervention for college students: A pilot randomized controlled trial

This study aims to assess the preliminary efficacy and feasibility of a brief, peer-led alcohol intervention to reduce alcohol consumption in binge-drinking Spanish nursing students. A pilot randomized controlled trial was conducted with 50 first-year nursing students who were randomly assigned either a 50-min peer-led motivational intervention with individual feedback or a control condition. Primary outcomes for testing the preliminary efficacy were alcohol use and alcohol-related consequences. Quantitative and content analyses of open-ended survey questions were performed. Participants in the intervention condition significantly reduced binge-drinking episodes, peak blood alcohol content, and consequences compared to the control group. Principal facilitators were completing the questionnaire during the academic schedule and providing tailored feedback through a graphic report. The main barrier was the unreliability of students' initial commitment. The findings suggest that a brief motivational intervention could be effective for reducing alcohol consumption and alcohol-related consequences in Spanish college students. Peer counselors and participants reported high satisfaction, indicating that the intervention is feasible. However, a full trial should be conducted taking into account the identified barriers and facilitators

Peer-led alcohol intervention for college students: a pilotrandomized controlled trial

This study aims to assess the preliminary efficacy and feasibility of a brief, peer-led alcohol intervention to reduce alcohol consumption in binge-drinking Spanish nursing students. A pilot randomized controlled trial was conducted with 50 first-year nursing students who were randomly assigned either a 50-min peer-led motivational intervention with individual feedback or a control condition. Primary outcomes for testing the preliminary efficacy were alcohol use and alcohol-related consequences. Quantitative and content analyses of open-ended survey questions were performed. Participants in the intervention condition significantly reduced binge-drinking episodes, peak blood alcohol content, and consequences compared to the control group. Principal facilitators were completing the questionnaire during the academic schedule and providing tailored feedback through a graphic report. The main barrier was the unreliability of students' initial commitment. The findings suggest that a brief motivational intervention could be effective for reducing alcohol consumption and alcohol-related consequences in Spanish college students. Peer counselors and participants reported high satisfaction, indicating that the intervention is feasible. However, a full trial should be conducted taking into account the identified barriers and facilitators

Pacientes con dispositivo de asistencia ventricular, perspectiva de los cuidadores

Introduction and objective: Ventricular Assist Devices (VAD) constitute a successful therapy in patients with heart failure in advanced stages. Caregivers of patients with these devices play a key role, their quality of life and patient's care being both affected. The aim is to know about the experiences of VAD patient caregivers. Material and Methods: A bibliographic review was done in PubMed, Cinahl, PsycINFO, Psychology and Behavioral and Cochrane Library. The terms: caregiver, experience and «Ventricular Assist Device» were combined with the booleans AND and OR. The limits set were the language (English and Spanish) and the time of publication (last 10 years). In addition, professional journals were revised, nally selecting 12 articles. Results: They were classied into three topics: A) VAD as a life-changing event: caregivers report they nd themselves in a constant «roller-coaster ride». B) Changes in the role: there is a loss of the usual role in the family, along with psychological and emotional challenges. C) An adaptation process: caregivers adopt an attitude of resilience, managing to improve negative feelings such as stress and fear, although they do not disappear completely. Discussion and/or Conclusions: VAD patient caregivers experience an important transformation in their lives. Nurses must develop new strategies to provide these caregivers with support. With this aim, future research should focus on the development of training programs on how to address in practice this population's needs.Introducción y objetivos: Los Dispositivos de Asistencia Ventricular (DAV) constituyen una terapia exitosa en pacientes con insu"ciencia cardiaca en estadíos avanzados. Los cuidadores de pacientes con estos dispositivos desempeñan un papel fundamental llegando a afectar a su calidad de vida y repercutiendo en el cuidado del paciente. El objetivo es conocer las experiencias de los cuidadores de pacientes con DAV. Material y métodos: Se realizó una revisión bibliográ"ca en Pubmed, Cinahl, PsycINFO, Psychology and Behavioral y Cochrane Library. Se combinaron los términos: "caregiver", "experience" y «Ventricular Assist Device» con los booleanos AND y OR. Como límites se establecieron el idioma (inglés y español) y el tiempo de publicación (últimos 10 años). Además, se revisaron revistas especializadas, seleccionando "nalmente 12 artículos. Resultados: Se clasi"caron en tres temas: A) El DAV como evento que cambia la vida: los cuidadores describen encontrarse en una constante «montaña rusa». B) Los cambios en el rol: existe una pérdida del rol habitual en la familia, junto con desafíos psicológicos y emocionales. C) Un proceso de adaptación: los cuidadores adoptan una actitud de resiliencia logrando mejorar sentimientos negativos como estrés y miedo, aunque no desaparecen por completo. Discusión y/o conclusiones: Los cuidadores de pacientes con DAV vivencian una importante transformación en sus vidas. Las enfermeras deben desarrollar nuevas estrategias para proporcionar apoyo a estos cuidadores. Para ello, futuras investigaciones deben enfocarse en el desarrollo de programas de formación sobre cómo abordar en la práctica las necesidades de esta población

Attitudes, self-efficacy, and intention related to smoking after a cessation intervention in Spanish college students. A pragmatic randomized trial

Póster de Pardavilla-Belio, M. I., Canga-Armayor, N., Canga-Armayor, A., et al "Attitudes, self-efficacy, and intention related to smoking after a cessation intervention in Spanish college students. A pragmatic randomized trial" en 17th annual conference of the Society for Research on Nicotine and Tobacco Europe Chapter, celebrado en Praga (República Checa) del 8 de septiembre de 2016 al 10 de septiembre de 2016

Attitudes, self-efficacy, and intention related to smoking after a cessation intervention in Spanish college students. A pragmatic randomized trial

Póster de Pardavilla-Belio, M. I., Canga-Armayor, N., Canga-Armayor, A., et al "Attitudes, self-efficacy, and intention related to smoking after a cessation intervention in Spanish college students. A pragmatic randomized trial" en 17th annual conference of the Society for Research on Nicotine and Tobacco Europe Chapter, celebrado en Praga (República Checa) del 8 de septiembre de 2016 al 10 de septiembre de 2016

Peer-led interventions to reduce alcohol consumption in college students: A scoping review

Risky alcohol consumption among college students is a significant public health issue. In the college setting, students can collaborate in the implementation of peer-led interventions. To date, evidence of peer-led programmes in reducing harmful alcohol consumption in this population is inconclusive. The aim of the current scoping review is to provide a broad overview by systematically examining and mapping the literature on peer-led interventions for preventing risky alcohol consumption by college students. The specific aims were to (1) identify the underlying focus of the interventions and assess their (2) effectiveness and (3) feasibility. A comprehensive search was conducted in PubMed, PsycINFO, CINAHL, Cochrane Library, Web of Science, DART-Europe, RCAAP, Trove and ProQuest. The inclusion criteria were peer-led interventions that exclusively addressed alcohol consumption, college students as the target population and interventional studies (randomised controlled trials, quasi-experimental studies, systematic reviews and meta-analyses of interventions). The methodological quality of the articles was evaluated. From 6654 potential studies, 13 were included. Nine interventions were described within these studies: Voice of Reason programme, Brief Advice sessions, Peer Theatre, Alcohol Education programme, Perceptions of Alcohol Norms intervention, Motivational Intervention, Alcohol Skills Training programme, Lifestyle Management Class and the Brief Alcohol Screening and Intervention for College Students. Only the last showed significant reductions in three of the four outcome measures: quantity and frequency of drinking, estimated peak blood alcohol concentration and alcohol-related consequences. It did not significantly decrease the number of heavy-drinking episodes. Peer interventions may be effective in preventing alcohol use among college students, although the evidence is weak and scarce. Further research is needed to strengthen the findings about peer-led interventions