Concordance in the perception of violent behavior in adolescent couples

La violencia entre parejas de adolescentes es un tema de relevancia a nivel social, destacando por sus tasas de prevalencia y graves consecuencias. Como objetivo, se plantea comprobar los niveles de prevalencia de sucesos violentos en parejas adolescentes y jóvenes, y determinar los niveles de concordancia en la ocurrencia de la violencia en base a la información aportada por ambos miembros de la pareja. La muestra se conforma de 106 parejas con un rango de edad entre 18 y 30 años. Se aplicó de forma independiente el cuestionario de violencia entre novios, versión para parejas (CUVINO-VA). Los resultados reflejaron una alta prevalencia de violencia en sus relaciones de noviazgo y elevadas discrepancias en su percepción, estadísticamente significativas, tanto en varones como mujeres tanto en los roles de agresión como de victimización.Violence between adolescent couples is a topic of social relevance, highlighted by its prevalence rates and its serious consequences. As an objective, it is proposed to check the levels of prevalence of violent events in adolescent and young couples and to determine the levels of concordance in the occurrence of violence during courtship based on the information provided by both members of the same couple. The sample consists of 106 couples with an age range between 18 and 30 years, to who was applied independently the questionnaire of violence between dating, in its version for couples (CUVINO-VA). The results reflected a high prevalence of violence in their dating relationships and high discrepancies in their perception, statistically significant,in both men and women in both the roles of aggression and victimization.Fundación para la Promoción de la Investigación Científica Aplicada y la Tecnología en Asturias (becas Severo Ochoa BP13-134 y BP14-153)Ministerio de Educación, Cultura y Deporte de España (MINECO-17- PSI2016-77484-P

Effectiveness of a strategy that uses educational games to implement clinical practice guidelines among Spanish residents of family and community medicine (e-EDUCAGUIA project):A clinical trial by clusters

This study was funded by the Fondo de Investigaciones Sanitarias FIS Grant Number PI11/0477 ISCIII.-REDISSEC Proyecto RD12/0001/0012 AND FEDER Funding.Background: Clinical practice guidelines (CPGs) have been developed with the aim of helping health professionals, patients, and caregivers make decisions about their health care, using the best available evidence. In many cases, incorporation of these recommendations into clinical practice also implies a need for changes in routine clinical practice. Using educational games as a strategy for implementing recommendations among health professionals has been demonstrated to be effective in some studies; however, evidence is still scarce. The primary objective of this study is to assess the effectiveness of a teaching strategy for the implementation of CPGs using educational games (e-learning EDUCAGUIA) to improve knowledge and skills related to clinical decision-making by residents in family medicine. The primary objective will be evaluated at 1 and 6months after the intervention. The secondary objectives are to identify barriers and facilitators for the use of guidelines by residents of family medicine and to describe the educational strategies used by Spanish teaching units of family and community medicine to encourage implementation of CPGs. Methods/design: We propose a multicenter clinical trial with randomized allocation by clusters of family and community medicine teaching units in Spain. The sample size will be 394 residents (197 in each group), with the teaching units as the randomization unit and the residents comprising the analysis unit. For the intervention, both groups will receive an initial 1-h session on clinical practice guideline use and the usual dissemination strategy by e-mail. The intervention group (e-learning EDUCAGUIA) strategy will consist of educational games with hypothetical clinical scenarios in a virtual environment. The primary outcome will be the score obtained by the residents on evaluation questionnaires for each clinical practice guideline. Other included variables will be the sociodemographic and training variables of the residents and the teaching unit characteristics. The statistical analysis will consist of a descriptive analysis of variables and a baseline comparison of both groups. For the primary outcome analysis, an average score comparison of hypothetical scenario questionnaires between the EDUCAGUIA intervention group and the control group will be performed at 1 and 6months post-intervention, using 95% confidence intervals. A linear multilevel regression will be used to adjust the model. Discussion: The identification of effective teaching strategies will facilitate the incorporation of available knowledge into clinical practice that could eventually improve patient outcomes. The inclusion of information technologies as teaching tools permits greater learning autonomy and allows deeper instructor participation in the monitoring and supervision of residents. The long-term impact of this strategy is unknown; however, because it is aimed at professionals undergoing training and it addresses prevalent health problems, a small effect can be of great relevance. Trial registration: ClinicalTrials.gov: NCT02210442.Publisher PDFPeer reviewe

Concordance in the perception of violent behavior in adolescent couples

La violencia entre parejas de adolescentes es un tema de relevancia a nivel social, destacando por sus tasas de prevalencia y graves consecuencias. Como objetivo, se plantea comprobar los niveles de prevalencia de sucesos violentos en parejas adolescentes y jóvenes, y determinar los niveles de concordancia en la ocurrencia de la violencia en base a la información aportada por ambos miembros de la pareja. La muestra se conforma de 106 parejas con un rango de edad entre 18 y 30 años. Se aplicó de forma independiente el cuestionario de violencia entre novios, versión para parejas (CUVINO-VA). Los resultados reflejaron una alta prevalencia de violencia en sus relaciones de noviazgo y elevadas discrepancias en su percepción, estadísticamente significativas, tanto en varones como mujeres tanto en los roles de agresión como de victimización.Violence between adolescent couples is a topic of social relevance, highlighted by its prevalence rates and its serious consequences. As an objective, it is proposed to check the levels of prevalence of violent events in adolescent and young couples and to determine the levels of concordance in the occurrence of violence during courtship based on the information provided by both members of the same couple. The sample consists of 106 couples with an age range between 18 and 30 years, to who was applied independently the questionnaire of violence between dating, in its version for couples (CUVINO-VA). The results reflected a high prevalence of violence in their dating relationships and high discrepancies in their perception, statistically significant, in both men and women in both the roles of aggression and victimization