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Marks, Jennifer, Lisa M. Barnett, Chad Foulkes, Penelope Hawe, and Steven Allender. "Using Social Network Analysis to Identify Key Child Care Center Staff for Obesity Prevention Interventions: A Pilot Study." Journal of Obesity 2013 (2013): 1–9. http://dx.doi.org/10.1155/2013/919287.
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Introduction. Interest has grown in how systems thinking could be used in obesity prevention. Relationships between key actors, represented by social networks, are an important focus for considering intervention in systems.Method. Two long day care centers were selected in which previous obesity prevention programs had been implemented. Measures showed ways in which physical activity and dietary policy are conversations and actions transacted through social networks (interrelationships) within centers, via an eight item closed-ended social network questionnaire. Questionnaire data were collected from (17/20; response rate 85%) long day care center staff. Social network density and centrality statistics were calculated, using UCINET social network software, to examine the role of networks in obesity prevention.Results. “Degree” (influence) and “betweeness” (gatekeeper) centrality measures of staff inter-relationships about physical activity, dietary, and policy information identified key players in each center. Network density was similar and high on some relationship networks in both centers but markedly different in others, suggesting that the network tool identified unique center social dynamics. These differences could potentially be the focus of future team capacity building.Conclusion. Social network analysis is a feasible and useful method to identify existing obesity prevention networks and key personnel in long day care centers.
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Saunders, Ruth P., Marsha Dowda, Karin A. Pfeiffer, William H. Brown, and Russell R. Pate. "Childcare Center Characteristics Moderate the Effects of a Physical Activity Intervention." International Journal of Environmental Research and Public Health 17, no. 1 (December 22, 2019): 101. http://dx.doi.org/10.3390/ijerph17010101.
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Center-based early childhood education and care (ECEC) programs are well-positioned to create positive impacts on the health and development of large numbers of young children by promoting physical activity using evidence-based programs. Studies testing physical activity programs for young children should examine the circumstances under which programs are most effective by assessing the role of contextual factors on program outcomes. The purpose of this study was to examine the moderating effects of baseline ECEC center characteristics on the relationship between the Study of Health and Activity in Preschool Environments (SHAPES) intervention and moderate-to-vigorous physical activity (MVPA). MVPA was assessed via accelerometry; center characteristics, practices, and social and physical environments were assessed by director interview and observation; and center quality was assessed using the Early Childhood Environment Rating Scale-Revised Edition. Mixed-model analyses of covariance (ANCOVAs) examined intervention effects on MVPA during the school day; interactions between baseline center variables and group assignment (intervention vs. control) tested for moderation. Two center instructional practices, two social environment characteristics, and one physical environment characteristic at baseline moderated the effects of SHAPES on MVPA outcomes. Assessing baseline practices and center characteristics may aid efforts to match centers with interventions likely to increase physical activity as well as suggest additional intervention strategies to test.
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Xiong, Shanying, Xianxiong Li, and Kun Tao. "Effects of Structured Physical Activity Program on Chinese Young Children’s Executive Functions and Perceived Physical Competence in a Day Care Center." BioMed Research International 2017 (2017): 1–6. http://dx.doi.org/10.1155/2017/5635070.
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Purpose. To examine the effects of a structured physical activity program on executive functions and perceived physical competence as compared to a traditional recess among preschool children. Methods. Participants were 40 preschool children aged 4-5 from an urban child care center in a southern Chinese metropolitan area. Prior to the intervention, baseline assessments of children’s executive functions and perceived physical competence were conducted. Children were then assigned to (1) intervention condition: a structured physical activity intervention group; (2) control condition: free-activity recess. The structured physical activity or recess programs were provided to the intervention and control groups 30 minutes daily for 3 months, respectively, followed by the identical postintervention measures. Results. Thirty-nine children (19 girls; mean age = 4.67 years old, BMI = 15.54±1.21) were included in the analysis. In general, children’s executive functions and perceived physical competence increased over time. Repeated measures analysis of variance revealed the intervention group had significant greater increases in executive functions compared to the control children (F(1, 37) = 4.20, p=0.04, η2=.10), yet there were no greater increases in perceived physical competence (F(1, 37) = 2.35, p=0.13, η2=.06). Conclusion. The intervention exerted significant greater increases in executive functions in preschool children. It is meaningful to offer structured physical activity programs in day care centers.
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Soto, Yuliana, Susan Aguinaga, and Jacqueline Guzman. "Physical Activity Programming and Physical Function of Older Adults in Adult Day Centers: A Mixed-Methods Approach." Innovation in Aging 4, Supplement_1 (December 1, 2020): 300. http://dx.doi.org/10.1093/geroni/igaa057.962.
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Abstract With increased prevalence of Alzheimer’s disease, there is a need for long-term care services (e.g., Adult Day Centers (ADCs)) to provide physical activity (PA) programs to maintain physical function of older adults. ADCs report offering PA programs; however, information on PA programs and physical function of participants attending ADCs is limited. The study aims to a) explore perspectives of ADC directors on PA programming; b) examine physical function in older adults attending ADCs. A cross-sectional mixed-methods study was conducted among ADC directors and attending participants. Interviews were conducted with ADC directors to assess barriers and facilitators of PA programming. Physical function was assessed among ADC participants via the Short Physical Performance Battery (SPPB) and Timed Up and Go (TUG). Five director interviews were conducted and three major themes emerged; 1) current PA programming limited by fear of falls, 2) staff training and retention, and 3) diversifying PA programming. Twenty-nine ADC participants enrolled in the study, Mage= 74.5±8.2 years; BMI= 29.2 ±7.4 kg/m2; MMSE= 25.6 ±3.3; 51.7% (n=15) African American; 79.3% (n=23) males. ADC participants scored 6.7±3.1 on the SPPB and 15.4±5.3 seconds on the TUG. Directors expressed the importance of PA; however, mentioned current programming was limited due to risk of falls and untrained staff in PA. Findings indicate that older adults attending ADCs have physical function scores indicative of high fall risk. Future PA programming may consider including alternative forms of PA while embedding falls prevention strategies to reduce risk of falls and improve physical function among ADC participants.
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Noble, John H., and Ronald W. Conley. "Accumulating Evidence on the Benefits and Costs of Supported and Transitional Employment for Persons with Severe Disabilities." Journal of the Association for Persons with Severe Handicaps 12, no. 3 (September 1987): 163–74. http://dx.doi.org/10.1177/154079698701200301.
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Evidence about the benefits and costs of supported and transitional employment for persons with severe disabilities is presented along with relevant caveats in the absence of controlled studies. Some of the major forms of supported and transitional employment services are compared with adult day care and traditional sheltered workshops, including work activity centers. Despite weaknesses in the data, sufficient information exists to argue that all forms of employment—supported, transitional, and sheltered—are more productive in terms of earnings and less costly to provide than adult day care. The lack of definitive data is seen as a major impediment to the expansion of supported and transitional employment options for people with severe disabilities; hence, stricter accountability is recommended. All service providers, regardless of the vintage of their programs, should be required to show benefits and costs within a uniform framework of measurement.
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Gesell, Sabina B., Evan C. Sommer, E. Warren Lambert, Ana Regina Vides de Andrade, Lauren Whitaker, Lauren Davis, Bettina M. Beech, et al. "Comparative Effectiveness of After-School Programs to Increase Physical Activity." Journal of Obesity 2013 (2013): 1–8. http://dx.doi.org/10.1155/2013/576821.
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Background. We conducted a comparative effectiveness analysis to evaluate the difference in the amount of physical activity children engaged in when enrolled in a physical activity-enhanced after-school program based in a community recreation center versus a standard school-based after-school program.Methods. The study was a natural experiment with 54 elementary school children attending the community ASP and 37 attending the school-based ASP. Accelerometry was used to measure physical activity. Data were collected at baseline, 6 weeks, and 12 weeks, with 91% retention.Results. At baseline, 43% of the multiethnic sample was overweight/obese, and the mean age was 7.9 years (SD = 1.7). Linear latent growth models suggested that the average difference between the two groups of children at Week 12 was 14.7 percentage points in moderate-vigorous physical activity (P<.001). Cost analysis suggested that children attending traditional school-based ASPs—at an average cost of $17.67 per day—would need an additional daily investment of $1.59 per child for 12 weeks to increase their moderate-vigorous physical activity by a model-implied 14.7 percentage points.Conclusions. A low-cost, alternative after-school program featuring adult-led physical activities in a community recreation center was associated with increased physical activity compared to standard-of-care school-based after-school program.
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Mamo, Sara, Kara Wheeler, and Olivia Perry. "A Conceptual Framework for Engaged Communication at Adult Day Services: A Mixed-Methods Study." Innovation in Aging 4, Supplement_1 (December 1, 2020): 213–14. http://dx.doi.org/10.1093/geroni/igaa057.689.
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Abstract Adult Day Services provide an opportunity for social engagement for older adults who might otherwise become isolated. Communication environments at many Adult Day Centers can be difficult for participants due to the high prevalence of hearing loss and poor acoustics in large activity rooms. The purpose of this study is to understand the hearing and social health status of participants across multiple group care settings as well as participants’ challenges and motivations to engage in social communication. A mixed methods approach was undertaken. Seventy-two participants from two Programs for All-inclusive Care for the Elderly (PACE®) completed quantitative measures: hearing test, cognitive screener (MOST™), IOM Social and Behavioral Determinants of Health, UCLA Loneliness Scale, and Instrumental Activities of Daily Living. Using maximum variation sampling based on hearing status and UCLA loneliness scores, ten participants were invited to complete one-on-one semi-structure interviews. Interviews aimed to learn more about how and why participants did and/or did not engage in social communication with other PACE participants. Transcripts were coded and thematic analysis was used to identify common barriers and motivations to communication. A conceptual framework was developed by integrating quantitative and qualitative findings to recognize what contributes to meaningful interactions or engaged communication. The findings from this study will contribute to the development of an intervention to address hearing loss and support communication for older adults in group care settings. In order to maximize the potential benefit of attending group-based day services, the communication barriers and motivations of older adults need to be addressed.
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Blom, Ellen Eimhjellen, Eivind Aadland, Guri Kaurstad Skrove, Ane Kristiansen Solbraa, and Line Merethe Oldervoll. "Health-related quality of life and physical activity level after a behavior change program at Norwegian healthy life centers: a 15-month follow-up." Quality of Life Research 29, no. 11 (June 20, 2020): 3031–41. http://dx.doi.org/10.1007/s11136-020-02554-x.
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Abstract Purpose The long-term impact of primary care behavior change programs on health-related quality of life (HRQoL) and physical activity (PA) level is unknown. The aim of this study was to investigate changes in HRQoL and PA among participants after a 3-month behavior change intervention at Norwegian healthy life center (HLCs) and at a 15-month follow-up. Furthermore, we aimed to study associations between changes in PA and HRQoL. Methods We followed 524 adult participants (18–83 years), recruited from 32 HLCs in August 2016–January 2018, who provided data on HRQoL (SF-36) and PA (ActiGraph accelerometers) 12 months after a 3-month behavior change intervention. Changes in HRQoL and PA between baseline, 3-month and 15-month follow-ups, and associations between changes in PA and HRQoL were analyzed by linear mixed models. Results All HRQoL dimensions improved from baseline to 3-month follow-up, and the improvements maintained at 15-month follow-up (mean 3.1–13.1 points, p < 0.001). PA increased from baseline to 3 months (mean 418 steps/day, p < 0.001), but declined from 3 to 15 months (mean − 371 steps/day, p < 0.001). We observed positive associations between changes in PA and HRQoL (0.84–3.23 points per 1000 steps/day, p < 0.023). Conclusions Twelve months after completing a 3-month HLC intervention we found improved HRQoL, but not PA level. Still, there were positive associations between PA and HRQoL over this period, indicating that participants increasing their PA were more likely to improve their HRQoL.
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Park, Sin-Ae, Moon-Kyoung Cho, Mung Hwa Yoo, Soo-Yun Kim, Eun-Ae Im, Jong-Eun Song, Jin-Cheol Lee, and In Gun Jun. "Horticultural Activity Program for Improving Emotional Intelligence, Prosocial Behavior, and Scientific Investigation Abilities and Attitudes in Kindergarteners." HortTechnology 26, no. 6 (December 2016): 754–61. http://dx.doi.org/10.21273/horttech03489-16.
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The objectives of this study were to examine the effects of a horticultural activity program on the emotional intelligence, prosocial behavior, and scientific investigation abilities and attitudes of kindergarteners. A total of 336 children aged 5 to 7 years in public and private kindergartens and day care centers in Incheon, South Korea, participated in a 24-session horticultural activity program. This program included indoor and outdoor activities such as planting seeds, transplanting plants, making and applying eco-friendly fertilizer, watering, harvesting, using plants to make crafts, and cooking with produce. It was designed to improve the emotional intelligence, prosocial behavior, and scientific investigation abilities and attitudes of kindergarteners. Each session lasted an average of 50 minutes and was held once per week. The results of the study showed that the 24-session horticultural activity program improved the emotional intelligence, prosocial behavior, and scientific investigation abilities and attitudes of the children (P < 0.05). Satisfaction with the program was very high among both the children and their teachers and parents. Future studies should consider exploring the effects of horticultural activity programs on children in different age groups.
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Widayati, Rina Sri, and Istiqomah Risa Wahyuningsih. "PEMBERDAYAAN KELOMPOK PENDUKUNG ASI EKSKLUSIF DALAM GERAKAN GEMAR ASI EKSKLUSIF." Warta LPM 19, no. 1 (March 1, 2016): 90–96. http://dx.doi.org/10.23917/warta.v19i1.1988.
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The gold standard in infant feeding and child starting from Early Initiation of Breastfeeding (IMD), exclusive breastfeeding for the six months. One of the health problems faced in the area of †health centers Pucang Sawit is the lack of motivation of counselor support group exclusive breastfeeding. There are only three groups motivator breastfeeding support so not comparable with the number of babies in the region Pucang Sawit. Approaches through peer (Peer Support) on exclusive breastfeeding support group as one of the community-based empowerment efforts so as to help improve coverage eksklusive breastfeeding in Surakarta close to the target so that the vision of becoming a pilot Surakarta can be realized. Implementation ofservice programs are divided into three programs: the first socialization to the cadre and peer group as well as breastfeeding support group facilitator conducted one day, both the implementation of training activities breastfeeding support group for 4 days which consists of four small groups and accompanied by two facilitators each and third activity is monitoring and evaluation results formations breastfeeding support groups.
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Fischer, B., M. Flint, K. Cole, and KA George. "Development of an evidence-based welfare approach for cheetahs (Acinonyx jubatus) under human care." Animal Welfare 30, no. 3 (August 31, 2021): 295–306. http://dx.doi.org/10.7120/09627286.30.3.006.
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Societal concern for animals under human care has influenced our approaches to advance animal welfare in a variety of contexts. The Animal Programs Department at the Columbus Zoo and Aquarium sought partnership with the Center for Human-Animal Interactions Research & Education (CHAIRE) at The Ohio State University to develop a holistic welfare approach for the animals within their department using a focal species, the cheetah (Acinonyx jubatus). A one-year project using the Five Domains Animal Welfare Model collected data over six 60-day periods to evaluate long-term cortisol production and behavioural observations of cheetahs under changing environmental factors. Species and individual histories were incorporated with behavioural observations and hair cortisol production, giving a holistic view of welfare. Cortisol and behavioural data were analysed using linear models to compare cheetahs at population and individual levels. Participation in a cheetah run activity, housing occupancy, and 60-day period were found to influence all behaviours within the population and stereotypic behaviour also differed within individual cheetahs. No differences in hair cortisol concentrations were found for the group, but further analysis revealed differences within individuals throughout the study. No correlation of stereotypic behaviour and cortisol levels were found. This study created a welfare assessment protocol that can be used within zoological institutes and was the first to measure cortisol concentrations in hair in cheetahs.
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Becker, Bryan K., Alicia M. Schiller, Irving H. Zucker, Eric A. Eager, Liliana P. Bronner, and Maurice Godfrey. "A day of immersive physiology experiments increases knowledge and excitement towards physiology and scientific careers in Native American students." Advances in Physiology Education 41, no. 1 (March 1, 2017): 137–44. http://dx.doi.org/10.1152/advan.00165.2016.
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Underserved minority groups are disproportionately absent from the pursuit of careers in science, technology, engineering, and mathematics (STEM) fields. One such underserved population, Native Americans, are particularly underrepresented in STEM fields. Although recent advocacy and outreach designed toward increasing minority involvement in health care-related occupations have been mostly successful, little is known about the efficacy of outreach programs in increasing minority enthusiasm toward careers in traditional scientific professions. Furthermore, very little is known about outreach among Native American schools toward increasing involvement in STEM. We collaborated with tribal middle and high schools in South Dakota and Nebraska through a National Institutes of Health Science Education Partnership Award to hold a day-long physiology, activity-based event to increase both understanding of physiology and enthusiasm to scientific careers. We recruited volunteer biomedical scientists and trainees from the University of Nebraska Medical Center, Nebraska Wesleyan University, and University of South Dakota. To evaluate the effectiveness of the day of activities, 224 of the ~275–300 participating students completed both a pre- and postevent evaluation assessment. We observed increases in both students self-perceived knowledge of physiology and enthusiasm toward scientific career opportunities after the day of outreach activities. We conclude that activity-based learning opportunities in underserved populations are effective in increasing both knowledge of science and interest in scientific careers.
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Duran, Munise. "The evaluation of the education program for 'The children aged 0-36 months' by teachers." Research in Pedagogy 10, no. 2 (2020): 184–202. http://dx.doi.org/10.5937/istrped2002184d.
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The aim of this study is to reveal the teachers' evaluation of the educational program for infants and children aged 0-36 months old. In order to collect data, 18 teachers from day care centers and nurseries in Malatya province were interviewed. The Educational Program prepared for infants and children aged 0-36 months old by the General Directorate of Basic Education of the T.R Ministry of National Education was evaluated using the interview form developed by the researcher. The findings of the research were analysed by means of descriptive method. The following results were obtained: teachers only performed the activity of "sending a notification to families" out of all the available participation activities. Among the adoption and developmental indicators, they had difficulties in designing activities in order to gain cognitive and psychomotor development indicators, and in evaluating emotional development. They used the plans already available in the market for activity planning, and they mostly preferred finger games. According to the results obtained in the evaluation, the teachers did not evaluate themselves at all, and they evaluated the program and the children at a limited level.
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Muzakki, Muzakki, and Puji Yanti Fauziah. "Implementasi pembelajaran anak usia dini berbasis budaya lokal di PAUD full day school." Jurnal Pendidikan dan Pemberdayaan Masyarakat 2, no. 1 (March 1, 2015): 39. http://dx.doi.org/10.21831/jppm.v2i1.4842.
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Tujuan dari penelitian ini yaitu mendiskripsikan implementasi pembelajaran anak usia dini berbasis budaya lokal di lembaga PAUD full day school. Jenis penelitian ini merupakan penelitian kualitatif dengan pendekatan studi kasus tunggal (single-case study). Penelitian ini di Lembaga PAUD full day school Fairuz Aqila Kalasan Sleman yang merupakan salah satu lembaga PAUD di Daerah Istimewa Yogyakarta yang menerapkan budaya lokal. Teknik pengumpulan data yang digunakan yaitu observasi, wawancara, dokumentasi dan trianggulasi. Hasil penelitian yang diperoleh yaitu implementasi pembelajaran anak usia dini berbasis bu-daya lokal dimulai dengan mengidentifikasi kebutuhan anak, menentukan tema pembelajar-an, menyusun perencanaan pembelajaran yaitu program kegiatan tahunan, program kegiatan mingguan dan program kegiatan harian. Proses pelaksanaan pembelajaran berbasis budaya lokal terintegrasi dalam kegiatan pijakan, kegiatan inti dan kegiatan pengasuhan. Penilaian pembelajaran yang digunakan yaitu dengan observasi, anekdot dan daftar chek list. Unsur-unsur budaya lokal yang digunakan yaitu tata nilai dalam budaya Jawa, sistem keagamaan, per-mainan tradisional, makanan tradisional, tarian Jawa, bahasa Jawa, sistem mata pencaharian, lagu Jawa, alat musik tradisional dan cerita rakyat.Kata kunci: pembelajaran budaya lokal, anak usia dini, PAUD full day school The Implementation of Learning Process Based on Local Wisdom in Full Day School Early Childhood Abstract The objectives of this study are to describe the implementation of local wisdom in full day early childhood school. This study applies qualitative research with a single-case study approach. This research is done in Fairuz Aqila institution in Kalasan, Sleman which is an early childhood education center in Daerah Istimewa Yogyakarta which applies local wisdom. The data of the research were collected through observation, interview, documentation, and triangulation. The results of the study showed that the implementation of full day early childhood school based on local wisdom is applied by identifying the children’s need, determining the topic of learning, arranging lesson plan which includes program planning of annual,weekly, and daily activity programs, integrating local wisdom into learning process through the basic, main, and day care activity, applying learning assessment by means of observation, anecdote, and check list. The elements of local wisdom which are acknowledged are Javanese culture norms, religious system, traditional games, traditional foods, Javanese traditional dance, Javanese language, livelihood system, Javanese songs, traditional music instruments, and folktales.Keywords: local wisdom learning, early childhood student, full day early childhood school
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Hussain, Syed Md Akram. "Comprehensive update on cancer scenario of Bangladesh." South Asian Journal of Cancer 02, no. 04 (October 2013): 279–84. http://dx.doi.org/10.4103/2278-330x.119901.
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AbstractBangladesh, at 142 million people, is the ninth most populous country in the world. There are 13 to 15 lakh cancer patients in Bangladesh, with about two lakh patients newly diagnosed with cancer each year. As an overview, lung cancer and mouth-oropharynx cancer rank as the top two prevalent cancers in males. Other types of cancers are esophagus cancer and stomach cancer. In women, cancer cervix uteri and breast cancer are most prevalent. Other cancer types, which affect women, are mouth and oropharynx cancer, lung cancer, and esophagus cancer. There are around 150 qualified clinical oncologists and 16 pediatric oncologists working in the different parts of the country. Regular cancer treatment is available in 19 hospitals and 465 hospital beds are attached as indoor or day care facilities for chemotherapy in the oncology/radiotherapy departments. There are about 15 linear accelerators, 12 Co-60 teletherapy and 12 brachytherapy units currently available. Approximately, 56 cancer chemotherapeutic agents are obtainable in Bangladesh. Research facilities are available at tertiary care centers and a few multi country collaborative research activities are ongoing. Bangladesh has a unique National Cancer Control Strategy and Plan of Action 2009-2015 formulated with the assistance of WHO with an objective to develop and implement continuum of cancer care through a comprehensive cancer control programe. Preventive measures taken to reduce the incidence of cancer include reduced tobacco smoking, change of dietary habit and reduced food adulteration, ensuring reproductive hygiene, increased physical activity, and reduced occupational hazard. Awareness buildup and media campaign are going on by organizing the general people, opinion leaders of the society, and boy and girl scout. Training of general physicians on cancer warning signs and setup of early cancer detection centers at each medical college and district levels are ongoing. Beside these, some other major cancer programs have taken place for early detection of breast, cervical and oral cancer by Bangladesh Government and NGOs such as ICDDR'B, BRAC, Ahsania Mission Cancer Hospital, BSMMU, Bangladesh Cancer Society, Ashic Foundation, Amader Gram, AK Khan Healthcare Trust, CANSUP, Oncology club etc. Piloting of cervical cancer vaccination has recently been completed. Improving the cancer scenario overnight is not an easy task but policy makers may become interested and push this agenda forward, if the huge health impact and economic loss caused by cancer become evident to them. Besides, Bangladesh has accepted reduction of cancer morbidity and mortality targets set by United Nations and World Health Organization as a part of global non-communicable disease prevention agreement.
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Pérez Fuentes, Mª del Carmen, Mª del Mar Molero Jurado, Mª Jesús Osorio Cámara, and Isabel Mercader Rubio. "PROPUESTA DE INTERVENCIÓN COGNITIVA EN PERSONAS MAYORES: PROGRAMA DE ESTIMULACIÓN COGNITIVA E INTELIGENCIA EMOCIONAL PARA MAYORES." International Journal of Developmental and Educational Psychology. Revista INFAD de Psicología. 1, no. 1 (September 10, 2016): 477. http://dx.doi.org/10.17060/ijodaep.2014.n1.v1.395.
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Abstract:COGNITIVE INTERVENTION PROPOSAL IN OLDER PEOPLE: COGNITIVE STIMULATION AND EMOTIONAL INTELLIGENCE PROGRAM FOR OLDER PEOPLEOur current sociodemographic reality, with a large number of older persons and other variables, leads to some changes in the population’s demands for socio-health care. Thus, there is a demand for the stimulation of cognitive capacities, and this type of activities is carried in practically all the Day-Care Centers and Active Ageing Programs. In recent years, within Psychology of Ageing, the study of the emotional changes undergone by older individuals—the study of the so-called “Emotional Ageing”—has also reached a peak. Thus, the present project has the aim of combining both aspects, cognitive stimulation and the education of emotions. The general goal is to design and implement a Program of Cognitive Stimulation and Emotional Intelligence for older people with no cognitive impairment, in the center of the City of Almería. It would only allow us to assess and analyze the relation between different concepts, such as Quality of Life, Emotional Intelligence, Life Satisfaction, Attention and Daily Memory, and also to confirm the improvement in the cognitive tasks of the program (time and correct responses) and the benefits for the above-mentioned variables of introducing both aspects—including the New Technologies—to the older people of the center of Almería. This would also improve their activity and social integration, as well as provide them with equal opportunities. [Acknowledgements: This work was carried out with the collaboration of the Proyecto Almería Urban].Keywords: Emotional Intelligence, Older People, Quality of Life, Life Satisfaction, Cognitive Stimulation.Resumen:La realidad sociodemográfica actual, con un elevado número de personas de edad avanzada y demás variables, conlleva algunos cambios en cuanto a las demandas de la población en atención socio-sanitaria. Así, aparece una demanda relacionada con la estimulación de las capacidades cognitivas, existiendo prácticamente en todos los Centros de Día y Programas de Envejecimiento Activo este tipo de actividades. En los últimos años, ha cobrado auge también, dentro de la Psicología de la Vejez, el estudio de los cambios emocionales que experimentan los individuos de edades avanzadas, el estudio del denominado “Envejecimiento Emocional”. Así, el presente proyecto pretende conjugar ambos aspectos, la estimulación cognitiva junto con la educación de las emociones. Teniendo como objetivo general elaborar e implementar un Programa de Estimulación Cognitiva e Inteligencia Emocional para personas mayores sin deterioro cognitivo, del centro de la Ciudad de Almería. Permitirá, no sólo, evaluar y analizar la relación entre diferentes conceptos como son Calidad de Vida, Inteligencia Emocional, Satisfacción Vital, Atención y Memoria Cotidiana; sino también, constatar la mejora en las tareas cognitivas del propio programa (tiempo y aciertos) y los beneficios para la Calidad de Vida, Inteligencia Emocional, Satisfacción Vital, Atención y Memoria Cotidiana, de acercar ambos aspectos, incluyendo las Nuevas Tecnologías, a las personas mayores del centro de Almería, mejorando también la actividad e integración social de estas, así como, la igualdad de oportunidades[Agradecimientos: Este trabajo cuenta con la colaboración del Proyecto Almería Urban].Palabras clave: Inteligencia Emocional, Mayores, Calidad de Vida, Satisfacción Vital, Estimulación Cognitiva.
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Ulutas, Ozkan, Janine Farragher, Ernest Chiu, Wendy L. Cook, and Sarbjit V. Jassal. "Functional Disability in Older Adults Maintained on Peritoneal Dialysis Therapy." Peritoneal Dialysis International: Journal of the International Society for Peritoneal Dialysis 36, no. 1 (January 2016): 71–78. http://dx.doi.org/10.3747/pdi.2013.00293.
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♦ BackgroundOlder in-center hemodialysis patients have a high burden of functional disability. However, little is known about patients on home chronic peritoneal dialysis (PD). As patients opting for home dialysis are expected to play a greater role in their own dialysis care, we hypothesized that a relatively low number of PD patients would require help with basic self-care tasks (ADL) and instrumental activities of daily living (IADL).♦ MethodsWe used a cross-sectional study design to measure the proportion of patients aged 65 years and older undergoing outpatient PD who needed help with day-to-day activities. Patients living in nursing homes were excluded from the study. Functional dependence in ADL and IADL tasks were measured by the Barthel and Lawton Scales. Physical performance measures used included the timed up-and-go (TUG) test, chair stands and Folstein mini-mental score (MMSE).♦ResultsA total of 74 of 76 (97%) eligible PD patients participated. Patients had a mean age of 76.2 ± 7.5 years. Thirty-six percent had impaired MMSE scores, 69% were unable to stand from a chair without the use of their arms and 51% had abnormal TUG scores. Only 8 patients (11%) were fully independent for both ADL and IADL activities. Dependence in one or more ADL activity was reported by 64% of participants, while 89% reported dependence in one or more IADL.♦ConclusionsImpaired physical and functional performance is common in older patients maintained on PD. Collaborative geriatric-renal programs may be beneficial within the dialysis community.
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Bracke, Piet, Kevin Bruynooghe, and Mieke Verhaeghe. "Boredom during Day Activity Programs in Rehabilitation Centers." Sociological Perspectives 49, no. 2 (June 2006): 191–215. http://dx.doi.org/10.1525/sop.2006.49.2.191.
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Smith, Cardinale B., Melissa Gunning, Margie Hubman, Christine Conklin, Nicole Wells, Haley Hines Theroux, Mark Liu, and Jennifer Wolfe. "Benefits of an early mobility program for hospitalized cancer patients: A pilot study." Journal of Clinical Oncology 38, no. 15_suppl (May 20, 2020): 7008. http://dx.doi.org/10.1200/jco.2020.38.15_suppl.7008.
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7008 Background: Cancer patients are often hospitalized with complications from cancer and cancer treatment. Many experience a decline in physical functioning which likely contributes to increased length of stay (LOS) and excess days, increased readmissions and decreased patient experience. We aimed to determine whether a mobility program project would improve quality of care and decrease healthcare utilization. Methods: We implemented a mobility aide program on an oncology unit in a large academic medical center between April 2, 2019 to December 31, 2019. The program consisted of nursing evaluation using the Activity Measure for Postacute Care (AMPAC), an ordinal scale ranging from bed rest to ambulating ≥250 feet, was used to quantify mobility. Plan of care was determined in a multidisciplinary manner with physical therapy (PT), nursing and a mobility aide, a medical assistant with enhanced rehabilitation training. Patients were then mobilized two times per day seven days a week. Using descriptive statistics we evaluated the programs impact on excess days, readmissions, changes in mobility and patient experience as measured by Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) during this time period compared to the 6 month interval prior to implementation. Results: During the study interval, 988 patients were admitted and received the mobility program. There was a 6% reduction in excess days (p = 0.04). Similarly, readmission rates decreased from 25% to 19% (p = 0.03). Overall 76% of patients wither maintained or improved their mobility score. During this time period HCAHPS scores (willingness to recommend hospital) increased from 63% at baseline to 91% (p = 0.01). Conclusions: Use of this mobility program resulted in a significant decrease in healthcare utilization and improvement in patient experience. This demonstrates that non-PT professionals can mobilize hospitalized cancer patients decreasing the burden of PT and nursing resources. Future work will evaluate the sustainability of the program and evaluate association with healthcare costs.
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Hanson, Brianna, Lauren Welch, Matthew Frese, and Christina Gallo. "558. Innovative CME Tools in the Teaching of Evolving Strategies in the Management and Prevention of COVID-19." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S344. http://dx.doi.org/10.1093/ofid/ofaa439.752.
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Abstract Background In 2020, Med Learning Group (MLG) launched an interactive, multi-faceted educational initiative focusing on COVID-19. The innovative education & tools developed for FRONTLINE are publicly available for the entire healthcare community to use. Learners range from a variety of specialties, including infectious disease specialists, pulmonary medicine specialists, emergency room practitioners, advanced practitioners, nurses, & other healthcare professionals to help support them in their effort to optimize care of patients with COVID-19. MLG partnered with Health Resources & Services Administration, Project ECHO, Public Health Foundation & community, VA & academic centers to create a collaborative network with shared goals for education. Methods This initiative seeks to reach over 25,000 learners with innovative educational programs & tools to enhance the learning experience, facilitate continuous learning & support the translation of education into practice, & encourage HCP-patient dialogue: • COVID Community of Care Website/Application • COVID Frontline Update Podcast Series • Virtual/Live ECHO Series with 3D animations of pathophysiology • Enduring ECHO Module with Case Discussions • Quality Improvement Personalized Posters Results By September 2020, we will have the results from pre/posttests, intra-activity Q&A, evaluations, & 60- to 90-day follow-on assessments. We will evaluate learners’ changes in knowledge & competence, & reported practice changes. In addition, MLG will have feedback collected via surveys & interviews on the various point-of-care tools. Based off previous MLG educational initiatives, it is expected that learners will find value in the various tools available in this programming. Conclusion Advanced tools like virtual live learning platforms, mobile websites/apps, 3D animations & podcasts will prove to be an asset to the continuing education of HCPs treating patients with COVID-19. The outcomes are expected to demonstrate the extent to which HCPs have enhanced their ability to identify clinical predictors of disease severity of COVID-19 & apply current treatment guidelines, clinical trial data, & patient-specific factors to the management of patients with COVID-19. These results will be available in time to share via a poster at IDWeek 2020. Disclosures All Authors: No reported disclosures
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More, Keigan M., Chris Blanchard, Olga Theou, Alec Cranston, Amanda J. Vinson, Christine Dipchand, Bryce Kiberd, and Karthik K. Tennankore. "A Location-Based Objective Assessment of Physical Activity and Sedentary Behavior in Ambulatory Hemodialysis Patients." Canadian Journal of Kidney Health and Disease 6 (January 2019): 205435811987296. http://dx.doi.org/10.1177/2054358119872967.
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Background: Dialysis patients have reduced moderate to vigorous physical activity, and light physical activity. This has been shown in self-reported surveys and objective accelerometer studies. Less attention has been directed toward sedentary behavior, which is characterized by low energy expenditure (≤1.5 metabolic equivalents). Furthermore, locations where physical activity and sedentary behavior occur are largely unknown for dialysis patients. Objectives: The objectives of this study were (1) to determine the minutes per day of moderate to vigorous physical activity, light physical activity, and sedentary behavior for hemodialysis patients; (2) to describe differences in moderate to vigorous physical activity, light physical activity, and sedentary behavior comparing dialysis versus nondialysis days; and (3) to describe the locations where moderate to vigorous physical activity, light physical activity, and sedentary behavior occur using global positioning system (GPS) data. Design: Cross-sectional study. Setting: The study was performed at a tertiary care hospital in Nova Scotia, Canada. Patients: A total of 50 adult in-center hemodialysis patients consented to the study. Measurements: Physical activity and sedentary behavior were measured with an Actigraph-GT3X accelerometer. Location was determined using a Qstarz BT-Q1000X GPS receiver. Methods: Minutes of daily activity were described as was percentage of wear time for each activity level across different locations during waking hours. Physical activity intensity, quantity, and location were also analyzed according to dialysis vs nondialysis days. Results: Forty-three patients met requirements for accelerometer analysis, of whom 42 had GPS data. Median wear time was 836.5 min/day (interquartile range [IQR]: 788.3-918.3). Median minutes of daily wear time spent in sedentary behavior, light physical activity, and moderate to vigorous physical activity was 636 minutes (IQR: 594.1-730.1), 178 minutes (IQR: 144-222.1), and 1.6 minutes (IQR: 0.6-7.7), respectively. Proportion of daily wear time spent in sedentary behavior, light physical activity, and moderate to vigorous physical activity was 78.4% (IQR: 70.7-84.0), 21.5% (IQR: 16.0-26.9), and 0.2% (IQR: 0.1-1.1), respectively. Home was the dominant location for total linked accelerometer-GPS time (59.4%, IQR: 46.9-69.5) as well as for each prespecified level of activity. Significantly more sedentary behavior and less light physical activity occurred on dialysis days compared with nondialysis days ( P ≤ .01, respectively). Moderate to vigorous physical activity did not differ significantly between dialysis and nondialysis days. Limitations: Small sample size from a single academic center may limit generalizability. Difficult to engage population as less than half of eligible dialysis patients provided consent. Physical activity may have been underestimated as devices were not worn for all waking hours or aquatic activities, and hip-based accelerometers may not capture stationary exercise. Conclusions: Ambulatory, in-center hemodialysis patients exhibit substantial sedentary behavior and minimal physical activity across a limited range of locations. Given the sedentary tendencies of this population, focus should be directed on increasing physical activity at any location frequented. Home-based exercise programs may serve as a potential adjunct to established intradialytic-based therapies given the amount of time spent in the home environment.
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Castillo-Mariqueo, Lidia, and Lydia Giménez-Llort. "420 - Translational modeling of psycho-motor function in normal and pathological aging with special concerns on the effects of isolation." International Psychogeriatrics 32, S1 (October 2020): 136. http://dx.doi.org/10.1017/s1041610220002732.
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Time factor and human support are major constrains in the management of the COVID-19 pandemic and they enhance the challenges to adapt the lifestyles and intervention programs, with greater impact on the elderly people, especially those who are the most physically or cognitively frail. The restrictive confinement and the closing of the day centers has left those whose frailty requires permanent rehabilitation programs at home. In the case of Alzheimer’s disease (AD) and other dementias, non-professional home care may not be enough to cover the needs and demands of these complex disorders. On the other hand, as elder people, these patients can be particularly affected by social isolation, which can cause changes in behavior and decrease functional performance in the basic activities of daily life, worsening their BPSD and cognitive impairment. In this context, and under the gaze of normal and pathological aging, we are developing a functional model of psycho-motor evaluation that allows us to study psycho-motor function, including motor learning and memory. Its translational value relays in the modeling of tests used in clinical settings. Here we present the very first results. We have selected the gold standard C57BL/6 mice together with the triple transgenic model of AD (3xTg-AD) to apply our psycho-motor protocol. We have included a series of measurements that make possible to differentiate several dimensions of basal motor learning, and the learning associated with fragile situations. We have found common as well as distinctive features between the sample of normal and AD-pathological aging, and under the isolation scenario. Among all, we can highlight the gender factor and the level of physical activity as a protective mechanism when indicators of frailty are present. Particularly, the 3xTg-AD mice show greater deterioration in physical aspects, but they retain their motor learning capacity comparable to the controls. On the other hand, higher performance in tests of exercise tolerance and muscle strength stand out in these mice, where genotype and gender appear to be determinant factors in overall physical performance: This generates new hypotheses of underlying biological protection mechanisms in translational scenarios relevant for the rehabilitation of geriatric and AD-patients.
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Evans-Hudnall, Gina, Mary O. Odafe, Adrienne Johnson, Nicholas Armenti, Jennifer O’Neil, Evan Lawson, Lisa H. Trahan, and Fenan S. Rassu. "Using an Adjunctive Treatment to Address Psychological Distress in a National Weight Management Program: Results of an Integrated Pilot Study." Military Medicine 185, no. 9-10 (July 30, 2020): e1662-e1670. http://dx.doi.org/10.1093/milmed/usaa145.
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Abstract Introduction Obesity is highly comorbid with psychological symptoms in veterans, particularly post-traumatic stress disorder (PTSD), depression, and anxiety. Obese veterans with comorbid psychological symptoms often display suboptimal weight loss and poor physical functioning when participating in weight management programs. The MOVE! program aims to increase healthy eating and physical activity to promote weight loss in obese veterans. Adequately addressing psychological barriers is necessary to maximize outcomes in MOVE! for veterans with PTSD, depression, and anxiety. We examined the preliminary outcomes of administering the Healthy Emotions and Improving Health BehavioR Outcomes (HERO) intervention. HERO is adjunctive cognitive-behavioral therapy to MOVE! that addresses PTSD, depression, and anxiety symptom barriers to engagement in physical activity. Materials and Methods All recruitment and study procedures were approved by the institutional review board and research and development committees of the Michael E. DeBakey Veterans Affairs Medical Center and Baylor College of Medicine in Houston, Texas. Participants gave written informed consent before enrollment. Thirty-four obese veterans with a diagnosis of PTSD, depression, and/or anxiety who were attending MOVE! were assigned to the 8-session HERO group or the usual care (UC) group. Veterans completed assessments of PTSD, depression and anxiety symptoms, physical activity, physical functioning, and weight at baseline, 8 and 16 weeks post treatment. Changes from baseline to 8- and 16-week follow-up on the self-report and clinician-rated measures were assessed, using independent samples t-tests and analyses of covariance. Results At 8 weeks post treatment, participants in the HERO group had significantly higher step counts per day than participants in the UC group. Similarly, at 16 weeks post-treatment, participants in the HERO group continued to experience a significant increase in daily steps taken per day, as well as statistically and clinically significantly lower scores on the depression symptom and PTSD symptom severity. Participants in the HERO group also demonstrated significantly higher scores on the physical functioning inventory than participants in the UC group (44.1 ± 12.1 vs. 35.7 ± 10.7, P = 0.04) at 16 weeks post treatment. Conclusions Findings of this small trial have important implications pending replication in a more rigorously designed large-scale study. Providing an adjunctive treatment to MOVE! that addresses psychological distress has potential benefits for psychological symptom reduction, engagement in healthy dietary habits, and greater physical activity for individuals who traditionally experience barriers to making positive weight management changes.
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Aquino, S. L. "Hiking Is a Great Way to Enjoy Having a Healthy Lifestyle. This Campaign Was Created to Raise Prostate Cancer Awareness." Journal of Global Oncology 4, Supplement 2 (October 1, 2018): 181s. http://dx.doi.org/10.1200/jgo.18.78300.
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Amount raised: $1500.00 Background and context: Evidence for the role of physical activity in cancer incidence is well known and increases cancer survivorship. Cancer survivors as well as new patients would like to have a more active role in their health care, including what diet and lifestyle changes they should make. Since physical exercise has attracted increasing interest in our country we decided to do and experience the first hiking activity suggested by the Honduran Urology Society as an excellent way to raise awareness about prostate cancer and how to prevent it. Aim: The key aim was to raise awareness among men and their families and therefore organize the Prostate Cancer Association for Patients since there is none in Honduras. Strategy/Tactics: We started an alliance with the doctors from Honduran National Society of Urology so they could be the official spokesman for this activity. We contacted radio stations and TV health programs in order for the physicians to educate and publicized the event. Networking the activity on social media and decided on a Sunday as the day of the event since most people were off from work and school. November was chosen as it commemorates Prostate Cancer Awareness Month. A public facility was the place chosen since it had been shortly renovated and would be an attraction for men and their families. Program process: Since prostate cancer is the most common type of cancer among men, we felt the need to get involved in this activity. We contacted town officials to find out if a permit was needed. We also requested local businesses to donate T-shirts, drinks and food for the participants. We asked businesses to place campaign publicity on visible areas of shopping centers. We contacted a fitness instructor to donate an hour of his time for this cause. Once the T-shirt donation arrived we had printed a logo as a symbol for our campaign. Costs and returns: Since the very beginning we decided to get the most from this campaign by getting almost everything donated and the outcome was surprisingly a positive reaction. Donated kits with a T-shirt and a water bottle were given in exchange of a registration fee of $10, there was no fee from the hiking park. What was learned: With proper tools, educating patients for early detection may be the key to successful treatment. We all can better understand the facts about prostate cancer, who it affects and what you can do about it. We learned that we made such a great team working together as one and looking forward to our 2nd hiking event for 2018.
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Mueller, Nora E., Trishan Panch, Cathaleene Macias, Bruce M. Cohen, Dost Ongur, and Justin T. Baker. "Using Smartphone Apps to Promote Psychiatric Rehabilitation in a Peer-Led Community Support Program: Pilot Study." JMIR Mental Health 5, no. 3 (August 15, 2018): e10092. http://dx.doi.org/10.2196/10092.
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Background Management of severe and persistent mental illness is a complex, resource-intensive challenge for individuals, their families, treaters, and the health care system at large. Community-based rehabilitation, in which peer specialists provide support for individuals managing their own condition, has demonstrated effectiveness but has only been implemented in specialty centers. It remains unclear how the peer-based community rehabilitation model could be expanded, given that it requires significant resources to both establish and maintain. Objective Here, we describe the results from a study of one such program implemented within Waverley Place, a community support program at McLean Hospital, emphasizing psychiatric rehabilitation for individuals with severe and persistent mental illness, as well as describing the challenges encountered during the implementation of the program. Key questions were whether the patients could, and would, successfully use the app. Methods The smartphone app offered multiple features relevant to psychiatric rehabilitation, including daily task lists, activity tracking, and text messaging with peer specialists. A 90-day program of activities, goals, and content specific to the community support program was created on the basis of a prior pilot, in collaboration between members of the app development team (WellFrame), and peers, clinical, and research staff associated with the program. Hospital research staff recruited patients into the study, monitored peer and patient engagement, and handled all raw data acquired from the study. Results Of 100 people approached for the study, a total of 13 provided consent, of which 10 downloaded and used the app. Two patients were unable to complete the app installation. Five used the app regularly as part of their daily lives for at least 20 days of the 90-day program. We were unable to identify any specific factors (eg, clinical or demographic) that affected willingness to consent or engage with the app platform in the very limited sample, although the individuals with significant app use were generally satisfied with the experience. Conclusions Smartphone apps may become a useful tool for psychiatric rehabilitation, addressing both psychiatric and co-occurring medical problems. Individualizing functions to each patient and facilitating connection with a certified peer specialist may be an important feature of useful apps. Unlike prior reports emphasizing that patients with schizophrenia will adopt smartphone platforms, we found that implementation of digital tools into existing community support programs for severe and persistent mental illness has many challenges yet to be fully overcome to realize the potential benefits such apps could have to promote systematization and cost reduction for psychiatric rehabilitation.
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Lawlis, Tanya, Katja Mikhailovich, and Paul Morrison. "Physical Activity Programs in Long Day Care and Family Day Care Settings." Australasian Journal of Early Childhood 33, no. 2 (June 2008): 27–31. http://dx.doi.org/10.1177/183693910803300205.
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Ding, Eric Y., Nathaniel Erskine, Wim Stut, David D. McManus, Amy Peterson, Ziyue Wang, Jorge Escobar Valle, et al. "MI-PACE Home-Based Cardiac Telerehabilitation Program for Heart Attack Survivors: Usability Study." JMIR Human Factors 8, no. 3 (July 8, 2021): e18130. http://dx.doi.org/10.2196/18130.
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Background Cardiac rehabilitation programs, consisting of exercise training and disease management interventions, reduce morbidity and mortality after acute myocardial infarction. Objective In this pilot study, we aimed to developed and assess the feasibility of delivering a health watch–informed 12-week cardiac telerehabilitation program to acute myocardial infarction survivors who declined to participate in center-based cardiac rehabilitation. Methods We enrolled patients hospitalized after acute myocardial infarction at an academic medical center who were eligible for but declined to participate in center-based cardiac rehabilitation. Each participant underwent a baseline exercise stress test. Participants received a health watch, which monitored heart rate and physical activity, and a tablet computer with an app that displayed progress toward accomplishing weekly walking and exercise goals. Results were transmitted to a cardiac rehabilitation nurse via a secure connection. For 12 weeks, participants exercised at home and also participated in weekly phone counseling sessions with the nurse, who provided personalized cardiac rehabilitation solutions and standard cardiac rehabilitation education. We assessed usability of the system, adherence to weekly exercise and walking goals, counseling session attendance, and disease-specific quality of life. Results Of 18 participants (age: mean 59 years, SD 7) who completed the 12-week telerehabilitation program, 6 (33%) were women, and 6 (33%) had ST-elevation myocardial infarction. Participants wore the health watch for a median of 12.7 hours (IQR 11.1, 13.8) per day and completed a median of 86% of exercise goals. Participants, on average, walked 121 minutes per week (SD 175) and spent 189 minutes per week (SD 210) in their target exercise heart rate zone. Overall, participants found the system to be highly usable (System Usability Scale score: median 83, IQR 65, 100). Conclusions This pilot study established the feasibility of delivering cardiac telerehabilitation at home to acute myocardial infarction survivors via a health watch–based program and telephone counseling sessions. Usability and adherence to health watch use, exercise recommendations, and counseling sessions were high. Further studies are warranted to compare patient outcomes and health care resource utilization between center-based rehabilitation and telerehabilitation.
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Antunes, M., A. Schmitt, and A. Pasqual Marques. "AB0912-HPR AMIGOS DE FIBRO (FIBRO FRIENDS): EDUCATIONAL PROGRAM TO PROMOTE THE HEALTH OF PEOPLE WITH FIBROMYALGIA IN BRAZIL." Annals of the Rheumatic Diseases 80, Suppl 1 (May 19, 2021): 1478.1–1478. http://dx.doi.org/10.1136/annrheumdis-2021-eular.2598.
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Background:Health education is pointed out as the front line in non-pharmacological approaches in fibromyalgia.Objectives:To develop an interdisciplinary educational program to promote the health of individuals with fibromyalgia in Brazil.Methods:This is a qualitative study, through a focus group, carried out in a Basic Health Unit in the city of São Paulo, SP. The guiding questions were about the needs and demands exposed by patients with fibromyalgia and health professionals who work in primary health care. 12 individuals with fibromyalgia and 10 health professionals participated. The data were analyzed using the content analysis method proposed by Bardin, specifically the thematic content analysis.Results:Amigos de Fibro (Fibro Friends) should be conducted through lectures, dynamics and conversation circles. The educational program must include 15 meetings with weekly frequency. The meetings are: 1st to present the program and socialization activities. 2nd: Doctor presents the concepts of fibromyalgia. 3rd: Nurse informs about practices and environments that favor self-care. 4th: Social Worker shows the importance of support. 5th: Physiotherapist shows the main body practices and physical activity. 6th: Nutritionist presents an adequate and healthy diet. 7: Psychologist shows mental health practices. 8th: Pharmacist informs about medicines. 9, 11 and 13: participants perform activities at home. 10: Naturologist presents integrative and complementary practices. 12th: Occupational Therapist encourages methods to save energy. Day 14: Speech therapist helps in the quality of sleep. 15: closing activity.Conclusion:Amigos de Fibro is a program that presents interdisciplinary educational information for individuals with fibromyalgia, being considered a trend of care for the future. The next step is to conduct a clinical trial to verify the effect of this intervention and then implement it in the health service in Brazil. Fibro Friends was created from the conjunct action of patients and healthcare professionals, it can be an effective educational tool to be implemented at primary health attention centers, promoting the self-care, life quality and the promotion of health in individuals with Fibromyalgia. Fibro Friends is an excellent tool for patient education and counseling in Brazil.References:[1]Antunes M, Ferreira A, Oliveira D, Júnior JN, Bertolini S, Marques AP. There is association between the level of physical activity and quality of life of women with fibromyalgia?. Annals of rheumatic diseases. 2019;78(2)650-1. http://dx.doi.org/10.1136/annrheumdis-2019-eular.2835.[2]García-Ríos MC, Navarro-Ledesma S, Tapia-Haro RM, Toledano-Moreno S, Casas-Barragán A, Correa-Rodríguez M et al. Effectiveness of health education in patients with fibromyalgia: a systematic review. European Journal of Physical and Rehabilitation Medicine. 2019;55(2):301-13. https://doi.org/10.23736/S1973-9087.19.05524-2.[3]Oliveira DV, Ferreira AAM, Oliveira DCD, Leme DEDC, Antunes MD, Nascimento Júnior JRAD. Association of the practice of physical activity and of health status on the quality of life of women with fibromyalgia. Journal of Physical Education. 2019;30(1): e3027. https://doi.org/10.4025/jphyseduc.v30i1.3027.[4]Stuifbergen AK, Blozis SA, Becker H, Phillips L, Timmerman G, Kullberg V, et al. A randomized controlled trial of a wellness intervention for women with fibromyalgia syndrome. Clinical Rehabilitation. 2010;24(4):305-18. https://doi.org/10.1177/0269215509343247.Acknowledgements:This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - Brasil (CAPES) - Finance Code 001.Disclosure of Interests:None declared
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Hensley, A. Dawn, and Shirley S. Travis. "The Provision of Staff Development Programs in Adult Day Care Centers." Journal of Continuing Education in Nursing 28, no. 4 (July 1997): 173–80. http://dx.doi.org/10.3928/0022-0124-19970701-07.
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Zhang, Chao, Mohamed Soliman-Hamad, Roxanne Robijns, Niels Verberkmoes, Frank Verstappen, and Wijnand A. IJsselsteijn. "Promoting Physical Activity With Self-Tracking and Mobile-Based Coaching for Cardiac Surgery Patients During the Discharge–Rehabilitation Gap: Protocol for a Randomized Controlled Trial." JMIR Research Protocols 9, no. 8 (August 19, 2020): e16737. http://dx.doi.org/10.2196/16737.
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Background Home-based cardiac rehabilitations (CRs) with digital technologies have been researched and implemented to replace, augment, and complement traditional center-based CR in recent years with considerable success. One problem that technology-enhanced home-based CR can potentially address is the gap between cardiac interventions and formal CR programs. In the Netherlands and some other countries (eg, Australia), patients after cardiac interventions stay at home for 3-4 weeks without much support from their physicians, and often engage in very little physical activity (PA). A home-based exercise program enabled by digital technologies may help patients to better prepare for the later center-based CR programs, potentially increasing the uptake rate of those programs. Objective In a randomized controlled trial (RCT), we will evaluate the effectiveness of a home-based walking exercise program enhanced by self-tracking and mobile-based coaching (treatment condition), comparing it with a version of the same program without these technologies (control condition). The added value of the digital technologies is justified if patients in the treatment group walk more steps on average (primary outcome) and show better physical fitness in a bicycle ergometer test and higher self-efficacy toward PA (secondary outcomes). Methods Based on a power analysis, we will recruit 100 cardiac patients and assign them evenly to the 2 parallel groups. Eligible patients are those who are scheduled in the postanesthesia care unit, know the Dutch language, have basic literacy of using smartphones, and are without medical conditions that may increase risks associated with PA. In a face-to-face meeting with a nurse practitioner, all patients are prescribed a 3-week exercise program at home (2 walking exercises per day with increasing duration), based on national and international guidelines and tailored to their physical conditions after cardiac intervention. Their physical activities (daily steps) will be measured by the Axivity AX3 accelerometer worn at hip position. Patients in the treatment group will also be supported by a Neo Health One self-tracking device and a mobile platform called Heart Angel, through which they are monitored and coached by their nurses. After the study, all patients will perform a bicycle ergometer test and return the devices within 1 week. In addition, 5 questionnaires will be sent to the patients by emails to assess their self-efficacy toward PA and other psychological states for exploratory analyses (at discharge, at the end of each monitoring week, and 1 week after the study). To minimize bias, the randomization procedure will be performed after introducing the exercise program, so the nurse practitioners are blind to the experimental conditions until that point. Results The study protocol has been approved by the Medical Research Ethics Committees United on February 26, 2018 (NL 62142.100.17/R17.51). By the end of 2018, we completed a small pilot study with 8 patients and the results based on interviews and app usage data suggest that a larger clinical trial with the targeted population is feasible. We expect to complete the RCT by the end of 2021, and statistical analyses will follow. Conclusions Results of the RCT will help us to test the hypothesized benefits of self-tracking and mobile-based coaching for cardiac patients in home-based exercise programs during the discharge–rehabilitation gap. If the results are positive, cost-effectiveness analysis will be performed based on the insights of the study to inform the translation of the technology-enhanced program to clinical practice. We also note limitations of the trial in the discussion. Trial Registration Registered at Netherlands Trial Register NL8040; https://www.trialregister.nl/trial/8040 International Registered Report Identifier (IRRID) PRR1-10.2196/16737
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Silva, Nelcir Francisca da, and Ilma Vieira do Nascimento. "Proinfância: oferta de uma educação com qualidade para a criança cidadã?" Revista Educação e Emancipação 14, no. 1 (March 29, 2021): 165. http://dx.doi.org/10.18764/2358-4319.v14n1p165-190.
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O interesse pela educação de crianças pequenas não é recente, havendo desde o século XIX manifestações sobre essa questão expressas em torno do mobiliário escolar e de outros pontos a estes associados relativos aos espaços escolares, como as creches e os jardins de infância. Este artigo trata do Programa Nacional de Reestruturação e Aquisição de Equipamentos para a Rede Escolar Pública de Educação Infantil (Proinfância), criado no ano de 2007 no contexto de políticas focadas na melhoria da qualidade da educação básica e no reconhecimento da criança como um ser de direitos. Situa o Programa nos dois eixos de atuação – a construção de creches e pré-escolas e a aquisição de mobiliários e equipamentos para o funcionamento da rede física da educação infantil, em uma comunidade do município maranhense de São José de Ribamar. Este estudo revela que creches construídas sob o modelo Proinfância não constituem, por si só, fatores suficientes para conferir um padrão de qualidade à educação de crianças; soma-se a este relevante aspecto infraestrutural, a necessária formação inicial e continuada dos (as) professores (as) envolvidos no processo educativo.Palavras-chave: Educação Infantil. Qualidade da Educação Básica. Proinfância.Proinfancy: providing quality education for the child citizen?The interest in the education of young children is not recent, and since the 19th century there have been manifestations on this issue expressed around school furniture and other related points related to school spaces, such as day care centers and kindergartens. This article deals with the National Program for the Restructuring and Acquisition of Equipment for the Public School Network for Early Childhood Education (Proinfancy), created in 2007 in the context of policies focused on improving the quality of basic education and recognizing the child as a being. rights. The Program is located in two areas of activity - the construction of daycare centers and preschools and the purchase of furniture and equipment for the operation of the physical network of early childhood education, in a community in the municipality of São José de Ribamar, Maranhão. This study reveals that daycare centers built under the Proinfância model are not, in themselves, sufficient factors to provide a quality standard for children's education; in addition to this relevant infrastructure aspect, the necessary initial and continuing training of teachers involved in the educational process.Keywords: Child education. Quality of Basic Education. Pro-childhood.Pro-niñez: ¿brindar educación de calidad al niño ciudadano?RESUMENEl interés por la educación de los niños pequeños no es reciente, y desde el siglo XIX se han producido manifestaciones sobre este tema expresadas en torno al mobiliario escolar y otros puntos afines relacionados con los espacios escolares, como guarderías y jardines de infancia. Este artículo trata del Programa Nacional de Reestructuración y Adquisición de Equipamiento para la Red de Escuelas Públicas de Educación Infantil (Proinfancy), creado en 2007 en el contexto de políticas enfocadas a mejorar la calidad de la educación básica y al reconocimiento del niño como ser. derechos. El Programa se ubica en dos áreas de actividad: la construcción de guarderías y jardines de infancia y la compra de mobiliario y equipamiento para el funcionamiento de la red física de educación infantil, en una comunidad del municipio de São José de Ribamar, Maranhão. Este estudio revela que las guarderías construidas bajo el modelo Proinfância no son, en sí mismas, factores suficientes para brindar un estándar de calidad en la educación de los niños; Además de este relevante aspecto de infraestructura, la necesaria formación inicial y continua de los docentes involucrados en el proceso educativo.Palabras clave: Educación Infantil. Calidad de la educación básica. Pro-niñez.
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Rothacker, Andrew, Chad W. Cummings, Katherine Tullio, Alison Ibsen, Emily Elizabeth Monteleone, and Rebecca Bottles. "Decreasing time to treat using visual management tools." Journal of Clinical Oncology 36, no. 30_suppl (October 20, 2018): 277. http://dx.doi.org/10.1200/jco.2018.36.30_suppl.277.
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277 Background: Time between positive cancer diagnosis and first treatment (TTT) has lengthened significantly nationwide over the last decade. Decreased TTT has been shown to positively impact patient outcomes such as anxiety and stress, and in some situations, overall survival (OS). As such, TTT (measured in median days) is a major initiative for disease programs at our large academic medical center. Impacting TTT is challenging given the usual sources of data, which are retrospective. Further, engaging the teams around the data was difficult. The need to illustrate patient delays in real-time was identified. Methods: A patient database was created, along with a dashboard, using a visual software package to track patient activity. Information is extracted from the database into a dashboard, including the patient’s appointments, treatments, and barriers to care. The dashboard was constructed with graphics of historical TTT by month, TTT distribution by treatment type, TTT by provider, and a graphic of the most common barriers to treatment. Additionally, the dashboard identified patients who were not scheduled for treatment, and were represented by a symbol on an x/y-axis graph. The x-axis represents the unique patient, while the y-access represents the days from diagnosis, with the symbol incrementing each day the treatment is not scheduled. Results: The dashboard is used weekly to huddle with clinical and non-clinical teams. Patients with no scheduled treatment are easily identifiable on the dashboard, with a focus on minimizing all patient’s TTT. Patients with extended schedule are actively engaged to reschedule and reduce their TTT. The breast cancer program began using the dashboard in July 2017. The surgical TTT was 30 days (n = 34). Post-implementation of the dashboard and multi-disciplinary huddles, it was found in April 2018 the TTT was 26 days (n = 36). Conclusions: Combining real-time data with simple data visualization tools allows teams to identify barriers to care easily. The visual tools identify outliers and allow teams to communicate on scheduling challenges of each patient. In conjunction with the multi-disciplinary huddles, the dashboard allows teams to track progress of each patient to ensure timely scheduling and coordination.
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Salchow, Jannike Lisa, Wiebke Jensen, Barbara Koch, Julia von Grundherr, Simon Elmers, Gabriele Escherich, Rüdiger Reer, Carsten Bokemeyer, Julia Mann, and Alexander Stein. "Effects of a structured intervention program to improve physical activity (PA) of adolescents and young adult cancer survivors (AYAs): Final results of the randomized Motivate AYA–MAYA trial." Journal of Clinical Oncology 37, no. 15_suppl (May 20, 2019): 11518. http://dx.doi.org/10.1200/jco.2019.37.15_suppl.11518.
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11518 Background: Major cardiovascular (CV) events are the most common late toxicities among AYAs. Although regular PA of vigorous intensity (≥ 9 metabolic equivalent [MET]-hours/week) lowers the risk for CV events and mortality, no larger randomized controlled trials on interventions are available. Our aim was to assess whether a 12-week structured intervention increases the vigorous PA of AYAs. Methods: AYAs aged 15 to 39 years, after curative intent cancer treatment with at least one CV risk factor, were randomized to usual-care control group (CG) and to intervention group (IG). The CG received standard recommendations, and the IG participated at a semi-structured interview and phone consulting focusing on PA and behavioral change. At baseline, post-intervention (12 wks), and at follow-up (52 wks), participants completed the International Physical Activity Questionnaire (IPAQ) and quality of life assessment (EORTC QLQ-C30). Primary endpoint was the rate of AYAs with ≥ 9 MET-hours/week of vigorous activity (IPAQ) at 12 weeks. This single center trial was registered (DRKS00009453). Results: Among 115 screened AYA 89 eligible patients were randomized; 69 (77.5%) completed the intervention and the endpoint assessment; 36 (52.2%) were in the IG and 33 (47.8%) in the CG. Median age was 24.3 years (range, 18 to 39). CV risk factors were use of anthracyclines (94.2%), chest radiation (47.8%), or both (44.9%). At baseline 49.2% of all AYAs reported to perform vigorous PA with at least 9 MET-hours/week, although reporting was individually biased. Post-intervention this rate significantly increased in the IG from 45.7% to 69.7% (p = 0.007), whereas in the CG only a modest non-significant increase was noted (53.3% to 65.6%, p = 0.134). Notably, upon long-term follow up (52 wks) AYAs did not keep their increased vigorous PA, whereas improved moderate PA was achieved (MET score in IG p = 0,044). Also, both groups reduced significantly the time they spent sitting from 6.5 (SD, 2.9) to 5.4 (SD, 2.7) hours/day (p = 0.001). Conclusions: Intensified PA counseling improves short term vigorous PA and long term moderate PA of AYAs and, should thus be part of survivorship programs. Further studies with AYAs will be required to establish reliable PA screening methods and to confirm the results in larger cohorts. Clinical trial information: DRKS00009453.
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Kadri, Sameer, Yi Ling Lai, Sarah Warner, Jeffrey R. Strich, Ahmed Babiker, Emily Ricotta, John P. Dekker, et al. "Population-Level Burden of Delayed or In Vitro Discordant Empiric Antibiotics Among Bacteremic Patients at US Hospitals." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s44—s45. http://dx.doi.org/10.1017/ice.2020.526.
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Background: Delayed or in vitro inactive empiric antibiotic therapy may be detrimental to survival in patients with bloodstream infections (BSIs). Understanding the landscape of delayed or discordant empiric antibiotic therapy (DDEAT) across different patient, pathogen, and hospital types, as well as by their baseline resistance milieu, may enable providers, antimicrobial stewardship programs, and policy makers to optimize empiric prescribing. Methods: Inpatients with clinically suspected serious infection (based on sampling of blood cultures and receiving systemic antibiotic therapy on the same or next day) found to have BSI were identified in the Cerner Healthfacts EHR database. Patients were considered to have received DDEAT when, on culture sampling day, they received either no antibiotic(s) or none that displayed in vitro activity against the pathogenic bloodstream isolate. Antibiotic-resistant phenotypes were defined by in vitro resistance to taxon-specific prototype antibiotics (eg, methicillin/oxacillin resistance in S. aureus) and were used to estimate baseline resistance prevalence encountered by the hospital. The probability of DDEAT was examined by bacterial taxon, by time of BSI onset, and by presence versus absence of antibiotic-resistance phenotypes, sepsis or septic shock, hospital type, and baseline resistance. Results: Of 26,036 assessable patients with a BSI at 131 US hospitals between 2005 and 2014, 14,658 (56%) had sepsis, 3,623 (14%) had septic shock, 5,084 (20%) had antibiotic-resistant phenotypes, and 8,593 (33%) received DDEAT. Also, 4,428 (52%) recipients of DDEAT received no antibiotics on culture sampling day, whereas the remaining 4,165 (48%) received in vitro discordant therapy. DDEAT occurred most often in S. maltophilia (87%) and E. faecium (80%) BSIs; however, 75% of DDEAT cases and 76% of deaths among recipients of DDEAT collectively occurred among patients with S. aureus and Enterobacteriales BSIs. For every 8 bacteremic patients presenting with septic shock, 1 patient did not receive any antibiotics on culture day (Fig. 1A). Patients with BSIs of hospital (vs community) onset were twice as likely to receive no antibiotics on culture day, whereas those with bloodstream pathogens displaying antibiotic-resistant (vs susceptible) phenotypes were 3 times as likely to receive in vitro discordant therapy (Fig. 1B). The median proportion of DDEAT ranged between 25% (14, 37%) in eight <300-bed teaching hospitals in the lowest baseline resistance quartile and 40% (31, 50%) at five ≥300-bed teaching hospitals in the third baseline resistance quartile (Fig. 2). Conclusions: Delayed or in vitro discordant empiric antibiotic therapy is common among patients with BSI in US hospitals regardless of hospital size, teaching status, or local resistance patterns. Prompt empiric antibiotic therapy in septic shock and hospital-onset BSI needs more support. Reliable detection of S. aureus and Enterobacteriales bloodstream pathogens and their resistance patterns earlier with rapid point-of-care diagnostics may mitigate the population-level impact of DDEAT in BSI.Funding: This study was funded in part by the National Institutes of Health Clinical Center, National Institutes of Allergy and Infectious Diseases, National Cancer Institute (NCI contract no. HHSN261200800001E) and the Agency for Healthcare Research and Quality.Disclosures: None
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Cashmore, Aaron W., and Sandra C. Jones. "Growing Up Active: A Study Into Physical Activity in Long Day Care Centers." Journal of Research in Childhood Education 23, no. 2 (December 2008): 179–91. http://dx.doi.org/10.1080/02568540809594654.
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Billman, Jean. "Activity centers in the home: Ideas for family day care providers and parents." Day Care & Early Education 20, no. 2 (December 1992): 25–29. http://dx.doi.org/10.1007/bf01617677.
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Agarwal, Rajat Kumar, Rakesh Dhanya, Ankita Kumari, Lalith Parmar, Amit Sedai, Stalin Ramprakash, C. P. Raghuram, et al. "Information and Communication Technology Applied to Continuing Quality Improvement for the Care and Cure of Childhood Severe Hematological Disorders in India." Blood 134, Supplement_1 (November 13, 2019): 3468. http://dx.doi.org/10.1182/blood-2019-125106.
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Introduction: Continued quality improvement systems are necessary not only to maintain minimum quality standards, but also contribute to improved outcomes (Snowden et al. 2017; Hashmi et al. 2017). In-spite of its importance, the implementation of a functional Quality Management System (QMS) in the routine daily activity oh health professionals may be a challenge, especially in resource limited settings (Hashmi et al. 2017). Methodology: BMTPlus is an information and communication technology (Agarwal et al. 2014) platform that has been used for knowledge management by Sankalp-People Tree Centre for Paediatric BMT, Bangalore (PTH) from July 2015 and Sankalp-CIMS Centre for Paediatric BMT, Ahmedabad (CIMS) from March 2017. BMTPlus brings together all aspects of transplant data management including clinical data management, personal records and QMS. The usage of these tools which directly relate to the continued quality improvement process was reviewed. Clinical outcomes for patients who underwent transplant for thalassemia in these centres from matched related donors were summarised using R statistical package (version 3.5.x) as an indicator of the effectiveness of the continued quality improvement process. Results: Table 1 summarises the program information, utilisation of various quality management-related records, staff turnover, outcomes and costs. Information technology-driven QMS provided the unique advantage of being able to audit all the data instead of sample data sets and thus widening the potential to detect issues. The inventory management and prescriptions system was audited in 2019 at PTH and the findings are that there were only 3 events in 4 years where important drugs/supplies came close to a critical shortage. Automated treatment plan imports contributed to 2 of the 1570 drug orders being detected with inaccuracies (0.13%). The PTH BMT service has been using BMTPlus for auto submission of data to CIBMTR; data audit in July 2019 showed that 92% of the 1263 due forms were successfully submitted. CIMS is catching up with 39% forms submitted so far. The impact of this quality improvement system on clinical outcomes of the program was measured on 172 successive first matched related transplants (103 from PTH and 69 from CIMS) upto April 15 2019. Outcomes were compared across 3 successive transplant protocols, all patients were transplanted at-least 100 days prior to this analysis. Both overall and disease-free survival improved significantly from protocol 1 to 3, i.e. from 88% to 100% (p = 0.002) and from 77% to 98% (p < 0.0001) respectively. Transplant-related mortality and rejection significantly dropped from 10% to 0% (p = 0.01) and from 22% to 3% (p < 0.0001) respectively. The outcomes achieved at this lower-middle income centre compared favourably with the 96.9% day-100 survival reported in USA for thalassemia ("U.S. Patient Survival Report" 2017). Progressively improved outcomes and good utilisation of quality management features were seen in spite of the fact that PTH had an attrition rate as high as 44% for physicians and 78% for nurses while in CIMS this was 74% and 57% respectively. The impact of quality management on the cost and sustainability of the program can be seen from the cost of the transplants. Though the programs experienced a 10% increase in operational costs on a year on year basis, the ongoing quality improvements led to fewer complications and cost escalations as a result of which the program at PTH and CIMS continue to offer matched-related transplants at USD 12.500 and USD 13.300 respectively which was the bundled cost set at the beginning of the programs in July-2015 and March-2017 respectively. Thanks to the use of online platform, only one quality/data manager is the only additional resource specific to continued quality improvement, quality assurance, outcome reporting and participation in international registries. Conclusion: Information and communication technology enabled comprehensive knowledge management and facilitated continuous quality improvement. This contributed to the delivery of cost-efficient and effective transplantations with progressively improving outcomes, which finally are at par with the best centres in the world in spite of the challenges of high staff turnover. Disclosures No relevant conflicts of interest to declare.
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Rodríguez Ruiz, David, and Paula Borrego Marrero. "CARACTERÍSTICAS DE LA ACTIVIDAD FÍSICA PARA LA MEJORA DE LA SALUD Y LA CALIDAD DE VIDA DE LAS PERSONAS MAYORES SEGÚN LOS PROFESIONALES Y LOS USUARIOS." International Journal of Developmental and Educational Psychology. Revista INFAD de Psicología. 1, no. 2 (October 28, 2016): 113. http://dx.doi.org/10.17060/ijodaep.2016.n2.v1.549.
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Abstract.The objective of this research was to compare the opinions of the persons in charge of carrying out the physical exercise activities which focus in the improvement of health and life quality of the elderly, with the users to whom it is intended. The sample was composed of 45 people (23 women and 22 men) with a mean age of 30.15 years (± 6.49) who are responsible for physical and sports activities for the elderly in day care centers and residences that depends on the Institute of Social and Health Care Council of Gran Canaria and the Canarias Islands Government and also in the municipal activities in any of the municipalities of the island of Gran Canaria. Regarding users, we psurveyed a total of 111 people, aged between 57 and 76, participants of the program Peritia et Doctrine of the University of Las Palmas. For information on the type of activity they performed, part of the questionnaire that would address issues like content, planning methodology was developed and some specific other characteristic. The way to ask the question and the answer was based on the Likert scale. The results lead us to conclude that people in charge of both physical and sporting activity as well as users have a similar perception of the needs and characteristics of content, planning and specific characteristics. Nevertheless, they differ in the importance given to the methodology of such activities.Keywords: Physical Exercise, Life Quality, HealthResumen.El objetivo de esta investigación ha sido comparar las opiniones de las personas encargadas de la realización de las actividades de ejercicio físico centrado en la mejora de la salud y la calidad de vida de las personas mayores, con las de los usuarios a las que va destinada. La muestra se basó en 45 personas que se encargan de las actividades físicas y deportivas para personas mayores en los centros de día y residencias que dependen del Instituto de Atención Sociosanitaria del Cabildo de Gran Canaria y del Gobierno de Canarias en Gran Canaria y, en las actividades municipales realizadas en alguno de los municipios de la isla de Gran Canaria (23 mujeres y 22 hombres) y, con edad media de 30.15 años (±6.49). Respecto a los usuarios, encuestamos a un número total de 111 personas, con edades comprendidas entre 57 y 76 años, participantes en el programa formativo especial Peritia et Doctrina de la Universidad de Las Palmas de Gran Canaria. Palabras claves. Para obtener información del tipo de actividad que realizan los encuestados, se elaboró una parte del cuestionario que abordara temas de contenidos, planificación, metodología y alguna que otra característica específica. La forma de plantear la pregunta y la respuesta se basó en la escala tipo Likert. Los resultados obtenidos nos llevan a concluir que tanto las personas encargadas de la actividad física y deportivas como los usuarios tienen una percepción similar de las necesidades y características de los contenidos, planificación y las características específicas. Si bien difieren en la importancia que le dan a la metodología de dichas actividades.Palabras clave: Ejercicio Físico, Calidad de Vida, Salud
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Dabelko-Schoeny, Holly, Ji Won Shin, Emily Kowal, Janine Overcash, Jeffrey M. Caterino, and Mary Beth Happ. "Staff Perceptions of Adult Day Centers Providing Post-Acute Care for Persons With Dementia." Journal of Applied Gerontology 39, no. 2 (February 20, 2018): 192–200. http://dx.doi.org/10.1177/0733464818757001.
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The purpose of this study was to examine the perception of adult day services (ADS) staff and hospital discharge planners regarding the feasibility of ADS to provide post-acute care (PAC) for persons with dementia. We conducted key informant interviews with emergency department (ED) and inpatient hospital discharge planners ( n = 9), and two focus groups with ADS staff ( n = 15) representing five ADS programs. Four thematic categories were identified from the discharge planners, including concerns for patients, factors influencing discharge, experience with ADS, and conditions for ADS referrals. Four categories identified from ADS staff interviews include public lack of knowledge of ADS, communication challenges, ADS to prevent hospitalization and ED visits, and barriers to providing PAC. Lack of knowledge about ADS, the role of family in PAC decisions, and the lack of reimbursement for PAC in ADS were identified as the most significant drivers in the ability of ADS to provide PAC.
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Banta, H. David, and Per Buch Andreasen. "The Political Dimension in Health Care Technology Assessment Programs." International Journal of Technology Assessment in Health Care 6, no. 1 (January 1990): 115–23. http://dx.doi.org/10.1017/s0266462300008977.
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This article considers technology assessment (TA) to be a comprehensive form of policy research. Technology assessment must then have a relation to policy-making; in the area of health care, TA must relate to such political decisions as resource allocation. Since policies are determined politically, i.e., by factors such as power and influence, technology assessment is, or should be, part of a political process. Technology assessment seems to be developing predominantly as a technical and professional activity, carried out in centers with no relation to the policy-making process. While the impact of technology on health, as well as such broader impacts as those on financial costs, is a key concern, political considerations and political decision-making must always be an important dimension in health care TA.
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Sari, Eka Afrima, Ristina Mirwanti, and Yusshy Kurnia Herliani. "Pemberdayaan Kader Kesehatan dalam Mengkaji Self-Care pada Pasien Hipertensi." JURNAL KREATIVITAS PENGABDIAN KEPADA MASYARAKAT (PKM) 4, no. 4 (August 4, 2021): 962–68. http://dx.doi.org/10.33024/jkpm.v4i4.3996.
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ABSTRAK Hipertensi merupakan merupakan penyakit kronis yang dapat dikendalikan salah satunya dengan perawatan diri (self-care). Sehingga diharapkan dengan self-care akan meningkatkan derajat kesehatan dan kualitas hidup. Untuk mencapai keberhasilan dalam mengendalikan hipertensi, diperlukan keterlibatan unsur masyarakat, salah satunya kader kesehatan. Kader kesehatan dapat berperan serta dalam mendampingi dan men-support pasien hipertensi dalam self-care hipertensi. Namun, belum ada program yang secara khusus melatih kader kesehatan dalam mengkaji self-care hipertensi. Sehingga program pengabdian masyarakat yang berorientasi pada pemberdayaan kader kesehatan dalam self-care hipertensi diperlukan guna mencegah komplikasi dan meningkatkan kualitas hidup pasien hipertensi. Kegiatan ini bertujuan meningkatkan pengetahuan kader dalam mengkaji self-care pada pasien hipertensi. Metode kegiatan berupa pendidikan masyarakat yaitu pelatihan kader kesehatan dalam mengkaji self-care pasien hipertensi. Target dan sasaran pada kegiatan ini adalah kader kesehatan di wilayah kerja Puskesmas Pasundan Kota Bandung sebanyak 37 orang. Luaran kegiatan ini adalah peningkatan pengetahuan kader dalam mengkaji self-care pada pasien hipertensi. Evaluasi dilaksanakan dengan mengukur pengetahuan kader kesehatan sebelum dan setelah dilakukan pelatihan. Hasil kegiatan didapatkan bahwa terdapat perbedaan pengetahuan (α 0.000) setelah mengikuti pelatihan. Kegiatan pengabdian pada masyarakat berupa pelatihan kader kesehatan dalam mengkaji self-care hipertensi ini efektif dalam meningkatkan pengetahuan kader kesehatan mengenai hipertensi dan self-care hipertensi. Kata Kunci: Hipertensi, Kader Kesehatan, Self-Care ABSTRACT Hypertension is a chronic disease that can be controlled by self-care. It is hoped that self-care will improve the health and quality of life. To achieve success in controlling hypertension, it is necessary to involve one element of the community (health cadre). Health cadres can participate in assisting and supporting hypertensive patients in self-care hypertension. However, there is no program that specifically trains health cadres in assessing hypertension self-care. So that community service programs oriented to empowering health cadres in hypertension self-care are needed to prevent complications and improve the quality of life for hypertensive patients. The purpose of this activity is to increase health cadre knowledge in assessing self-care in hypertensive patients. The method of activity is the training of health cadres in assessing self-care for hypertensive patients. The target of this activity was 37 health cadres in the work area of Pasundan Health Center in Bandung City. The outcome of activities is an increase in cadre knowledge in assessing self-care in hypertensive patients. Evaluation is seen from the knowledge of health cadres before and after training. The result of the activity was that there were differences in knowledge of health cadres (α 0.000) after attending the training. Health cadre training in assessing hypertension self-care is effective in increasing health cadres’ knowledge about hypertension and hypertension self-care. Keywords: Health Cadres, Hypertension, Self-Care
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DEWI, FETI KUMALA. "PROGRAM INTEGRASI LANSIA DAN REPRODUKSI (PILAR) DI BINA KELUARGA LANSIA DAN BINA KELUARGA REMAJA." GEMASSIKA: Jurnal Pengabdian Kepada Masyarakat 2, no. 2 (December 26, 2018): 91. http://dx.doi.org/10.30787/gemassika.v2i2.282.
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Health problem faced is health service of elderly and elderly with age 45 years old and above who get health service according to health standard either at community health centers or in integrated service post elderly group that is equal to 63,26%. This coverage still does not meet the target of 75%. Elderly Family Development and Youth Family Development is an active community organization implemented monthly, all within the reproductive age range, pre menopause and menopause. Participants are still in the reproductive and pre-elderly age range, so it still needs care and service family planning and healthy reproduction. Output target of this activity is the examination of blood sugar, cholesterol and uric acid as detection of Diabetes Militus disease, koleterol, gout and monitoring with control card of examination result. Improve Communication, Information and education about reproductive health and elderly health. The results of examination with necso tool in Elderly Family Development and Youth Family Development as a whole that is high blood pressure value 57 mother (36,31%), high blood sugar counted 8 mother (5,1%), high uric acid 52 mother (33,12%) and high cholesterol counted 14 mothers (8,92%). Knowledge before information about the highest reproduction health is less knowledge as much as 22 mothers (46,81%), after done the highest information is good knowledge as many as 21 mothers (44,68%). Knowledge before information about the highest health of elderly is knowledge of less than 49 mother (44,55%), after done the highest information is good knowledge as much 48 mother (43,64%).
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Spetz, Joanne, and Jason Flatt. "Alzheimer’s Staffing, Services, and Outcomes in Adult Day Health Centers." Innovation in Aging 4, Supplement_1 (December 1, 2020): 82. http://dx.doi.org/10.1093/geroni/igaa057.270.
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Abstract Growing demand for care for Alzheimer’s Disease and related Dementia (ADRD) has resulted in rising use of adult day health centers (ADHCs), which employ teams of professionals including licensed nurses, nursing aides, social workers, and activity directors. This study evaluates the scope of services and staffing models of ADHCs that provide care to persons with ADRD compared to ADHCs that do not, and examines whether there is an association between staffing and client outcomes, measured as rates of hospitalizations, falls, and emergency department visits. We used facility-level data from the 2014 National Study of Long-Term Care Providers (NSLTCP) Adult Day Services Center module. We conducted bivariate comparisons and estimated multivariate regressions to identify ADHC characteristics associated with staffing and client outcomes. ADHCs that offered ADRD services had higher average daily attendance, greater shares of revenue from Medicaid and self-payment, and greater proportions of Blacks and females. They also had greater percentages of enrollees with depression, cardiovascular disease, diabetes, and needing assistance with activities of daily living. There were also greater numbers of registered nurse, licensed practical nurse, and social worker hours per enrollee day, but fewer activity staff hours per enrollee day. Multivariate regressions focused on ADHCs that offered skilled nursing services and revealed that total staff hours per enrollee day were not higher in ADHCs that provided ADRD services, controlling for other characteristics. However, staffing was greater in chain-affiliated ADHCs. Higher staffing levels were associated with lower rates of falls and emergency department visits.
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Prescott, William A. "National Survey of Extended-Interval Aminoglycoside Dosing in Pediatric Cystic Fibrosis Pulmonary Exacerbations." Journal of Pediatric Pharmacology and Therapeutics 16, no. 4 (October 1, 2011): 262–69. http://dx.doi.org/10.5863/1551-6776-16.4.262.
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OBJECTIVES The Cystic Fibrosis Foundation recently deemed the use of extended-interval dosing (EID) of aminoglycosides acceptable for the treatment of cystic fibrosis (CF) pulmonary exacerbations, but current practices across United States (US) pediatric CF accredited care centers and affiliate programs are unknown. The objectives of this research are to characterize the practice trends, dosing strategies, therapeutic drug monitoring practices, and adverse drug reaction monitoring of EID of aminoglycosides in the treatment of pulmonary exacerbations across US pediatric CF programs. METHODS A 38-question online survey was distributed on behalf of the author by the CF Foundation to all US pediatric CF accredited care centers and affiliate programs. RESULTS Of the 70 participating CF programs (42.2% survey response rate), 94.3% reported using EID of aminoglycosides (as once-daily or twice-daily dosing), whereas 84.3% reported using once-daily EID in their pediatric CF population. The frequency of EID use increased with patient age. Tobramycin dosed 10 mg/kg per day every 24 hours, infused over the course of 30 minutes, in combination with an antipseudomonal beta-lactam, was the most commonly cited regimen. Monitoring of aminoglycoside serum concentrations was reported by 98.5% of programs, with a tobramycin peak of 25 to 30 mg/L and trough of less than 1 mg/L targeted most frequently. Nephrotoxicity was commonly monitored through serum creatinine measurements, whereas ototoxicity was monitored by audiometry in approximately one-half of programs. CONCLUSIONS This study indicates that the use of EID of aminoglycosides across US pediatric CF accredited care centers and affiliate programs is common, particularly among adolescents, with tobramycin being the preferred agent.
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Braakhuis, Hanneke E. M., Johannes B. J. Bussmann, Gerard M. Ribbers, and Monique A. M. Berger. "Wearable Activity Monitoring in Day-to-Day Stroke Care: A Promising Tool but Not Widely Used." Sensors 21, no. 12 (June 12, 2021): 4066. http://dx.doi.org/10.3390/s21124066.
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Physical activity monitoring with wearable technology has the potential to support stroke rehabilitation. Little is known about how physical therapists use and value the use of wearable activity monitors. This cross-sectional study explores the use, perspectives, and barriers to wearable activity monitoring in day-to-day stroke care routines amongst physical therapists. Over 300 physical therapists in primary and geriatric care and rehabilitation centers in the Netherlands were invited to fill in an online survey that was developed based on previous studies and interviews with experts. In total, 103 complete surveys were analyzed. Out of the 103 surveys, 27% of the respondents were already using activity monitoring. Of the suggested treatment purposes of activity monitoring, 86% were perceived as useful by more than 55% of the therapists. The most recognized barriers to clinical implementation were lack of skills and knowledge of patients (65%) and not knowing what brand and type of monitor to choose (54%). Of the non-users, 79% were willing to use it in the future. In conclusion, although the concept of remote activity monitoring was perceived as useful, it was not widely adopted by physical therapists involved in stroke care. To date, skills, beliefs, and attitudes of individual therapists determine the current use of wearable technology.
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Ruiz-Rodríguez, Myriam, Yuri Sánchez-Martínez, Paula Camila Ramírez-Muñoz, and Diana Marina Camargo-Lemos. "Recommendations of physical activity and rest in a Colombian prenatal control program." Revista de Saúde Pública 53 (May 16, 2019): 41. http://dx.doi.org/10.11606/s1518-8787.2019053000934.
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OBJECTIVE: To determine the frequency of the registry of physical activity and rest recommendations made to pregnant women and to explore their associated factors in a prenatal care program of primary care public institutions in Bucaramanga, Colombia. METHODS: An observational study was conducted. The sampling frame consisted of the medical records of the pregnant women who attended at least one prenatal care program between January 1 and December 31, 2012 (n = 2.932), in 21 primary care health centers. We analyzed sociodemographic variables, prenatal and clinical antecedents, and information related to health personnel and the organization of health centers as possible factors associated with the recommendations of physical activity and rest recorded in the clinical history. Logistic regression models were applied to explore associations with α = 0.10. RESULTS: There was a frequency of 26.1% of PA recommendations and 3.6% of rest recommendation on record, issued by nutrition (97.3%) and medical (86.7%) professionals, respectively. The factors associated with the registration of physical activity recommendations were: being nulliparous pregnant (OR = 1.7), attending more than four Prenatal Care Attention Programs (OR = 2.2), having high or medium obstetric risk in the first prenatal care program (OR = 0.6), and being attended in the western (OR = 0.5) and eastern (OR = 0.2) administrative areas health centers. CONCLUSIONS: The low frequency of physical activity recommendations found in the records makes it necessary to reinforce the management strategies of health centers and strengthen the monitoring and accompaniment to comply with the care protocols. In addition, it is necessary to train health teams on the benefits of physical activity and their proper prescription, considering the multiple benefits derived from their practice on the maternal-fetal health.
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Mara, Cynthia M., and James T. Ziegenfuss. "Creating the Strategic Future of Long-Term-Care Organizations." Care Management Journals 2, no. 2 (January 2000): 116–24. http://dx.doi.org/10.1891/1521-0987.2.2.116.
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The operating environment in the health care industry is turbulent—organizations are expected to adapt or die. This paper addresses the structure of a strategic planning process for long-term-care organizations. Nursing homes, assisted living (personal care) facilities, continuing care retirement communities, adult day services centers, hospice programs and home-and community-based agencies face both opportunities and threats. The authors recommend an eight-step process for strategy making: plan to plan; external analysis; internal analysis; vision; matching current and future strategies; strategy choice; action and linkage to operations and budget. A case example illustrates the concepts. Long-term-care leaders are encouraged to plan for their future or face a future planned by competitors and regulators.
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Salih, Salih A., Nancye M. Peel, Di Enright, and Wendy Marshall. "Physical Activity Levels of Older Persons Admitted to Transitional Care Programs: An Accelerometer-Based Study." Journal for the Measurement of Physical Behaviour 2, no. 4 (December 1, 2019): 263–67. http://dx.doi.org/10.1123/jmpb.2018-0066.
Full textAbstract:
The aim of this study was to determine the level of physical activity (PA) of older persons at admission and discharge from a Transitional Care Program (TCP) and to examine the correlation between changes in functional outcomes and PA level. Forty-two subjects recruited from two metropolitan TCPs in Brisbane, Australia. On admission to a TCP and within two weeks following hospital discharge, clients were requested to wear an accelerometer for the 7-day period after entry and prior to discharge from TCP. The median (IQR) length of the TCP stay was 56 (43–76) days. On admission, participants spent 1224 (IQR 113.5–1279.7) minutes sitting or lying, 173 (IQR 135.2–249) minutes standing, and 35 (IQR 22.0–54.0) minutes walking per day; while at discharge participants (n = 32) spent 1165.5 (IQR 1112.5–1220.7) minutes lying or sitting (p < .05), 212 (IQR 166.0–264,0) minutes standing (p = .05), and 45.5 (IQR 39.0–65.0) minutes walking (p < .001)] a day. The difference in walking time at admission and discharge is strongly correlated with a change in the Modified Barthel Index (Spearman’s rho = 0.6, p < .001). The implementation of strategies to reduce sedentary time and change clients’ behavior should be considered through promoting PA for TCP clients.
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Cadosales, Maria Nancy, Angelito Jr Cabanilla, and Naila Beltran. "Kakugi Ko, Kalambuan Mo (KKK Mo) as an Extension Program for Daycare Workers: An Impact Study." Recoletos Multidisciplinary Research Journal 8, no. 2 (December 31, 2020): 107–19. http://dx.doi.org/10.32871/rmrj2008.02.08.
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The Commission on Higher Education emphasized that extension programs provide the space to discover practical evidence, and science-based answers to real-world social, economic, and environmental challenges for partner communities. This descriptive study looked into the impact of an extension program to address the needs of the day care workers. It employed a questionnaire, unstructured interview, and focus group discussion in gathering the data. The study revealed that the parents and the social workers were responsive to the needs of the day care workers. Seven themes emerged namely: eliciting parents and children’s active involvement, improving collaboration and communication, learning from seminars, availing necessities and learning resources, improving pedagogical competence and practices of DCWs, and improving the learning environment. The extension program helped the day care workers established sustainable and effective day care centers through forging and sustaining strong partnerships with parents, government, and non-government organizations.
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Tandon, Pooja S., Katherine L. Downing, Brian E. Saelens, and Dimitri A. Christakis. "Two Approaches to Increase Physical Activity for Preschool Children in Child Care Centers: A Matched-Pair Cluster-Randomized Trial." International Journal of Environmental Research and Public Health 16, no. 20 (October 21, 2019): 4020. http://dx.doi.org/10.3390/ijerph16204020.
Full textAbstract:
Early childhood education settings are critical for promoting physical activity (PA) but intervention effects are often small. The aim of this study was to develop, test, and compare two approaches to increasing physical activity among preschoolers at child care centers: one focused on a teacher-led PA curriculum (Active Play!) and the other on increasing outdoor child-initiated free play time (Outdoor Play!). We conducted a matched-pair cluster-randomized study in 10 centers in and around Seattle, WA, USA (n = 97 children, mean age 4.6). Pre- and post-intervention data were collected from observations and accelerometers. At pre-intervention, 19% of Active Play! and 25% of Outdoor Play! children achieved >120 min/day of PA during child care. The total opportunity for PA increased in both interventions (Active Play! = 11 min/day; Outdoor Play! = 14 min/day), with the largest increase in outdoor child-initiated free playtime (Active Play! = 19 min/day; Outdoor Play! = 24 min/day). No changes in sedentary time, light or moderate- to vigorous-intensity PA (MVPA) were observed in either intervention and there was no difference between interventions in the percentage of children attaining more than 120 min/day of PA. A small (<3 min/day) relative increase in teacher-led outdoor activity was observed in the Active Play! intervention. Both intervention strategies led to an increase in active play opportunities, predominantly outdoors, but neither was able to substantially increase the intensity and/or duration of children’s PA. Future studies are needed to better understand and inform sustainable approaches to increase PA in early learning settings.