ABSTRACT
ABSTRACT OBJECTIVE To evaluate the effect of implementation intentions as an intervention strategy to promote walking in adults with type 2 diabetes mellitus (T2DM). METHODS We conducted a controlled and randomized trial, with 12 months of follow-up, involving 65 people with T2DM recruited from primary health care units and allocated them in the control group (CG, n = 32) and intervention group (IG, n = 33). The IG received the implementation intention strategy to promote walking and the CG remained in follow-up for conventional treatment in primary health care. The researchers were blinded by anthropometric measurements and the filling of the instruments. RESULTS After twelve months of follow up, the IG presented a statistically significant increase in the leisure time physical activity when compared with the CG (p = 0.0413) and showed a significant decrease in waist circumference (p = 0.0061). No significant difference was observed regarding body mass index and glycated hemoglobin among groups. CONCLUSIONS Implementation intention was effective in promoting walking and improving clinical indicators in adults with T2DM.
Subject(s)
Humans , Male , Female , Aged , Walking/psychology , Intention , Diabetes Mellitus, Type 2/therapy , Health Promotion/methods , Glycated Hemoglobin/analysis , Program Evaluation , Middle AgedABSTRACT
bjetivo Avaliar as características socioeconômicas, processo de trabalho, capacitação, comportamento, autopercepção do conhecimento e acesso das famílias ao serviço odontológico em saúde bucal entre os grupos de Agentes Comunitários de Saúde (ACS) vinculados a Unidade de Saúde da Família (USF) com e sem Equipe de Saúde Bucal (ESB). Métodos Trata-se de um estudo transversal de cunho quantitativo. No total, 162 sujeitos participaram do estudo, sendo 81 ACS vinculados a USF com ESB (Grupo 2) e 81 ACS vinculados a USF sem ESB (Grupo 1). Para a coleta dos dados, utilizou-se um questionário previamente testado. Foram aplicados os testes Qui-Quadrado e Exato de Fischer para verificar diferenças entre os grupos de ACS. O nível de significância adotado nos testes foi de 5%. Resultados Constatou-se diferença estatística significativa entre os grupos de ACS somente nas questões que abordaram o tema capacitação em saúde bucal (p<0,0002) e acesso das famílias ao serviço odontológico (p<0,0001). Conclusão Os ACS que atuam em PSF com Equipe de Saúde Bucal tem autopercepção mais positiva sobre o acesso das famílias ao serviço de saúde bucal, e receberam mais capacitação em Saúde Buca
Objective To evaluate the characteristics socioeconomic, work process, training, behavior, perception of knowledge and access of households to service dental oral health between of Community Workers Health (CHW) Unit linked to Family Health with and without Oral Health Team. Methods This was a cross-sectional study of quantitative. A total of 162 subjects participated in the study, with 81 CHW linked to Family Health Unit with Oral Health Team (Group 2) and 81 ACS linked to Family Health Unit without ESB (Group 1). To collect the data, we used a previously tested questionnaire. Chi-square and Fisher exact tests were used to assess the differences between the CHW groups. The significance level used in the tests was 5%. Results There was significant statistical difference between the CHW groups only on issues that focused on training in oral health (p <0.0002) and household access to dental care (p <0.0001). Conclusion CHW who work in Family Health Unit with Oral Health Team has more positive perception on household access to oral health services, and received more training in Oral Health.
ABSTRACT
The aim of this study was to evaluate the knowledge of Community Health Agents (CHA) about the oral health/disease process, and compare the results between those who work in Family Health Teams (FHT), with and without Oral Health Teams (OHT). The participants in this study were 162 subjects, representing 66% of the total number of CHA in the municipality, and 81 of them are connected with Family Health Units (FHU) with OHT, and 81 CHS with FHUs without OHT. Data were collected from October to December 2013, by application of a questionnaire, containing personal and professional data, and 12 validated questions about knowledge of the oral health/disease process. The Mann-Whitney test was applied to verify differences between the groups. Statistically significant differences were verified between the groups of CHA when the total scores of questions about the oral health/disease process were analyzed (p < 0.0021). It was concluded that knowledge about the oral health/disease process, of the CHAs connected with a FHU with an OHT was better when compared with that of CHAs connected with a FHU without an OHT.
O objetivo deste estudo foi avaliar os conhecimentos de Agentes Comunitários de Saúde (ACS) sobre o processo saúde/doença bucal, comparando resultados entre os que atuam em Equipes de Saúde da Família (ESF), com e sem Equipes de Saúde Bucal (ESB). Participaram do estudo 162 sujeitos, representando 66% do total de ACS do município, sendo 81 deles vinculados à Unidade de Saúde da Família (USF) com ESB, e 81 ACS à USF sem ESB. Os dados foram coletados de outubro a dezembro de 2013, por meio da aplicação de um questionário contendo dados pessoais, profissionais e 12 questões validadas sobre conhecimentos do processo saúde-doença bucal. Foi aplicado o teste Mann-Whitney para verificar diferenças entre os grupos. Verificou-se que houve diferenças estatisticamente significativas entre os grupos de ACS, quando se analisou o total de escores das questões sobre o processo saúde-doença bucal (p < 0,0021). Conclui-se que os conhecimentos sobre processo saúde/doença bucal dos ACS vinculados à USF com ESB são melhores quando comparado aos ACS vinculados à USF sem ESB.
Subject(s)
Humans , Male , Female , Adolescent , Adult , Middle Aged , Young Adult , Anxiety/etiology , Cystic Fibrosis/therapy , Forced Expiratory Volume/physiology , Inpatients , Manipulation, Osteopathic/methods , Pain/etiology , Spirometry/methods , Anxiety/diagnosis , Cystic Fibrosis/complications , Cystic Fibrosis/physiopathology , Follow-Up Studies , Pain/diagnosis , Retrospective Studies , Self-Assessment , Single-Blind Method , Surveys and QuestionnairesABSTRACT
O diabetes mellitus, tipo II, é uma doença com alta prevalência na população adulta brasileira e que pode ser controlada, dentre outras intervenções, por meio da atividade física. Este estudo teve como objetivo avaliar o impacto de uma estratégia motivacional tradicional, bem como sua associação à estratégia de ativação da intenção, na adesão à atividade física, nos portadores do diabetes mellitus, tipo II, usuários do Sistema Único de Saúde (SUS), por meio de um ensaio clínico randomizado. Os participantes foram alocados em Grupo Controle (GC) e Grupo Intervenção (GI). Ambos os grupos receberam uma estratégia motivacional tradicional, porém, somente o GI recebeu a estratégia de ativação da intenção. Após dois meses de seguimento, observaram-se diferenças estatisticamente significativas entre os grupos, relativas à prática de caminhada (p = 0,0050), número de dias por semana (p = 0,0076), minutos por dia (p = 0,0050) e minutos por semana (p = 0,0015) de caminhada. Ao final das intervenções, observaram-se, também, diferenças na circunferência abdominal (p = 0,0048) entre os grupos. Conclui-se que a estratégia de ativação da intenção teve maior impacto na adesão à prática de atividade física e diminuição da circunferência abdominal de diabéticos, tipo II, do que a estratégia motivacional tradicional.
Type II diabetes mellitus is a highly prevalent disease among the adult Brazilian population, and one that can be controlled by interventions such as physical activity, among others. The aim of this randomized controlled study was to evaluate the impact of a traditional motivational strategy, associated with the activation of intention theory, on adherence to physical activity in patients with type II, diabetes mellitus who are part of the Unified Health System (SUS). Participants were divided into a control group (CG) and an intervention group (IG). In both groups, the traditional motivational strategy was applied, but the activation of intention strategy was only applied to the IG Group. After a two-month follow-up, statistically significant differences were verified between the groups, related to the practice of walking (p = 0.0050), number of days per week (p = 0.0076), minutes per day (p = 0.0050) and minutes walking per week (p = 0.0015). At the end of the intervention, statistically significant differences in abdominal circumference (p = 0.0048) between the groups were observed. The conclusion drawn is that the activation of intention strategy had greater impact on adherence to physical activity and reduction in abdominal circumference in type II diabetics, than traditional motivational strategy.