Las funciones ejecutivas: su significado y aplicación clínica / Executive functions: meaning and clinical application

Las funciones ejecutivas generalmente se conceptualizan como un conjunto de procesos generales de control de orden superior que trabajan juntos para dirigir y gestionar las funciones cognitivas, emocionales y conductuales, especialmente durante la resolución activa de problemas. Su disfunción es frecuente de ser detectada como comorbilidad de otros trastornos del neurodesarrollo, causa o efecto? La detección precoz de la disfunción ejecutiva y su abordaje terapéutico temprano, mejora el pronóstico global madurativo en el periodo infantojuvenil. Esta sucinta revisión de las funciones ejecutivas intenta resaltar su importancia para el pediatra y su mirada de los trastornos del neurodesarrollo (AU)

Executive functions are typically understood as a set of general higher-order control processes that collectively direct and manage cognitive, emotional, and behavioral functions, especially during active problem solving. Their dysfunction is often detected as a comorbidity of other neurodevelopmental disorders; cause or effect? Early detection of executive dysfunction and a prompt therapeutic approach improves the overall developmental prognosis in childhood and adolescence. This brief review of executive functions aims to highlight their importance for the pediatrician and his/her view of neurodevelopmental disorder (AU)

Establecimiento de metas como técnica motivacional en deportistas / Estabelecimento de metas como técnica motivadora para esportistas / Setting goals as a motivational technique in athletes

RESUMEN Introducción: El establecimiento de metas es un proceso fundamental en el entrenamiento deportivo y puede ser utilizado como una técnica motivacional en el deporte para manejar los recursos psicológicos del deportista y el equipo en aras de potenciar la cohesión y lograr sus aspiraciones. Objetivo: Analizar la pertinencia de la aplicación de un programa de intervención psicológica sustentado en el establecimiento de metas como técnica motivacional en el equipo femenino categoría 13-14 años de Polo Acuático de la Escuela de Iniciación Deportiva Escolar Eide "Marcelo Salado", de Villa Clara, Cuba. Materiales y métodos: La metodología empleada incluye diversos métodos y técnicas de investigación de naturaleza cuantitativa y cualitativa. Se utilizaron el análisis ssíntesis, observación, entrevista, cuestionario de establecimiento de metas, técnica de completamiento de frases, el cuestionario de estilo de dirección, la triangulación y el preexperimento. Se calcularon medidas descriptivas de posición como la media y la moda. Se utilizó la prueba de hipótesis no paramétrica de rangos señalados de Wilcoxon para comprobar si los cambios antes y después de la intervención eran significativos. Resultados: Los datos susceptibles de medición fueron procesados estadísticamente mediante el software SPSS para Windows versión 17.0 Los resultados demuestran la influencia del programa de intervención aplicado para el mejoramiento del establecimiento de metas del equipo. Conclusiones: Valoran la contribución de la aplicación del programa de intervención psicológica, en el establecimiento de metas de manera más objetivas, claras y comprensibles en las deportistas y en el desarrollo de la esfera motivacional al utilizar las potencialidades del trabajo del equipo deportivo como grupo.

SÍNTESE Introdução: O estabelecimento de metas é um processo fundamental no treinamento esportivo e pode ser usado como uma técnica motivacional no esporte para administrar os recursos psicológicos do atleta e da equipe, a fim de aumentar a coesão e alcançar suas aspirações. Objetivo: analisar a relevância da aplicação de um programa de intervenção psicológica baseado no estabelecimento de metas como técnica motivacional na equipe de pólo aquático feminina de 13-14 anos da Escuela de Iniciación Deportiva Escolar Eide "Marcelo Salado", em Villa Clara, Cuba. Materiais e métodos: a metodologia empregada inclui vários métodos e técnicas de pesquisa de natureza quantitativa e qualitativa. Foram utilizadas análise-síntese, observação, entrevista, questionário de estabelecimento de metas, técnica de preenchimento de frases, questionário de estilo de gestão, triangulação e pré-experimentação. Foram calculadas medidas descritivas de posição, tais como média e modo. O teste de hipóteses Wilcoxon não paramétrico assinado foi usado para testar se as mudanças antes e depois da intervenção eram significativas. Resultados: Os dados mensuráveis foram processados estatisticamente usando o software SPSS para Windows versão 17.0. Os resultados demonstram a influência do programa de intervenção aplicado na melhoria da definição das metas da equipe. Conclusões: a contribuição da aplicação do programa de intervenção psicológica no estabelecimento de metas mais objetivas, claras e compreensíveis para as atletas e no desenvolvimento da esfera motivacional, utilizando o potencial do trabalho da equipe esportiva como um grupo.

ABSTRACT Introduction: Goal setting is a fundamental process in sports training and can be used as a motivational technique in sports to manage the resources of the athlete and the team in order to enhance cohesion and achieve their aspirations. Objective: To analyze the relevance of the application of a psychological intervention program based on the establishment of goals as a motivational technique in the women's team category 13-14 years of Water Polo of the School of Sports Initiation School Eide " Marcelo Salado", of Villa Clare, Cuba. Materials and methods: The methodology used includes various research methods and techniques of a quantitative and qualitative nature. Analysis-synthesis, observation, interview, goal setting questionnaire, sentence completion technique, management style questionnaire, triangulation and pre-experiment were used. Descriptive measures of position such as the mean and mode were calculated. The Wilcoxon signed ranks nonparametric hypothesis test was used to test whether the changes before and after the intervention were significant. Results: The measurable data were statistically processed using the SPSS software for Windows version 17.0. The results demonstrate the influence of the intervention program applied to improve the team's goal setting. Conclusions: They value the contribution of the application of the psychological intervention program, in the establishment of goals in a more objective, clear and understandable way in the athletes and in the development of the motivational sphere when using the potentialities of the work of the sports team as a group.

Elements of realistic goal-setting model

@#Goal setting leads to improved clinical outcomes, a more client-centered approach, enhanced motivation and psychological adaptation, and enhanced collaboration between client and clinician. However, goal setting remains problematic for both clients and clinicians. The purpose of this conceptual framework is to provide elements to consider when facilitating a collaborative goal-setting as supported by several theoretical concepts. Using the Goal-Setting Theory, Person-Environment-Occupational-Performance Model, Dekker’s tool in setting meaningful goals in rehabilitation, and Canadian Model of Client-Centered Enablement, the authors have identified eleven (11) essential elements, which are the following: external factors, global meaning, collaborate, coordinate, consult, design, clarity, challenge, self-efficacy, commitment, and overall occupation-centered goal. By considering the various elements presented, occupational therapists can avoid having unrealistic expectations from clients during the process of goal setting.

Influence of King's theory of goal attainment combined with goal setting on the effect of standardized training of general practitioners / 中华医学教育探索杂志

Objective:To explore the impact of King's theory of goal attainment combined with goal setting on the effect of standardized training of general practitioners.Methods:A total of 39 general practitioners who underwent the standardized training in The Fifth Affiliated Hospital of Xinjiang Medical University from January 2019 to January 2020 were classified as control group, and traditional teaching was adopted. Another 42 general practitioners who underwent the training in The Sixth Affiliated Hospital of Xinjiang Medical University during the same period were classified as a research group, and the teaching based on King's theory of goal attainment combined with goal setting was adopted. The theoretical knowledge and operational skills scores, changes in clinical comprehensive ability before and after the training, and teaching recognition were compared between the two groups. SPSS 25.0 was used for t test and chi-square test. Results:After the training, the scores of theoretical knowledge and operation skills of the research group were both higher than those of the control group [(92.83±5.62) vs. (85.47±12.11); (90.15±7.22) vs.(83.36±11.24)]. There was no significant difference between the two groups in the scores of inquiry and communication ability, problem-solving ability, general medical thinking ability, interpretation ability of auxiliary examination results, clinical analysis and decision-making ability, team cooperation ability, community common disease diagnosis and treatment ability and humanistic care ability before the training ( P>0.05); the above scores were all improved after the training ( P<0.05), and the above scores of the research group were significantly higher than those of the control group ( P<0.05). The total recognition of teaching in the research group was 95.24%(40/42), which was significantly higher than that 76.92%(30/39) in the control group ( P<0.05). Conclusion:The application of King's theory of goal attainment combined with goal setting in standardized training of general practitioners can effectively improve the level of general practitioners' theoretical knowledge, operational skills, clinical comprehensive ability and recognition of teaching.

Exercise Self-Efficacy as a Mediator between Goal-Setting and Physical Activity: Developing the Workplace as a Setting for Promoting Physical Activity

BACKGROUND: Physical activity (PA) is ranked as a leading health indicator and the workplace is a key setting to promote PA. The purpose of this study was to examine how goal-setting and exercise self-efficacy (SE) during a health promotion program influenced PA level among Japanese workers. METHODS: Using a cross-sectional study design, we surveyed 281 employees. The short version of the International Physical Activity Questionnaire was used to assess PA level. Exercise SE was assessed using a partially modified version of Oka's exercise SE scale. Personal goals were assessed as the total numbers of “yes” responses to five items regarding “details of personal goals to perform PA”. A mediational model was used to examine whether exercise SE mediates between the number of personal goals and PA level. RESULTS: The mean age of the participants was 46.3 years, 76.2% were men, and the most common occupational category was software engineer (30.6%). The average PA level per week exceeded the recommended level in 127 participants (45.2%). One hundred and eighty-four participants (65.5%) set some form of concrete personal goal to perform PA. The relationship between the number of personal goals and PA level was mediated by exercise SE. CONCLUSION: Our study showed that exercise SE mediates goal-setting and increases PA. The results suggest that the components of PA promotion programs should be tailored to enhance participants' confidence in performing PA.

Winning the hearts and minds of followers: The interactive effects of followers' emotional competencies and goal setting types on trust in leadership / Ganando la mente y el corazón de los seguidores: El efecto interactivo de las competencias emocionales de los seguidores y el tipo de establecimiento de metas sobre la confianza en el líder

Followers' trust is essential for effective leadership. While initial approaches to trust focused on trust-related information, recent findings suggest that trust also has an affective component. Therefore, emotional competencies such as emotional attention, clarification and repair could predict trust in leadership, in early stages of the follower-leader relation. However, as this relation develops in time, trust-related judgments may shift from followers' emotions towards leaders' behaviors such as goal setting practices. As goals can be set in either a directive or participative way, followers with different levels of emotional competences should have distinct emotional responses towards these goal-setting types. On this rationale, we evaluated a possible interactive effect between goal setting types and emotional competencies on followers' trust in leadership. For this, we conducted a two-wave experiment, randomly assigning 228 participants to two possible experimental conditions (directive vs. participative goal setting) or a control group (unspecific "Do your best" goals). We used multivariate regression analyses to test our hypotheses, controlling for demographic factors (participants age, biological gender and previous work experience) and stable personality traits. While there were no differences in trust in leadership across experimental conditions, followers' emotional competencies at work session 1 had positive main effects on followers' trust in leadership. At work session 2, significant interaction effects between directive goal setting type and both emotional clarity and repair indicate that only setting goals in a directive way will compensate low levels of followers' emotional clarity and repair.

La confianza de los seguidores es un elemento esencial de un liderazgo eficaz. Las aproximaciones tempranas a la formación de la confianza hacia los líderes, adoptaron un enfoque basado en evaluaciones basadas en información. Sin embargo, avances recientes en la investigación de la confianza sugiere que estas evaluaciones también contienen un componente afectivo. En este estudio proponemos que las competencias emocionales, como (1) atención, (2) claridad y (3) reparación emocional predecirán la confianza hacia el líder en momentos tempranos de la relación líder-seguidor. A medida que esta relación se desarrolla en el tiempo, las evaluaciones sobre la fiabilidad del líder cambiaran su objetivo, más precisamente de las emociones que el líder despierta a la manera en que este establece las metas. Debido a que las metas pueden ser establecidas de manera directiva o participativa, los seguidores con diferentes niveles en estas tres competencias emocionales, deberían presentar diferentes respuestas emocionales hacia dichas prácticas de establecimiento de metas. Basándonos en esta idea, evaluamos un posible efecto interactivo de las competencias emocionales y el tipo de establecimiento de metas sobre los puntajes de confianza hacia el líder de los seguidores. Para esto, realizamos un experimento longitudinal de dos sesiones de trabajo al cual asistieron 228 participantes. Las competencias emocionales de los seguidores en la primera sesión de trabajo tuvieron un efecto positivo sobre su confianza en el líder, mientras que se detectó un efecto de interacción entre la reparación emocional y el tipo de establecimiento de metas. En la segunda sesión de trabajo, solo se detectaron efectos de interacción entre la claridad y la reparación emocional y el establecimiento de metas directivo. Este resultado indica que el hecho de establecer metas, y no como estas se establecen es lo que compensara el efecto negativo sobre la confianza en el líder de bajos niveles de claridad y reparación emocional de los seguidores.

Effectiveness of a Self-management Program using Goal Setting based on a G-AP for Patients after a Stroke

PURPOSE: This study was conducted to develop a self-management program using goal setting for patients after a stroke. The program was based on a theory-based Goal setting and Action Planning framework (G-AP), and the effectiveness of the program was examined. METHODS: A non-equivalent control group pretest-posttest design was used. The experimental group (n=30) received the self-management program using goal setting based on the G-AP over 7 weeks. The education was delivered individually with a specifically designed stroke workbook. The control group (n=30) received only patient information leaflets about stroke. RESULTS: There were significant differences between the two groups. Stroke knowledge, self-efficacy, and health behavior compliance were significantly higher (all p<.001), and hospital anxiety (p<.001) and depression (p<.001) were significantly lower in the experimental group compared to the control group. CONCLUSION: This self-management program using goal setting based on a G-AP was found to be useful and beneficial for patients in stroke rehabilitation settings.

Goal setting in sport and exercise: research and practical applications / Estabelecendo metas no esporte e exercício físico: pesquisa e aplicações práticas

The purpose of this paper was to briefly review the major theoretical and empirical research in goal setting related to sport and develop applications for best practice. Different types of goals were discussed and Locke's theory of goal setting provided the foundation for future research. After briefly reviewing the goal setting literature in sport and organizational settings, principles for how to apply goal setting to enhance performance were developed. The development and implementations of a goal setting system was presented including planning, meeting, and evaluation stages. Finlly, effective goal setting practices based on empirical literature were discussed.

Este trabalho focalizou a efetividade do estabelecimento metas no esporte e em ambientes de exercícios físicos. A teoria de Locke de estabelecimento de meta, que indica que metas específicas, difíceis, desafiadoras conduzem a níveis mais altos de desempenho de tarefa do que metas fáceis, nenhuma meta, ou a meta do tipo "faça o seu melhor", foi apresentada. Pesquisas mais recentesinvestigando a relação meta-desempenho em esporte e exercícios físicos também encontraram apoio para a efetividade de metas embora os resultados não sejam tão robustos quanto os da literatura industrial. Foram apresentados os princípios básicos de estabelecimento de metas, incluindo estabelecimento de metas específicas, de metas realísticas e desafiadoras, de metas em curto e longo prazo, estabelecimento de metas de desempenho, anotação de metas, provimento de apoio para as metas e incentivo à avaliação de metas. Um processo para estabelecimento de metas com equipes foi esboçado junto com um processo de sete-passos para estabelecer metas efetivamente. É importante lembrar que a efetividade de qualquer programa de estabelecimento de metas em grande parte dependeda interação entre o treinador, do coordenador de exercícios físicos, do psicólogo desportivo e da motivação dos participantes. Em essência, ao estabelecer metas sempre se deve levar em contao ambiente e as diferenças individuais.

Intervenção comportamental para treinadores no uso do estabalecimento de metas no tênis / Behavioral intervention for coach in the use of goal setting in tennis

O trabalho avaliou os efeitos da capacitação de um treinador de tênis para o uso de estabelecimento de metas. A pesquisa consistiu em três fases. Na linha de base (Fase 1) filmaram-se 11 sessões de treino, sem interferência da pesquisadora. A intervenção (Fase 2) consistiu em 10 sessões nas quais se ensinou ao treinador como observar e registrar comportamentos-alvo, planejar critérios de proficiência para suas ocorrências e fornecer feedback propondo mudanças quando necessárias. A pós-intervenção (Fase 3) foi semelhante, em estrutura, à linha de base. Ao longo das fases, verbalizações e outros comportamentos do treinador (registrar, participar e variar exercícios) foram registrados e categorizados. Verificou-se um aumento na porcentagem de instruções, correções, elogios descritivos, registros dos desempenhos dos atletas e participação do treinador nos exercícios, bem como redução na porcentagem de críticas/sarcasmos, durante e após a intervenção. Os comportamentos do treinador generalizaram-se para outros contextos, e os atletas alcançaram suas metas. Os resultados instigam novas discussões.

The study evaluated the effects of training a tennis coach in the use of goal setting and consisted of three phases. At baseline (Phase 1),11 training sessions without interference from the researcher were recorded. The intervention (Phase 2) consisted of 10 sessions in which the coach was taught how to observe and record the target behaviors, plan criteria for proficiency of the occurrences and provide feedback by proposing changes when necessary. The post-intervention (Phase 3) was similar in structure to the pretest. Throughout the phases, verbalizations and other behaviors of the coach (recording, participating and varying exercises) were recorded and categorized. An increase was noted in the percentage of instructions, corrections, descriptive compliments, records of athletes' performance and the coach's participation in the exercises, and a reduction in the percentage of critical/sarcastic attitudes throughout and after the intervention. The coach's behavior became generalized into other contexts and athletes reached their goals. Our results call for further discussion.

Efeitos do estabelecimento de metas para a aquisição de uma habilidade motora / Effects of goal setting for the acquisition of motor skills / Efectos de la fijación de metas para la adquisición de habilidades motoras

O presente estudo investigou os efeitos do estabelecimento de metas de curto e de longo prazo na aprendizagem do arremesso de dardo de salão. O experimento foi conduzido em três etapas: pré-teste (10 tentativas); aquisição (60 tentativas), com manipulação da temporalidade da meta; e pós-teste (10 tentativas). Os 33 universitários destros foram divididos em três grupos: meta específica de curto prazo (GEC), meta específica de longo prazo (GEL) e o não meta (GNM). Na análise da precisão e da consistência, a ANOVA two way identificou diferença entre pré-teste e pós-teste e entre os blocos da aquisição. Apesar de todos os grupos terem aprendido a tarefa, não houve diferença entre eles. Sugere-se a realização de novos estudos sobre o tema.

The present study investigated the effects of short and long-term goal setting in the learning of saloon dart throwing. The experiment was conducted in three stages: pretest (10 trials), acquisition (60 trials), with manipulation of the temporality of the goal, and post-test (10 trials). The 33 right-handed university students were divided into three groups: specific short-term goal (GEC), specific long-term goal (GEL) and no-goal (GNM). In the analysis of accuracy and consistency the two way ANOVA identified significant effect between pretest and post-test and between acquisition blocks as well. Although all the groups have learned the task, there was no difference between them. It is suggested further researches on the subject.

El presente estudio investigó los efectos de la meta a corto y largo plazo de puesta enel aprendizaje del salón de lanzar dardos. El experimento se llevó a cabo en tres etapas: pre-test (10 ensayos), la adquisición (60 ensayos), con la manipulación de la temporalidad de la meta, y después de la prueba (10 ensayos). Los 33 estudiantes universitarios de la mano derecha se dividieron en tres grupos: objetivo concreto a corto plazo (GEC), el objetivo específico a largo plazo (GEL) y no se meta (GNM). En el análisis de la exactitud y la consistencia de dos vías ANOVA identificó un efecto significativo entre la pre y post-test y entre bloques de adquisición así. A pesar de todos los grupos han aprendido la tarea, no hubo diferencias entre ellos.

Effect of Nursing Intervention of Mutual Goal Setting on Recovery of Mastectomy Patient / 기본간호학회지

PURPOSE: The purpose of this research was to test the effectiveness of the nursing intervention, mutual goal setting, for patients who have had a mastectomy. Special reference was given to King's goal attainment theory and a theoretical framework for establishing an effective nursing strategy to enhance patient recovery is suggested. METHOD: This research employed a quasi-experimental design which consisted of pretest-posttest non-equivalent control and experimental groups. Data were collected from 37 patients who had a mastectomy and were hospitalized in the Department of Surgery of Y Medical Center from January 2001 to May 2001. The experimental group received the nursing intervention, mutual goal setting four times from the day before the operation to the fifth day after the operation while the control group received only routine nursing care. As postoperative recovery indicators, ROM of arm joints, arm circumference, pain, physical symptoms, oxygen saturation, stress, anxiety and body image were measured. RESULT: The test results are as follows : 1) there were statistically significant differences between the experimental and control groups in extension and internal rotation of the shoulder joint and flexion of the wrist joint. 2) there was no significant difference between the two groups in arm circumference. 3) there were no significant differences between the two groups in pain, physical symptoms, or oxygen saturation. 4) there were no significant differences between the two groups in stress, anxiety, or body image. On the basis of research results, the following are recommended : 1) The effectiveness of nursing intervention in the acute recovery period as well as long term effects need to be investigated. 2) There is a need to develop an instrument to measure perception which facilitates goal attainment in the interactive setting between patients and nurses.