La toma de decisiones en salud comunitaria a través del mapeo de activos en salud / Community health decision-making through the assets mapping

Se presenta la experiencia de redefinición de la metodología de mapeo de activos en salud, que tuvo como objetivo hacer posible el análisis según desigualdades de salud, así como su utilización como herramienta en procesos participativos de toma de decisiones en el ámbito de la Administración local. Para ello se diseñó un procedimiento replicable y apto para todas las edades y todos los colectivos. A su vez, se estableció una extensa clasificación de los activos no solo en el plano geográfico, sino también según el perfil de la persona y las características de los activos. El volcado de los datos en un sistema de información geográfica y la gran cantidad de activos recogidos permitieron ampliar la interpretación habitual de los datos obtenidos y presentar la información de forma dinámica. (AU)

This is a report about the experience on redefining the health asset mapping methodology. The aim of this experience consisted of making an analysis on health inequalities, as well as of using it as a tool in decision-making participative processes in the local administration area. Thus, a replicable procedure for all ages and groups was designed. Besides this, assets have been widely classified, in accordance with the territorial distribution, people's profiles and asset features. Both the upload of data to a geographical information system and the large amount of data gathered allowed us to enlarge the common interpretation of data and present the information in a dynamic way. (AU)

[Community health decision-making through the assets mapping]. / La toma de decisiones en salud comunitaria a través del mapeo de activos en salud.

This is a report about the experience on redefining the health asset mapping methodology. The aim of this experience consisted of making an analysis on health inequalities, as well as of using it as a tool in decision-making participative processes in the local administration area. Thus, a replicable procedure for all ages and groups was designed. Besides this, assets have been widely classified, in accordance with the territorial distribution, people's profiles and asset features. Both the upload of data to a geographical information system and the large amount of data gathered allowed us to enlarge the common interpretation of data and present the information in a dynamic way.

Evaluación del efecto del sentido de coherencia en la carga percibida y en la adherencia a un programa psicoeducativo para cuidadores informales de personas dependientes / Assessment of the sense of coherence in the perceived burden and in the adherence to a psycho-educational program for informal caregivers of dependent persons

Introducción: El cuidado de personas dependientes es arduo y requiere tiempo, energía y esfuerzo físico por parte de las personas cuidadoras. Características personales como el sentido de coherencia (SOC) pueden influir en la carga percibida y la prestación de cuidados. Objetivo: Determinar el impacto del SOC en la carga percibida y analizar la asociación de estas características con la adherencia a un programa psicoeducativo para cuidadores informales. Material y método: Estudio prospectivo observacional en cuidadores de personas dependientes participantes de la «Escuela de Cuidadores», programa psicoeducativo para cuidadores familiares y remunerados. Se administró el SOC-13 ítems y la escala Burden Interview de Zarit. Se analizó la asociación del SOC y la carga en la adherencia al programa (≥50% sesiones). Resultados: Participaron 96 cuidadores, de los cuales un 71,9% eran familiares. La mayor carga se asoció a un menor factor de significación del SOC (ß=-0,388; p=0,002) y a ser familiar (ß=-0,300; p=0,010). La adherencia global fue del 52,1%, asociándose, en el caso de los familiares, a mayor SOC (OR: 1,1; p=0,034) y menor carga (OR: 0,95; p=0,032). En los cuidadores remunerados, el abandono no se asoció a ninguna de las variables analizadas. Conclusiones: El SOC, y principalmente la significación, es una característica a tener en cuenta para la adecuación de intervenciones en cuidadores y dotarlas de mayor equidad trabajando más sobre las personas que más lo necesiten (menor SOC y mayor carga)

Introduction: The care of dependent persons is arduous, and requires time, energy, and physical effort on the part of caregivers. Personal characteristics, such as the sense of coherence (SOC), can influence the perceived burden and care giving. Objective: To determine the impact of SOC on the perceived burden and to determine if these characteristics are associated with adherence to a psycho-educational program for informal caregivers. Material and method: Prospective observational study of caregivers of dependent persons participating in the 'School of Caregivers', a psycho-educational program for family and paid caregivers. An analysis was made of the SOC-13 items and the results of the Zarit Burden Interview. The relationship between the SOC and the adherence to the program (≥50% sessions) was also analysed. Results: The study included 96 participants, with 71.9% family carers. The higher burden was associated with a lower SOC meaningfulness factor (ß=-0.388; P=.002), and to be a relative vs. paid carer (ß=-0.300; P=.010). Just over half (52.1%) of carers completed 50% or more sessions, and in the case of the relatives, this adherence increased by higher SOC (OR: 1.1, P=.034), and lower burden (OR: 0.95, P=.032). The lack of adherence of paid caregivers was not associated with any of the analysed variables. Conclusions: The sense of coherence and mainly the meaning, is a characteristic to take into account for the adaptation of interventions in caregivers and provide them with greater equity working more on the people who need it the most (lower SOC and greater burden)

[Assessment of the sense of coherence in the perceived burden and in the adherence to a psycho-educational program for informal caregivers of dependent persons]. / Evaluación del efecto del sentido de coherencia en la carga percibida y en la adherencia a un programa psicoeducativo para cuidadores informales de personas dependientes.

INTRODUCTION: The care of dependent persons is arduous, and requires time, energy, and physical effort on the part of caregivers. Personal characteristics, such as the sense of coherence (SOC), can influence the perceived burden and care giving. OBJECTIVE: To determine the impact of SOC on the perceived burden and to determine if these characteristics are associated with adherence to a psycho-educational program for informal caregivers. MATERIAL AND METHOD: Prospective observational study of caregivers of dependent persons participating in the 'School of Caregivers', a psycho-educational program for family and paid caregivers. An analysis was made of the SOC-13 items and the results of the Zarit Burden Interview. The relationship between the SOC and the adherence to the program (≥50% sessions) was also analysed. RESULTS: The study included 96 participants, with 71.9% family carers. The higher burden was associated with a lower SOC meaningfulness factor (ß=-0.388; P=.002), and to be a relative vs. paid carer (ß=-0.300; P=.010). Just over half (52.1%) of carers completed 50% or more sessions, and in the case of the relatives, this adherence increased by higher SOC (OR: 1.1, P=.034), and lower burden (OR: 0.95, P=.032). The lack of adherence of paid caregivers was not associated with any of the analysed variables. CONCLUSIONS: The sense of coherence and mainly the meaning, is a characteristic to take into account for the adaptation of interventions in caregivers and provide them with greater equity working more on the people who need it the most (lower SOC and greater burden).