ABSTRACT
Group cognitive interventions can promote a sense of self-efficacy to older adults. Due to restrictive social distancing measures in the COVID-19 pandemic, face-to-face interventions that aimed to promote cognitive health needed to be adapted to a virtual offering. Objectives: This study aimed to analyze the effects of promoting cognitive health in a virtual group intervention for community-living older adults. Methods: This is a mixed, prospective, and analytical study. Before and after the intervention, the tests were applied: Brief Cognitive Screening Battery (BCSB) and the Subjective Memory Complaints Questionnaire (MAC-Q). Data were collected at semi-structured interviews related to the adoption of memory strategies. Statistical tests were conducted for initial and final intragroup comparison. The qualitative data were assessed using thematic analysis. Results: A total of 14 participants concluded the intervention. With respect to mnemonic strategies, the most relevant for the qualifier "Did not use it before and started to do so after the group" were association (n=10; 71.4%) and dual-task inhibition (n=9; 64.3%). According to the tests, the intervention improved incidental, immediate, and delayed recall, as well as the perception of memory for "Remembering the name of the person they just met," "Remembering the telephone number you use at least once a week," "Remembering where they put an object," "Remembering news from a magazine article or television program," and "In general, how would you describe your memory now compared to when you were 40 years old." Conclusions: The synchronous virtual group intervention was shown to be feasible for the elderly in the community who participated in the study.
Intervenções cognitivas em grupo podem promover um senso de autoeficácia em idosos. Em decorrência das medidas restritivas de distanciamento social na pandemia de COVID-19, as intervenções presenciais que visavam promover a saúde cognitiva precisaram ser adaptadas à oferta virtual. Objetivos: Analisar os efeitos da promoção da saúde cognitiva em uma intervenção em grupo virtual para idosos que vivem na comunidade. Métodos: Trata-se de um estudo misto, prospectivo e analítico. Antes e depois da intervenção foram aplicados os testes: Bateria de Triagem Cognitiva Breve (BCSB) e Questionário de Queixas de Memória Subjetiva (MAC-Q). Os dados foram coletados em entrevistas semiestruturadas relacionadas à adoção de estratégias de memória. Foram realizados testes estatísticos para a comparação intragrupo inicial e final. Os dados qualitativos foram avaliados por meio da análise temática. Resultados: Quatorze participantes concluíram a intervenção. Com relação às estratégias mnemônicas, as mais relevantes para o qualificador "não usava antes e passou a usar depois do grupo" foram associação (n=10; 71,4%) e inibição de dupla tarefa (n=9; 64,3%). De acordo com os testes, a intervenção melhorou a recordação incidental, imediata e tardia, bem como a percepção da memória para: "lembrar o nome da pessoa que acabou de conhecer"; "lembrar o número de telefone que você usa pelo menos uma vez por semana"; "lembrar onde colocaram um objeto"; "lembrar notícias de um artigo de revista ou programa de televisão" e "em geral, como você descreveria sua memória agora em comparação com quando tinha 40 anos". Conclusões: A intervenção síncrona em grupo virtual mostrou-se viável para os idosos da comunidade que participaram do estudo.
ABSTRACT
INTRODUCTION: The death of a spouse greatly affects the survivor's emotions and may change one's everyday occupations, especially during recent bereavement. Considering the centrality of everyday occupations to occupational therapy practice, this research aimed to understand women's restoration-oriented everyday occupations within the first six months after the death of their spouse. METHODS: This was a qualitative thematic analysis that applied a realistic method and a theoretical approach at the semantic level. Semi-structured interviews were conducted to understand the everyday occupations of widows after their husbands' deaths, emphasising those that were restoration-oriented, according to the dual process model of coping with bereavement framework. The analysis was conducted according to the phases expected to be conducted during a thematic analysis. RESULTS: Fourteen widows with long-term marital relationships participated in this research. Their perceptions concerning their relationships with their spouses were an important aspect that influenced their everyday occupations. Women who qualitatively described their marital relationships in terms of attributes grouped by the researcher as lost and lonely also mentioned difficulty managing previously habitual occupations and changes in the meanings assigned to some of those occupations. These women mobilised unique strategies to address suffering and occupational changes during bereavement. Women who qualitatively described their relationships with attributes grouped by the researcher as free at last felt freedom after their husbands' deaths, which, according to the widows, brought happiness and feelings of peace and enabled them to engage in freely chosen occupations and to broaden their social networks. CONCLUSION: Everyday occupations and their meanings can considerably change during widowhood. This study contributes to comprehending the uniqueness of responses to loss.
Subject(s)
Career Choice , Life Change Events , Marriage/psychology , Spouses/psychology , Widowhood/psychology , Adaptation, Psychological , Aged , Bereavement , Evaluation Studies as Topic , Female , Humans , Interviews as Topic , Male , Middle Aged , Occupations , Perception , Thematic Apperception Test , Time FactorsABSTRACT
BACKGROUND: Aggressive behaviors must be addressed in elementary schools. Massage and storytelling can be strategies to deal with aggression because both involve experience exchange and social interaction. Both can decrease stress and anxiety and increase self-esteem. OBJECTIVE: To evaluate the effect of two interventions (massage and storytelling) on aggressive behaviors and academic performance of elementary school children. METHOD: Three groups (n = 35 children in each group) of the second grade participated (aged 6.5-8.1 years). One group received ten extra classes of massage (MG), another group received extra classes of storytelling (SG), and the control group received extra classes of random subjects (CG). Extra classes lasted for 50 minutes, once a week. Aggressive behaviors were recorded on diaries, by the teachers and the coordinator. The frequency of aggressive behaviors and the academic performance of MG, SG, and CG were observed for six months and the groups were compared. FINDINGS: ANOVAs evidenced that MG and SG, but not CG, showed a reduction in aggressive behaviors registered by the teachers and coordinator, after the intervention. Academic performance of MG and SC improved after the intervention (p < 0.05).
Subject(s)
Academic Performance , Aggression/psychology , Child Behavior/psychology , Massage/methods , Occupational Therapy/methods , Brazil , Case-Control Studies , Child , Female , Humans , Interpersonal Relations , Male , School Health Services/organization & administration , Schools , Self ConceptABSTRACT
OBJECTIVE: We evaluated the test-retest reliability, internal consistency, and construct validity of the Brazilian version of the Late-Life Function and Disability Instrument. METHOD: A sample of 118 older adults provided data for testing construct validity and internal consistency, and 14 provided data for testing test-retest reliability. Factor analysis with varimax rotation was used to assess construct validity. RESULTS: The Function component had excellent test-retest and total internal consistency reliability. Factor analysis revealed that the Upper Extremity Function and Advanced Lower Extremity Function domains were similar to the original analysis. The Disability component showed adequate to excellent test-retest reliability, except in the Management role; total internal consistency was excellent. Factor analysis revealed that its domains were similar to the original analysis, except for some items. CONCLUSION: The Late-Life Function and Disability Instrument is recommended for assessment of Brazilian community-dwelling older adults who are functionally independent and who do not require mobility assistance.
ABSTRACT
The existence of several kinds of commitments in the workplace is well known. However, there are few studies that relate these different commitments or those established by deterministic models. This study explored the relationship between organizational and professional commitment in public higher education professors according to the multidimensional perspective of Meyer and Allen (1991), based on a convenience sample of 219 teachers. The proposed models were estimated through structural equation modeling methodology. Model 1 specified a relationship of direct influence of Professional Commitment on Organizational Commitment and Model 2 established the opposite relationship of direct influence of organizational commitment on professional commitment. Both models presented a good fit to the data without statistically significant differences between them. Nevertheless, the explanatory power of Model 1 was superior to Model 2, due to the fact that it includes a larger number of determinant relationships that are statistically significant. Theoretical and practical implications were discussed and new directions for future research were identified.
Es conocida la existencia de distintos tipos de compromiso en el puesto de trabajo. Con todo, existen pocos estudios que los relacionen o que establezcan modelos determinísticos entre sí. Este estudio exploró la relación entre el Compromiso Organizacional y el Compromiso Profesional de docentes de educación superior pública, a partir de la perspectiva multidimensional de Meyer y Allen (1991), en base a una muestra de conveniencia constituida por 219 docentes. Los modelos propuestos se estimaron a través de la modelación de ecuaciones estructurales. El Modelo 1 especificó una relación de influencia directa del Compromiso Profesional sobre el Compromiso Organizacional y el Modelo 2 una relación inversa, de influencia directa del Compromiso Organizacional sobre el Compromiso Profesional. Los dos modelos presentaron un buen ajuste a los datos sin que se haya observado diferencias estadísticamente significativas entre sí. No obstante, el Modelo 1 por integrar un mayor número de relaciones de determinación estadísticamente significativas evidenció un poder explicativo superior al del Modelo 2. Se debatieron implicaciones teóricas y prácticas y se identificaron líneas futuras de investigación.
Subject(s)
FacultyABSTRACT
Treatment of chronic myeloid leukemia with BCR-ABL tyrosine kinase inhibitors requires full adherence in order to maximize the likelihood of achieving optimal responses, and to minimize healthcare costs. In this article, we review some of the methods available for assessing compliance, the main consequences of nonadherence on treatment outcomes, major factors commonly associated with poor compliance, a few successful measures for improving adherence and the most accepted recommendations for proactively managing adverse events.
ABSTRACT
Differential gene expression analysis by suppression subtractive hybridization with correlation to the metabolic pathways involved in chronic myeloid leukemia (CML) may provide a new insight into the pathogenesis of CML. Among the overexpressed genes found in CML at diagnosis are SEPT5, RUNX1, MIER1, KPNA6 and FLT3, while PAN3, TOB1 and ITCH were decreased when compared to healthy volunteers. Some genes were identified and involved in CML for the first time, including TOB1, which showed a low expression in patients with CML during tyrosine kinase inhibitor treatment with no complete cytogenetic response. In agreement, reduced expression of TOB1 was also observed in resistant patients with CML compared to responsive patients. This might be related to the deregulation of apoptosis and the signaling pathway leading to resistance. Most of the identified genes were related to the regulation of nuclear factor κB (NF-κB), AKT, interferon and interleukin-4 (IL-4) in healthy cells. The results of this study combined with literature data show specific gene pathways that might be explored as markers to assess the evolution and prognosis of CML as well as identify new therapeutic targets.
