Home-based educational interventions for family caregivers of older adults after stroke: a scoping review / Intervenções educativas domiciliares para cuidadores familiares de idosos pós-AVC: revisão de escopo / Intervenciones educativas domiciliarias para cuidadores familiaresde adultos mayores después de un accidente cerebrovascular:revisión de alcance

ABSTRACT Objective: To map home-based educational interventions for family caregivers of older adults after stroke. Method: Scoping review based on the JBI methodology, carried out on May 23, 2023. The Rayyan application and Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews were used. Results: Of the 1,705 studies, nine published from 2006 to 2020 were included: 44% of interventions were theoretical-practical educational; 77.7% were randomized clinical trials; and the "in-person" intervention (56%) was the most common, carried out by nurses in 88.9% of cases. Three to 15 42-minute sessions were carried out. The educational contents were organized into ten categories, divided into education aimed at caring for older adults and self-care for caregivers. Conclusion: Identified educational interventions strengthen participants' knowledge and skills in areas such as education, care, communication, self-management, rehabilitation and nutrition as well as self-care to safely assist older adults in their activities of daily living.

RESUMO Objetivo: Mapear intervenções educativas domiciliares para cuidadores familiares de idosos pós-AVC. Método: Revisão de escopo baseada na metodologia JBI, realizada em 23 de maio de 2023. Foram utilizados o aplicativo Rayyan e Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Resultados: Dos 1.705 estudos, foram incluídos nove publicados de 2006 a 2020: 44% das intervenções foram educativas teórico-práticas; 77,7% eram ensaios clínicos randomizados; e a intervenção "presencial" (56%) foi a mais comum, realizada por enfermeiros em 88,9% dos casos. Foram realizadas de três a 15 sessões de 42 minutos. Os conteúdos educativos foram organizados em dez categorias, divididas em educação voltada ao cuidado do idoso e autocuidado ao cuidador. Conclusão: As intervenções educativas identificadas fortalecem os conhecimentos e habilidades dos participantes em áreas como educação, cuidado, comunicação, autogestão, reabilitação e nutrição, bem como autocuidado para auxiliar com segurança os idosos em suas atividades diárias.

RESUMEN Objetivo: Mapear las intervenciones educativas domiciliarias para cuidadores familiares de adultos mayores después de un accidente cerebrovascular. Método: Revisión de alcance basada en la metodología del JBI realizada el 23 de mayo de 2023. Se utilizó el aplicativo Rayyan y Preferred Reporting Items for Systematic reviews and Meta-Analyses extension for Scoping Reviews. Resultados: De 1.705 estudios, se incluyeron nueve publicados del 2006 al 2020: el 44% de las intervenciones fueron educativas teórico-prácticas; el 77,7% fueron ensayos clínicos aleatorizados; y la intervención "cara a cara" (56%) fue el más común, entregadas por enfermeras en 88,9% de casos. Se realizaron de tres a 15 sesiones de 42 minutos. Los contenidos educativos se organizaron en diez categorías divididas en educación dirigida al cuidado del adulto mayor y al autocuidado del cuidador. Conclusión: Las intervenciones educativas identificadas fortalecen los conocimientos y habilidades de los participantes en áreas como la educación, cuidado, comunicación, autogestión, rehabilitación y nutrición, así como al autocuidado para asistir de forma segura al adulto mayor en sus actividades cotidianas.

Experiencias de telesalud en un hospital especializado en salud mental durante la pandemia de COVID-19 en Perú / Telehealth experiences in a specialized mental health hospital during the COVID-19 pandemic in Peru

RESUMEN El objetivo de este artículo es dar a conocer las experiencias de telesalud en un hospital especializado en salud mental en Lima, Perú durante la pandemia de COVID-19. En concordancia con las disposiciones, como el cierre temporal de la atención presencial y el confinamiento obligatorio entre los meses de marzo a diciembre del 2020, se brindó progresivamente atención a través de llamadas telefónicas, videollamadas o plataformas digitales; se realizaron 57398 atenciones de teleconsultas y telemonitoreos; 4411 orientaciones en salud mental; 295 teleinterconsultas en psiquiatría; 42 actividades de telecapacitación y 29 sesiones educativas en salud mental dirigidas a la población general. Concluimos que la implementación de la telesalud para la atención de los usuarios del Hospital Hermilio Valdizán contribuyó al cuidado de la salud mental y permite reducir las brechas de acceso a la atención especializada en psiquiatría por las consecuencias de la COVID-19.

ABSTRACT The objective of this article is to present the experiences of telehealth in a hospital specialized in mental health in Lima, Peru during 2020. In accordance with the provisions such as the temporary closure of face-to-face care and mandatory confinement between the months of March As of December, care was progressively provided through telephone calls, video calls or digital platforms, with 57,398 teleconsultations and telemonitoring, 4411 mental health orientations, 295 teleinterconsultations in psychiatry, 42 teletraining activities and 29 educational sessions in mental health aimed at the general population. We conclude that the implementation of telehealth for the care of the users of the Hermilio Valdizán Hospital contributed to mental health care and reduces the gaps in access to specialized care in psychiatry due to the consequences of COVID-19.

Impacto de um programa de competências parentais no stress e competências de atenção plena / Impacto de un programa de competencias parentales en el estrés y en competencias de atención plena / Effects of a parenting education program on parenting skills, parenting stress, and mindfulness skills

Resumo Objetivo: Analisar o impacto da frequência do Adults and Children Together Raising Safe Kids (ACT-RSK) Programe nas competências parentais, no stress parental e nas competências de atenção plena, de um grupo de pais de crianças. Métodos: Realizou-se uma investigação-ação, utilizando um pré e pós-teste, tendo por referência a implementação do programa ACT-RSK, em 8 sessões de 90 minutos com periodicidade semanal, numa amostra de 22 pais da região Centro de Portugal. Utilizaram-se os questionários do Programa ACT-RSK, o Índice de Stress Parental, a Escala de Mindfulness Interpessoal na Parentalidade e um questionário sociodemográfico. A análise descritiva e inferencial ( Wilcoxon ) foi realizada com recurso ao Statistical Package fos Social Sciences (SPSS - IBM 24), com grau de confiança de 95%. Resultados: Os participantes melhoraram, do pré para pós-teste, nas 4 dimensões do programa: estilos parentais (M=36.32±6.61 vs. M=48.50±4.31; p<0.01); meios de comunicação (M=24.73±3.90 vs. M=30.73±2.90; p≤0.01); desenvolvimento infantil (M=55.18±11.82 vs. M=73.55±4.04; p≤0.01); e comportamento dos pais (M=34.23±7.83 vs. M=43.05±2.81; p≤0.01). Destacam-se, igualmente, melhorias consideráveis nos resultados da Escala de Mindfulness Interpessoal na Parentalidade (Z=-3.929, p=0.000) e no stress parental, que desceu do nível muito elevado (91.59) para o nível médio (74.45). Conclusão: Constata-se o impacto positivo do ACT-RSK na melhoria das variáveis estudadas.

Resumen Objetivo: Analizar el impacto de la frecuencia del Adults and Children Together Raising Safe Kids (ACT-RSK) Programe en las competencias parentales, en el estrés parental y en las competencias de atención plena de un grupo de padres de niños. Métodos: Se realizó una investigación-acción utilizando un pretest y postest en la implementación del programa ACT-RSK, en 8 sesiones de 90 minutos con frecuencia semanal, en una muestra de 22 padres de la región Centro de Portugal. Se utilizaron los cuestionarios del programa ACT-RSK, el Índice de Estrés Parental, la Escala de Mindfulness Interpersonal en la Paternidad y un cuestionario sociodemográfico. El análisis descriptivo e inferencial ( Wilcoxon ) fue realizado con el Statistical Package for Social Sciences (SPSS - IBM 24), con nivel de confianza de 95 %. Resultados: Del pretest al postest, los participantes demostraron una mejora en las cuatro dimensiones del programa: estilos parentales (M=36,32±6,61 vs. M=48,50±4,31; p<0,01); medios de comunicación (M=24,73±3,90 vs. M=30,73±2,90; p≤0,01); desarrollo infantil (M=55,18±11,82 vs. M=73,55±4,04; p≤0,01); y comportamiento de los padres (M=34,23±7,83 vs. M=43,05±2,81; p≤0,01). Además, se destacan mejoras considerables en los resultados de la Escala de Mindfulness Interpersonal en la Paternidad (Z=-3,929, p=0,000) y el en estrés parental, que se redujo de un nivel muy elevado (91,59) a un nivel medio (74,45). Conclusión: Se verifica un impacto positivo del ACT-RSK en la mejora de las variables estudiadas.

Abstract Objective: To analyze the impact of the Adults and Children Together Raising Safe Kids (ACT-RSK) Program in parenting skills, parenting stress, and mindfulness skills in a group of parents and children. Methods: This investigative intervention was based on the application of a pre-test and a post-test before and after the implementation of the ACT-RSK Program. The program consisted of eight weekly 90-minute sessions conducted with a sample of 22 parents from Central Portugal. The ACT-RSK Program questionnaires, Parenting Stress Index (PSI), Interpersonal Mindfulness in Parenting (IM-P) scale, and a socio-demographic questionnaire were used. A descriptive and inferential analysis (Wilcoxon) was conducted using the Statistical Package for Social Sciences (IBM SPSS, v. 24) with a 95% confidence interval. Results: Participants showed improvement from pre-test to post-test in all four program dimensions: Parenting Style (M=36.32±6.61 vs. M=48.50±4.31; p<0.01); Electronic Media (M=24.73±3.90 vs. M=30.73±2.90; p≤0.01); Child Development (M=55.18±11.82 vs. M=73.55±4.04; p≤0.01); and Parental Behavior (M=34.23±7.83 vs. M=43.05±2.81; p≤0.01). Likewise, significant improvement was seen in the Interpersonal Mindfulness in Parenting (IM-P) scale's results (Z=-3.929, p=0.000) and in parenting stress, which decreased from a very high (91.59) to a medium level (74.45). Conclusion: Data show the ACT-RSK had a positive effect and improved study variables.

Evaluation of Mobile Apps Targeted to Parents of Infants in the Neonatal Intensive Care Unit: Systematic App Review.

BACKGROUND: Parents of preterm infants increasingly use their mobile phone to search for health information. In a recent review, websites targeted toward parents with infants in the neonatal intensive care unit (NICU) were found to have poor to moderate quality educational material; however, there is a dearth of literature regarding mobile apps for NICU parents. OBJECTIVE: This study aimed to identify and evaluate apps targeting parents of infants in the NICU for quality of information, usability, and credibility. METHODS: We systematically searched the Apple App Store and Google Play using 49 key terms (eg, "preterm infant") from July 26 to August 18, 2017. English apps targeting NICU parents that cost less than $20 were included. Apps for health care professionals, e-books/magazines, or nonrelevant results were excluded. In total, 3 tools were used for evaluation: Mobile Application Rating Scale (MARS) to measure quality; Patient Education Materials Assessment Tool for Audiovisual Materials (PEMAT-AV) to measure the app's content usability; and Trust it or Trash It to measure credibility. RESULTS: The initial search yielded 6579 apps, with 49 apps eligible after title and description screening. In total, 27 apps met the eligibility criteria with 9 apps available in both app stores; of those, the app with the most recent update date was chosen to be included in the analysis. Thus, 18 unique apps were included for final analysis. Using MARS, 7 apps (7/18, 39%) received a good score on overall quality (ie, 4.0 out of 5.0), with none receiving an excellent score. In addition, 8 apps (8/18, 44%) received a PEMAT-AV score between 51% and 75% on the understandability subscale, and 8 apps (8/18, 44%) scored between 76% and 100% on the actionability subscale. Trust It or Trash It deemed 13 apps (13/18, 72%) as trash for reasons including no identification of sources or lack of current information, with only 5 (5/18, 28%) deemed trustworthy. Reviewer's expert evaluation found 16 apps contained content that matched information provided by multiple sources; however, most apps did not meet other objective measurement items to support credibility. When comparing the MARS overall quality and subjective quality scores with trustworthiness of apps, there was no statistically significant difference. A statistically significant difference was found between the 2 MARS quality scores, indicating that, on average, apps were ranked significantly lower on subjective quality compared with overall quality measures. CONCLUSIONS: This evaluation revealed that of the available apps targeting NICU parents, less than half should be considered as acceptable educational material. Over two-thirds of the apps were found to have issues regarding credibility and just over a quarter were considered good quality. The apps currently available for NICU parents are lacking and of concern in terms of quality and credibility.

Formação de cuidadores informais e qualidade de atendimento. Uma revisão sistemática / Training of informal caregivers and quality of care. A systematic review

Introdução: O envelhecimento da população leva ao aparecimento de novos problemas de saúde associados com a idade, que requerem tratamento específico, o que significa que, cada vez mais, os cuidadores precisam estar melhor preparados para prestar cuidados de qualidade. Objetivo: Analisar a formação de cuidadores informais em relação à qualidade do atendimento. Fonte de dados: Uma revisão sistemática, realizada em bases de dados, tendo sido consultadas: PubMed, Scopus, Chrocrane Plus, IME, ISOC e Cuiden Plus. Fora m incluídos estudos em píricos concordantes com o tema do estudo, publicados entre 2010e 2016 e excluídos estudos quantitativos com qualidade fraca pela ferramenta EPHPP e estudos qualitativos que não tinham respostas afirmativas as duas primeiras questões da ferramenta CASP. Resultados: Foram inicialmente encontrados 1.518 estudos que após filtrados, selecionou- se 14. A amostra foi de 3.918 cuidadores informais. Nove estudos destacaram intervenções de educação e formação, sendo um do tipo cognitivo comportamental. Resumo das conclusões: O treinamento melhora a qualidade dos cuidados prestados pelos cuidadores informais, melhorar a qualidade de vida das pessoas cuidadas e dos próprios cuidadores.(AU)

Introduction: Population aging entails the emergence of new age-related health problems requiring specific care, which means that more and more trained and competent caregivers are needed to provide care quality. Objective: To analyze training of caregivers regarding the quality of care. Data source: A systematic review was conducted. PubMed, Scopus, Chrocrane Plus, IME, ISOC and Cuiden Plus data base were consulted. Inclusion criteria were concordant research studies with topical study, published 2010-2016. Exclusion criteria were quantitative studies with weak quality by EPHPP tool and qualitative studies that did not have affirmative answers to the first two questions CASPe tool. Results: 1,518 studies were located, were selected finally 14. The sample consisted of 3,918 caregivers. Nine studies raised education and training interventions and one of cognitive behavioral type. Conclusions: Training improves the quality of care provided by informal caregivers and therefore quality of life, both of these caregivers, as people caring. (AU)