Impact of a culturally adapted digital literacy intervention on older people and its relationship with health literacy, quality of life, and well-being.

Introduction: Older people are the group with the greatest digital gap, so their digital literacy is important to improve the conditions in which they age. Methods: A study was conducted with pre- and post-evaluation of a digital literacy (DL) intervention in people aged 60 years and over. A total of 56 participants (experimental group N = 32 and control group N = 24) were recruited for convenience in community centers. The intervention was adapted to the needs of the participants, there were five face-to-face sessions and remote reinforcement for three months, carried out by trained university students for five months. Sociodemographic variables such as self-perception of socioeconomic level and education, among others, were evaluated. The impact was assessed using the digital literacy scale (MDPQ16), indicators of frequency and types of internet and mobile phone use, health literacy (SAHLSA and NSV), quality of life (SF-12), hedonic well-being (Diener's SWLS and Cummins' PWI) and perceived social support using the Zimet scale. Results: The intervention had a significant impact with an effect size of r = 0.27 on digital literacy, separate t-test comparisons revealed a markedly significant change for digital literacy in the experimental group, before and after the pre-post t-test(31) = 3.56, p = 0.001, but not in the control group, t(23) = 0.082, p = 0.93. No direct impact on health literacy, health-related quality of life, and hedonic well-being was identified. We examined the indirect impact of change in digital literacy and found that it correlated with improvements in well-being and social support, as well as quality of life. Individuals with significant changes were detected and compared with those who did not change. Discussion: Evaluation that contributes by identifying elements for improvement in future interventions and discusses the importance of culturally adapting continuing education in older people.

Emotion Regulation Strategies in Educational, Work and Sport Contexts: An Approach in Five Countries.

One of the greatest challenges in the domain of emotional regulation is comprehending the functionality of strategies and their utilization in various social contexts. In this sense, this study analyzes differences in the use and efficacy of regulation strategies, particularly of interpersonal strategies like altruism, social support, negotiation, mediation, regulation, and rituals, in samples of workers (N = 687) and students (N = 959) from Brazil, Chile, Cuba, Spain, and Uruguay, and athletes (N =144) from Spain. Participants answered questions pertaining to measures of affect or emotional regulation (MARS and ERQ self-regulation scales and EROS heteroregulation), as well as questions of a wellbeing scale (PHI) and questions related to emotional creativity (ECI), humor styles (HSQ), and adjustment to stress. Athletes reported less emotional discharge, use of humor, and affection, and greater confrontation and use of rituals than students and workers. A congruent relationship was found between the use of functional strategies (like direct coping, distraction, reevaluation, and active physiological regulation) and adjustment to stress, well-being, and creativity. Seeking social support, negotiation, and, to an extent, altruism, confirmed their predicted adaptive character. Mediation and delegation did not confirm their predicted adaptive character. Rumination, social comparison, rituals, confrontation, and suppression were maladaptive for workers and students, but the first four strategies were functional for athletes, who display a higher self-control and a more team-oriented and competitive emotional culture. Finally, the results show that adaptive regulation strategies mediate the relationship between well-being and adjustment to stress.

Títeres online para promover la salud familiar en pandemia: Alcance global de una innovación en enfermería / Online puppets to promote family health in pandemic: Global range of an innovation in family nursing

El contexto global de la pandemia por coronavirus demandó un número creciente de enfermeras para cubrir las necesidades en el ámbito asistencial. También exigió abarcar sus otros roles, como el de educación y promoción de la salud en una población que requería ser empoderada en su autocuidado. Académicos de Enfermería con experticia, usando títeres en educación sanitaria, diseñaron un programa de obras online con el propósito de promover la salud de las familias reunidas, prevenir el COVID-19 y difundir el rol de Enfermería, apoyados por la Universidad Católica de la Santísima Concepción (Chile), Colegio de Enfermeras de Chile y Servicio de Salud Talcahuano (Chile). Los procedimientos básicos, consistieron en escribir y transmitir 14 obras originales, las que fueron visualizadas por público familiar de cinco continentes; en vivo y en su versión grabada, con cobertura de medios nacionales e internacionales. Durante el proceso el equipo debió sortear diversas limitaciones relacionadas con el confinamiento y el manejo de la tecnología para generar el streaming. Los principales hallazgos destacaron más de 27.000 reproducciones y 4000 comentarios. El público consultado consideró positivo el mensaje de las obras y que la universidad transmita conocimiento usando títeres. La experiencia se presentó en eventos académicos y artísticos. Se concluye que los títeres permiten educar en salud de forma entretenida y permiten captar la atención del público de todas las edades. Las redes sociales facilitaron la cobertura de las obras, para una promover la salud y el rol de Enfermería sin fronteras.

The global context of the coronavirus pandemic demanded a growing number of nurses to cover the needs in the healthcare field. It also required covering their other roles, such as education and health promotion in a population that needed to be empowered in their self-care. Nursing academics with experience using puppets in health education, designed a program of online works with the purpose of promoting the health of reunited families, preventing COVID-19 and disseminating the role of nursing, supported by the Universidad Católica de la Santísima Concepción (Chile), College of Nurses of Chile and Talcahuano Health Service (Chile). The basic procedures consisted of writing and transmitting 14 original works, which were viewed by family audiences from five continents; live and in its recorded version, with national and international media coverage. During the process, the team had to overcome various limitations related to confinement and the management of technology to generate streaming. Key findings highlighted more than 27,000 views and 4,000 comments. The consulted public considered the message of the works positive, and that the university transmits knowledge using puppets. The experience was presented at academic and artistic events. It is concluded that the puppets allow health education in an entertaining way and allow to capture the attention of the public of all ages. Social networks facilitated the coverage of the works, to promote health and the role of nursing without frontiers.

Factores psicosociales del presentismo en trabajadores del Sistema de Salud chileno / Psychosocial factors of presenteeism in Chilean Health System workers

Este estudio analizó los factores psicosociales que explicaban el presentismo o deterioro laboral autopercibido asociado a trabajar enfermo. La muestra fue de 676 trabajadores del sistema de salud chileno (84% de mujeres, M = 35.9 años, en su mayoría enfermeras y técnicos paramédicos). Se aplicó un cuestionario sociodemográfico, el Job Content Questionnaire, el Effort-Reward Imbalance, el Health Performance Questionnaire y una escala de interferencia del trabajo en la vida familiar. La regresión lineal explicó el 21% de la varianza del deterioro laboral percibido. Este último se asoció a asistir a trabajar enfermo. Los resultados sugieren que el deterioro del desempeño y asistir a trabajar enfermo son dos aspectos del mismo proceso. El ausentismo por razones de salud, la interferencia del trabajo en la vida familiar y la sintomatología emocional predijeron el deterioro laboral. Éste último se asoció negativamente a trabajar en turnos, controlando edad y salario. Los resultados sugieren que el presentismo es explicado por factores del contexto de trabajo y el conflicto trabajo-familia (AU)

This study analyzed the psychosocial factors that explained the presenteeism as a self-perceived deterioration of work performance associated with sick working. The sample consisted of 676 employees of the Chilean health system (84% women, average age 35.9 years, mostly nurses and paramedics). A sociodemographic questionnaire, the Job Content Questionnaire, the Effort-Reward Imbalance, the Health Performance Questionnaire, and a scale of family work interference were applied. Linear regression explained 21% of the variance of presenteeism as self-perceived deterioration of work performance. The last variable was associated to attending sick to work. The results confirm that going to work sick and work performance deterioration are two aspects of the same process. Self-perceived deterioration of work performance was predicted by absenteeism for health reasons, family-labor interference, emotional symptoms, and (negatively) shift working, controlling for age and salary. The findings also suggest that presenteeism is explained by psychosocial factors and work-family conflict (AU)