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Introduction: The continuity of care and attention is considered as a process that involves an orderly attention, an uninterrupted movement of people among several elements of the system of provision of services. It does not exist enough evidence in terms of measurement instruments of this continuity in Latin America. Even globally it has been conceptualized that this matter has been abandoned repeatedly by the research teams, possibly due to the shortage of validated multidimensional measures and to the lack of studies designed to approach the inherent complexities of the service. Objective: describe the process of translation, cultural adaptation to Colombia, as well as the internal consistency and construct validity of the Alberta Continuity of Services Scale for Mental Health (ACSS-MH). Methods: This instrument was subdued to the evaluation of validity of the content by experts and this was applied to a rural population in a Colombian context. Were performed tests of internal consistency and construct validity for each of the parts of the scale. Results: Under the consensus of the expert, it is made changes on some items, looking for a better adaptability of the instrument to the linguistic characteristics of Spanish, without losing sight of the evaluation objective of each one of the items on the original questionnaire. The result of the analysis of part A converged in 5 components that explain the 69.69% of the variance with 24 Items; Similarly, the analysis of part B grouped 13 items into four components, which explain the 72.02% of the variance. Discussion: This scale could be implemented to improve the provision of mental health services in Latin American contexts, where continuity of care has presented significant difficulties.

Resumen: Objetivo: Brindar una herramienta en el contexto colombiano que permita evaluar el estres desde una perspectiva de afrontamiento, se busca explorar las caracteristicas psicometricas del inventario de estres ocupacional-OSI. Metodo: El diseno utilizado fue transversal de tipo descriptive-correlacional. Para este fin, respondieron el cuestionario 500 adultos trabajadores (hombres y mujeres) de empresas publicas y privadas de Colombia, con edades entre los 17 y 71 anos. Se analizaron las propiedades psicometricas relacionadas con la dificultad y discriminacion de los items a traves de la prueba t, la confiabilidad a traves del coeficiente de Cronbach y la validez factorial mediante un analisis de maxima verosimilitud con rotacion varimax. Resultados: Indican que el inventario de estres ocupacional-OSI posee alta confiabilidad (? = 0.88) y homogeneidad parcial en las escalas y subescalas que componen el instrumento, las cuales explican el 43 % de la varianza total en el comportamiento del estres ocupacional.Conclusion: El inventario de estres ocupacional-OSI es una herramienta potencialmente util para evaluar el estres en poblacion colombiana.AbstractObjective: To provide a tool that allows stress evaluation from a coping perspective to explore the psychometric characteristics of the occupational stress-OSI in Colombian context.Method: A descriptive cross - sectional design - correlational. For exploring the psychometric characteristics of the occupational stress-OSI, 500 adult male workers, between 17 and 71 years of age from public and private companies in Colombia were sampled through a questionnaire. The psychometric properties related to the difficulty and discrimination of the items through the T- test, the reliability through the Cronbach coefficient and the factorial validity through a maximum likelihood analysis with varimax rotation.Results: The occupational stress-OSI inventory has high reliability (? = 0.88) and partial homogeneity in the scales and subscales that make up the instrument, which explain 43 % of the total variance in the behavior of occupational stress.Conclusion: The occupational stress inventory-OSI is a potentially useful tool to evaluate stress in the Colombianpopulation.

Se presenta una conceptualización acerca de la Intervención Motivacional basada en el análisis de los acontecimientos propios del Proceso Motivacional y se mencionan algunas microteorías motivacionales que proponen diversos constructos hipotéticos y variables intermediarias que explican el curso que sigue la conducta saludable en el estilo de vida de las personas, conformando lo que se considera como una Dimensión Psicológica de la Promoción y de la Prevención en Salud. Se hace un intento de definición de la Intervención Motivacional y se propone un modelo de Formulación Motivacional para darle contexto y fundamento. Se describen los temas a los que se ha aplicado la Intervención Motivacional a lo largo de la existencia formal y sistemática de este concepto, y los temas de análisis teórico y metodológico actuales, para lo cual se toman los reportes que incluyen ambos términos (Motivational, & Intervention) en los resúmenes de publicaciones indizadas en la base de datos Medline, en el período 1991-2013.

The CEMA-PEMA program is a motivational-type preventive intervention, which follows the methodology of the Psychological Dimension of Health Prevention and Promotion, with the aim of preventing abusive consumption of alcohol in on-risk populations by favoring the permanence of moderate consumption. In the present study, the independent impact of the evaluative component and its pretest sensitization effect were assessed, by means of the application of a four-groups Solomon design with a sample of 186 school students. Once the program was implemented, the comparison of the post assessment indicates that there are no differences among intervention groups, as well as in the non-intervention groups. The simultaneous comparison between intervention and non-intervention groups suggests significant differences in the studied variables, which is an evidence of the program efficacy. The main conclusion is that changes in consumption and tendency to moderation are an effect of the PEMA intervention, rather than of the sensitization induced by the application of CEMA.

El objetivo de este estudio era evaluar los alcances de la aplicación del programa de prevención del consumo abusivo y la dependencia alcohólica “Pactos por la Vida” propuesto por Flórez-Alarcón y Vélez (2012), en la modificación de factores asociados al consumo de drogas en un Municipio Pequeño. Los instrumentos usados para la evaluación cuantitativa y cualitativa de los alcances del programa fueron: entrevista en profundidad, diarios de campo, mapeo, encuestas y registros de observación directa. Se realizaron análisis cualitativos del material obtenido y comparaciones de medias de las medidas asociadas con el consumo de alcohol; además de incluir un cuadro de análisis de la eficacia del programa. Se concluye que la estrategia es probablemente efectiva, y que en su aplicación a Municipios pequeños requiere de un ajuste. The aim of this study was to assess the scope of the implementation of the “Pacts for Life” program, designed to prevent alcohol abuse and dependence (Flórez-Alarcón & Velez, 2012), in modifying factors associated to drug use in a small municipality. Instruments used for the quantitative and qualitative assessment were: in-depth interview, field notes, mapping, surveys and direct observation records. Qualitative analysis of the material obtained and comparison of means of measurements associated with alcohol consumption were performed; and an analysis of the effectiveness of the program is included. We conclude that the strategy is probably effective, and that its application to small municipalities requires adjustment.