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Os transtornos relacionados a ansiedade estão cada vez mais presentes na sociedade. Em virtude das dificuldades de acesso ao tratamento médico adequado, grande parte da população opta pela automedicação, o que pode acarretar danos à saúde física e psicológica do indivíduo. Como uma forma de buscarem a diminuição da ansiedade e do estresse, muitas pessoas têm recorrido ao consumo de chás. O objetivo deste trabalho foi realizar uma revisão bibliografica a respeito do desempenho dos chás de hortelã fresca (Mentha x villosa Huds), camomila-vulgar (Matricaria chamomilla L.), maracujá (Passiflora edulis) e de erva-cidreira (Melissa officinalis) no tratamento da ansiedade. A revisão foi realizada por meio de uma pesquisa por publicações científicas dos últimos 16 anos, considerando como bases de busca, a Scielo e o Google Acadêmico. As informações reunidas comprovam que os quatro chás possuem efeitos ansiolíticos. O chá da folha do maracujá possui elementos como a passiflorina que possuem propriedades calmantes. O chá de camomila auxilia no controle da insônia por conter efeitos calmantes. Alguns de seus flavonoides agem com neurotransmissores do corpo e causam efeito relaxante. O chá da hortelã possui elementos como mentol e mentona, que promovem o relaxamento do sistema nervoso com sua propriedade tranquilizante. O chá de erva-cidreira tem efeitos sedativos e calmantes que atuam no sistema nervoso. Apesar de tudo, é recomendado que, aqueles que utilizam medicamentos ansiolíticos, entrem em contato com um profissional antes de consumir a infusão. Vale lembrar que esses chás são contraindicados para lactantes, gestantes e menores de 12 anos, não devem ser ingeridos com álcool ou com medicamentos sedativos e a utilização em excesso pode causar sonolência.

Strongly framed research questions are clear as to the population (P), the exposures or interventions (E/I), comparison groups (C), outcomes (O), time when relevant (T), and what the investigator wants to know. A solid framework sets up the measurement model, analysis, and anticipated results. The purpose of this study was to estimate the extent to which research questions in journals that focused on patient-reported outcome measures (PROM) and quality of life (QOL) are clear.All 440 research articles published in four PROM journals in 2020. excluding reviews, psychometric, and qualitative papers, were reviewed. Research questions were classified as: (i) adequately framed (ii) poorly framed; or (iii) unframed based on clarity criteria. Examples from each journal were presented and reframed to match results in the article.Of 440 articles, 195 (44.3%) were classified as adequately framed; 230 (52.2%) as poorly framed; and 15 (3.4%) as unframed. There was heterogeneity across journals (Chi-square: 20.8; 6 df; p = 0.002). Only 29% were framed according to what the investigators wanted to know; 72% were framed like a "to do" list; and 6% were framed as a research agenda.Almost half of the questions were poorly framed or unframed a practice that could contribute to research wastage. Even "adequately framed" questions rarely stated what they wanted to know a priori, increasing the risk of biased reporting. Researchers, reviewers, and editors should encourage the use established frameworks for research questions.

Background Ninety-five percent of all older adults live in community settings and have expressed a desire to remain in their homes and communities (aging in place). Communities have recognized the need for action planning to support the needs for aging in place. However, plans often lack empirical evidence, they leave out older adults, particularly those with disabilities, and the planning process takes a top-down approach from the perspective of policy makers. Methods This mixed methods study aimed to develop and initiate use of a theory of change to understand processes to elicit older adult participation in community action planning answering the question: In what ways do the themes derived from older adult participants provide insight to a theory of change process for engaging older adults in community action plan development in middle income, suburban Southern New Jersey communities? Older adults from three suburban communities were surveyed (n = 64) and interviewed (n = 14). Results Three variables, functional mobility (WHODAS-score; B= -0.266, 95% CI [-.470, − .062]), availability of healthcare services (B = 8.20, 95%CI [1.46, 14.93]), and availability of information to events, services and programs (B = 8.905, 95% CI[1.59, 16.23]) were significantly associated (p

To appraise the level of evidence supporting the measurement properties of patient-reported outcome measures (PROMs) in the context of postoperative recovery after abdominal surgery.There is growing interest in using PROMs to support value-based care in abdominal surgery; however, to draw valid conclusions regarding patient-reported outcomes data, PROMs with robust measurement properties are required.Eight databases (MEDLINE, EMBASE, Biosis, PsycINFO, The Cochrane Library, CINAHL, Scopus, Web of Science) were searched for studies focused on the measurement properties of PROMs in the context of recovery after abdominal surgery. The methodological quality of individual studies was evaluated using the consensus-based COSMIN checklist. Evidence supporting the measurement properties of each PROM was synthetized according to standardized criteria and compared against the International Society of Quality of Life Research minimum standards for the selection of PROMs for outcomes research.We identified 35 studies evaluating 22 PROMs [12 focused on nonspecific surgical populations (55%), 4 focused on abdominal surgery (18%), and 6 generic PROMs (27%)]. The great majority of the studies (74%) received only poor or fair quality ratings. Measurement properties of PROMs were predominantly supported by limited or unknown evidence. None of the PROMs fulfilled International Society of Quality of Life Research's minimum standards, hindering specific recommendations.There is very limited evidence supporting the measurement properties of existing PROMs used in the context of recovery after abdominal surgery. This precludes the use of these PROMs to support value-based surgical care. Further research is required to bridge this major knowledge gap.International Prospective Register of Systematic Reviews (PROSPERO): CRD42014014349.

Background Valuing patients as the experts in their experience, how they live with myelodysplastic disease, and how to reframe assessments of efficacy, patient-reported outcomes (PROs) can complement traditional measurements of response. Therefore, when used correctly, PROs serve as a valued instrument to assess a patient's Quality of Survival (QoS) throughout the course of their treatment. This study aimed to address the need for improved quality of life measurement in MDS and AML research requires identifying instruments that are appropriate for this population and ones that accurately represent the goals, needs, and concerns of these patients. Therefore research efforts should be directed to providing confirmatory data of the suitability for utilizing existing patient-reported outcome measurements (PROMs) for this population or identify the need to develop and use highly sensitive disease-specific measurements when evaluating new treatments. Identification of representative, influential, patient-reported quality of life domains first needed to be established in order to direct discovery of appropriate PROMs for this population in this two part research study (part-one: patient interviews/surveys, part two: Delphi panel/identification of appropriate PROMs [forthcoming]). Methods Between January and June 2021, 17 participants (AML, n = 8; HR-MDS, n = 9) were enrolled in an IRB-research study participating in concept-elicitation, semistructured interviews and surveys aimed to identify the lived experience of those being treated for HR-MDS and AML. An interpretive descriptive methodology was chosen to produce coherent conceptual descriptions aimed to expose thematic patterns and commonalities that characterize individuals with HR-MDS and AML. Using these insights, a conceptual model was derived to establish the basis for PROM content validity evaluation and to improve the accuracy of the captured quality of life measurements of this patient population. Results Seven (7) patient-reported themes emerged from qualitative analysis; social wellbeing, physical wellbeing, emotional wellbeing, management of side effects, treatment satisfaction, autonomy, and individual factors. Treatment Satisfaction, Autonomy, and Individual Factors (such as education, financial wellbeing, incoming treatment goal, health status, outlook, and prognosis) were found to be the most salient related to quality of life and overall wellbeing. The conceptual model highlights the main areas of impact and the relationships among concepts. Significant overlap was observed between the influential domains identified amongst those with HR-MDS and AML. Surveys, which were administered after patient interviews, were analyzed for consistency, reliability (α=0.8405), and variable correlation. Conclusion A clear understanding of the influential health-related quality of life domains that make up the foundation of this patient population's experience has proven fundamental in the process of identification of appropriate PROMs to measure quality of life. The patient-reported influence treatment satisfaction (confidence in treatment/provider, quality of care, compassion received, provided support, knowledge of treatment, burden of care, information of prognosis, etc) has on a patient's quality of life may lead to a more holistic approach to patient-reported outcome item-banks and instrument selection. The importance of the maintenance of autonomy during and after treatment was apparent in the reported anxiety associated with the loss of the ability of self-care, and independence. Additionally, the absence of divergent themes amongst those with HR-MDS and AML further adds to the evidence that these sub-populations share similar patient experiences. Disclosures Powers: Arrevus, Celularity, Corbus, DaVolterra, Eicos, Eli Lilly, Evofem, Eyecheck, Fuji, Gilead, GSK group of companies, Johnson & Johnson, Microbion, Mustang, OPKO, Otsuka, Romark, Shiniogi, Vir: Consultancy.

Introduction: Pilot studies are meritorious for determining the feasibility of a definitive clinical trial in terms of conduct and potential for efficacy, but their possible applications for planning a future trial are not always fully realized. The purpose of this review was to estimate the extent to which pilot/feasibility studies: (i) addressed needed objectives; (ii) led to definitive trials; and (iii) whether the subsequent undertaking of a definitive trial was influenced by the strength of the evidence of outcome improvement. Methods: Trials published in the journal Clinical Rehabilitation, since its inception, were eligible if the word ‘pilot’ or ‘feasibility’ was specified somewhere in the article. A total of 191 studies were reviewed, results were summarized descriptively, and between-group effect sizes were computed. Results: The specific purposes of piloting were stated in only 58% ( n = 110) of the studies. The most frequent purpose was to estimate the potential for efficacy (85%), followed by testing the feasibility of the intervention (60%). Only 12% of the studies were followed by a definitive trial; Discussion: Labelling and reporting of pilot studies needs to be improved to be concordant with the recently issued CONSORT guidelines. Feasibility needs to be fully tested and demonstrated prior to committing considerable human and monetary resources.

We initiated a research program to develop a novel patient-reported outcome measure (PROM) to assess postoperative recovery from the perspective of abdominal surgery patients. In light of FDA recommendations, the first stage of our program aimed to, based on previous literature and expert input, develop a hypothesized conceptual framework portraying the health domains that are potentially relevant to the process of recovery after abdominal surgery. This study was conducted in three phases: (1) systematic review to identify PROMs with measurement properties appraised in the context of recovery after abdominal surgery, (2) content analysis to categorize the health domains covered by the PROMs according to the ICF, and (3) two-round Delphi study to gain expert input regarding which of these health domains are relevant to the process of recovery. Participants were experts in perioperative care identified through two major surgical societies (35 invited). The systematic review identified 19 PROMs covering 66 ICF domains. 23 experts (66%) participated in the Delphi process. After Round 2, experts agreed that 22 health domains (8 body functions, 14 activities and participation) are potentially relevant to the process of recovery after abdominal surgery. These domains were organized into a diagram, representing our hypothesized conceptual framework. This hypothesized conceptual framework is an important first step in our research program and will be further refined based on in-depth qualitative interviews with patients. The sound methodological approach used to derive this framework may be valuable for studies aimed to develop PROMs according to FDA standards.

Objectives The objectives of this study were to identify needs and to estimate whether self-reported health can be used as an indicator of service needs among seniors. Methods This was a cross-sectional survey. Age- and sex-adjusted logistic regression was used to estimate the link between functional status indicators and fair or poor self-reported health. Forward stepwise logistic regression was performed to identify the strongest contributors of poor health. Positive predictive value (PPV), sensitivity, and specificity were calculated to identify whether health perception could be used to identify people in need of physical rehabilitation services. Results 142 seniors agreed to answer the survey, yielding a response rate of 73%. Among the respondents (mean age 79±7; 60% women), 40% rated their health as fair or poor. Seniors perceiving their health as fair or poor had higher odds of reporting impairments, activity limitations, and participation restrictions (OR ranging from 2.37 95%CI: 1.03-5-45 to 12.22 95%CI: 2.68-55.78) in comparison to those perceiving their health as good or better. The strongest contributors for poor/fair health were depression, difficulty performing household tasks, pain, and dizziness (c-statistic = 0.91 and a maximum adjusted r-squared of 0.60). Self-rated health used as singleitem showed a positive predictive value (PPV) of 1, sensitivity of 52%, and specificity of 100%. Conclusion Our results indicate that all seniors participating in this study and reporting fair or poor health have indicators of need for further rehabilitation services. Asking patients to rate their own health may be an alternate way of querying about need, as many older persons are afraid to report disability because of fear of further institutionalization.

After hospitalization, further disability among seniors could be prevented through exercise. Nonetheless, a one-on-one rehabilitation is not realistic for the volume of seniors that are experiencing disability. Currently available educational material for improving disability is so vast and non-specific that passive dissemination may pose a barrier to behaviour change. The aim of this pilot study was to estimate the extent to which an individualized, exercise-focused, self-management program (MMOVES), in comparison to exercise information, is more effective in improving mobility after 6 months among seniors recently discharged from hospital. The physiotherapy-facilitated intervention consisted of 1) evaluation of mobility capacity; 2) setting short and long term goals; 3) delineation of an exercise treatment plan. In addition, MMOVES participants received an educational booklet to enhance mobility self-management skills and were followed-up with monthly telephone calls. Control group received a booklet with information on exercises targeting mobility limitations in seniors. Mobility, pain, and health status were assessed at baseline and at 6 months using multiple indicators drawn from DASH, LEFS, SF-36. After imputing missing data, generalised estimating equations (GEE) estimated the odds of response for people receiving the intervention in comparison to the odds of response in the control group. Each person was classified as having made a response, deterioration, or no change on each measure based on change of one level on the ordinal scale. 26 people were randomized to the intervention (mean age 81 ± 8; 39% women), 23 were randomized to the control (mean age 79 ± 7; 33% women). The OR for the mobility outcomes combined was 3.08 and the 95%CI excluded 1 (1.65 – 5.77). The ORs for pain and health perception favoured the MMOVeS group; but, the 95%CI included the null value. Our individualized, exercise-focused, self-management program was more effective than exercise information in improving mobility outcome for seniors.

To estimate feasibility and potential for efficacy of an individualized, exercise-focused, self-management program (i.e. Managing Mobility Outcomes In Vulnerable Seniors ( MMOVeS)), in comparison to exercise information in improving mobility after six months among seniors recently discharged from hospital.Randomized pilot study.Two McGill University-teaching hospitals.Community dwelling seniors, aged 70 years and older, recently discharged from either participating hospitals.The physiotherapy-facilitated intervention consisted of (1) evaluation of mobility capacity, (2) setting short- and long-term goals, (3) delineation of an exercise treatment plan, (4) an educational booklet to enhance mobility self-management skills, and (5) six monthly telephone calls. Control group received a booklet with information on exercises targeting mobility limitations in seniors.Mobility, pain, and health status were assessed at baseline and at six months using multiple indicators drawn from Disabilities of the Arm, Shoulder, and Hand (DASH) Score, Lower Extremity Functional Scale (LEFS) and Short-Form (SF)-36.In all, 26 people were randomized to the intervention (mean age: 81 ± 8; 39% women), and 23 were randomized to the control (mean age: 79 ± 7; 33% women). The odds ratio for the mobility outcomes combined was 3.08 and the 95% confidence interval excluded 1 (1.65-5.77). The odds ratio for pain and health perception favored the MMOVeS group, but the 95% confidence interval included the null value.This feasibility study highlights the potential for efficacy of an individualized, exercise-focused, self-management program in comparison to exercise information in improving mobility outcome for seniors. Furthermore, a home-program combining self-management skills and exercise taught with minimal supervision prove to be feasible. Finally, data from this study can be used to estimate sample size for a confirmatory trial.

A feature of healthy human walking gait is a clearly defined heel-strike at initial contact, known as heel-to-toe gait. However, a common consequence of ageing is the deterioration of this heel first gait toward a flat foot, or “shuffling” gait. This leads to a shortened stride length, slowed gait speed, and an increased fall risk. Shuffling gait is normally treated by physiotherapy, however, therapist time is limited and training is restricted to a clinical environment. Gait rehabilitation could be expedited with the use of a device that distinguishes between heel-to-toe and shuffling gait and gives feedback to the user. This paper describes the design and validation of a device to achieve this. The device is innovative in that it both analyses the kinematics of the foot in real time and uses this information to classify the step quality in a manner that agrees with the subjective judgement of a physiotherapist. The device comprises a sensing module and a biofeedback module. The sensing module is a six axis inertial measurement unit that is strapped to the patient's foot. Raw data are streamed wirelessly to the biofeedback module (a smartphone), which runs an algorithm to detect step quality on the basis of angular velocity of the foot, and gives binary feedback to the user. Results from a validation study on the target population demonstrate very good classification performance, with an accuracy of 84.1% when compared with physiotherapist labels. The sensitivity is 92.4% at an operating point of 75% specificity, and the area under the ROC curve is 0.937. This performance should be more than adequate for clinical use and opens the door for investigations to determine how it can be used most effectively.

Purpose: We evaluated whether education in self-management support (SMS) increases future clinicians' intentions to use a new way of delivering rehabilitation services. Methods: A convenience sample of 10 students took a 5-week theoretical course, followed by 6 weeks spent assessing patients, establishing treatment plans, and monitoring their performance by telephone. Focus groups were held before and after the educational modules, with deductive mapping of themes to the Theory of Planned Behaviour and inductive analysis of additional themes. Results: Five themes and 22 subcategories emerged from the deductive–inductive focus group content analysis. After participating in the educational modules, students reported gaining knowledge about SMS and highlighted the lack of similar preparation during their academic courses. Nonetheless, they were hesitant to adopt SMS. Conclusion: Future clinicians gained knowledge and skills after being exposed to SMS courses, but their intention to adopt SMS in their future daily practice remained low. We also noted a lack of formal training in SMS in the academic setting. The findings from this study support incorporating SMS training into the curriculum, but to increase students' intention to use SMS as part of patient care, training may need to be in more depth than it was in the modules we used.

Research in rehabilitation has grown from a rare phenomenon to a mature science and clinical trials are now common. The purpose of this study is to estimate the extent to which questions posed and methods applied in clinical trials published in Clinical Rehabilitation have evolved over three decades with respect to accepted standards of scientific rigour. Studies were identified by journal, database, and hand searching for the years 1986 to 2016. A total of 390 articles whose titles suggested a clinical trial of an intervention, with or without randomization to form groups, were reviewed. Questions often still focused on methods to be used (57%) rather than what knowledge was to be gained. Less than half (43%) of the studies delineated between primary and secondary outcomes; multiple outcomes were common; and sample sizes were relatively small (mean 83, range 5 to 3312). Blinding of assessors was common (72%); blinding of study subjects was rare (19%). In less than one-third of studies was intention-to-treat analysis done correctly; power was reported in 43%. There is evidence of publication bias as 83% of studies reported either a between-group or a within-group effect. Over time, there was an increase in the use of parameter estimation rather than hypothesis testing and there was evidence that methodological rigour improved. Rehabilitation trialists are answering important questions about their interventions. Outcomes need to be more patient-centred and a measurement framework needs to be explicit. More advanced statistical methods are needed as interventions are complex. Suggestions for moving forward over the next decades are given.

It is often challenging to make sense of research reports on falls. The choice of statistical method depends on whether the outcome is binary (faller: yes/no), a rate (falls per person-time in view), ordinal (number of falls per person) or time to fall (first). The most useful methods for analysing falls are those that estimate parameters as they provide an estimated value for risk associated with different levels of a factor or intervention. Less useful are statistics that simply provide a yes/no answer as to whether the factor or intervention affects risk (hypothesis testing). As falls are negative events, when parameters such as odds ratios (OR), incidence rate ratios (IRR), hazard ratios (HR), proportional odds ratios (POR) or cumulative odds ratios (COR) are greater than 1.0, they indicate that the factor is associated with a higher risk of falls; when

Purpose: There is a need to identify effective interventions to promote walking capacity in seniors. This study compares nordic walking (NW) and usual overground walking (OW) and estimates the rela...

Background There is a shift toward making health care patient centered, whereby patients are part of medical decision-making and take responsibility for managing their health. Patient-reported outcomes (PROs) capture the patient voice and can be used to engage patients in medical decision-making. Objective The objective of this paper is to present important factors from patients', clinicians', researchers', and decision-makers' perspectives that influence successful adoption of PROs in clinical practice. Factors recommended in this paper were informed by a patient partner. Discussion Based on themes arising from the Montreal Accord proceedings, we describe factors that influence the adoption of PROs and how PROs can have a positive effect by enhancing communication and providing opportunities to engage patients, carers, and clinicians in care. Consideration of patient factors (e.g., health literacy), family support and networks (e.g., peer-support networks), technology (e.g., e-health), and health care system factors (e.g., resources to implement PROs) is necessary to ensure PROs are successfully adopted. PRO evaluation plans most likely to succeed over the long term are those incorporating PROs identified by patients as necessary for self-management and that coincide with providers' needs for collaboratively developing treatment plans with patients and families.

Thank you very much for your interest in our 2013 paper reporting on a pilot randomized trial of Nordic Walking as an adjunct to Geriatric Rehabilitation [1].The most important point about our arti...

A feature of healthy gait is a clearly defined heel strike upon initial contact of the foot with the ground. However, a common consequence of ageing is deterioration of the heel first nature of gait towards a shuffling gait (flat foot at contact). Physiotherapy can be effective in correcting this but is costly and labour intensive. Gait rehabilitation could be accelerated with home exercise, guided by a biofeedback device that distinguishes between heel first and shuffling gait. This paper describes an algorithm that distinguishes between heel-to-toe gait and shuffling gait on the basis of angular velocity of the foot, using an inertial measurement unit. Measurements were made of normal and abnormal gait and used to develop an algorithm that distinguishes between good and bad steps. Results demonstrate very good algorithm performance, with a classification accuracy at the accuracy-optimal threshold of 92.7% when compared with physiotherapist labels. The sensitivity and specificity at this threshold are 84.4% and 97.5% respectively. These performance metrics suggest that this algorithm is usable in a biofeedback device.

To perform a structured review of the psychometric properties specific to the stroke population of the Assessment of Life Habits (LIFE-H). This tool measures quality of social participation, an important but under-evaluated aspect of stroke recovery.A structured review of publications at MEDLINE; Embase, CINAHL, and the Cochrane Library using the following terms: LIFE-H, life habits, psychometric properties, measurement properties, reliability, repeatability, validity, responsiveness, appropriateness, ceiling effects, and floor effects.Eleven studies were identified specific to stroke. Test-retest reliability was excellent (Intraclass correlation coefficients [ICCs] ranging from 0.80 to 0.95). Inter-rater reliability ranged from adequate to excellent (r = 0.64-0.91) as well as agreement between responses of clients with stroke and their proxies (ICC ranging from 0.73 to 0.82). Convergent validity was adequate to excellent (r = 0.57-0.91) between the LIFE-H and two measures of functional independence. Two studies, one using patients and one using caregivers, suggest the LIFE-H is able to detect change over time.The LIFE-H is a psychometrically sound measure of quality of social participation for use in post-stroke assessment and is responsive to change.

Submitted by Concluintes Mestrado (concluinte.mestrado@setor.uepb.edu.br) on 2021-07-27T16:05:04Z No. of bitstreams: 3 PDF - Winnie Isabelle Cordeiro Caldas.pdf: 2642344 bytes, checksum: 5233969fc30a1524ee44e9de3f10d2e7 (MD5) PDF - Termo de Confirmação e Cadastramento para Publicação de TDE da BDTD.pdf: 3127477 bytes, checksum: 4b86fa27da79115ec54ab5c99436d70a (MD5) PDF - Termo de Autorização de Inserção de Tese ou Dissertação no Sistema TEDE da BDTD.pdf: 192253 bytes, checksum: 68b240c591f4bd6ba8e5b284ec010dff (MD5) Rejected by Rosalvo Andrade (rosalvo_andrade@servidor.uepb.edu.br), reason: on 2021-07-27T18:58:35Z (GMT) Submitted by Concluintes Mestrado (concluinte.mestrado@setor.uepb.edu.br) on 2021-07-27T19:01:43Z No. of bitstreams: 2 PDF - Winnie Isabelle Cordeiro Caldas.pdf: 2642344 bytes, checksum: 5233969fc30a1524ee44e9de3f10d2e7 (MD5) Termo de Autorização de Inserção de Dissertação e Termo de Confirmação e Cadastramento.pdf: 3318855 bytes, checksum: ae47868e0a1012900c17c2e16c351824 (MD5) Approved for entry into archive by Rosalvo Andrade (rosalvo_andrade@servidor.uepb.edu.br) on 2021-07-27T19:03:44Z (GMT) No. of bitstreams: 2 PDF - Winnie Isabelle Cordeiro Caldas.pdf: 2642344 bytes, checksum: 5233969fc30a1524ee44e9de3f10d2e7 (MD5) Termo de Autorização de Inserção de Dissertação e Termo de Confirmação e Cadastramento.pdf: 3318855 bytes, checksum: ae47868e0a1012900c17c2e16c351824 (MD5) Made available in DSpace on 2022-01-03T11:48:59Z (GMT). No. of bitstreams: 2 PDF - Winnie Isabelle Cordeiro Caldas.pdf: 2642344 bytes, checksum: 5233969fc30a1524ee44e9de3f10d2e7 (MD5) Termo de Autorização de Inserção de Dissertação e Termo de Confirmação e Cadastramento.pdf: 3318855 bytes, checksum: ae47868e0a1012900c17c2e16c351824 (MD5) Previous issue date: 2021-02-08 Coordenação de Aperfeiçoamento de Pessoal de Nível Superior - CAPES Obesity is defined as excess body fat, above the ideal levels for good health. Although obesity is a public health problem that affects several age groups, it is among children and adolescents that it plays a more important role, due to the complexity of the treatment, high probability of persistence in adulthood and association with other non-communicable diseases, yet in age pediatric. The increasing prevalence of overweight and obesity in children worldwide is a critical public health problem that has encouraged governments to consider different strategies to reduce obesity in the population. While technological advances can have some negative health effects, the new technology also has the potential to improve health. The Internet of Things (loT) can provide a useful tool to achieve this need. The objective of this research was to create and validate a system model developed for nutritional intervention using the IoT network, to assess overweight and obesity in children and adolescents and promote healthy eating behaviors. This study had as target population children and adolescents at nutritional risk of overweight and obesity. The study had a technological, experimental, qualitative, descriptive, analytical and exploratory character, being divided into five stages. The first step was the development of the HANIoT platform. The second step was the technical scientific study of the research variables. During the third stage, there was the development of the Android APP and APP WEB (DASHBOARD) system. The fourth stage comprised the development of the pilot study and intervention. Finally, in the fifth stage, a questionnaire was applied for descriptive analysis of the research. With the analysis of the results, it was identified that the system has great potential as an instrument for the prevention and intervention of childhood obesity, in addition to being considered a different strategy with the technological resources for the evaluation of the pathology involved, real-time monitoring, storage of data, privacy and patient safety. Obesidade é definida como excesso de adiposidade corporal, acima dos níveis ideais para uma boa saúde. Embora a obesidade seja um problema de saúde pública que afeta vários grupos etários, é entre crianças e adolescentes que ela desempenha um papel mais importante, devido à complexidade do tratamento, alta probabilidade de persistência na idade adulta e associação com outras doenças não transmissíveis, ainda em idade pediátrica. A crescente prevalência de sobrepeso e obesidade em crianças em todo o mundo é um problema crítico de saúde pública que tem incentivado os governos a considerar diferentes estratégias para reduzir a obesidade na população. Embora os avanços tecnológicos possam causar alguns efeitos negativos na saúde, a nova tecnologia também tem o potencial de melhorar a saúde. A Internet das Coisas (loT) pode fornecer uma ferramenta útil para alcançar essa necessidade. O objetivo desta pesquisa se deu na criação e validação de um modelo de sistema desenvolvido para intervenção nutricional com utilização de rede IoT, para avaliar sobrepeso e obesidade em crianças e adolescentes e promover comportamentos alimentares saudáveis. Este estudo possuiu como população alvo crianças e adolescentes em risco nutricional de sobrepeso e obesidade. O estudo possuiu caráter tecnológico, experimental, qualitativo, descritivo, analítico e exploratório, sendo dividido em cinco etapas. A primeira etapa consistiu no desenvolvimento da plataforma HANIoT. A segunda etapa se deu pelo estudo técnico científico das variáveis da pesquisa. Durante a terceira etapa, houve o desenvolvimento do sistema APP Android e APP WEB (DASHBOARD). A quarta etapa compreendeu o desenvolvimento do estudo piloto e intervenção. Por fim, na quinta etapa, realizou-se a aplicação de questionário para análise descritiva da pesquisa. Com a análise dos resultados, foi identificado que o sistema tem grande potencial enquanto instrumento de prevenção e intervenção à obesidade infantil, além de ter sido considerado uma estratégia diferenciada com os recursos tecnológicos para a avaliação da patologia envolvida, monitoramento em tempo real, armazenamento dos dados, privacidade e segurança para o paciente.

Submitted by Jean Medeiros (jeanletras@uepb.edu.br) on 2021-12-10T12:18:53Z No. of bitstreams: 1 PDF - Flávia Iluska Silva Carolino.pdf: 2322458 bytes, checksum: 87729968b0c7672659f66ea79fbd0665 (MD5) Approved for entry into archive by Secta BC (secta.csu.bc@uepb.edu.br) on 2022-01-14T11:28:15Z (GMT) No. of bitstreams: 1 PDF - Flávia Iluska Silva Carolino.pdf: 2322458 bytes, checksum: 87729968b0c7672659f66ea79fbd0665 (MD5) Made available in DSpace on 2022-01-14T11:28:29Z (GMT). No. of bitstreams: 1 PDF - Flávia Iluska Silva Carolino.pdf: 2322458 bytes, checksum: 87729968b0c7672659f66ea79fbd0665 (MD5) Previous issue date: 2019-12-06 Mechanical ventilation is a widely used resource in intensive care units worldwide and its monitoring and management has now been part of the physiotherapeutic process. Thus, the use of technologies and computers in classrooms as resources to support learning and pedagogical practice, is notorious, growing and has a tendency to become essential, approaching virtual scenarios, such as mechanical ventilation simulators with experienced real scenarios. in professional practice. The objective of this research was to improve the teaching-learning process, with the implementation of a simulator adapted to mechanical ventilation with Physiotherapy students. This study had as target population, physiotherapy students regularly enrolled in public and private universities in the city of Campina Grande (PB). The study had a descriptive and quantitative character, being divided into three stages. The first stage consisted of adapting a didactic mechanical ventilation simulator (SDVM). The second stage took place with the use of the simulator in the classroom with the academics from the respective universities mentioned above, with the help of notebooks and computers and during the third stage, a questionnaire was conducted with 106 participants, where they evaluated the previous theoretical knowledge. and practical in mechanical ventilation applied to SDVM as an auxiliary tool in the teaching-learning process in mechanical ventilation. With the analysis of the results, tables with frequency and measures of description of the categorical variables were obtained, in which the students' experiences were visualized before and after the use of the mechanical ventilation simulator, observing that the theoretical classes presented little practice and contact reduced with mechanical ventilation devices, making the theory-practical association of the subject difficult, it was also identified that the use of SDVM was well accepted by users and contributed as an auxiliary tool in supporting the learning of mechanical ventilation, making the subject more interesting, providing a better theoretical-practical context and a better operational understanding of mechanical ventilation, contributing to teaching and professional training. A ventilação mecânica é um recurso muito utilizado nas unidades de terapia intensiva de todo mundo e sua monitorização e gerenciamento atualmente tem sido parte do processo fisioterapêutico. Desta forma, o uso de tecnologias e computadores em salas de aula como recursos de apoio ao aprendizado e a prática pedagógica, é notório, crescente e tem a tendência de se tornar imprescindível, aproximando cenários virtuais, como simuladores de ventilação mecânica com cenários reais vivenciados na prática profissional. O objetivo desta pesquisa se deu em melhorar o processo de ensino-aprendizagem, com a implantação de um simulador adaptado de ventilação mecânica com acadêmicos de Fisioterapia. Este estudo possuiu como população-alvo, acadêmicos de fisioterapia regularmente matriculados em universidade pública e privadas no município de Campina Grande (PB). O estudo possuiu caráter descritivo e quantitativo, sendo dividido em três etapas. A primeira etapa consistiu na adaptação de um simulador didático de ventilação mecânica (SDVM). A segunda etapa se deu com a utilização do simulador em sala de aula com os acadêmicos das respectivas universidades citadas anteriormente, com auxílio de notebooks e computadores e durante a terceira etapa houve a realização de um questionário com 106 participantes, onde avaliaram os conhecimentos prévios teóricos e práticos em ventilação mecânica aplicados ao SDVM como ferramenta auxiliar no processo de ensino-aprendizado em ventilação mecânica. Com a análise dos resultados, foram obtidas tabelas com frequência e medidas de descrição das variáveis categóricas, nas quais foram visualizadas as experiências dos acadêmicos antes e após a utilização do simulador de ventilação mecânica, observando-se que as aulas teóricas apresentavam pouca prática e contato reduzido com aparelhos de ventilação mecânica, tornando difícil a associação teoria- prática do assunto, também foi identificado, que o uso do SDVM apresentou boa aceitação pelos usuários e contribuiu como ferramenta auxiliar no apoio ao aprendizado da ventilação mecânica, tornando o assunto mais interessante, proporcionando uma melhor contextualização teórico-prática e um melhor entendimento operacional da ventilação mecânica, contribuindo para o ensinamento e formação profissional.