scholarly journals Reducing alcohol-related risks among adolescents: a feasibility study of the SHAHRP program in Brazilian schools

2021 ◽  
Vol 26 (8) ◽  
pp. 3005-3018
Author(s):  
Tatiana de Castro Amato ◽  
Emérita Sátiro Opaleye ◽  
Nyanda McBride ◽  
Ana Regina Noto

Abstract The SHAHRP program was effective reducing drinking and alcohol - harms in Australia, but cross-cultural adaptation is required before replication. This study aimed at assessing the feasibility of SHAHRP in Brazil focused on implementation and acceptability. A mixed-methodsdesign was used: quantitative for implementing the program and evaluation and qualitative for acceptability. The quantitative design was a pilot of a randomized controlled trial. Private schools were randomly divided into four intervention (n=160) and four control (n=188) schools. Student’s mean age was 12.7 years. The fidelity of implementation and likely outcome measures were assessed. Qualitative data on acceptability were provided by students and teachers. The percentage of implementation varied from 62.5% to 87.5%. Behaviours such as alcohol-harms requires a larger cohort and longer follow-up to be adequately evaluated. The risk reduction approach and activities had good acceptability from students and teachers. Quantitative and qualitative outcomes on knowledge and decision-making indicated possible improvement in SHAHRP schools. The program is feasible and well accepted in a Brazilian setting, opening the way for a more comprehensive evaluation and dissemination.

Medicina ◽  
2021 ◽  
Vol 57 (5) ◽  
pp. 417
Author(s):  
Giedrius Petryla ◽  
Rokas Bobina ◽  
Sigitas Ryliškis ◽  
Valentinas Uvarovas ◽  
Jaunius Kurtinaitis ◽  
...  

Background and Objectives: There are no valid patient-based pelvic ring function assessment tools in Lithuania. The most widely used instrument is the Majeed Pelvic Score (MPS), which is proven to be an effective tool for assessing pelvic function after pelvic injuries. The aims of our study were: (1) the translation and cross-cultural adaptation of the MPS for the Lithuanian-speaking population, (2) to test the psychometric properties of the Lithuanian version of the MPS (MPS-LT) at follow-up two-time points after pelvic fractures. Materials and Methods: The MPS was translated and culturally adapted. Psychometric properties of the MPS-LT were determined in one patient group (n = 40) at two time-points during follow-up examination from 1.5 to 3 months (mean 2 months) and from 11 to 20 months (mean 12 months). Results: At the mean time of 2 months after trauma, Cronbach’s α of the MPS-LT was 0.65. Correlation of the MPS-LT with the Iowa Pelvic Score (IPS) was r = 0.84 (p < 0.001), and with the Lithuanian SF-36, PCS was r = 0.53 (p < 0.001). At the mean time follow-up of 12 months, Cronbach’s α was 0.86, correlation with the IPS was r = 0.92 (p < 0.001), and with the Lithuanian SF-36, PCS – r = 0.82 (p < 0.001). At the 2-month follow-up, neither floor nor ceiling effects were reached, but at 12 months, 27.5% of patients reached the ceiling effect, while none reached the floor effect. The effect size of the MPS-LT was 1.66. Conclusions: The MPS-LT has limited ability to measure functional outcomes at 2 months after pelvic fracture. In contrast, at the 12-month follow-up examination, the MPS-LT had a good ability to assess pelvic function, and it was sensitive to health changes. The MPS-LT can be used as a pelvic function assessment tool after pelvic fractures for the Lithuanian-speaking population.


Author(s):  
Dr Aliaa Khaja ◽  
Dr Ahmed Bouhamra ◽  
Dr Sager Hanna ◽  
Dr Ali Maqdis

Background: The Western Ontario Shoulder Instability Index (WOSI) score is a tool that helps with self-assessment of the shoulder’s functional status in patients experiencing instability problems.The purpose of this study was the cross-cultural adaptation of WOSI into Arabic and assessment of its psychometric properties in comparison to a gold standard-questionnaire, namely the Arabic Disability of the Arm, Shoulder and Hand (DASH) score. Material & Methods: 100 patients participated in this survey, tested initially and retest after two months. The internal consistency tests were performed using Cronbach's alpha. Besides, Pearson's Correlation and Standard response mean (SRM) were calculated to estimate criterion validity and responsiveness of the Arabic WOSI in comparison to the Arabic DASH. Results: The Arabic WOSI had a Cronbach's alpha score of 0.85 at the baseline and 0.91 at the follow-up time period. All subscales had an internal consistency greater than 0.7, except Sport/Work (0.69 at follow-up). A strong correlation with Arabic DASH score was observed (r = 0.79 at baseline & 0.87 at Follow-up) which suggested good validity. Also, moderately correlated changes of baseline to follow-up in DASH and WOSI indicated moderate responsiveness. No ceiling and floor effects were observed among the responses. Conclusion: Overall, the Arabic version of WOSI proved to be a good and reliable diagnostic tool for patients with shoulder instability.


2016 ◽  
Vol 6 (1) ◽  
Author(s):  
Mia Carakovac ◽  
Jelena Jovanovic ◽  
Marko Kalanj ◽  
Nenad Rudic ◽  
Olivera Aleksic–Hil ◽  
...  

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