Implementation of the EIRA 3 Intervention by Targeting Primary Health Care Practitioners: Effectiveness in Increasing Physical Activity

The World Health Organization (WHO) estimated that physical inactivity (PI) is responsible for 20 to 30% of all non-communicable diseases. We aimed to analyze the effectiveness of a multiple health behavior change (MHBC) intervention to increase physical activity (PA) in patients 45 to 75 years old who had at least 2 of 3 unhealthy behaviors (tobacco use, reduced fruit and vegetable consumption, and insufficient PA). The MHBC intervention is based on the Transtheoretical Model and the conceptual framework of the “5 A’s” and includes an individually tailored intervention, group sessions, and the use of community resources. We included 3062 participants, 1481 in the intervention group and 1581 in the control group. After 12 months, there were no differences in PA intensity measured by metabolic_equivalent_of_task_minutes/week (adjusted mean difference: 284.093, 95% CI: −298.24, 866.42) nor in the proportion of participants who increased PA levels to moderate or high (OR: 1.02, 95% CI: 0.85, 1.23; p = 0.822), and no differences in blood pressure, weight loss, or waist circumference. We found an increased proportion of patients in the intervention group who followed the WHO recommendations for PA (OR: 1.29; 95% CI: 1.04, 1.60; p = 0.02). We concluded that the intervention did not lead to a significant increase in PA.

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The Effect of Oxytocin Massage on Increasing Milk Production

Jurnal Ilmiah Keperawatan Indonesia [JIKI] ◽

10.31000/jiki.v3i1.1923 ◽

2020 ◽

Vol 3 (2) ◽

pp. 18

Author(s):

Kartini Kartini ◽

Atnesia Ajeng ◽

Fitri Suaningsih

Keyword(s):

Milk Production ◽

Intervention Group ◽

Sampling Technique ◽

World Health ◽

Control Group ◽

Additional Information ◽

Risk Of Death ◽

Breast Milk Production ◽

Health Organization ◽

Whole Spine

Introduction Based on the research of the World Health Organization (WHO) at 2012 in six developing countries, the risk of death from infants aged 9-12 months increased by 40% if not breastfed, whereas infants under 2 months of increase reached 48%. Exclusive breastfeeding can reduce child mortality by 13%. Breast milk production is influenced by the hormone prolactin, while expenditure is influenced by the hormone oxytocin. Massage oxytocin is one solution to overcome the lack of launch production of milk in the whole spine (vertebrae) bone costae to the fifth-sixth and an attempt to stimulate the hormones prolactin and oxytocin after labour.Research Methodology The research uses quasi-experiment and samples taken as many as 30 people postpartum mothers who gave birth in a health center Balaraja, 15 people used as the control group, and 15 people used as the intervention group. The sampling technique in this research used Accidental Sampling.The results of the research there was a significant effect of massage oxytocin to increase milk production P = 0.000, no significant effect of massage oxytocin to increase BB baby P = 0.000, no significant effect of massage oxytocin with frequency BAK baby P = 0.679, there was no significant effect of massage oxytocin-the frequency of bowel baby P = 0.075.The conclusion from this research is there a massage effect of oxytocin on lactation and infant BB and no massaging effect of oxytocin on the frequency of bladder and bowel baby. Her recommendation is expected this research can be useful to add insight and knowledge and can be used as additional information for researchers in the future regarding oxytocin massage and for further research are expected to increase the number of samples to be research

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Improving Physical Activity Levels and Psychological Variables on University Students in the Contemplation Stage

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph16224368 ◽

2019 ◽

Vol 16 (22) ◽

pp. 4368

Author(s):

Cristina Corella ◽

Javier Zaragoza ◽

José Antonio Julián ◽

Víctor Hugo Rodríguez-Ontiveros ◽

Carlos Tomás Medrano ◽

...

Keyword(s):

Physical Activity ◽

University Students ◽

Transtheoretical Model ◽

Vigorous Physical Activity ◽

Intervention Group ◽

Psychological Needs ◽

Basic Psychological Needs ◽

Control Group ◽

Cognitive Variables ◽

Contemplation Stage

This study aimed to investigate the effects of a physical activity intervention, based on self-determination theory and the transtheoretical model, on university students in the contemplation stage. Participants: 42 students, in the contemplation stage at baseline, were randomly assigned to an experimental group (16 women, 2 men; M age = 19.1 ± 1.15) and a control group (18 women, 2 men; M age = 20.1 ± 5.7). Methods: Physical activity was measured at different moments by accelerometry. Other cognitive variables were measured by self-reported scales. Results: We did not find any significant increases in students’ physical activity in favor of the intervention group. Intragroup analyses indicate that the intervention has an effect on physical activity (moderate-to-vigorous physical activity), basic psychological needs, and intrinsic and extrinsic motivation. Conclusions: Results partially demonstrate that applying social cognitive theories seems to be effective in improving physical activity and cognitive variables in university students in the contemplation stage

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Measurement of Physical Activity Level in Patients with Ankle Osteoarthritis

Foot & Ankle Orthopaedics ◽

10.1177/2473011420s00300 ◽

2020 ◽

Vol 5 (4) ◽

pp. 2473011420S0030

Author(s):

Seiji Kimura ◽

Satoshi Yamaguchi ◽

Yoshimasa Ono

Keyword(s):

Physical Activity ◽

Hip Osteoarthritis ◽

Activity Level ◽

World Health ◽

Control Group ◽

Ankle Osteoarthritis ◽

Exact Test ◽

Steps Per Day ◽

And Gender ◽

Health Organization

Category: Ankle Arthritis Introduction/Purpose: Maintaining physical activity (PA) is important for reducing the risk of lifestyle-related diseases and fundamental to keep healthy. PA is reduced in patients with knee and hip osteoarthritis, but PA of patients with ankle osteoarthritis has not been clarified. The purpose of this research is to compare PA level and proportion of patients who meet recommendations for health between ankle osteoarthritis and control patients. Methods: The subjects were 50 patients with ankle osteoarthritis (OA group), and 50 patients with minor hand disease matched by age and gender (control Group), who visited our outpatient clinic from October 2016 to April 2019. Both groups had 16 men and 34 women, with an average age of 68 years for the OA group and 66 years for the control group. The visual analogue scale for foot pain was 5.5 on average in the OA group and 0.3 in the control group. The physical activity for one week was measured using a tri-axial accelerometer. Unpaired t-tests were used to compare the number of steps per day and moderate or higher activity time between the OA group and the control group. The proportions of the OA group and the control group that met the recommendations set by Japan and the World Health Organization were compared using Fisher’s exact test. Results: The number of steps per day was 4177 +- 2312 steps in the OA group and 6802 +- 2851 steps in the control group, which was significantly lower in the OA group (p <0.001). Moderate PA time was 448 +- 232 minutes in the OA group and 634 +- 336 minutes in the control group, OA group was significantly lower (p = 0.02). Vigorous PA time was no difference between the two groups. The WHO recommendations were met by 45 patients in the OA group and 48 in the control group, no difference. The Japanese criterion were met by 33 patients in the OA group and 46 in the control group, which was significantly lower in the OA group (p = 0.001). Conclusion: PA of patients with ankle osteoarthritis was less than control patients. The proportion of patients meeting recommendations for health was lower in the OA group than the control group.

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Pilot Test of an Appreciative Inquiry Intervention in Hypertension Self-management

Western Journal of Nursing Research ◽

10.1177/0193945919897077 ◽

2020 ◽

Vol 42 (7) ◽

pp. 543-553

Author(s):

Oluwatomisin D. Olayinka ◽

Shirley M. Moore ◽

Kurt C. Stange

Keyword(s):

Physical Activity ◽

Blood Pressure ◽

Behavior Change ◽

Appreciative Inquiry ◽

Intervention Group ◽

Health Behavior Change ◽

Analysis Of Covariance ◽

Control Group ◽

Significant Group ◽

Care Clinic

We implemented an Appreciative Inquiry (AI) intervention to assist people with hypertension improve diet, physical activity, and blood pressure. In a two-group randomized controlled trial conducted over 12 weeks, 50 participants were recruited at an urban outpatient health care clinic. The intervention used participants’ high peak positive experiences to promote behavior change, during two face-to-face individual sessions and three coaching telephone calls. Data were analyzed using test of differences between groups and analysis of covariance controlling for confounding variables. The intervention group had significantly higher levels of ideal self, positive emotions, and self-efficacy for chronic disease management than the control group. No significant group differences in physical activity, diet, or blood pressure. Findings provide empirical evidence about the underlying processes by which AI may promote health behavior change. Future research should examine the effectiveness of this AI intervention in a larger sample of patients and over a longer intervention period.

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Efektifitas Jus Buah Naga Terhadap Peningkatan Kadar Hemoglobin pada Ibu Hamil Trimester III

Jurnal SMART Kebidanan ◽

10.34310/sjkb.v8i1.430 ◽

2021 ◽

Vol 8 (1) ◽

pp. 54

Author(s):

Yenny Aulya ◽

Vivi Silawati ◽

Ega Margareta

Keyword(s):

Pregnant Women ◽

Fruit Juice ◽

Intervention Group ◽

World Health ◽

Control Group ◽

P Value ◽

Third Trimester ◽

Control Group Design ◽

Dragon Fruit ◽

Health Organization

ABSTRAK World Health Organization (WHO) tahun 2018 menyebutkan bahwa 41,8% penyebab kematian ibu di negara berkembang berkaitan dengan anemia dalam kehamilan. Salah satu komplikasi kehamilan yang sering terjadi adalah anemia dimana kisarannya antara 20% sampai 89% dengan menetapkan Hb 11 gr% sebagai dasarnya). Ibu hamil yang memeriksakan kehamilannya pada tahun 2019 di Puskesmas Teluk Naga dari 832 terdapat 82 (9,86%) menderita anemia ringan (8-11mg/dl) dan 9 (1,1%) mengalami anemia berat (<8mg/dl). Tujuan untuk mengetahui efektifitas jus buah naga terhadap anemia pada ibu hamil trimester III di Puskesmas Teluk Naga. Desain penelitian quasi eksperimentaL menggunakan rancangan pretest-posttest, control group design. Sampel berjumlah 15 responden kelompok intervensi dan 15 kelompok kontrol dengan purposive sampling. Instrumen penelitian menggunakan alat pengukur Hb digital, lembar observasi dan SOP pembuatan jus buah naga. Hasil uji Mann Whitney didapatkan sebelum diberikan jus buah naga diperoleh nilai rata-rata pretest 9,6 gr% dan rata-rata posttest 11,5 gr%. Pada kelompok kontrol nilai rata-rata pretest 9,5 gr% dan posttest 9,5 gr% dan p value 0,001<0,05 . Terdapat perbedaan kadar Hemoglobin pada ibu hamil trimester III dengan anemia pada kelompok intervensi sebelum dan sesudah diberikan jus buah naga.Kata Kunci : anemia; ibu hamil ; jus buah naga; kadar Hb The Effectiveness Of Dragon Fruit Juice To Increase Hemoglobin Levels On Pregnant Woman In The Third Trimester ABSTRACT The World Health Organization in 2018 stated that 41.8% of the causes of maternal death in developing countries were related to anemia in pregnancy. One of the complications of pregnancy that often occurs is anemia where the range is between 20% to 89% by setting Hb 11 g% as the base). Of the 832 pregnant women who checked their pregnancy in 2019 at Teluk Naga Health Center, 82 (9.86%) suffered from mild anemia (8-11mg/dl) and 9 (1.1%) had severe anemia (<8mg/dl). The purpose of this study was to determine the effectiveness of dragon fruit juice against anemia in third trimester pregnant women at Teluk Naga Health Center. Quasi-experimental research design was used with pretest-posttest design, control group design. The sample consisted of 15 respondents in the intervention group and 15 in the control group by purposive sampling. The research instrument used a digital Hb measuring device, observation sheets and SOPs for making dragon fruit juice. The results of the Mann Whitney test were obtained before being given dragon fruit juice, the average pretest value was 9.6 gr% and the posttest average was 11.5 gr%. In the control group the mean value of pretest was 9.5 gr% and posttest was 9.5 gr% and p value was 0.001 <0.05. There are differences in hemoglobin levels in third trimester pregnant women with anemia in the intervention group before and after being given dragon fruit juice. Keywords: anemia; pregnant mother ; dragon fruit juice; Hb level

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PIJAT BAYI DAPAT MENINGKATKAN BERAT BADAN BAYI

Jurnal Kebidanan Malahayati ◽

10.33024/jkm.v6i3.2745 ◽

2020 ◽

Vol 6 (3) ◽

pp. 383-387

Author(s):

Bunga Tiara Carolin ◽

Siti Syamsiah Syamsiah ◽

Mita Mauliah Khasri

Keyword(s):

Weight Gain ◽

World Health Organization ◽

Health Workers ◽

Intervention Group ◽

Health Sector ◽

T Test ◽

World Health ◽

Control Group ◽

Health Organization ◽

Paired T Test

ABSTRACT Background: Weight problems in babies are very sensitive, as evidenced by World Health Organization (WHO) data stating the incidence of infant weight in the world is still below the standard of more than 5% with the prevalence of underweigh in southeast asia 26.9% (WHO, 2017). One of the efforts to optimize weight gain in infants in addition to the nutrition provided by the women, one of which needs to be the stimulation of stimuli or commonly known as baby massage. Puprose: This study aims to determine the effect of infant massage on infant weight in the Alanda Care working area of Pangkalpinang City, Bangka Belitung Province. Methods: The study used the Quasy Experiment method with Two Group pretest and postest Design. The population in this study is infants aged 2-5 months. The sample in this study are 30 respondens. Data were analyzed using paired t-test and Independen T-Test. Results: The results showed that there were 793 grams of infant weight in the intervention group and 400 grams in the control group. There were differences in the results of the pretest and posttest in each of the intervention groups (p=0,000) and the control group (p=0,000) and there is an effect of baby massage on baby weight (p=0,000). Conclusion: Although both of them gained weight in the intervention group and the control group, the weight gain in the intervention group almost doubled compared to the control group and there was also the effect of massage on baby weight. Suggestion: It is expected that health workers can provide education about baby massage and its benefits to parents, especially those who have babies, so that public participation in the health sector can be increased Keywords: Baby, Massage, Weight ABSTRAK Latar Belakang: Permasalahan berat badan pada bayi sangatlah sensitif, terbukti dari data World Health Organization (WHO) tahun 2017 menyatakan angka kejadian berat badan bayi di dunia masih di bawah standar yaitu lebih dari 5% dengan prevalensi underweigh di asia tenggara 26,9%. Salah satu upaya untuk mengoptimalkan berat badan pada bayi di samping nutrisi yang diberikan oleh ibu, salah satunya perlu juga adanya rangsangan stimulus atau yang biasa di kenal dengan pijat bayi. Tujuan: Untuk mengetahui pengaruh pijat bayi terhadap berat badan bayi di wilayah kerja Alanda Care Kota Pangkalpinang Provinsi Bangka Belitung. Metode: Penelitian menggunakan metode Quasy Experimen dengan Two Group pretest and postest Design. Populasi dalam penelitian ini adalah seluruh bayi 2-5 bulan. Sampel dalam penelitian ini berjumlah 30 responden yang dibagi menjadi dari 2 kelompok. Data dianalisa dengan Paired t test dan Independen T-Test. Hasil: Hasil penelitian menunjukkan bahwa ada kenaikan berat badan bayi pada kelompok intervensi sebanyak 793 gram dan pada kelompok kontrol sebanyak 400 gram. Terdapat perbedaan hasil pretest dan posttest pada masing-masing kelompok intervensi (p=0,000) dan kontrol (p=0,000) dan terdapat pengaruh pemberian pijit bayi terhadap berat badan bayi (p=0,000). Kesimpulan: Walaupun sama-sama terdapat kenaikan berat badan bayi pada kelompok intervensi maupun kelompok kontrol, tetapi kenaikannya berat pada kelompok intervensi mencapai hampir dua kali lipat daripada kelompok control dan juga ada pengaruh pijat terhadap berat badan bayi. Saran: Diharapkan bagi petugas kesehatan dapat memberikan pendidikan tentang pijat bayi dan manfaatnya kepada para orangtua terutama yang memiliki bayi agar peran serta masyarakat di bidang kesehatan dapat meningkat. Kata Kunci: Bayi, Pijat, Berat Badan

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A brief educational intervention on the consumption of fruits and vegetables and physical activity improves healthy habits in university students

10.21203/rs.3.rs-20875/v1 ◽

2020 ◽

Author(s):

Clara Helena González Correa ◽

Andrea Alturo Osorio ◽

Aida Maria González Correa ◽

Diana Maria Muñoz Pérez ◽

Carmen Dussan Luberth

Keyword(s):

Physical Activity ◽

University Students ◽

Educational Intervention ◽

Fruits And Vegetables ◽

Healthy Lifestyle ◽

Vegetable Consumption ◽

Low Cost ◽

Step Test ◽

World Health ◽

Health Organization

Abstract Background The aim of this study was to determine the nutritional status and physical activity of 70 university students before and after an educational intervention consisting of World Health Organization (WHO) recommendations on fruit and vegetable consumption and physical activity. Methods The nutritional diagnosis was carried out by measuring body composition using anthropometric measurements. A survey was also carried out on the consumption of fruit and vegetables and the time involved in regular physical activity per week. The physical condition of participants was evaluated using the Harvard step test. One year after the intervention, the participants were invited back for a second assessment using the same tools as previously.Results The results showed that the intervention had a positive effect on healthy lifestyle habits since they increased the percentage of compliance with the recommendations of physical activity, by 16% in men and 9% in women. In addition, the intake of fruits and vegetables increased by 14% and 12% respectively. Conclusions It was concluded that these improvements, although discrete and far from reaching the recommendations proposed by WHO, provide a basis for designing and implementing strategies that increase the percentage of adherence to healthy living habits through low-cost and easy to adopt interventions.

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IL-10-592 A/C Gene Polymorphism and Cytokine Levels are Associated with Susceptibility to Drug Resistance in Tuberculosis

Turkish Journal of Immunology ◽

10.25002/tji.2020.1235 ◽

2020 ◽

Vol 8 (3) ◽

pp. 103-112

Author(s):

Atefeh SADEGHI SHERMEH ◽

Majid KHOSHMIRSAFA ◽

Ali-Akbar DELBANDI ◽

Payam TABARSI ◽

Esmaeil MORTAZ ◽

...

Keyword(s):

Serum Levels ◽

World Health ◽

Control Group ◽

Drug Resistant ◽

Nucleotide Polymorphisms ◽

Genotype Frequencies ◽

Cytokine Levels ◽

Ifn Γ ◽

Health Organization ◽

And Function

Introduction: Tuberculosis (TB) and especially resistant forms of it have a substantial economic burden on the community health system for diagnosis and treatment each year. Thus, investigation of this field is a priority for the world health organization (WHO). Cytokines play important roles in the relationship between the immune system and tuberculosis. Genetic variations especially single nucleotide polymorphisms (SNPs) impact cytokine levels and function against TB. Material and Methods: In this research SNPs in IFN-γ (+874 T/A) and IL-10 (-592 A/C) genes, and the effects of these SNPs on cytokine levels in a total of 87 tuberculosis patients and 100 healthy controls (HCs) were studied. TB patients divided into two groups: 1) 67 drug-sensitive (DS-TB) and 2) 20 drug-resistant (DR-TB) according to drug sensitivity test using polymerase chain reaction (PCR). For the genotyping of two SNPs, the PCR-based method was used and IFN-γ and IL-10 levels were measured by ELISA in pulmonary tuberculosis (PTB) and control group. Results: In -592A/C SNP, only two genotypes (AA, AC) were observed and both genotypes showed statistically significant differences between DR-TB and HCs (p=0.011). IL-10 serum levels in PTB patients were higher than HCs (p=0.02). The serum levels of IFN-γ were significantly higher in DS-TB patients than that of the other two groups (p<0.001); however, no significant differences were observed for allele and genotype frequencies in IFN-γ +874. Conclusions: Our results suggest that the SNP at -592 position of IL-10 gene may be associated with the susceptibility to DR-TB. However, further investigation is necessary. Keywords: Polymorphism, IFN-γ, IL-10, tuberculosis, drug-resistant tuberculosis

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Effectiveness of Medication Review Services on Diabetes Self-Care in Primary Care Patients (Preprint)

10.2196/preprints.23269 ◽

2020 ◽

Author(s):

Tay Siew Cheng Sarah ◽

Lim Jit Fan Christina ◽

Tan Soo Chieng Daphne ◽

Tan Seok Yee Maureen ◽

Chen Jieying Cordelia ◽

...

Keyword(s):

Physical Activity ◽

Primary Healthcare ◽

Medication Review ◽

Intervention Group ◽

Self Care ◽

Effective Intervention ◽

Controlled Study ◽

Control Group ◽

Dietary Control ◽

Glucose Management

BACKGROUND Diabetes is one of the most common medical conditions referred to medication review service run by pharmacists, OBJECTIVE This study aims to determine whether pharmacist-run MRS can be an effective intervention tool to improve patients’ participation in self-care of diabetes. METHODS This randomised controlled study was conducted in five public primary healthcare centres from December 2014 to October 2016. Participants were 40 to 80 years of age and had been diagnosed with type 2 diabetes. These participants were prescribed with five or more chronic medications, of which at least one was an antidiabetic medication, by the primary healthcare centres’ doctors. The participants were randomly recruited into the intervention or control arm. A self-developed questionnaire which incorporated the validated Diabetes Self-Management Questionnaire (DSMQ) was administered face-to-face by the study team to the participants prior to and after MRS. MRS was not administered to participants in the control group. RESULTS A total of 221 participants completed the follow up. There were 105 participants in the control arm and 116 in the intervention arm. The DSMQ Sum Scale score of the control group improved by 0.16 ± 1.11 (p= 0.136) while the intervention group improved by 0.40 ± 0.99 (p=0.000). Participants in the intervention group reported a better improvement in their self-care of diabetes, specifically in glucose management (0.38± 1.35, p=0.003), dietary control (0.26±1.66, p=0.096) and physical activity (0.67±2.36, p=0.003). CONCLUSIONS Pharmacist-run MRS is an effective intervention tool to improve participants’ self-care of diabetes, particularly in glucose management, dietary control and physical activity.

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Quality of life in patients with narcolepsy: a WHOQOL-bref study

Arquivos de Neuro-Psiquiatria ◽

10.1590/s0004-282x2008000200004 ◽

2008 ◽

Vol 66 (2a) ◽

pp. 163-167 ◽

Cited By ~ 15

Author(s):

Heloísa Rovere ◽

Sueli Rossini ◽

Rubens Reimão

Keyword(s):

Quality Of Life ◽

Patient Group ◽

World Health ◽

Control Group ◽

World Health Organization Quality ◽

Severe Impairment ◽

Perception Of Quality ◽

Social Domains ◽

Health Organization

OBJECTIVE: To evaluate the perception of Quality of Life (QL) in Brazilian patients with narcolepsy. METHOD: 40 adult patients aged between 20 and 72 years (mean=41.55; SD=14.50); (28 F; 12M), with the diagnosis of chronic narcolepsy were followed up at the outpatient clinic (Patient Group). The Control Group was composed of 40 adults. The instrument utilized was the World Health Organization Quality of Life (WHOQOL-BREF). RESULTS: The two groups were homogeneous and no difference was found with regards to age, sex, and demographic characteristics. The perception of QL in physical, psychological and social domains showed lower scores in those patients with narcolepsy than in the control group (p<0.05). Concerning physical domain, all the aspects evaluated were significantly impaired, in patient group, including sleep satisfaction (p<0.001); energy for daily activities (p=0.039); capacity to perform activities (p=0.001); and capacity to work (p=0.001). CONCLUSION: The perception of QL showed severe impairment in patients with narcolepsy for physical, psychological and social domains.

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