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SPINE20 Recommendations 2024 -Spinal Disability: Social Inclusion as a Key to Prevention and Management
(2024)
Cristiano M. Menezes
;
Carlos Tucci
;
Koji Tamai
;
Harvinder S. Chhabra
;
Fahad H. Alhelal
<jats:p> Spine disorders are the leading cause of disability worldwide. To promote social inclusion, it is essential to ensure that people can participate in their societies by improving their ability, opportunities, and dignity, through access to high-quality, evidence-based, and affordable spine services for all. </jats:p><jats:p> To achieve this goal, SPINE20 recommends six actions. </jats:p><jats:p> - SPINE20 recommends that G20 countries deliver evidence-based education to the community health workers and primary care clinicians to promote best practice for spine health, especially in underserved communities. </jats:p><jats:p> - SPINE20 recommends that G20 countries deliver evidence-based, high-quality, cost-effective spine care interventions that are accessible, affordable and beneficial to patients. </jats:p><jats:p> - SPINE20 recommends that G20 countries invest in Health Policy and System Research (HPSR) to generate evidence to develop and implement policies aimed at integrating rehabilitation in primary care to improve spine health. </jats:p><jats:p> - SPINE20 recommends that G20 countries support ongoing research initiatives on digital technologies including artificial intelligence, regulate digital technologies, and promote evidence-based, ethical digital solutions in all aspects of spine care, to enrich patient care with high value and quality. </jats:p><jats:p> - SPINE20 recommends that G20 countries prioritize social inclusion by promoting equitable access to comprehensive spine care through collaborations with healthcare providers, policymakers, and community organizations. </jats:p><jats:p> - SPINE20 recommends that G20 countries prioritize spine health to improve the well-being and productivity of their populations. Government health systems are expected to create a healthier, more productive, and equitable society for all through collaborative efforts and sustained investment in evidence-based care and promotion of spine health. </jats:p>
Scopus© Citations 7 1
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Impact of <i>Mano a Mano‐Mujer</i>, an HIV prevention intervention, on depressive symptoms among Chilean women
(2012)
R. CIANELLI
;
L. LARA
;
N. VILLEGAS
;
M. BERNALES
;
L. FERRER
<jats:sec><jats:title>Accessible summary</jats:title><jats:p><jats:list list-type="explicit-label"> <jats:list-item><jats:p>Depression is considered a factor that interferes with HIV prevention.</jats:p></jats:list-item> <jats:list-item><jats:p>Depression may reach 41% among low‐income Chilean women.</jats:p></jats:list-item> <jats:list-item><jats:p>The current study analyzed the impact of <jats:italic>Mano a Mano‐Mujer</jats:italic>, an HIV prevention intervention, on depressive symptoms among low‐income Chilean women.</jats:p></jats:list-item> <jats:list-item><jats:p><jats:italic>Mano a Mano‐Mujer</jats:italic> provided significant benefits for women's depression symptoms.</jats:p></jats:list-item> </jats:list></jats:p></jats:sec><jats:sec><jats:title>Abstract</jats:title><jats:p>Worldwide, and in Chile, the number of women living with HIV is increasing. Depression is considered a factor that interferes with HIV prevention. Depression may reach 41% among low‐income Chilean women. Depressed people are less willing to participate in behaviours that protect them against HIV. The aim of this study is to analyze the impact of <jats:italic>Mano a Mano‐Mujer</jats:italic> (<jats:italic>MM‐M</jats:italic>), and HIV prevention intervention, on depressive symptoms among Chilean women. A quasi‐experimental design was used for this study. The research was conducted in Santiago, Chile; a total of 400 women participated in the study (intervention group, <jats:italic>n</jats:italic> = 182; control group, <jats:italic>n</jats:italic> = 218). The intervention was guided by the social‐cognitive model and the primary health care model. The intervention consists of six 2‐h sessions delivered in small groups. Sessions covered: HIV prevention, depression, partner's communication, and substance abuse. Face‐to‐face interviews were conducted at baseline and at 3‐month follow‐up. Chilean women who participated in <jats:italic>MM‐M</jats:italic> significantly decreased, at 3 months follow up, their reported depressive symptoms. <jats:italic>MM‐M</jats:italic> provided significant benefits for women's depression symptoms. In this study nurses participated as leaders for the screening of depressive symptoms and as facilitators of community interventions.</jats:p></jats:sec>
4Scopus© Citations 6
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Online intervention to prevent postnatal depression and anxiety in Chilean new mothers: Protocol for a feasibility trial
(2022)
PÉREZ EWERT, JANET CAROLA
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ALDONEY RAMIREZ, DANIELA
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Marcia Olhaberry
;
Olga Fernández
;
María I García
<jats:p> Symptoms of postpartum depression and anxiety in new mothers are prevalent and negatively impact maternal emotional wellbeing and infant development. Barriers to accessing treatment prevent women from receiving mental health care, a situation that has worsened due to the COVID-19 pandemic. mHealth interventions hold the potential to support women during the transition to parenthood despite these barriers and to promote the use of preventive interventions. This study uses a mixed methods design to assess the feasibility and preliminary effectiveness of a psychoeducational, guided mHealth intervention to prevent postpartum mental health difficulties in women who receive care in primary health centers in Chile. The study will contribute to evidence-based research on the effectiveness of mHealth interventions for new mothers from an understudied cultural background. The findings will also enable the development of a larger randomized controlled trial to assess the effectiveness of the intervention, which, if effective, could significantly contribute to the emotional wellbeing of women and their families. </jats:p>
16 1Scopus© Citations 4
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Relationship between job satisfaction, burnout syndrome and depressive symptoms in physicians: a cross-sectional study based on the employment demand–control model using structural equation modelling
(2022)
David Villarreal-Zegarra
;
Wilder Iván Lázaro-Illatopa
;
Ronald Castillo-Blanco
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CABIESES VALDES, BALTICA BEATRIZ
;
Alice Blukacz
<jats:sec><jats:title>Objective</jats:title><jats:p>To evaluate the relationship between job satisfaction, burnout syndrome (BS) and depressive symptoms (DS) based on the job demand–control framework model on a nationally representative sample of physicians working in the Peruvian Health System.</jats:p></jats:sec><jats:sec><jats:title>Setting</jats:title><jats:p>We carried out a secondary data analysis of the National Survey of Satisfaction of Users in Health 2016 in Peru.</jats:p></jats:sec><jats:sec><jats:title>Primary and secondary outcome measures</jats:title><jats:p>Our study assessed the development of the predictive model and had two parts: (1) to evaluate the association among the variables based on the job demand–control framework, and (2) to assess the proposed model acceptability using the structural equation modelling approach to estimate goodness-of-fit indices (GOFIs).</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>We excluded physicians older than 65 years, who did not report income levels or who had missing data related to the workplace. Thus, we analysed 2100 participants.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>The prevalence of DS was 3.3%. Physicians’ work-related illnesses had more probability to result in DS (prevalence ratio=2.23). DS was moderately related to BS dimensions (r>0.50); nevertheless, the relationships between DS and the three job satisfaction scales were weak (r<0.30). The first predictive model based on the variables, DS, BS and job satisfaction, had low GOFIs (comparative fit index (CFI)=0.883; root mean square error of approximation (RMSEA)=0.125). In a second evaluation, we used models with correlated errors obtaining optimal GOFIs (CFI=0.974; RMSEA=0.060).</jats:p></jats:sec><jats:sec><jats:title>Conclusions</jats:title><jats:p>Our study identified a stable model to explain the relationship between job satisfaction, BS and DS among physicians. The results are consistent with the job demand–control framework. They could be applied to decision-making in occupational contexts in Latin American low/middle-income countries.</jats:p></jats:sec>
Scopus© Citations 14 3
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Relationship between self-care activities, stress and well-being during COVID-19 lockdown: a cross-cultural mediation model
(2021)
Elkin Luis
;
Elena Bermejo-Martins
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Martín Martinez
;
Ainize Sarrionandia
;
Cristian Cortes
<jats:sec><jats:title>Objectives</jats:title><jats:p>To examine the mediation role of self-care between stress and psychological well-being in the general population of four countries and to assess the impact of sociodemographic variables on this relationship.</jats:p></jats:sec><jats:sec><jats:title>Design</jats:title><jats:p>Cross-sectional, online survey.</jats:p></jats:sec><jats:sec><jats:title>Participants</jats:title><jats:p>A stratified sample of confined general population (N=1082) from four Ibero-American countries—Chile (n=261), Colombia (n=268), Ecuador (n=282) and Spain (n=271)—balanced by age and gender.</jats:p></jats:sec><jats:sec><jats:title>Primary outcomes measures</jats:title><jats:p>Sociodemographic information (age, gender, country, education and income level), information related to COVID-19 lockdown (number of days in quarantine, number of people with whom the individuals live, absence/presence of adults and minors in charge and attitude towards the search of information related to COVID-19), Perceived Stress Scale-10, Ryff’s Psychological Well-Being Scale-29 and Self-Care Activities Screening Scale-14.</jats:p></jats:sec><jats:sec><jats:title>Results</jats:title><jats:p>Self-care partially mediates the relationship between stress and well-being during COVID-19 confinement in the general population in the total sample (<jats:italic>F</jats:italic> (3,1078)=370.01, p<0.001, R<jats:sup>2</jats:sup>=0.507) and in each country. On the other hand, among the evaluated sociodemographic variables, only age affects this relationship.</jats:p></jats:sec><jats:sec><jats:title>Conclusion</jats:title><jats:p>The results have broad implications for public health, highlighting the importance of promoting people’s active role in their own care and health behaviour to improve psychological well-being if stress management and social determinants of health are jointly addressed first. The present study provides the first transnational evidence from the earlier stages of the COVID-19 lockdown, showing that the higher perception of stress, the less self-care activities are adopted, and in turn the lower the beneficial effects on well-being.</jats:p></jats:sec>
1Scopus© Citations 33
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Epilepsy for primary health care: a cost-effective Latin American E-learning initiative
(2018)
Jaime Carrizosa
;
Patricia Braga
;
Marly Albuquerque
;
Alicia Bogacz
;
Jorge Burneo
Scopus© Citations 31 1

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