PÉREZ EWERT, JANET CAROLA
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PÉREZ EWERT, JANET CAROLA
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janetperez@udd.cl
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57211037751

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Evaluación del Modelo Multi-componente de Telecuidado de apoyo a Personas con Pre-diabetes en Chile

2016 , PÉREZ EWERT, JANET CAROLA , Claudia Bustamante , Claudia Alcayaga , Margarita Medina , Hugo Sánchez , Solange Campos , Angela Beltrán , Mila Urrutia , Ilta Lange

Antecedentes: la prediabetes es una condición reversible y su tratamiento una oportunidad para modificar prácticas no saludables. Objetivo: evaluar la efectividad del Modelo Multi-componente de Telecuidado para apoyo a personas con prediabetes y obesidad en Chile. Método: ensayo clínico controlado en centros de atención primaria, Santiago, Chile. Se realizó un muestreo y asignación aleatoria en cada uno de los 5 centros de salud participantes. Participantes: 70 adultos con pre-diabetes, IMC: 25-34 y acceso a telefonía móvil. GI (n = 33), recibió modelo: consejerías telefónicas, envío de SMS, material educativo y equipos auto-monitoreo; y GC (n = 32) atención habitual atención habitual y equipos de automonitoreo. Medición pre y post intervención de los conocimientos sobre Prediabetes, alimentación no saludable, actividad física, peso, circunferencia de cintura, Glicemia, Triglicéridos y Colesterol Total. Resultados: en el GI, la intervención fue efectiva en mantener estable el nivel de conocimientos sobre pre-diabetes y disminuir nivel de triglicéridos. El modelo no superó a la atención habitual en disminución del peso, circunferencia de cintura, glicemia y colesterol total.

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Initial Validation of an Analytical Tool to Support Decision-making on Chronic Illness Management

2013 , Claudia Bustamante , Claudia Alcayaga , PÉREZ EWERT, JANET CAROLA , Solange Campos

Introducción: el apoyo a la toma de decisiones en salud facilita el automanejo de personas con enfermedades crónicas (EC). Ob- jetivo: validar la versión en español del DSAT-cdm: herramienta de análisis del apoyo en las decisiones para el manejo de EC, desa- rrollada por Stacey (2006). Materiales y métodos: estudio descriptivo que aplica un proceso sistemático que considera, entre otros: traducción-contratraducción, desarrollo de escenarios de simulación, entrenamiento de evaluadores, entrenamiento pacientes simulados y capacitación para participantes. Muestra: 15 profesionales y 2 jueces, obteniéndose 60 DSAT-cdm versión español aplicado (pre y pos capacitación). Resultados: el instrumento presentó confiabilidad aceptable en la aplicación entre-jueces y detectó la mejora en la calidad del apoyo a la toma de decisiones en los profesionales. Sin embargo, no se obtuvieron resultados que aportaran a la validez de criterio concurrente. Conclusiones: este estudio es la primera evaluación del DSAT-cdm en idioma español, el resultado principal indica que se detecta un cambio en el desempeño de profesionales para apoyar el proceso de toma de decisiones de sus pacientes y, a pesar estos hallazgos favorables, es necesario seguir evaluando el instrumento.

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Pilot plan for a mobile health communication and monitoring system for people with diabetes

2014 , Claudia Alcayaga , PÉREZ EWERT, JANET CAROLA , Bustamante, Claudia , Campos, Solange , Lange, Ilta , Zuniga, Francisca

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Importancia de los Cambios Iniciales en la Psicoterapia con Adolescentes

2015 , Olga Fernández , PÉREZ EWERT, JANET CAROLA , Sergio Gloger , Mariane Krause

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"Working Alliance Inventory" Versión Observacional: Traducción, Adaptación y Validación al Castellano

2013 , Carlos Vöhringer C , PÉREZ EWERT, JANET CAROLA , Claudio Martínez , Carolina Altimir , Paula Dagnino , Nicolás Suárez , Mariane Krause

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Supervisión en una Unidad de Clínica de Adultos de un Centro de Salud Mental Universitario: Un Estudio Cualitativo del Proceso

2023 , PÉREZ EWERT, JANET CAROLA , Daniela Saralegui Fernández

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“How it is said”: Analyses of WhatsApp communications in a postpartum depression preventive intervention

2024 , Olga Fernández , PÉREZ EWERT, JANET CAROLA , Nicolle Alamo , Sofia Fernandez , Pamela Franco , COO CALCAGNI, SOLEDAD , M Ignacia García , Marcela Aravena

Introduction: “m-What Were We Thinking” (m-WWWT) is an m-health, intervention oriented to prevent symptoms of postpartum depression and anxiety in first-time mothers. Mothers receive psychoeducation and socioemotional support through written communication via text-messaging (i.e., WhatsApp) with the program counsellor. Although the use of m-health interventions targeting mental health has increased, the form/style of communication through text messages between participants and program counsellors has been understudied. Objective: The aim was to describe the formal structure of the communication (Basic Forms) and the communicational intentions (Communicative Intentions) used in the messages sent by the counsellor and to determine if these are related to the post-intervention outcomes. Methods: 438 text messages sent by the counsellor to 53 first-time mothers (M = 25.32 years, SD = 4.23) who participated in the m-WWWT intervention were analyzed. The Therapeutic Activity Coding System was used to capture the communication as a “Communicative Action”. Results: The study highlighted the counsellor's frequent use of the “assertion” communicative form (82%) and attuned communicative intentions (52%) and explored (39%) in her messages. The attractors of communication were “assert to attune” and “assert to explore”, indicating an empathetic and informative communication style. With respect to their relationship with the intervention outcome, only “assert to explore” messages were positively related to maternal self-efficacy increases. The number of messages was not associated with participants’ characteristics at baseline, except for educational level. Discussion: Our results show the relevance of combining the delivery of information with a communication style that allows the counsellor to connect with the specific needs and emotional tone of the participants.

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Validación del Inventario de Conductas Infantiles para niños de entre 1½-5 años (CBCL 1½-5) en la Ciudad de Santiago

2014 , Felipe Lecannelier , PÉREZ EWERT, JANET CAROLA , Stephanie Groissman , Daniela Gallardo , Ana María Bardet , Andrea Bascuñan , Jorge Rodríguez

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Verbal and nonverbal expressions of mutual regulation in relevant episodes of psychotherapy /Manifestaciones verbales y no verbales de la regulación mutua en episodios relevantes de psicoterapia

2016 , Javier Morán , Claudio Martínez , Alemka Tomicic , PÉREZ EWERT, JANET CAROLA , Mariane Krause , Marcela Guzmán , Diego San Martín , Salvador Angulo , Isabelle Barroux , Adam Gerstmann , Cecilia de la Cerda

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Online Intervention Targeting Postnatal Depression and Anxiety in Chilean First-Time Mothers: Feasibility Trial

2023 , COO CALCAGNI, SOLEDAD , María Ignacia García , PÉREZ EWERT, JANET CAROLA , Marcia Olhaberry , ALDONEY RAMIREZ, DANIELA , Olga Fernández , Nicolle Alamo , Pamela Franco , Sofía Fernández , Francisca Pérez , Jane Fisher , Heather Rowe

Abstract Objective Internet-based interventions may positively impact maternal symptoms of postnatal depression and anxiety. This study assessed the feasibility, acceptability, perceived usefulness, and preliminary effectiveness of an m-Health version of “What Were We Thinking?” (m-WWWT). Methods A mixed-methods with a 2-arm randomized parallel design was used. From a total of 477 women, 157 met the inclusion criteria. 128 first-time mothers of full-term infants, aged 4–10 weeks, who received health care at primary public health centers in Chile, were randomly assigned to the experimental (EG, n = 65) or control (CG, n = 63) groups; data of 104 of them (53 and 51, respectively) was analyzed. We used percentages and rates to measure feasibility outcomes and mixed analysis of variance (ANOVA) and latent class analyses (LCA) to assess preliminary effectiveness. Participants completed questionnaires on mental health, social support, and maternal self-efficacy upon recruitment and 3 months after completing the intervention. For the qualitative component, 12 women from the EG were interviewed. Results Quantitative results show good feasibility outcomes, such as high recruitment (82%), low attrition (EG = 12% and CG = 17%), and high follow-up (EG = 97% and CG = 91%) rates. Qualitative results indicate high acceptability and perceived usefulness of m-WWWT. Mixed ANOVA did not show significant differences between the groups (all p >.05). However, multinomial regression analysis in LCA showed that women with low baseline symptoms of depression and anxiety benefit from the intervention (B = 0.43, 95% confidence interval 1.09–2.16). Conclusion m-WWWT is feasible to be implemented in Chile; future studies are needed to assess the intervention’s effectiveness.

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