Navegando por Palavras-chave "Evaluation of the Efficacy-Effectiveness of Interventions"

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    A behavioral intervention in a cohort of Japanese-Brazilians at high cardiometabolic risk
    (Revista De Saude Publica, 2012-08-01) Almeida-Pititto, Bianca de; Griffin, Simon J.; Sharp, Stephen J.; Hirai, Amelia Toyomi [UNIFESP]; Gimeno, Suely Godoy Agostinho [UNIFESP]; Ferreira, Sandra Roberta Gouvea [UNIFESP]; Universidade de São Paulo (USP); MRC; Universidade Federal de São Paulo (UNIFESP)
    OBJECTIVE: To assess the effect of a health promotion program on cardiometabolic risk profile in Japanese-Brazilians.METHODS: A total of 466 subjects from a study on diabetes prevalence conducted in the city of Bauru, southeastern Brazil, in 2000 completed a 1-year intervention program (2005-2006) based on healthy diet counseling and physical activity. Changes in blood pressure and metabolic parameters in the 2005-2006 period were compared with annual changes in these same variables in the 2000-2005 period.RESULTS: During the intervention, there were greater annual reductions in mean (SD) waist circumference [-0.5(3.8) vs. 1.2(1.2) cm per year, p<0.001], systolic blood pressure [-4.6(17.9) vs. 1.8(4.3) mmHg per year, p<0.001], 2-hour plasma glucose [-1.2(2.1) vs. -0.2(0.6) mmol/L per year, p<0.001], LDL-cholesterol [-0.3(0.9) vs. -0.1(0.2) mmol/L per year, p<0.001] and Framingham coronary heart disease risk score [-0.25(3.03) vs. 0.11(0.66) per year, p=0.02] but not in triglycerides [ 0.2(1.6) vs. 0.1(0.42) mmol/L per year, p<0.001], and fasting insulin level [ 1.2(5.8) vs. -0.7(2.2) IU/mL per year, p<0.001] compared with the pre-intervention period. Significant reductions in the prevalence of impaired fasting glucose/impaired glucose tolerance and diabetes were seen during the intervention (from 58.4% to 35.4%, p<0.001; and from 30.1% to 21.7%, p=0.004, respectively).CONCLUSIONS: A one-year community-based health promotion program brings cardiometabolic benefits in a high-risk population of Japanese-Brazilians.
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    Effectiveness of a web-based intervention in reducing binge drinking among nightclub patrons
    (Revista De Saude Publica, 2018) Baldin, Yago C. [UNIFESP]; Sanudo, Adriana [UNIFESP]; Sanchez, Zila M. [UNIFESP]
    OBJECTIVE: To evaluate the effectiveness of a web-based intervention in reducing binge drinking among nightclub patrons after six months. METHODS: We carried out a website survey with probabilistic sample in 31 nightclubs in the city of Sao Paulo, Brazil, which originated a randomized controlled trial with 1,057 participants. Those classified as problem drinkers (n = 465) using the Alcohol Use Disorders Identification Test were randomized into two study groups - intervention and control. The web-based intervention consisted of exposing the participants to a normative feedback screen about their alcohol consumption, characterizing the risks associated with amount consumed, money spent on drinks, drinking and driving, risk classification of Alcohol Use Disorders Identification Test, and tips to reduce damage. RESULTS: There was a significant reduction in the practice of binge drinking in the week estimated at 38% among participants in the intervention group after six months (p < 0.05). However, there was no significant reduction in the outcomes when we analyzed the intervention and control groups and at baseline and after sixth months, simultaneously. CONCLUSIONS: We cannot conclude that digital tools reduce the pattern of binge drinking among party goers in Sao Paulo. More studies are needed with this methodology because of its attractiveness to this type of group, given the privacy and speed that personalized information is transmitted.