Primary healthcare personnel show high levels of burnout. A new model of burnout has been developed to distinguish three subtypes: frenetic, under-challenged, and worn-out, which are characterized as overwhelmed, under-stimulated, and disengaged at work, respectively. The aim of this study was to assess the psychometric properties of the long/short Brazilian versions of the “Burnout Clinical Subtypes Questionnaire” (BCSQ-36/BCSQ-12) among Brazilian primary healthcare staff and its possible associations with other psychological health-related outcomes. An online cross-sectional study conducted among 407 Brazilian primary healthcare personnel was developed. Participants answered a Brazil-specific survey including the BCSQ-36/BCSQ-12, “Maslach Burnout Inventory-General Survey”, “Utrecht Work Engagement Scale”, “Hospital Anxiety/Depression Scale”, “Positive-Negative Affect Schedule”, and a Visual Analogue Scale of guilt at work. The bifactor was the model with the best fit to the data using the BCSQ-36, which allowed a general factor for each subtype. The three-correlated factors model fit better to the BCSQ-12. Internal consistence was appropriate, and the convergence between the long-short versions was high. The pattern of relationships between the burnout subtypes and the psychological outcomes suggested a progressive deterioration from the frenetic to the under-challenged and worn-out. In sum, the Brazilian BCSQ-36/BCSQ-12 showed appropriate psychometrics to be used in primary healthcare personnel.

BackgroundThere is scientific evidence suggesting that app-based interventions targeted to increase the level of physical activity might be effective, although multicomponent interventions appear to be more effective than app-based interventions alone. Despite the motivating results, it remains unclear whether or not app-based interventions can increase the level of physical activity and cardiovascular health. Our study aims to investigate the effect of a smartphone app combined with gamification on the level of physical activity of adults and older adults. The specific aims are (1) to verify the effects of the intervention on cardiometabolic and cardiovascular health, lung function, and cardiorespiratory fitness; and (2) to verify the relationship between age group and the response rate.Methods/designWe will conduct a sequential multiple assignment randomized trial (SMART). The adaptive intervention protocol will last 6 months. After baseline assessments, participants will be randomized into one of three groups (group 1: app + tailored messages; group 2: app + tailored messages + gamification I; control group: physical activity counseling). For 12 weeks, we will record the average number of steps per day of participants from groups 1 and 2. At 6 weeks from initiation of recording, participants will be classified into responders and non-responders according to their increase in the average number of daily steps; all those considered as non-responders will be re-randomized, with the chance to participate in a third group – group 3: app + tailored messages + gamification II. Finally, at 12 weeks, participants will continue using the app but will no longer receive direct intervention from investigators. All participants will be reassessed at 3 and 6 months from baseline. Our pilot SMART will require 42 participants (14 per arm). Following the SMART pilot, we will calculate the sample size for the trial based on the variation of the average number of steps/day, including an up to 40% loss to follow-up and a less optimistic nonresponse rate of 65%.DiscussionTo our knowledge, this will be the first trial with adaptive intervention to test the effectiveness of using a smartphone app to increase the level of physical activity of adults and older adults.Trial registrationBrazilian Clinical Trials Registry: RBR-8xtc9c. Registered on 3 August 2018, http://www.ensaiosclinicos.gov.br; UTN number: U1111–1218-1092.

Resumo:Este ensaio pretende situar o leitor no contexto da dança como produção artística, como política do corpo, traçando uma narrativa histórica sobre o percurso da sua prática, desde o início de sua criação no quattrocento italiano para a noção atual de dança politizada feita a partir de um corpo com múltiplas referências e informações que se apresenta hoje na sociedade contemporânea, com efeitos e influências dos adventos tecnológicos de comunicação. O texto foi pensado como uma introdução para profissionais e estudantes de Educação Física, que têm pouco contato com a cena da dança contemporânea, gerando um descompasso entre profissionais que atuam numa área de importância para o fortalecimento do que chamamos de cultura corporal. A dança pode ser política para a cultura corporal a partir do movimento crítico que faz em relação à realidade, questionando ou propondo possibilidades de ação e transformação da maneira que existimos.

In the present study, we dealt with the relationship between lifestyle and adherence to the physical activity and discussed the conditions that make it possible for amateur to remain in a complex practice as surfing. For these purpose, we interviewed eleven surfers with over eleven years of uninterrupted practice on the South Coast of São Paulo. Through an analysis of the interviews content, it was possible to verify that their permanence is less influenced by gender issues, age and marital status (usually prioritized in the literature about this subject) than employment conditions. It is argued that adherence to surfing is linked to lifestyle and youth ideals, while the conditions for the continuity of the amateurs practice involves the family and employment ties, whose stability gives security to the routine and modulates the possibilities between social times and nature times. Thus, mature surfers narrate a way of life that values prudent attitudes as a way of redefining surfing in their lives, pointing out to a transformation of surf culture. It is considered that the relationship between permanence in practice and job stability deserves to be investigated in future studies