Improving knowledge, self-efficacy and collective efficacy regarding the Brazilian dietary guidelines in primary health care professionals: a community controlled trial

Tramontt, Cláudia Raulino; Jaime, Patrícia Constante

doi:10.1186/s12875-020-01245-3

Cited by 7 publications

(7 citation statements)

References 29 publications

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“…The expansion of health promotion programmes such as PAS must occur in tandem with the production and dissemination of materials based on the Dietary Guidelines for the Brazilian Population (21)(22)(23)(24) . Ongoing food and nutrition education and professional development for health professionals is also urgently required (63) . In addition, it is important to promote the expansion of dietitian's presence in PHC.…”

Section: Discussionmentioning

confidence: 99%

Consumption of ultra-processed foods and nutritional profile in a health promotion service of primary care

Campos

Santos

Lopes

et al. 2021

Public Health Nutr.

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Objective: Describing the consumption of Ultra-processed foods (UPFs) and their association with the nutritional profiles among users of a health promotion service in a Brazilian city. Design: Cross-sectional study. Setting: Public health promotion service of Primary Health Care in Belo Horizonte, Minas Gerais, Brazil. Participants: 3372 participants Results: UPFs were found to contribute to 27.7% of the diet’s total energy. The highest consumption was associated with higher values for energy intake (1561,8 vs. 1331,8 kcal/d; p <0,01), energy density (1,7 vs. 1,4 kcal/g; p <0,01), total (32,5 vs. 27,3 %; p <0,01) and trans fats (2,1 vs. 1,2 %; p <0,01), and sodium (1001,6 vs. 758,9 mg/1000 kcal; p <0,01), and with lower values for proteins (14,9 vs. 19,6 %; p <0,01), mono-unsaturated fats (16,1 vs. 20,1%; p=0,02), omega-3 (0,9 vs. 1,1 %; p <0,01), and some vitamins and minerals when comparing individuals in the last quintile of energy contribution from UPFs in relation to the first one. The prevalence rate of nutrient inadequacy aimed at preventing NCDs increased between 30% and 100% when compared the values of the fifth to the first quintile of UPFs consumption(p<0,001). However, the participants had lower energy intake, energy density and sodium; and higher fiber consumption when compared to Brazilian population. Conclusions: Participants showed a high consumption of UPFs, but also positive diet characteristics when compared to the national data. The results suggest the importance of Health promotion services to promote healthy food and the need to include approaches to reduce UPFs consumption.

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Section: Discussionmentioning

confidence: 99%

Consumption of ultra-processed foods and nutritional profile in a health promotion service of primary care

Campos

Santos

Lopes

et al. 2021

Public Health Nutr.

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“…Only one study (4%) employed an “evaluation framework,” which focuses on the evaluation of implementation outcomes. Of the 11 distinct theories and frameworks, most frequently used were the theoretical domains framework TDF (7, 28% of 25), to identify implementation barriers and enablers [ 48 , 68 , 70 , 74 , 85 , 105 , 132 ], and social cognitive theories (7, 28%), to provide understanding and explanation of aspects of implementation [ 61 , 62 , 86 , 93 , 114 , 135 , 155 ]. Seven (28% of 25) studies used more than one theory or framework.…”

Section: Resultsmentioning

confidence: 99%

“…[ 42 , 46 , 49 , 52 , 55 , 56 , 58 , 61 , 62 , 65 , 67 , 71 , 72 , 78 , 80 , 84 , 86 , 91 , 93 , 96 – 100 , 103 , 107 , 112 , 114 , 118 – 120 , 123 , 128 – 131 , 133 , 134 , 137 , 141 , 143 , 150 – 152 , 155 , 157 ]…”

Section: Resultsunclassified

Trends in guideline implementation: an updated scoping review

et al. 2022

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Background Guidelines aim to support evidence-informed practice but are inconsistently used without implementation strategies. Our prior scoping review revealed that guideline implementation interventions were not selected and tailored based on processes known to enhance guideline uptake and impact. The purpose of this study was to update the prior scoping review. Methods We searched MEDLINE, EMBASE, AMED, CINAHL, Scopus, and the Cochrane Database of Systematic Reviews for studies published from 2014 to January 2021 that evaluated guideline implementation interventions. We screened studies in triplicate and extracted data in duplicate. We reported study and intervention characteristics and studies that achieved impact with summary statistics. Results We included 118 studies that implemented guidelines on 16 clinical topics. With regard to implementation planning, 21% of studies referred to theories or frameworks, 50% pre-identified implementation barriers, and 36% engaged stakeholders in selecting or tailoring interventions. Studies that employed frameworks (n=25) most often used the theoretical domains framework (28%) or social cognitive theory (28%). Those that pre-identified barriers (n=59) most often consulted literature (60%). Those that engaged stakeholders (n=42) most often consulted healthcare professionals (79%). Common interventions included educating professionals about guidelines (44%) and information systems/technology (41%). Most studies employed multi-faceted interventions (75%). A total of 97 (82%) studies achieved impact (improvements in one or more reported outcomes) including 10 (40% of 25) studies that employed frameworks, 28 (47.45% of 59) studies that pre-identified barriers, 22 (52.38% of 42) studies that engaged stakeholders, and 21 (70% of 30) studies that employed single interventions. Conclusions Compared to our prior review, this review found that more studies used processes to select and tailor interventions, and a wider array of types of interventions across the Mazza taxonomy. Given that most studies achieved impact, this might reinforce the need for implementation planning. However, even studies that did not plan implementation achieved impact. Similarly, even single interventions achieved impact. Thus, a future systematic review based on this data is warranted to establish if the use of frameworks, barrier identification, stakeholder engagement, and multi-faceted interventions are associated with impact. Trial registration The protocol was registered with Open Science Framework (https://osf.io/4nxpr) and published in JBI Evidence Synthesis.

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“…Continuous education of medical personnel especially through scenario simulations may equip HCWs with skills of facing difficult situations in real time. 41 , 42 A study assessing PSE among operating room (OR) staff in OR-specific procedures for patients with COVID-19 also affirms increase in self-efficacy post-training. 43 Surprisingly, having had a training about COVID-19 management did not show any influence on the level of PSE among HCWs who had ever managed suspected or confirmed cases of COVID-19.…”

Section: Discussionmentioning

confidence: 96%

Health Care Workers’ Perceived Self-Efficacy to Manage COVID-19 Patients in Central Uganda: A Cross-Sectional Study

Najjuka¹,

Ngabirano²,

Balizzakiwa³

et al. 2022

RMHP

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Background The novel coronavirus disease 2019 (COVID-19) pandemic placed health workers at the frontline of the emergency task force response; a duty that requires professional expertise and confidence to rapidly identify and treat patients with COVID-19. This study explored perceived self-efficacy (PSE) of health care workers (HCWs) in the management of patients with COVID-19 and associated factors in central Uganda. Methods We recruited 418 HCWs from four national referral hospitals in Uganda. Multivariate linear regression analysis was utilized to determine factors associated with PSE. A p-value > 0.05 was considered statistically significant. Results Majority of the participants were female, about half were nurses/midwives, and had 10 years of work experience on average. Overall, HCWs reported moderate PSE in managing COVID-19 patients which reduced with increasing severity of the COVID-19 illness. Having a PhD, being a medical doctor, agreeing or completely agreeing that one has knowledge about COVID-19 management, and having COVID-19 management training were significantly associated with increase in one’s level of PSE. Conclusion This study highlights an unsatisfactory, moderate level of PSE among HCWs in the management of patients with COVID-19 in central Uganda. The health sector should focus on improving HCWs’ self-efficacy through continuous training of all HCWs in the clinical management of especially the severe and critically ill cases of COVID-19. Non-doctor HCWs should be given priority as they scored lower levels of PSE; yet they are the corner stone of the primary health care system and make majority of the health human resource in low- and middle-income countries. Interventions towards creating a safe working environment for HCWs through provision of adequate infection prevention and control strategies are essential in boosting HCWs confidence to manage COVID-19 patients.

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Improving knowledge, self-efficacy and collective efficacy regarding the Brazilian dietary guidelines in primary health care professionals: a community controlled trial

Cited by 7 publications

References 29 publications

Consumption of ultra-processed foods and nutritional profile in a health promotion service of primary care

Consumption of ultra-processed foods and nutritional profile in a health promotion service of primary care

Trends in guideline implementation: an updated scoping review

Health Care Workers’ Perceived Self-Efficacy to Manage COVID-19 Patients in Central Uganda: A Cross-Sectional Study

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