AGBFA. Artículos de Investigación
URI permanente para esta colección
Navegar
Envíos recientes
- PublicaciónAcceso abiertoImpacto de la implementación de la estrategia del Aprendizaje Basado en Casos (ABC) en estudiantes de prácticas clínicas en fisioterapia(2022-01-05)Introducción: el Aprendizaje Basado en Casos (ABC) es una estrategia pedagógica por descubrimiento que permite la articulación de los conocimientos nuevos con los ya adquiridos, estimula la autonomía,desarrolla el pensamiento crítico y las competencias argumentativas en contextos reales, desarrollando la fase del “saber” según lo explica la pirámide de Miller. Objetivo: evaluar el impacto en la motivación y en el aprendizaje que produce la implementación de la estrategia del ABC en estudiantes del último nivel de Fisioterapia. Metodología: diseño mixto cuasiexperimental con 12 estudiantes y 3 profesores. Se desarrolló presencialmente en horas de asesorías durante 18 semanas, cada 15 días con 2 horas por encuentro. La información fue recolectada a través de pruebas de conocimiento antes y después de la intervención, grupos focales con estudiantes y docentes y observaciones no participantes. Resultados: se evidenciaron cambios significativos entre la evaluación pre y la post intervención (16,7 %; 83,3 %, p < 0,05). Los estudiantes describieron la experiencia como altamente motivante y los docentes como enriquecedora. Discusión: esta investigación sustenta el efecto del ABC en el aprendizaje activo y la mediación pedagógica desarrollada por el profesor a través de las fases de la estrategia. Conclusión: el Aprendizaje basado en casos implementado de manera sistemática, organizada y planeada es una estrategia útil en el proceso de formación de los fisioterapeutas. Promueve el desarrollo de la capacidad crítica, reflexiva y analítica y el logro de las competencias profesionales.
- PublicaciónAcceso abiertoHandgrip strength is associated with risk of falls in physically active older women(2022-05-13)The authors of this study inquire about the association between handgrip strength (HGS) and the risk of falls in physically active older women. A cross-sectional study was conducted on 135 women between 50 and 90 years of age who were referred for the follow-up evaluations of HGS using dynamometry and the Tinetti scale to determine the risk of falls. The mean age was 68.8 ± 8.5 years. A total of 31.9% of women had a high risk of falls, and 55% reported five or more falls in the past six months. In addition, our results indicated that grip strength decreases as risk of falls increases (minimal risk = 42.8, 95% confidence interval [CI]: 39.8, 45.8; moderate risk = 31.3, 95% CI: 29.1, 33.5; high risk = 21.9, 95% CI: 19.3, 24.6). It should be considered that in physically active women aged over 50 years, the grip strength could be a predictor of falls and risk of falls. Evaluation of grip strength is a low-cost type of assessment that can be included as a part of physical tests.
- PublicaciónAcceso abiertoExamining Facilitators and Barriers to Cardiac Rehabilitation Adherence in a Low-Resource Setting in Latin America from Multiple Perspectives(2022-02-09)Cardiac rehabilitation (CR) is under-used, particularly in low-resource settings. There are few studies of barriers and facilitators to CR adherence in these settings, particularly considering multiple perspectives. In this multiple-method study, a cross-sectional survey including the Cardiac Rehabilitation Barriers Scale (each item scored on a five-point Likert scale) was administered to patients treated between February and July, 2019, in three CR centers in Colombia. A random subsample of 50 participants was invited to a focus group, along with an accompanying relative. Physiotherapists from the programs were invited to an interview, with a similar interview guide. Audio-recordings were transcribed and analyzed using interpretive description. A total of 210 patients completed the survey, and 9 patients, together with 3 of their relatives and 3 physiotherapists, were interviewed. The greatest barriers identified were costs (mean = 2.8 ± 1.6), distance (2.6 ± 1.6) and transportation (2.5 ± 1.6); the logistical subscale was highest. Six themes were identified, pertaining to well-being, life roles, weather, financial factors, healthcare professionals and health system factors. The main facilitators were encouragement from physiotherapists, relatives and other patients. The development of hybrid programs where patients transition from supervised to unsupervised sessions when appropriate should be considered, if health insurers were to reimburse them. Programs should consider the implications regarding policies of family inclusion.
- PublicaciónAcceso abiertoPatient-important outcomes reported in randomized controlled trials of pharmacologic treatments for COVID-19: A protocol of a META-epidemiological study(2021-11-01)Background: The coronavirus disease 19 (covid-19) pandemic has underscored the need to expedite clinical research, which may lead investigators to shift away from measuring patient-important outcomes (PIO), limiting research applicability. We aim to investigate if randomized controlled trials (RCTs) of covid-19 pharmacological thera‑ pies include PIOs. Methods: We will perform a meta-epidemiological study of RCTs that included people at risk for, or with suspected, probable, or confrmed covid-19, examining any pharmacological treatment or blood product aimed at prophylaxis or treatment. We will obtain data from all RCTs identifed in a living network metanalysis (NMA). The main data sources are the living WHO covid-19 database up to 1 March 2021 and six additional Chinese databases up to 20 February 2021. Two reviewers independently will review each citation, full-text article, and abstract data. To categorize the out‑ comes according to their importance to patients, we will adapt a previously defned hierarchy: a) mortality, b) quality of life/ functional status/symptoms, c) morbidity, and d) surrogate outcomes. Outcomes within the category a) and b) will be considered critically important to patients, and outcomes within the category c) will be regarded as important. We will use descriptive statistics to assess the proportion of studies that report each category of outcomes. We will perform univariable and multivariable analysis to explore associations between trial characteristics and the likelihood of reporting PIOs. Discussion: The fndings from this meta-epidemiological study will help health care professionals and researchers understand if the current covid-19 trials are efectively assessing and reporting the outcomes that are important to patients. If a defciency in capturing PIOs is identifed, this information may help inform the development of future RCTs in covid-19. Systematic review registrations: Open Science Framework registration: osf.io/6xgjz.
- PublicaciónAcceso abiertoThe effects of maintenance cardiac rehabilitation: A systematic review and Meta-analysis, with a focus on sex(2021-07-06)Phase III/IV cardiac rehabilitation (CR) is recommended to promote maintenance of benefits achieved during Phase II; there has been no meta-analysis to test this to date. This study determined the effects of maintenance CR on any outcome, with consideration of sex. Seven databases were searched from inception-January 2020. Randomized controlled trials on the effects of maintenance CR in cardiovascular disease patients who had graduated from CR were included. Level of evidence was evaluated with GRADEPro. 819 citations were identified, with 10 trials (21 papers) included (5238 participants; 859 [16.4%] female). Maintenance CR resulted in lower low-density lipoprotein (mean difference [MD]=-0.58; 95% confidence interval [CI]=-1.06–-0.10, n = 392) and greater quality of life (MD = 0.28, 95% CI = 0.05–0.52, n = 118) when compared to usual care only. Outcomes for women and sex differences were mixed. In conclusion, maintenance programs appear to sustain patient's quality of life, but more focus on women's outcomes is needed.