Building the capacity of community health workers to support health and social care for dependent older people in Latin America: a pilot study in Fortaleza, Brazil.
Building the capacity of community health workers to support health and social care for dependent older people in Latin America: a pilot study in Fortaleza, Brazil.
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DOI：
10.1186/s12877-021-02477-3
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发表时间：
2021-10-02
期刊：
影响因子：
4.1
通讯作者：
Lloyd-Sherlock P
中科院分区：
文献类型：
--
作者：
Neto JBF;de Moraes GLA;de Souza Aredes J;Giacomin KC;de Melo LP;Sempe L;Lloyd-Sherlock P
巴西正在经历人口迅速老龄化，这导致了对初级卫生保健服务的新需求。需要制定和评估新的干预措施的有效性，以建设包括社区卫生工作者在内的工作人员的能力，以满足依赖护理的老年人及其照顾者等群体的需求。这项研究考察了在巴西福塔莱萨市试行的小型培训干预的可行性。这项研究评估了参与者在培训干预前后对与依赖护理的老年人的需求相关的关键知识和技能的评估。它还评估了他们实施一种简单的老年风险因素筛查工具的能力。参与者自我评估表明，他们在应对依赖护理的老年人的保健需求方面的知识和能力有了显著改善。此外，参与者能够成功地进行家访和风险因素筛查。这项研究论证了制定干预措施的可行性，以提高社区卫生工作者的能力，以满足巴西等国家老年人的需要。有效性的证据虽然有限和主观，但为更大规模的、正式评估的干预提供了理由。福塔莱萨的经验为该区域面临类似挑战的其他城市和国家提供了宝贵的经验教训。
Brazil is seeing rapid population ageing, which is leading to new demands on primary health care services. There is a need to develop and assess the effectiveness of new interventions to build the capacity of staff, including community health workers, to meet the needs of groups such as care-dependent older people and their care-givers. This study examines the feasibility of a small training intervention piloted in the Brazilian city of Fortaleza. The study evaluated participants’ own assessments of key knowledge and skills related to the needs of care-dependent older people, both before and after the training intervention. It also assessed their capacity to implement a simple screening tool of geriatric risk factors. The participant self-assessments indicate significant improvements in their perceived knowledge and capacity in responding to the health needs of care-dependent older people. Additionally, participants were able to successfully conduct the home visits and screening for risk factors. The study demonstrates the feasibility of developing interventions to enhance the capacity of community health workers to meet the needs of dependent older people in countries like Brazil. The evidence of effectiveness, though limited and subjective, provides justification for a larger, formally evaluated intervention. The experience of Fortaleza provides valuable lessons for other cities and countries in the region which are facing similar challenges.
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DOI：
10.1136/bmj.h1258
发表时间：
2015-03-19
期刊：
BMJ (Clinical research ed.)
影响因子：
--
作者：
Moore GF;Audrey S;Barker M;Bond L;Bonell C;Hardeman W;Moore L;O'Cathain A;Tinati T;Wight D;Baird J
通讯作者：
Baird J
DOI：
10.1590/s1413-81232011000100034
发表时间：
2011-01-01
期刊：
Ciência & Saúde Coletiva
影响因子：
--
作者：
Alves, Gehysa Guimarães;Aerts, Denise
通讯作者：
Aerts, Denise
DOI：
10.1590/s1518-8787.2017051000243
发表时间：
2017-01-01
期刊：
Revista de Saúde Pública
影响因子：
--
作者：
Silva, Alexandre Moreira de Melo;Mambrini, Juliana Vaz de Melo;Lima-Costa, Maria Fernanda
通讯作者：
Lima-Costa, Maria Fernanda
影响因子：
3.2
作者：
Kok MC;Dieleman M;Taegtmeyer M;Broerse JE;Kane SS;Ormel H;Tijm MM;de Koning KA
通讯作者：
de Koning KA
影响因子：
4
作者：
de Stampa, Matthieu;Vedel, Isabelle;Ankri, Joel
通讯作者：
Ankri, Joel