Browsing by Author "Pérez Ewert, Janet Carola"

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    Autoeficacia y conflicto decisional frente a la disminución del peso corporal en mujeres
    (2007) Campos Romero, Solange; Pérez Ewert, Janet Carola
    El sobrepeso y la obesidad es un problema relevante para las mujeres de NSE bajo chilenas. El estudio evalúa la relación entre autoeficacia para bajar de peso y conflicto decisional, ambas variables relevantes en el cambio de conductas y estilos de vida en salud. En una muestra de 101 mujeres de nivel socioeconómico bajo asistentes a centros de atención primaria de Santiago, que presentaban sobrepeso u obesidad, se midió el nivel de autoeficacia con una escala diseñada para ello y conflicto ante la decisión de bajar de peso. Los resultados indican que la mayoría de las mujeres presentaron baja autoeficacia (63,4%) y alto conflicto decisional (77,2%). Al considerar las variables sociodemográficas, sólo se presentaron diferencias según escolaridad, siendo mayor la autoeficacia en mujeres con escolaridad superior a octavo básico. Se comprobó una asociación inversa entre conflicto decisional y autoeficacia, tanto a nivel general como al considerar las subhabilidades de la autoeficacia.
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    Effect of a tele-care model on self-management and metabolic control among patients with type 2 diabetes in primary care centers in Santiago, Chile
    (2010) Lange Haensgen, Ilta Anita H.; Campos Romero, Solange; Urrutia Bunster, Mila; Bustamante Troncoso, Claudia Raquel; Alcayaga Rojas, Claudia Andrea; Tellez, Alvaro; Pérez Ewert, Janet Carola; Villarroel del Pino, Luis A.; Chamorro S., Gastón; O'Connor, Annette; Piette, John
    Telephone based self-management support may improve the metabolic control of patients with type 2 (DM2) diabetes if it is coordinated with primary care centers, if telephone protocols and clinical guidelines are used and if it is provided by nurses trained in motivational interviewing. Aim: To assess the efficacy ofi a tele-care self-management support model (ATAS) on metabolic control of patients with DM2 attending primary care centers in a low income area in Santiago, Chile. Material and Methods: Two primary care centers were randomly assigned to continue with usual care (control group, CG) or to receive additionally 6 telecare self-management support interventions (IG) during a 15 month period. Glycosylated hemoglobin (HbA1c) was used to measure metabolic control of DM2; the "Summary of Diabetes Self-care Activities Measure" and the "Spanish Diabetes Self-efficacy" scale were used to measure self-management and self efficacy, respectively. Changes in the use of health services were also evaluated. Results: The IG maintained its HbA1c level (baseline and final levels of 8.3 ± 2.3 % and 8.5 ± 2.2% respectively) whereas it deteriorated in the CG (baseline and final levels of 7.4 ± 2.3 and 8.8 ± 2.3 % respectively, p < 0.001). The perception of self-efficacy in the IG improved while remaining unchanged in the CG (p < 0.001). Adherence to medication, physical activity and foot care did not change in either group. In the IG, compliance to clinic visits increased while emergency care visits decreased. Conclusions: The ATAS intervention, in low income primary care centers, significantly increased the probability of stabilizing the metabolic control of patients with DM2 and improved their use of health services.
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    Fathers’ Involvement: Mothers’ Perceived Benefits of Promoting Paternal Involvement Through a WhatsApp-Based Preventive Intervention for Postpartum Depression
    (2024) Fernández, Olga; Aldoney, Daniela; Fernández Sanz, Sofía Alejandra; Pérez, Francisca; García, Ignacia M.; Pérez Ewert, Janet Carola; Coo, Soledad
    Introduction: Despite the social and cultural changes of the recent decades, the tasks associated with childcare continue to be assumed mainly by women, increasing stress and, in some cases, negatively affecting maternal mental health. The “m-What were we thinking” (m-WWWT) intervention seeks to reduce the risk of developing postpartum depression and anxiety symptoms in women by increasing self-efficacy in caring for a newborn and perceived social support, with a special focus on the partner's role. The objective of this study was to describe the mothers’ perception of how this intervention facilitated the father's parenting involvement. Methods: Sixty-four text messages from 25 first-time mothers participating in the m-WWWT program were analyzed using the Grounded Theory open and axial coding criteria. Results: There are four subjective themes linked to fathers and parenthood. The first refers to the loss of the previous balance and increased stress with the arrival of the first child; the second, to the importance of watching the intervention videos together; the third, to the possibility of communicating regarding what is happening; and the fourth, to the shared conceptualization of parenting among the couples. Conclusion: These findings suggest that m-WWWT positively influences paternal involvement in the postpartum period, which is a relevant factor to promote maternal and infant well-being.