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91.

Objective

To evaluate the impact of the Youth Form Strategy (EFJ, Estrategia Forma Joven) on the attitudes and behaviours of students in the fourth year of compulsory secondary school in Seville, Spain.

Methods

A longitudinal observational design was used with two groups; one received the EFJ (EFJ group) and other did not (non-EFJ group). In the initial evaluation, 402 participants were randomly selected and, in the follow-up at 6 months, 322 participants were evaluated (161 per group). Validated data collection tools were used, and 2 × 2 tables, odds ratio (OR) and general ANOVA for 2 × 2 mixed factorial design (p < 0.05) were calculated.

Results

Favourable effects of the EFJ were found: in the area of sexuality, the percentage of participants who had sexual intercourse in the final assessment was lower in the EFJ group (14.9% vs 23.4%; OR = 0.57), as were counter-effects: start of tobacco use was higher in the EFJ group (19.5% vs 9.1%; OR = 2.43). However, these differences were not statistically significant.

Conclusions

The similarities in the school health promotion programme in centres with and without EFJ may have influenced the lack of conclusive results. Individual and/or group counselling at schools, a distinguishing feature of the EFJ, could have delayed sexual intercourse in the EFJ group. Based on the studies on school health promotion activities, good practices that could help to improve the effectiveness of the EFJ are recommended.  相似文献   
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介绍复旦大学医科图书馆“医学名家荐刊”系列活动,从荐刊内容与形式、初步成效等方面进行阐述,从此活动中得到启示,包括建设有特色的馆藏、加强文献传递服务、多渠道争取专家的支持等方面。  相似文献   
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BackgroundThe NICU environment presents many barriers for mothers to provide breast milk for their infants. In order to succeed, mothers require advice and assistance from healthcare staff, however some staff lack the necessary knowledge and skills to support them. This review evaluates studies of breastfeeding education interventions on staff knowledge outcomes.MethodsA systematic search of the literature was conducted. Research studies that measured NICU staff knowledge outcomes of training were included.ResultsFrom 94 studies identified, four were included, each demonstrated significant positive effects on staff knowledge outcomes following a breastfeeding educational intervention in NICU. There were no RCTs, three studies used a pre and post-test design, and one used a post-test only design. One study performed a time series analysis of knowledge, staff attitudes and beliefs and two studies conducted an audit of breastfeeding rates.ConclusionsThis review identified a lack of good quality evidence on the effectiveness of breastfeeding educational interventions for staff in NICU. Future research should address the breastfeeding education needs of multidisciplinary healthcare staff in NICU through large, well-conducted RCTs.  相似文献   
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Recently, the Surgeon General put out a Call to Action “To Promote Walking and Walkable Communities.” Walking is a powerful health promotion activity that nurse practitioners (NPs) can quickly prescribe as part of a management plan for the vast majority of their patients. NPs are key health care professionals in the promotion of walking and other physical activity for their patients across the life span. NPs should be familiar with physical activity recommendations for all of their patients, including patients with disabilities. NPs need to be able to assess physical activity as well as prescribe individualized physical activity plans.  相似文献   
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Consumer-based wearable fitness trackers present a new array of opportunities and challenges to nurse practitioners engaged in health promotion research. Key advantages include the ability to provide continuous, objective, remote monitoring of physical activity and the potential to improve the efficacy of physical activity interventions. This article provides an overview of fitness trackers, including their functions and accuracy, and addresses the following key issues to consider before using trackers in research: 1) when to use a fitness tracker, 2) choosing a brand and model, 3) encouraging good compliance, and 4) extracting and using the data.  相似文献   
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