Východisko: Společnost všeobecného lékařství ČLS JEP periodicky monitoruje názory občanů na vybrané aspekty problematiky zdravotnictví a zdravého způsobu života. Tato publikace navazuje na předchozí výstupy průzkumů provedených v letech 2015 až 2024. Cíl a metody: Cílem výzkumu bylo zjistit, jaké jsou názory občanů na vybrané součásti práce všeobecných praktických lékařů (VPL) a na zdravotní systém a jejich úlohu v něm. K provedení reprezentativního sociologického výzkumu názorů občanů byla v ČR zvolena metoda řízeného rozhovoru tazatele s respondentem (face-to-face), realizovaná profesionální agenturou. Statistické zpracování dat bylo provedeno programem SASD 1.5.8 (Statistická analýza sociálních dat). Závěry výzkumu jsou reprezentativní pro občany ČR z hlediska jejich pohlaví, věku a regionu. Výsledky: Občané ČR jsou ve většině případů s péčí a časem, který jim věnuje v průběhu jejich návštěvy praktický lékař, spokojeni, negativní stanovisko zaujímá jen malá část (6,8 %) z nich. Největší spokojenost s péčí praktického lékaře a časem, který jim věnuje, se vrátila na úroveň let 2018–2020, tj. na úroveň před pandemií covid-19. Lze rovněž konstatovat, že občané ČR jsou s prací zdravotní sestry v ordinaci jejich praktického lékaře spokojeni, negativní stanovisko zaujímá též jen malá část (5,4 %) z nich. Občané vnímají týmové praxe pozitivně, i když (56,9 %) preferuje, aby je vždy ošetřoval jen „jejich“ praktický lékař, což lze zabezpečit v rámci objednávkového systému. V oblasti preventivní péče jsou stále v ČR významné rezervy a jen cca 50 % občanů na ní aktivně participuje. Silnou se ukazuje do budoucna kombinace aktivit VPL a vlastní motivace občanů na zlepšení zdraví. Prevenci jako významnou ke zlepšení svého zdraví hodnotí 80 % respondentů a 75,4 % respondentů by respektovalo rady na změnu životního stylu od VPL nebo lékaře specialisty v rámci preventivní péče. Jen necelá 1/3 (30,8 %) občanů míní, že zdravým životním stylem žije, téměř ½ (48,0 %) občanů se domnívá, že zdravým životním stylem žije občas. Občané se domnívají, že největším rizikem, které je ohrožuje, je nedostatek pohybu (27,0 %), dalších 23,7 % respondentů označilo jako největší riziko špatné stravování, 20,0 % občanů považuje za největší riziko stres na pracovišti a 19,8 % nedostatek spánku. Nejmenším rizikem je dle mínění dotázaných stres doma (označilo 9,5 % respondentů). Výsledky budou využity v rámci připravovaných plánovaných změn v preventivní péči u VPL v ČR.
Býma S, Javorská K, Halata D, Borský P. Citizens’ opinions on some aspects of the activities of general practitioners 2024 Background: The Czech Society of General Practitioners (CSPG) periodically monitors citizens’ opinions on selected aspects of healthcare and healthy lifestyle issues. This publication follows up on previous results of surveys conducted in 2015–2024. Aim and methods: The aim of the research was to find out what citizens’ opinions are on selected parts of the work of general practitioners (GPs) and on the healthcare system and their role in it. To conduct a representative sociological survey of citizens’ opinions in the Czech Republic, the method of controlled interview between the interviewer and the respondent (face-to-face), implemented by a professional agency, was chosen. Statistical data processing was performed using the SASD 1.5.8 program (Statistical Analysis of Social Data). The conclusions of the research are representative of citizens of the Czech Republic in terms of their gender, age and region. Results: Citizens of the Czech Republic are in most cases satisfied with the care and time that a general practitioner devotes to them during their visit, and only a small part (6.8%) of them have a negative opinion. The highest satisfaction with the care of a general practitioner and the time they devote to them has returned to the level of 2018–2020, i.e. to the level before the covid-19 pandemic. It can also be stated that citizens of the Czech Republic are satisfied with the work of a nurse in their general practitioner’s office, and only a small part (5.4%) of them also have a negative opinion. Citizens perceive team practices positively, although (56.9%) prefer that they are always treated only by“their” general practitioner, which can be ensured within the framework of an ordering system. There are still significant reserves in the Czech Republic in the area of preventive care and only about 50% of citizens actively participate in it. The combination of VPL activities and citizens’ own motivation to improve their health is proving to be strong in the future. 80% of respondents rate prevention as important for improving their health and 75.4% of respondents would respect advice on lifestyle changes from a VPL or a specialist doctor as part of preventive care. Just under 1/3 (30.8%) of citizens believe that they live a healthy lifestyle, almost ½ (48.0%) of citizens believe that they live a healthy lifestyle occasionally. Citizens believe that the greatest risk that threatens them is lack of exercise (27.0%), another 23.7% of respondents identified poor nutrition as the greatest risk, 20.0% of citizens consider stress at work to be the greatest risk, and 19.8% lack of sleep. According to the respondents, the least risk is stress at home (indicated by 9.5% of respondents). The results will be used within the framework of the planned changes in preventive care for primary health care in the Czech Republic.
- MeSH
- Humans MeSH
- Attitude to Health MeSH
- General Practice MeSH
- Primary Prevention MeSH
- Primary Health Care * MeSH
- Data Collection MeSH
- Patient Satisfaction * MeSH
- Check Tag
- Humans MeSH
- Publication type
- Chart MeSH
- Geographicals
- Czech Republic MeSH
Nárast obezity a problémy pri jej liečbe, motivácia a snaha ľudí o redukciu a kontrolu telesnej hmotnosti, ako aj intenzívny marketing, vytvárajú priaznivé podhubie pre hľadanie a používanie rôznych spôsobov ako dosiahnuť a udržať žiadanú telesnú hmotnosť. Práve výživové doplnky, prezentované ako prípravky na podporu chudnutia, si získali veľkú priazeň u spotrebiteľov, a to častokrát len na základe ľahkej dostupnosti a zjednodušenej interpretácie priaznivého pôsobenia látok, ktoré obsahujú. V klinickej praxi a pre odborníkov pretrváva nedostatok robustných randomizovaných, placebom kontrolovaných štúdií, ktoré by poskytli jednoznačné vedecké dôkazy o účinnosti a bezpečnosti týchto prípravkov. Napriek intenzívnemu a aj sľubnému výskumu biologicky aktívnych látok vo výživových doplnkoch, nedostatočné a nejednoznačné dôkazy neumožňujú ich zahrnutie do štandardných odporúčaní pre komplexný manažment (pre)obezity v klinickej praxi. Odborníci aj laická verejnosť by mali jednoznačne vnímať rozdiel medzi EBM (Evidence-Based Medicine) potvrdenými farmakologickými aj nefarmakologickými intervenciami pri redukcii telesnej hmotnosti a užívaním výživových doplnkov. Článok predkladá sumárne závery publikovaných prehľadových prác zaoberajúcich sa účinnosťou a bezpečnosťou výživových doplnkov pri redukcii telesnej hmotnosti.
The rise of obesity and the difficulties in its treatment, people’s motivation and desire to reduce and control weight, and intensive marketing, have created a favorable climate for finding and using different ways to achieve and maintain a desirable body weight. In particular, dietary supplements, presented as weight-loss products, have gained a great deal of favor with consumers, often on the basis of their easy availability and simplistic interpretation of the beneficial effects of the substances they contain. In clinical practice and for practitioners, there remains a lack of robust randomized, placebo-controlled trials that provide clear scientific evidence on the efficacy and safety of these products. Despite intensive and even promising research on biologically active substances in dietary supplements, insufficient and equivocal evidence does not allow their inclusion in standard recommendations for the comprehensive management of overweight and obesity in clinical practice. Both professionals and the public should clearly perceive the difference between EBM (Evidence-Based Medicine) validated pharmacological and non-pharmacological interventions for weight reduction and the use of dietary supplements. This article presents a summary of the findings of published reviews addressing the efficacy and safety of dietary supplements in weight reduction.
- MeSH
- Safety MeSH
- Weight Loss MeSH
- Clinical Studies as Topic MeSH
- Humans MeSH
- Meta-Analysis as Topic MeSH
- Obesity * therapy MeSH
- Dietary Supplements * MeSH
- Treatment Outcome MeSH
- Check Tag
- Humans MeSH
- Publication type
- Review MeSH
Nežiaduce udalosti predstavujú globálny problém s negatívnym dopadom na bezpečnosť pacientov. Jedným z kľúčových nástrojov na zvýšenie kvality starostlivosti a bezpečnosti pacientov je hlásenie týchto udalostí. Cieľom štúdie bolo zistiť, aká je frekvencia hlásenia nežiaducich udalostí, aké faktory ovplyvňujú frekvenciu hlásenia, a aké bariéry hlásenia nežiaducich udalostí vnímajú sestry pracujúce na jednotkách intenzívnej starostlivosti (JIS) vo vybraných nemocniciach Slovenskej republiky. Zber údajov prebiehal od júla do októbra 2023 prostredníctvom dotazníka pozostávajúceho z troch častí: frekvencia hlásenia, bariéry a demografické údaje. Výskumný súbor zahŕňal 153 sestier zo štyroch slovenských nemocníc. Údaje boli spracované pomocou deskriptívnej a inferenčnej štatistiky. Frekvencia hlásenia dosiahla skóre 3,39 (SD = 1,33), čo naznačuje priemerné hlásenie nežiaducich udalostí. Faktory ako spokojnosť na pracovisku, materiálne vybavenie, vnímaná bezpečnosť pacientov a vzdelanie sestier významne ovplyvňovali hlásenie. Medzi najvýznamnejšie bariéry patrili nedostatočné vedomosti o tom, ktoré udalosti hlásiť, slabé povedomie o vzniku udalostí a nejasnosti v procese hlásenia. Napriek relatívne vysokej frekvencii hlásenia nežiaducich udalostí na JIS pretrvávajú bariéry, ktoré obmedzujú jeho efektivitu. Kľúčovými výzvami je nedostatok vedomostí a jasných inštrukcií, ktoré je potrebné riešiť prostredníctvom vzdelávania a organizačných opatrení. Podpora faktorov ako spokojnosť na pracovisku a dostupnosť zdrojov môže prispieť k zvýšeniu bezpečnosti pacientov a kvality starostlivosti.
Adverse events represent a global issue with a significant negative impact on patient safety. Reporting these events is one of the key tools for improving the quality of care and patient safety. The aim of this study was to determine the frequency of adverse event reporting, identify factors influencing reporting frequency, and explore barriers to adverse event reporting as perceived by nurses working in intensive care units (ICUs) in selected hospitals in Slovakia. Data collection took place from July to October 2023 through a questionnaire consisting of three sections: reporting frequency, barriers, and demographic information. The sample included 153 nurses from four Slovak hospitals. Data were analyzed using descriptive and inferential statistics. The reporting frequency score was 3.39 (SD = 1.33), indicating relatively average reporting of adverse events. Factors such as workplace satisfaction, material resources, perceived patient safety, and nurse education significantly influenced reporting. The most critical barriers identified were insufficient knowledge about which events to report, limited awareness of adverse event occurrence, and unclear reporting processes. Despite the relatively high frequency of adverse event reporting in ICUs, barriers limiting its effectiveness persist. Key challenges include a lack of knowledge and clear guidelines, which should be addressed through education and organizational measures. Supporting factors such as workplace satisfaction and resource availability could further enhance patient safety and care quality
Systémový lupus erythematodes (SLE) je závažné autoimunitní onemocnění s heterogenním klinickým průběhem a prognózou. V současné době se významným způsobem mění pohled na strategii jeho léčby. Důležitou roli v managementu SLE hraje mezioborová spolupráce, včasná diagnostika, hodnocení aktivity choroby a nefarmakologická léčba. Hlavním cílem terapie je navození klinické remise choroby, alternativním cílem pak dosažení nízké aktivity choroby při současné minimalizaci rizik spojených s farmakoterapií. Základním lékem SLE je hydroxychlorochin, který má místo v léčbě jak nezávažných, tak těžkých forem choroby s orgánovými manifestacemi. Užití glukokortikoidů umožňuje rychlou kontrolu aktivity choroby, jejich dlouhodobé užívání je však spojeno s rizikem nežádoucích účinků. Glukokortikoidy jsou dnes vnímány jako určitá přemosťující terapie užívaná optimálně po určitou dobu a jsou doporučeny strategie k jejich snižování, včetně včasného zahájení terapie imunosupresivy a/nebo biologickými léky (belimumab, anifrolumab). Cílová dávka prednisonu či jeho ekvivalentu se posunuje níže a měla by být ≤ 5 mg denně. Pozice biologik v léčbě SLE výrazně posiluje a je možno je v určitých situacích zvažovat jako léky 1. linie léčby po selhání hydroxychlorochinu. Nová doporučení pro léčbu nastiňují efektivní a důkazy podložený přístup k léčbě této závažné choroby.
Systemic lupus erythematosus (SLE) is an autoimmune disease with a heterogeneous clinical course and prognosis. Currently, the view of its treatment strategy is changing significantly. Interdisciplinary collaboration, early diagnosis, assessment of disease activity and non-pharmacological treatment play an important role in the management of SLE. The main treat to target is to induce clinical remission of the disease, while an alternative target is to achieve low disease activity while minimizing the risks associated with pharmacotherapy. Hydroxychloroquine remains the corn stone of SLE treatment, which has a place in the treatment of both non-severe and severe forms of the disease with organ manifestations. The use of glucocorticoids allows rapid control of disease activity, but their long-term use is associated with the risk of adverse effects. Glucocorticoids are now perceived as a kind of bridging therapy used optimally for a certain period of time, and strategies to reduce their use are recommended, including early deployment of immunosuppressive and/or biologic drugs (belimumab, anifrolumab). The target dose of prednisone or its equivalent is shifting lower and should be≤5 mg daily. The position of biologics in the treatment of SLE is greatly strengthened and they can be considered as first-line drugs in certain situations after hydroxychloroquine failure. New treatment recommendations outline an effective and evidence-based approach to treating this serious disease.
- MeSH
- Biological Therapy MeSH
- Glucocorticoids pharmacology therapeutic use MeSH
- Hydroxychloroquine pharmacology therapeutic use MeSH
- Immunosuppressive Agents pharmacology therapeutic use MeSH
- Humans MeSH
- Disease Management MeSH
- Lupus Erythematosus, Systemic * therapy MeSH
- Check Tag
- Humans MeSH
- Publication type
- Research Support, Non-U.S. Gov't MeSH
- Review MeSH
Even in the most egalitarian societies, hierarchies of power and status shape social life. However, power and received status are not synonymous-individuals in positions of power may or may not be accorded the respect corresponding to their role. Using a cooperatively collected dataset from 18,096 participants across 70 cultures, we investigate, through a survey-based correlational design, when perceived position-based power (operationalized as influence and control) of various powerholders is associated with their elevated social status (operationalized as perceived respect and instrumental social value). We document that the positive link between power and status characterizes most cultural regions, except for WEIRD (Western, Educated, Industrialized, Rich, Democratic) and Post-Soviet regions. The strength of this association depends on individual and cultural factors. First, the perceived other-orientation of powerholders amplifies the positive link between perceived power and status. The perceived self-orientation of powerholders weakens this relationship. Second, among cultures characterized by low Self-Expression versus Harmony (e.g., South Korea, Taiwan), high Embeddedness (e.g., Senegal), and high Cultural Tightness (e.g., Malaysia), the association between power and status tends to be particularly strong. The results underline the importance of both individual perceptions and societal values in how position-based power relates to social status.
- MeSH
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Power, Psychological * MeSH
- Social Values MeSH
- Social Class MeSH
- Cross-Cultural Comparison * MeSH
- Check Tag
- Adult MeSH
- Middle Aged MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
BACKGROUND: The increasing complexity of mass casualty incidents (MCIs) necessitates highly effective training for emergency responders. Traditional training methods, while effective in teaching core skills, often fail to replicate the dynamic, high-pressure environments responders face in real-world crises. Virtual reality (VR) offers a novel approach to emergency training, providing an immersive, controlled setting that can simulate real-life scenarios. This study explores the effectiveness of VR in training paramedic students for MCIs and compares the outcomes to those from conventional training methods. METHODS: A comparative study was conducted with 37 paramedic students who underwent either VR-based training or conventional training using mannequins and real-world equipment. The VR application simulated a mass casualty car accident, focusing on triage and patient management. Both groups were assessed based on their performance in key areas, including the accuracy of situational reporting (METHANE), patient triage, heart rate monitoring, and perceived demand using the NASA Task Load Index (NASA-TLX). RESULTS: The VR group demonstrated significantly lower mental demand (p < 0.001) and frustration levels (p = 0.021) compared to traditional training. However, task completion times were slower in the VR setting (p < 0.001), likely due to the interface's unfamiliarity. Accuracy in situational reporting was higher in VR (p = 0.002), while heart rate monitoring did not reveal a significant difference between the groups (p = 0.516). Although VR did not reduce temporal demand (p = 0.057), it showed potential for improving focus and precision in training. Error rates in triage were similar across both training methods (p = 0.882), indicating comparable performance levels in patient classification. CONCLUSIONS: VR presents a promising tool for training emergency responders, particularly in situations that require rapid upskilling, such as crises or wars. The ability to simulate realistic, high-pressure scenarios in a controlled environment can enhance both cognitive and emotional preparedness. Further research is necessary to optimize VR systems and interfaces, making them more efficient for real-time decision-making. As VR technology advances, it holds potential as a key component in future emergency preparedness strategies.
- MeSH
- Adult MeSH
- Emergency Responders * education psychology MeSH
- Mass Casualty Incidents * MeSH
- Humans MeSH
- Disaster Planning methods MeSH
- Triage methods MeSH
- Virtual Reality * MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Sociální sítě se staly běžnou součástí našich životů. Jejich možný vliv na lidskou psychiku, obzvláště u dětí a dospívajících, se stává opakovaně předmětem vzrušených debat jak u laické, tak odborné veřejnosti. některé aspekty sociálních sítí mohou mít negativní dopady na psychiku. Často zmiňované je sociální srovnávání, zejména srovnávání se s těmi, kteří jsou vnímáni jako úspěšnější, což může vést k pocitům méněcennosti a frustrace. dalším negativním faktorem je strach z promeškání, tedy obava, že ostatní prožívají zajímavější a hodnotnější události než my sami. tento strach může vést k úzkosti a stresu. Za problematické je považováno i nadměrné užívání sociálních sítí, které se projevuje silným zaujetím, neschopností kontrolovat čas strávený na sítích a negativním dopadem na důležité oblasti života, jako jsou vztahy, práce nebo studium. sociální sítě však mohou mít i pozitivní vliv na psychiku. Budování sociálního kapitálu, tedy sítě vztahů a kontaktů, může vést k pocitům sounáležitosti a podpory, a tím přispívat k celkové psychické pohodě. Výzkumy zaměřené na vliv sociálních sítí na psychiku dospívajících přinášejí mnohdy rozporuplné výsledky. některé naznačují mírný negativní vliv, jako je nárůst deprese a úzkosti, zatímco jiné poukazují na mírný pozitivní vliv, jako je vyšší spokojenost se životem. Vliv sociálních sítí se liší v závislosti na individuálních, sociálních a vývojových faktorech. některé studie poukazují na existenci vývojově podmíněných tzv. období citlivosti, během nichž je vliv sociálních sítí na psychiku dospívajících významnější. další výzkumy prokázaly souvislost mezi užíváním sociálních sítí a rizikovým chováním, jako je sebepoškozování a poruchy příjmu potravy. Účinnost intervencí zaměřených na omezení používání sociálních sítí, jako je například „digitální detox“, je nejasná. dosavadní studie naznačují, že pozitivnější vliv na celkovou psychickou pohodu má zkrácení času stráveného na sociálních sítích, nikoliv jejich úplné opuštění.
Social networking sites have become a reality in our lives. their potential impact on the human psyche, especially for children and adolescents, has repeatedly become a subject of enthusiastic debate among both the general public and academics. some aspects of social networking can have negative effects on the psyche. social comparison is often cited, particularly comparison with those who are perceived to be more successful, which can lead to feelings of inferiority and frustration. another negative factor is the fear of missing out, i.e. the fear that others are experiencing more interesting and worthwhile events than oneself. this fear can lead to anxiety and stress. excessive use of social networking sites is also considered problematic, with strong preoccupations, an inability to control time spent on the sites and a negative impact on important areas of life such as relationships, work or study. However, social networking can also have a positive effect on the psyche. Building social capital, i.e. a network of relationships and contacts, can lead to feelings of belonging and support, thus contributing to overall psychological well-being. research on the impact of social networks on adolescents‘ psyche has often produced contradictory results. some suggest a slight negative effect, such as an increase in depression and anxiety, while others point to a slight positive effect, such as increased life satisfaction. the impact of social networks varies depending on individual, social and developmental factors. some studies point to the existence of ‚developmental windows of sensitivity‘ during which the influence of social networks on the adolescent psyche is more significant. other research has shown a link between social networking use and risky behaviors such as self-harm and eating disorders. the effectiveness of interventions aimed at reducing social networking use, such as ‚digital detox‘, is still unclear. studies to date suggest that reducing time spent on social networking sites has a more positive effect on overall psychological well-being than leaving them altogether.
The human mind, trying to perceive events coherently, creates the illusion of continuous time passage. Empirical evidence suggests distortions in subjectively perceived time flow associated with well-studied neural responses to sensory stimuli. This study aimed to investigate whether visually uncomfortable patterns, causing exceptionally strong brain activation, affect short time estimates and whether these estimates vary based on the overall reported sensory sensitivity and cortical excitability of individuals. Two experiments in virtual reality testing our assumptions at different levels of complexity of timed stimuli provided initial insight into the studied processes in highly controlled and realistic conditions. Data analysis results did not support our hypotheses, but showed that subjectively most visually uncomfortable simple patterns, i.e., achromatic gratings, cause more variable temporal judgments. Supposedly, this inaccuracy depends on the currently perceived visual comfort and thus the current visual system sensitivity, which cannot be satisfactorily derived from trait-based measures. The exploration of the effect of complex stimuli, i.e., virtual exteriors, suggested that their visual comfort does not affect time perception at all. Biological sex was an important variable across experiments, as males experienced temporal compression of stimuli compared to females. Neuroimaging research is needed for a deeper investigation of the origin of these results.Protocol registration: The Stage 1 manuscript associated with this Registered Report was in-principle accepted on 4 March 2024 prior to data collection for hypothesis testing. The accepted version of the manuscript can be found in the publicly available OSF repository at https://doi.org/ https://doi.org/10.17605/OSF.IO/K3YZE .
- MeSH
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Brain physiology diagnostic imaging MeSH
- Photic Stimulation methods MeSH
- Virtual Reality MeSH
- Time Perception * physiology MeSH
- Visual Perception * physiology MeSH
- Check Tag
- Adult MeSH
- Humans MeSH
- Young Adult MeSH
- Male MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
Background/Objectives: Hip and knee arthroplasty relieves pain, restores mobility, and improves function in severe joint damage, though pain and strength loss may persist post-surgery. Better pre-surgery function and activity predict improved arthroplasty outcomes. Prehabilitation programs enhance functional abilities, reducing hospitalization duration, and lowering peri-surgery complication risks. This study aims to evaluate the efficacy of four weeks of different modalities of tele-home-prehabilitation programs on perceived pain and functional capacity in patients who are eligible for hip or knee arthroplasty. Methods: Forty-four patients (aged 65-80 years) eligible for elective lower limb arthroplasty were enrolled in the present randomized controlled trial study. Participants were randomly assigned to the Electrostimulation Group (EG) or the Home-Based Exercise Group (HG). The EG performed underwent teleprehabilitation program using indirect neuromuscular electrostimulation therapy, while the HG performed home-based exercise supervised by a sports specialist. Functional capacity was assessed with the Timed Up and Go test (TUG), the 30 s Chair Stand test (30CST) and the Six-Minute Walking Test (6MWT). Quality of life was assessed with the Oxford Hip Score (OHS) or Oxford Knee Score (OKS), depending on the participants' surgery. The Technology Acceptance Model (TAM) questionnaire was completed by the EG after the intervention. Results: No significant differences were found among groups in the 30CST and TUG tests. The analyses revealed significant differences for the Oxford Questionnaires and 6MWT. Conclusions: Our study highlights the potential of teleprehabilitation using indirect neuromuscular electrostimulation to improve walking autonomy and quality of life of individuals who are candidates for lower limb arthroplasty.
- Publication type
- Journal Article MeSH
BACKGROUND: This study qualitatively investigates retirement-age adults' perspectives on engaging in health behaviors such as physical activity or a healthy diet, distinguishing facilitators, barriers, goals, and motivations (the two later in line with Self-Determination Theory). METHODS: Two clinical psychologists conducted four focus groups with Spanish adults around retirement age. We conducted inductive and deductive content analysis. RESULTS: The main facilitators and barriers identified were the presence and absence of social support/social network, mental health, willpower, time, and motivation. Participants reported different types of motivation (e.g., intrinsic motivation in the enjoyment of the activity of exercise or cooking) and goals (intrinsic and extrinsic); except for the goal of health management, which presented both types of motivation, participants regulated intrinsic goals autonomously, and extrinsic ones with controlled motivation. A process of internalizing the source of motivation was identified inductively by participants. CONCLUSIONS: Facilitating social networks and addressing mental health issues could aid engagement in health behaviors among this population. Additionally, health management appeared as a significant goal, where autonomous motivation can develop even if the behavior initially arises from controlled motivation or external triggers, such as medical advice.
- MeSH
- Goals * MeSH
- Exercise psychology MeSH
- Retirement * psychology MeSH
- Qualitative Research MeSH
- Middle Aged MeSH
- Humans MeSH
- Motivation * MeSH
- Aged MeSH
- Social Support MeSH
- Health Behavior * MeSH
- Focus Groups * MeSH
- Check Tag
- Middle Aged MeSH
- Humans MeSH
- Male MeSH
- Aged MeSH
- Female MeSH
- Publication type
- Journal Article MeSH
- Research Support, Non-U.S. Gov't MeSH
- Geographicals
- Spain MeSH
