Articles publicats (Grup de Recerca en Educació per a la Salut (GREpS))

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    Open Access
    Advertising, obesity and child health: the case of Spain
    (BMJ, 2022) Gómez Santos, Santiago Felipe; Rajmil, L.
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    Study protocol of a population-based cohort investigating Physical Activity, Sedentarism, lifestyles and Obesity in Spanish youth: the PASOS study
    (BMJ, 2020) Gómez Santos, Santiago Felipe; Homs, Clara; Wärnberg, Julia; Medrano, Maria; González-Gross, Marcela; Gusi, Narcis; Aznar, Susana; Cascales, Elena Marín; González-Valeiro, Miguel; Serra-Majem, Lluis; Terrados, Nicolás; Tur, Josep A.; Segú, Marta; Lassale, Camille; Benavente-Marín, Juan C.; Labayen, Idoia; García Zapico, Augusto; Sánchez-Gómez, Jesús; Jiménez-Zazo, Fabio; Alcaraz, Pedro Emilio; Sevilla-Sánchez, Marta; Herrera-Ramos, Estefania; Pulgar, Susana; Bibiloni, Maria Del Mar; Sancho, Olga; Schröder, Helmut
    Introduction Physical activity (PA) is essential to healthy mental and physical development in early life. However, the prevalence of physical inactivity, which is considered a key modifiable driver of childhood obesity, has reached alarming levels among European youth. There is a need to update the data for Spain, in order to establish if current measures are effective or new approaches are needed. Methods and analysis We present the protocol for Physical Activity, Sedentarism, lifestyles and Obesity in Spanish youth (PASOS). This observational, nationally representative, multicentre study aims to determine the PA levels, sedentary behaviours and prevalence of physical inactivity (defined as <60min of moderate to vigorous PA per day) in a representative sample of Spanish children and adolescents. The PASOS study has recruited a representative random sample of children and adolescents aged 8–16 years from 242 educational centres in the 17 ‘autonomous regions’ into which Spain is divided. The aim is to include a total of 4508 youth participants and their families. Weight, height and waist circumference will be measured by standardised procedures. Adherence to the Mediterranean diet, quality of life, sleep duration, PA and sedentary behaviour are being measured by validated questionnaires. PA is measured by the Physical Activity Unit 7-item Screener. A representative subsample (10% of participants) was randomly selected to wear accelerometers for 9 days to obtain objective data on PA. Parents are asked about their educational level, time spent doing PA, diet quality, self-perceived stress, smoking habit, weight, height, their child’s birth weight and if the child was breast fed.
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    The attitudes of mental health nurses that support a positive therapeutic relationship: The perspective of people diagnosed with BPD
    (John Wiley & Sons, 2021-05-03) Romeu Labayen, Maria; Tort Nasarre, Glòria; Rigol Cuadra, Assumpta; Giralt Palou, Rosa; Galbany Estragués, Paola
    Introduction: The therapeutic relationship between mental health nurses and people diagnosed with borderline personality disorder (BPD) is essential to successful treat-ment, and nurses’ attitudes are a key component of this relationship. Some nurses develop positive therapeutic relationships with people diagnosed with BPD, while others have negative emotional reactions which in turn limit their ability to develop a positive therapeutic relationship. There is a gap in the literature with respect to how people diagnosed with BPD perceive the attitudes of mental health nurses that foster a positive therapeutic relationship.Aim: To describe how people diagnosed with BPD who have experienced an improve-ment perceive the role of the attitudes of mental health nurses in building a positive therapeutic relationship.Method: Qualitative descriptive design with 12 interviews; thematic content analysis.Results: Participants identified five attitudes of mental health nurses as contribut-ing to a positive therapeutic relationship: confidence in their ability to recover, non- judgement, humour, availability and humanity.Discussion: Nurses’ attitudes are key to the therapeutic relationship. It may be pos-sible for nurses to improve their attitudes towards patients diagnosed with BPD through self- reflection.Implications for practice: Mental health nurses should incorporate methods that ex-plore attitudes and attitudinal development of the workforce.
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    Association of eating behaviors, lifestyle, and maternal education with adherence to the Mediterranean diet in Spanish children
    (Elsevier, 2018-11) Bawaked, Rowaedh Ahmed; Gómez Santos, Santiago Felipe; Homs, Clara; Casas Esteve, Rafael; Cardenas, Gabriela; Fitó Colomer, Montserrat; Schröder, Helmut
    Background The Mediterranean diet serves as a proxy of a high-quality diet. Although several factors are known to affect a child's ability to follow a high-quality diet, no prospective data are available on factors that influence adherence to a Mediterranean diet among children. Our objective was to investigate the association of Mediterranean diet adherence with eating behaviors, lifestyle habits, and maternal education in a prospective cohort of children. Methods The present prospective cohort analysis included 1639 children aged 8–10 years. The study was carried out during two academic years, 2012/2014, with an average follow-up of 15 months. Eating behaviors, physical activity, and adherence to Mediterranean diet were estimated by the Dutch Eating Behavior Questionnaire for Children, the Physical Activity Questionnaire for Children, and the KIDMED index, respectively. Results Multivariate linear regression analysis adjusted for sex, age, maternal education, baseline adherence to the Mediterranean diet, and intervention group revealed a significant (p < 0.01) inverse association of external eating and screen time with adherence to the Mediterranean diet at follow-up (mean of 15 months). The opposite association was found for meal frequency and physical activity (p < 0.02). A high level of maternal education increased the odds of a child's high adherence to the Mediterranean diet (OR = 1.56 CI 1.13; 2.14) compared to peers whose mothers had only a primary education. Conclusions Screen time, physical activity, meal frequency, and external eating predict adherence to the Mediterranean diet independently of baseline diet quality. Maternal education level is an important prospective determinant for the adherence to the Mediterranean diet.
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    Spanish nurses’ experiences with personal protective equipment and perceptions of risk of contagion from COVID-19: A qualitative rapid appraisal
    (Wiley, 2021) Romeu Labayen, Maria; Tort Nasarre, Glòria; Álvarez Mora, Bruna; Subías Miquel, Martí; Vázquez Segura, Eva; Marre, Diana; Galbany Estragués, Paola
    Aims and Objetives: Explore nurses' experiences and perception of risk regarding the use of personal protective equipment during the first wave of the pandemic in Spain. Background: The contribution of our study is to use qualitative methods to understand nurses' experiences and perceptions of the risk of the contagion linked to the shortage of PPE during the first wave of the pandemic, whose explosive start strained health systems around the globe. Design: Qualitative descriptive design according to the Rapid Research Evaluation and Appraisal model. Methods: Semi-structured videoconference interviews were conducted to explore the experiences of 29 nurses including staff nurses, nursing supervisors and nursing directors from hospital and community services of the Spanish health system. Interviews lasted 30–45 min and were conducted in May 2020. We carried out a thematic analysis using Dedoose. The COREQ checklist was used to report findings. Results: We identified the following themes and subthemes: 1. Experiences with personal protective equipment: scarcity, inequality, reutilization, self-protection, delegation of responsibility, and gap between protocols and reality; 2. Perception of the risk of contagion: lack of credibility, lack of trust, lack of support, and meeting subjective needs. Conclusions: The scarcity of personal protective equipment and inequality in its distribution led nurses to take initiatives to feel more protected. Mid-ranking supervisors were caught between the responsibility of monitoring and rationing personal protective equipment and providing the necessary protection to nurses. The disjuncture between protocols and the available supply of personal protective equipment caused confusion. Lack of credibility, lack of trust and lack of support from management influenced participants' perception of the risk of contagion. Mid-ranking supervisors were often responsible for trying to alleviate fear among nursing staff. Relevance to clinical practice: Understanding the factors involved in risk perception can be helpful to decision-makers who help protect nurses in clinical practice. These results can help administrators and policymakers because they point to the need for nurses to feel that their departments and centers look after their safety at work. Transparent communication and emotional support may contribute to their well-being in the face of risk.