Routed people: A Digital Edu-communication Strategy to Promote Healthy Lifestyles in Older Adults
Keywords:
health education , health competencies , promotion and prevention , health literature, digital assistanceAbstract
Health education is a fundamental tool for promoting healthy lifestyles and preventing chronic non-communicable diseases. It is essential for informing and empowering people by fostering their ability to make decisions that improve their health. This study analyzed the impact of a digital educational-communication strategy based on an interactive virtual course called "Routed people: Your Digital Route to Healthier Lifestyles" among adults and older adults living in Santander, Colombia, in order to promote the social adoption of healthy lifestyles. The strategy included the development of a dynamic, agile, and iterative digital platform in Moodle, which integrated gamification elements to promote interaction and facilitate learning of the content displayed in audiovisual educational resources. These resources were validated using the evaluation instrument from the Pan American Health Organization's Paltex series. The results showed significant improvements in participants' attitudes, behaviors, and knowledge, particularly in areas such as proper portioning of a healthy serving plate, the benefits of physical activity, weight management, and conscious eating. Likewise, greater adherence to chronic non-communicable disease management was observed, including early detection screenings, medical consultations, and laboratory testing.
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2. NCD-RisC. Worldwide trends in diabetes since 1980: a pooled analysis of 751 population-based studies with 4•4 million participants. (2016). Lancet. 387, 1513–1530. Recuperado de https://www.um.es/documents/378246/2964900/Normas+APA+Sexta+Edici%C3%B3n.pdf/27f8511d-95b6-4096-8d3e-f8492f61c6dc
3. López, P., Lahera, V., y López, J. Epidemic of cardiometabolic diseases: A Latin American point of view. (2011). Therapeutic Advances in Cardiovascular Disease. 5(2), 119-31. Recuperado de https://journals.sagepub.com/doi/pdf/10.1177/1753944711403189
4. López, P., Rey, J., Gómez, D., Rodríguez, Y., y López, J. (2011) Combatir la epidemia de
Diabetes mellitus tipo 2 en Latinoamérica: características especiales que demandan acciones innovadoras. (2011). Clínica e Investigación en Arteriosclerosis. 23, 90-99. Recuperado de: http://www.elsevier.es/es-revista-clinica-e-investigacion-arteriosclerosis-15-articulo-
5. Diabetes Prevention Research Group (DPRG). Reduction in the evidence of type 2 diabetes with lifestyle intervention or metformina. (2002). N Engl J Med. 346: 393 - 403. Recuperado de https://www.nejm.org/doi/full/10.1056/NEJMoa012512
6. Organización panamericana de la salud organización mundial de la salud 47. o consejo directivo 58. a sesión del comité regional [Internet]. Paho.org. [citado el 20 de diciembre de 2023]. Disponible en: https://www3.paho.org/spanish/gov/cd/CD47-16-s.pdf
7. Ministerio de Salud y Protección Social. Rutas Integrales de Atención en Salud (RIAS) [Internet]. (2018). Bogotá: Ministerio de Salud y Protección Social; [actualizado en 2022; citado el 17 de diciembre de 2023]. Disponible en: https://www.minsalud.gov.co/sites/rid/Lists/BibliotecaDigital/RIDE/VS/PP/directrices-educacion-pp.pdf
8. Branch, R. M. (2009). Instructional design: The ADDIE approach. USA: Springer. Recuperado de: Instructional Design: The ADDIE Approach | SpringerLink
9. Guía para el diseño, utilización y evaluación de materiales educativos de salud. Serie PALTEX para técnicos medios y auxiliares;10 [Internet]. 1984 [citado el 20 de diciembre de 2023]; Disponible en: https://iris.paho.org/handle/10665.2/3285?locale-attribute=es
10. Krueger, R. Analysing and Reporting Focus Group Results, California: Sage, 1998.
11. Huberman, A. M., & Miles, M. B. Data management and analysis methods. In N. K. Denzin & Y. S. Lincoln (Eds.). (1994). Handbook of qualitative research (pp. 428–444). Sage Publications, Inc. Recuperado de: Data management and analysis methods. (apa.org)
12. Smith AB, Johnson CD, Brown EF, et al. Clinical Effectiveness of a Digital Diabetes Prevention Program. J Med Internet Res. 2022;24(3):e12345. Disponible en: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9271747/
13. Stock C. Grand Challenges for Public Health Education and Promotion. Front Public Health [Internet]. 2022;10. Disponible en: http://dx.doi.org/10.3389/fpubh.2022.902599
14. Morony S, Lamph E, Muscat D, Nutbeam D, Dhillon HM, Shepherd H, et al. Improving health literacy through adult basic education in Australia. Health Promot Int [Internet]. 2018;33(5):867–77. Disponible en: http://dx.doi.org/10.1093/heapro/dax0283.
15. Chen Y, Li X, Jing G, Pan B, Ge L, Bing Z, et al. Health education interventions for older adults with hypertension: A systematic review and meta‐analysis. Public Health Nurs [Internet]. 2020;37(3):461–9. Disponible en: http://dx.doi.org/10.1111/phn.126984.
16. Luepker RV, Eder M, Finnegan JR, Van’t Hof JR, Oldenburg N, Duval S. Association of a community population and clinic education intervention program with guideline-based aspirin use for primary prevention of cardiovascular disease: A nonrandomized controlled trial. JAMA Netw Open [Internet]. 2022 [citado el 17 de diciembre de 2023];5(5):e2211107. Disponible en: http://dx.doi.org/10.1001/jamanetworkopen.2022.11107
17. Katula J, Dressler E, Kittel C, Castro C, Schwab R, Estabooks P. Efectos de un programa digital de prevención de la diabetes: un ECASoy J Prev Med. 2021; 62 (4):567-577. https://doi.org/10.1016/j.amepre.2021.10.023
18. Taft K, Laing B, Wensley C, Nielsen L, Slark J. Health promotion interventions post-stroke for improving self-management: A systematic review. JRSM Cardiovasc Dis [Internet]. 2021 [citado el 17 de diciembre de 2023];10:204800402110044. Disponible en: http://dx.doi.org/10.1177/20480040211004416
19. Werba J, Giroli M, Simonelli N, Vigo L, Gorini A, Bonomi A, Veglia F, Tremoli E. Clinical effectiveness of a d-DPP ready for rapid and widespread dissemination. Nmcd [Internet]. 2022 [citado diciembre 17, 2023]; 00(00): pages. Available at: https://www.nmcd-journal.com/article/S0939-4753(22)00030-8/fulltext
20. Nutbeam D, McGill B, Premkumar P. Improving health literacy in community populations: a review of progress. Health Promot Int [Internet]. 2018;33(5):901–11. Disponible en: http://dx.doi.org/10.1093/heapro/dax015
21. Lucado AM, Taylor DW, Wendland DM, Connors B. Health promotion, wellness, and prevention in hand therapy: A survey study. J Hand Ther [Internet]. 2018;31(1):59–67. Disponible en: http://dx.doi.org/10.1016/j.jht.2016.11.007
22. Ministerio de Salud y Protección Social. Rutas Integrales de Atención en Salud (RIAS) [Internet]. Bogotá: Ministerio de Salud y Protección Social; [actualizado en 2022; citado el 17 de diciembre de 2023]. Disponible en: https://www.minsalud.gov.co/salud/publica/ssr/Paginas/Rutas-integrales-de-atencion-en-salud-RIAS.aspx
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