Leonardo Fernandes Martins

Web-based self-help intervention reduces alcohol consumption in both heavy-drinking and dependent alcohol users: A pilot study.

As part of a multicenter project supported by the World Health Organization, we developed a web-based intervention to reduce alcohol use and related problems. We evaluated the predictors of adherence to, and the outcomes of the intervention. Success was defined as a reduction in consumption to low risk levels or to <50% of the baseline levels of number of drinks. From the 32,401 people who accessed the site, 3389 registered and 929 completed the full Alcohol Use Disorders Identification Test (AUDIT), a necessary condition to be considered eligible to take part in the intervention. Based on their AUDIT scores, these participants were classified into: low risk users (LRU; n=319) harmful/hazardous users (HHU; n=298) or suggestive of dependence users (SDU; n=312). 29.1% of the registered users (LRU=42; HHU=90; SDU=82) completed the evaluation form at the end of the six-week period, and 63.5% reported low-risk drinking levels. We observed a significant reduction in alcohol consumption in the HHU (62.5%) and SDU (64.5%) groups in relation to baseline. One month after the intervention, in the follow-up, 94 users filled out the evaluation form, and their rate of success was similar to the one observed in the previous evaluation. Logistic regression analyses indicated that HHU participants presented higher adherence than LRU. Despite a relatively low adherence to the program, its good outcomes and low cost, as well as the high number of people that can be reached by a web-based intervention, suggest it has good cost-effectiveness.

Moralização sobre o uso de álcool entre estudante de curso de saúde

Alcohol use is one of the major conditions that display a worldwide moralizing connotation. The objective of this present article was to investigate the stereotypes and the moral attribution of the Health College Students (HCS) about the dependence of alcohol. 138 HCS enrolled on undergraduate health courses participated of the study. Three instruments were used: questionnaire about the personal characteristics of the professionals, Evaluation questionnaire about stereotypes and moralization of the use of alcohol. Was verified that for the use of alcohol, the perception model of the HCS was moral and one of the biggest difficulties for them dealing with the patients referred to the alcoholics.

Capacitação em álcool e outras drogas para profissionais da saúde e assistência social: relato de experiência

Como alternativa ao panorama deficitario de formacao profissional para atuacao na area do uso de alcool e outras drogas, e visando a incorporacao de mudancas praticas, sao criados os Centros Regionais de Referencia sobre Drogas (CRRs). Faz-se necessario compreender e refletir sobre o papel dos CRRs nos cenarios de formacao e atuacao sobre a tematica. A partir disso, o presente artigo pretende discutir aspectos sobre a capacitacao de profissionais do Sistema Unico de Saude e Assistencia Social, por meio do relato de experiencia de um CRR de Minas Gerais. A implantacao do presente CRR possibilitou a qualificacao de profissionais em direcao a abordagens integrais e reflexivas sobre a tematica. Contudo, sao necessarias reformulacoes sobre o seu modelo, com uma posicao mais bem definida e atuante dentro das politicas sobre drogas, garantindo continuidade nas acoes e auxiliando na reformulacao das praticas.

Sistema de referência e de contrarreferência na rede de atenção aos usuários de drogas: contribuições da análise de redes sociais

Abstract This paper analyzed the reference and counter-referral system of a care network for drug users, from Social Network Analysis (SNA). It is a cross-sectional survey conducted in the city of Juiz de Fora, Minas Gerais, with professionals from the drug users’ treatment services. Data was collected through a questionnaire that measured referral and counter-referral relations of drug users between network services. Data from SNA was analyzed using the Gephi software, extracting the following metrics: Degree Centrality and Intermediation Centrality. Results indicated a higher prevalence of referencing rather than counter-referral, with a centralization in specialized, medium and high complexity, and emergency services. It is expected to demonstrate the potential of SNA in the understanding of organizational networks and influence new research that aims to comprehend different care realities for drug users in national and international context. Keywords: social networking; health care (public health); delivery of health care; referral and consultation; substance-related disorders.

É hora de investirmos em intervenções comportamentais computadorizadas no Brasil

Studies have shown that computer-based interventions are effective treatment modality for many health conditions such as anxiety disorders, depression, alcohol abuse, and nicotine dependence. Although these interventions have shown small effect sizes, they could reach a large number of people. This study aims to analyze critically the efficacy evidence of computer-based interventions in scientific literature, evaluate their potential utilization in Brazil, describe the current regulation, and introduce some development tools. To reach these aims, a narrative review of literature was performed. The computer-based interventions are configured as a potential tool for public health due to the growing use of computers and Internet in Brazil and the low cost of development.Studies have shown that computer-based interventions are effective treatment modality for many health conditions such as anxiety disorders, depression, alcohol abuse, and nicotine dependence. Although these interventions have shown small effect sizes, they could reach a large number of people. This study aims to analyze critically the efficacy evidence of computer-based interventions in scientific literature, evaluate their potential utilization in Brazil, describe the current regulation, and introduce some development tools. To reach these aims, a narrative review of literature was performed. The computer-based interventions are configured as a potential tool for public health due to the growing use of computers and Internet in Brazil and the low cost of development.

Capacitación sobre alcohol y otras drogas para profesionales de la salud y asistencia social: relato de experiencia

Como alternativa ao panorama deficitario de formacao profissional para atuacao na area do uso de alcool e outras drogas, e visando a incorporacao de mudancas praticas, sao criados os Centros Regionais de Referencia sobre Drogas (CRRs). Faz-se necessario compreender e refletir sobre o papel dos CRRs nos cenarios de formacao e atuacao sobre a tematica. A partir disso, o presente artigo pretende discutir aspectos sobre a capacitacao de profissionais do Sistema Unico de Saude e Assistencia Social, por meio do relato de experiencia de um CRR de Minas Gerais. A implantacao do presente CRR possibilitou a qualificacao de profissionais em direcao a abordagens integrais e reflexivas sobre a tematica. Contudo, sao necessarias reformulacoes sobre o seu modelo, com uma posicao mais bem definida e atuante dentro das politicas sobre drogas, garantindo continuidade nas acoes e auxiliando na reformulacao das praticas.

Training on alcohol and other drugs for health and social care professionals: report on experience

Como alternativa ao panorama deficitario de formacao profissional para atuacao na area do uso de alcool e outras drogas, e visando a incorporacao de mudancas praticas, sao criados os Centros Regionais de Referencia sobre Drogas (CRRs). Faz-se necessario compreender e refletir sobre o papel dos CRRs nos cenarios de formacao e atuacao sobre a tematica. A partir disso, o presente artigo pretende discutir aspectos sobre a capacitacao de profissionais do Sistema Unico de Saude e Assistencia Social, por meio do relato de experiencia de um CRR de Minas Gerais. A implantacao do presente CRR possibilitou a qualificacao de profissionais em direcao a abordagens integrais e reflexivas sobre a tematica. Contudo, sao necessarias reformulacoes sobre o seu modelo, com uma posicao mais bem definida e atuante dentro das politicas sobre drogas, garantindo continuidade nas acoes e auxiliando na reformulacao das praticas.

Es hora de invertir en las intervenciones conductuales computarizadas en Brasil

Studies have shown that computer-based interventions are effective treatment modality for many health conditions such as anxiety disorders, depression, alcohol abuse, and nicotine dependence. Although these interventions have shown small effect sizes, they could reach a large number of people. This study aims to analyze critically the efficacy evidence of computer-based interventions in scientific literature, evaluate their potential utilization in Brazil, describe the current regulation, and introduce some development tools. To reach these aims, a narrative review of literature was performed. The computer-based interventions are configured as a potential tool for public health due to the growing use of computers and Internet in Brazil and the low cost of development.Studies have shown that computer-based interventions are effective treatment modality for many health conditions such as anxiety disorders, depression, alcohol abuse, and nicotine dependence. Although these interventions have shown small effect sizes, they could reach a large number of people. This study aims to analyze critically the efficacy evidence of computer-based interventions in scientific literature, evaluate their potential utilization in Brazil, describe the current regulation, and introduce some development tools. To reach these aims, a narrative review of literature was performed. The computer-based interventions are configured as a potential tool for public health due to the growing use of computers and Internet in Brazil and the low cost of development.

Is it time to invest on computerized behavioral interventions in Brazil

Studies have shown that computer-based interventions are effective treatment modality for many health conditions such as anxiety disorders, depression, alcohol abuse, and nicotine dependence. Although these interventions have shown small effect sizes, they could reach a large number of people. This study aims to analyze critically the efficacy evidence of computer-based interventions in scientific literature, evaluate their potential utilization in Brazil, describe the current regulation, and introduce some development tools. To reach these aims, a narrative review of literature was performed. The computer-based interventions are configured as a potential tool for public health due to the growing use of computers and Internet in Brazil and the low cost of development.Studies have shown that computer-based interventions are effective treatment modality for many health conditions such as anxiety disorders, depression, alcohol abuse, and nicotine dependence. Although these interventions have shown small effect sizes, they could reach a large number of people. This study aims to analyze critically the efficacy evidence of computer-based interventions in scientific literature, evaluate their potential utilization in Brazil, describe the current regulation, and introduce some development tools. To reach these aims, a narrative review of literature was performed. The computer-based interventions are configured as a potential tool for public health due to the growing use of computers and Internet in Brazil and the low cost of development.