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Historia de la drogadicción en Colombia
In: Colección 40 años Uniandes
Adaptation and Implementation of a Science-Based Prevention System in Colombia: Challenges and Achievements
During the last 2 years, the Colombian government and the Nuevos Rumbos Corporation have been implementing an adapted version of the Communities That Care (CTC) prevention system, called Comunidades Que se Cuidan (CQC) in Spanish, for use in Colombia. This brief report presents the process of implementing CQC and identifies some of the main challenges and achievements of implementing the system in eight communities in Colombia. Preliminary results of a pilot study of CQC implementation in Colombia show that prevention system development, including a focus on measuring community risk and protection, can be established successfully in Latin American communities despite a lack of rigorously tested prevention programs and strategies. Moreover, mobilizing community coalitions toward science-based prevention, with a focus on examining local risk and protective factor data, can spur development and evaluation of prevention efforts in Latin America.
BASE
Assessing Community Readiness for Preventing Youth Substance Use in Colombia: A Latent Profile Analysis
The growing use of evidence-based preventive interventions for youth substance use in Latin American countries has prompted governments, researchers, and practitioners to ask if communities are ready for implementing these interventions, especially in light of the elevated costs and long-term commitment necessary for successful implementation. This study explores the construct validity of a measure of community readiness for prevention, using confirmatory factor and latent profile analyses of 7 measures theorized to be indicators of community readiness for implementing preventive interventions for youth substance use. Data were obtained from 211 community leaders in 16 communities in Colombia. Results indicate that community readiness can be represented as a unidimensional construct with multiple profiles of varying levels of readiness. Findings suggest community readiness can be measured adequately as a latent construct and that its indicators can be used diagnostically to assess areas where readiness could be improved for better implementation of evidence-based preventive interventions.
BASE
Una mirada, dos lugares: experiencias de migración venezolana en Colombia y Estados Unidos
In: Papeles de Población, Band 29, Heft 115, S. 199
ISSN: 2448-7147
Este estudio cualitativo describe las experiencias de migración venezolana, desde la perspectiva de los contextos de salida y recepción, cambios en las relaciones familiares y síntomas depresivos. A partir de información cualitativa de preguntas abiertas a 647 migrantes y de cuatro grupos focales con 29 personas llevados a cabo en Bogotá y la Florida, se pudieron observar diferencias en las poblaciones que migran a uno u otro país. Los resultados mostraron que: las principales razones para migrar son las carencias económicas producto de la crisis política que vive Venezuela y en algunos casos búsqueda de asilo político; las relaciones parento-filiales cambian al representar una ruptura del vínculo de ambos padres con los hijos; y en Colombia los migrantes reportaron un contexto más negativo de recepción que en Estados Unidos.
Scaling-up primary health care-based prevention and management of heavy drinking at the municipal level in middle-income countries in Latin America:Background and protocol for a three-country quasi-experimental study
In: Anderson , P , O'Donnell , A , Kaner , E , Gual , A , Schulte , B , Pérez Gómez , A , de Vries , H , Natera Rey , G & Rehm , J 2017 , ' Scaling-up primary health care-based prevention and management of heavy drinking at the municipal level in middle-income countries in Latin America : Background and protocol for a three-country quasi-experimental study ' , F1000Research , vol. 6 , 311 . https://doi.org/10.12688/f1000research.11173.3
Background: While primary health care (PHC)-based prevention and management of heavy drinking is clinically effective and cost-effective, it remains poorly implemented in routine practice. Systematic reviews and multi-country studies have demonstrated the ability of training and support programmes to increase PHC-based screening and brief advice activity to reduce heavy drinking. However, gains have been only modest and short term at best. WHO studies have concluded that a more effective uptake could be achieved by embedding PHC activity within broader community and municipal support. Protocol: A quasi-experimental study will compare PHC-based prevention and management of heavy drinking in three intervention cities from Colombia, Mexico and Peru with three comparator cities from the same countries. In the implementation cities, primary health care units (PHCUs) will receive training embedded within ongoing supportive municipal action over an 18-month implementation period. In the comparator cities, practice as usual will continue at both municipal and PHCU levels. The primary outcome will be the proportion of consulting adult patients intervened with (screened and advice given to screen positives). The study is powered to detect a doubling of the outcome measure from an estimated 2.5/1,000 patients at baseline. Formal evaluation points will be at baseline, mid-point and end-point of the 18-month implementation period. We will present the ratio (plus 95% confidence interval) of the proportion of patients receiving intervention in the implementation cities with the proportions in the comparator cities. Full process evaluation will be undertaken, coupled with an analysis of potential contextual, financial and political-economy influencing factors. Discussion: This multi-country study will test the extent to which embedding PHC-based prevention and management of alcohol use disorder with supportive municipal action leads to improved scale-up of more patients with heavy drinking receiving appropriate advice and treatment. Study status: The four-year study will start on 1 st December 2017.
BASE
Scaling-up primary health care-based prevention and management of heavy drinking at the municipal level in middle-income countries in Latin America: Background and protocol for a three-country quasi-experimental study
Background: While primary health care (PHC)-based prevention and management of heavy drinking is clinically effective and cost-effective, it remains poorly implemented in routine practice. Systematic reviews and multi-country studies have demonstrated the ability of training and support programmes to increase PHC-based screening and brief advice activity to reduce heavy drinking. However, gains have been only modest and short term at best. WHO studies have concluded that a more effective uptake could be achieved by embedding PHC activity within broader community and municipal support. Protocol: A quasi-experimental study will compare PHC-based prevention and management of heavy drinking in three intervention cities from Colombia, Mexico and Peru with three comparator cities from the same countries. In the implementation cities, primary health care units (PHCUs) will receive training embedded within ongoing supportive municipal action over an 18-month implementation period. In the comparator cities, practice as usual will continue at both municipal and PHCU levels. The primary outcome will be the proportion of consulting adult patients intervened with (screened and advice given to screen positives). The study is powered to detect a doubling of the outcome measure from an estimated 2.5/1,000 patients at baseline. Formal evaluation points will be at baseline, mid-point and end-point of the 18-month implementation period. We will present the ratio (plus 95% confidence interval) of the proportion of patients receiving intervention in the implementation cities with the proportions in the comparator cities. Full process evaluation will be undertaken, coupled with an analysis of potential contextual, financial and political-economy influencing factors. Discussion: This multi-country study will test the extent to which embedding PHC-based prevention and management of alcohol use disorder with supportive municipal action leads to improved scale-up of more patients with heavy drinking receiving appropriate advice and treatment. Study status: The four-year study will start on 1 st December 2017.
BASE
Interplay of premigration crisis exposure and postmigration cultural stress on depressive symptoms among Venezuelan crisis migrants in Colombia
In: Cultural diversity and ethnic minority psychology
ISSN: 1939-0106
A validation of the Perceived Negative Context of Reception Scale with recently-arrived Venezuelan immigrants in Colombia and the United States
In: Cultural diversity and ethnic minority psychology, Band 27, Heft 4, S. 649-658
ISSN: 1939-0106
Protocol for a process evaluation of SCALA study – Intervention targeting scaling up of primary health care-based prevention and management of heavy drinking and comorbid depression in Latin America
In: Evaluation and program planning: an international journal, Band 97, S. 102217
ISSN: 1873-7870