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O impacto do tratamento periodontal na qualidade de vida de pacientes portadores de síndrome metabólica : uma análise parcial de um ensaio clínico randomizadoMilanesi, Fernanda Carpes January 2015 (has links)
O objetivo do presente estudo foi avaliar o efeito do tratamento periodontal na qualidade de vida de pacientes portadores de Síndrome Metabólica (SM), em uma amostra de 48 pacientes. Os pacientes apresentavam diagnóstico de Periodontite e SM e foram randomizados para dois grupos de tratamento: um grupo ao qual era oferecido tratamento periodontal imediato e outro grupo de tratamento tardio, que receberia o tratamento periodontal após seis meses da sua inclusão no estudo. Para aferir qualidade de vida relacionada à saúde bucal e qualidade de vida geral, foram usados os instrumentos OHIP-14 e WHOQoL-bref, respectivamente. Exames periodontais completos avaliaram Índice de placa visível, Índice de sangramento gengival, Fatores retentivos de placa, Profundidade de sondagem, Sangramento à sondagem e Nível de inserção clínica, em seis sítios por dente. Além disso, exames antropométricos, exames sorológicos e entrevistas com os questionários de qualidade de vida foram realizados no momento inicial e após seis meses do início do estudo. Os dois grupos se mostraram semelhantes no momento inicial. Após seis meses, foram observadas reduções significativas no grupo de tratamento imediato para todos os parâmetros periodontais clínicos. A análise do WHOQoL-bref por domínios mostrou pequenas alterações não significativas em ambos os grupos. Na avaliação dos escores totais de OHIP-14 foi observada, após 6 meses, uma redução de 18,6 para 15 (Δ=3,6) no grupo tardio e de 15 para 5,7 (Δ=9,3) no grupo imediato, com diferenças estatisticamente significantes entre os grupos (p=0,003). Essas diferenças resultaram em um tamanho de efeito de 0,27 (pequeno) para o grupo tardio e 0,78 (moderado) para o grupo imediato. Na análise por domínios, foram encontradas diferenças significativas para o grupo imediato nos domínios limitação funcional (p=0,006), desconforto psicológico (p=0,001), incapacidade física (p=0,009) e incapacidade psicológica (p=0,007), comparado ao grupo tardio. Em pacientes portadores da SM, as mudanças na percepção da qualidade de vida aferidas pelo OHIP-14 foram significativas para o grupo de pacientes que recebeu tratamento periodontal imediato, em comparação ao grupo que recebeu o tratamento tardio. / The aim of this study was to assess the effect of periodontal treatment in quality of life of patients with Metabolic Syndrome, in a sample of 48 patients. The patients showed diagnosis of Periodontitis and Metabolic Syndrome and were randomized for two treatment groups: 1) immediate periodontal treatment 2) later treatment, six months after study inclusion. The instruments OHIP-14 and WHOQoL-bref were used to assess oral health related quality of life and general quality of life, respectively. Complete periodontal exams evaluated plaque visible index, gingival bleeding index, plaque retentive factors, probing depth, bleeding on probing and clinical attachment level, on six sites per tooth. Furthermore, antropometrics, blood exams and interview with quality of life measures instruments were performed in baseline and six months after the beginning of the study. Both groups were similar in baseline. After six months, significant reductions on immediate treatment group for all clinical periodontal parameters were observed. The WHOQoL-bref analysis by domains showed no significant small changes, for both groups. After six months, a decrease of 18,6 to 15 (Δ=3,6) for the later treatment group and 15 to 5,7 (Δ=9,3) for the immediate treatment group was observed in the evaluation of OHIP-14 for total scores, with statistical significant differences between the groups (p=0,003). These differences resulted in an effect size of 0,27 (small) for the later treatment group and 0,78 (moderate) for the immediate treatment group. In domains analysis, significant differences for the immediate treatment group on functional limitation (p=0,006), psychological discomfort (p=0,001), physical incapacity (p=0,009) and psychological incapacity (p=0,007) domains, were found compared to later treatment group. In patients with Metabolic Syndrome, changes on quality of life perception measured by OHIP-14 were significant for immediate treatment group, compared to the later treatment group.
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Avaliação da qualidade de vida dos servidores da segurança pública do estado de Goiás / Quality of life assessment of workers of board of public security and justice of the state of GoiasIkegami , Tereza Yoshie 08 August 2014 (has links)
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Previous issue date: 2014-08-08 / Outro / The purpose of this study was to assess QOL (quality of life) of workers of Board of Public Security and Justice of the State of Goias, Brazil, and to identify the socio-demographic and occupational variables that may influence their QOL. This is an epidemiological cross-sectional study, conducted in the metropolitan region and countryside municipalities of the state. The institutions studied were the Military Police (MP), the Firefighting Brigade (FB), the Civilian Police (CP) and the Technical and Scientific Police (TSP). Data were collected using the World Health Organization Quality of Life Instrument Bref (Whoqol-bref) and a questionnaire with socio-demographic and occupational variables of interest. Data analysis was conducted using the Statistical Package for Social Sciences (SPSS), version 18.0. Descriptive statistics and measures of central tendency were calculated for the variables of interest. To evaluate the association between explanatory variables and the QOL scores (and their domains), the non-parametric Mann-Whitney and Kruskal-Wallis tests were used with p<5%. Of 1.039 workers (356 of MP, 275 of FB, 188 of CP and 203 of TSP), 78.1% were male, the predominant age was 31-50 years old; 76.4% were married or in a stable relationship. Regarding length of working in public service, 57.3% had been working up to 15 years. Of the 1.039 respondents, 62.4% were in field work activities. The scores of overall QOL and of the physical, psychological and social domains were very good; as for the environmental domain, the scores were good. The following variables were statistically significant for a better QOL: being married, working at countryside municipalities, field work activities and exercising regularly. The following variables were associated with a worse QOL: being female and having a sick family member. Good scores of QOL means offering the minimum conditions for individuals to develop the maximum of their potential to live, feel, love, work and produce. / A finalidade deste estudo foi avaliar a qualidade de vida (QV) dos trabalhadores da Secretaria de Segurança Pública e Justiça do Estado de Goiás (SSPJGO) e identificar as variáveis sociodemográficas e ocupacionais que podem influenciar a QV destes servidores. Trata-se de um estudo epidemiológico transversal, realizado nas instituições de segurança pública (ISP) da região metropolitana e cidades do interior do estado de Goiás. As instituições estudadas foram: a Polícia Militar (PM), o Corpo de Bombeiros Militar (CBM), a Polícia Civil (PC) e a Superintendência de Polícia Técnico-Científica (SPTC). Os dados foram coletados usando o instrumento abreviado de avaliação da QV da Organização Mundial da Saúde – World Health Organization Quality of Life Instrument bref (Whoqol-bref) – e um questionário com as variáveis sociodemográficas e ocupacionais de interesse. Realizou-se estatística descritiva, com medidas de tendência central, para as variáveis de interesse. Para avaliar a associação entre variáveis de interesse e os escores da QV geral e dos seus domínios, foram utilizados os testes não paramétricos de Mann-Whitney e Kruskal-Wallis, com p<5%. A amostra foi constituída de 1.039 servidores, sendo 356 da PM, 275 do CBM, 188 da PC e 203 da SPTC; com 78,1% homens; predominando as faixas etárias de 31 a 50 anos; 76,4% referiram ser casados ou em união estável. Com relação ao tempo de trabalho no serviço público, 57,3% dos servidores tinham até 15 anos. Dos 1.039 respondentes, 62,4% está em atividade operacional. Os escores da QV geral e nos domínios físico, psicológico e social foram muito bons e, no domínio ambiental, bom. As variáveis que apresentaram diferença estatisticamente significativa para uma melhor QV foram: ser casado, estar lotado no interior, trabalhar em atividade operacional e praticar atividade física regular. As seguintes variáveis tiveram associação estatisticamente significativa para pior QV dos servidores estudados: ser do sexo feminino, ter algum familiar doente e trabalhar em escalas extras. Os níveis dos escores da QV, considerados bons, significam uma QV que oferece o mínimo de condições para que os indivíduos possam desenvolver o máximo de suas potencialidades de viver, sentir, amar, trabalhar e produzir.
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Kvalita života osob s míšní lézí provozující outdoorové sporty a pohybové aktivity / Quality of life of people after spinal cord injury practicing outdoor sports and physical activitiesBumbová, Štěpánka January 2021 (has links)
Title: Quality of life of people after spinal cord injury practicing outdoor sports and physical activities Objectives: The aim of this diploma thesis was to determine the quality of life of people after spinal cord injury who participe in outdoor sports or physical activities in their lesure time. The subsequent aim was to compare the obtained results with selected groups of people without spinal cord injury and people after spinal cord injury who do not primarily engage in outdoor sports. Methods: The standardized WHOQOL-BREF questionnaire from World Health Organization was used to measure the quality of life in this thesis. The data collection was done online and the data were evaluated according to the relevant manual using Microsoft Excel. The results are presented in tables and graphs for clarity, including verbal descriptions. A total of 32 people with post-traumatic spinal cord injury (23 men and 9 women) aged 30-75 years participated in the study. 11 of whom had quadriplegia and 21 had paraplegia/paraparesis. Results: The research showed that the quality of life of people after spinal cord injury practicing outdoor sports and physical activities is best rated in the are of experience (15,54 points) and in the area of environment (15,31 points). The score were 14,93 for physical health and...
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Development of the revised WHOQOL-BREF Quality of Life Assessment : towards a mediation model on quality of life and post-traumatic stressPanayiotou, Margarita January 2016 (has links)
The adverse consequences of posttraumatic stress on quality of life have been well documented. It is, however, possible that it is not the intrusive re-experiencing and hyperarousal posttraumatic stress symptoms that have an impact on quality of life per se, but the inflexible efforts to avoid internal experiences and emotions related to the traumatic event, and the way these emotions are expressed and experienced. Previous research shows that both experiential avoidance and emotion regulation have been found to be etiologically central to the development and maintenance of psychological problems in trauma survivors. The degree to which experiential avoidance and emotion regulation act together as toxic underlying mechanisms to explain the relationship between posttraumatic stress and quality of life is, however, yet to be examined. Quality of life is now regarded as an important outcome variable across a broad range of conditions and problem areas. The quality of life concept has generated a large body of research and yet its assessment has been a challenge for researchers. The WHOQOL-BREF is considered to be one of the few genuine quality of life measures but it has received much criticism, especially regarding the poor psychometric performance of its social relationships domain. The aim of the current thesis was twofold. The first aim involved the revision of the WHOQOL-BREF through the enhancement of the social relationships domain. In Study I 986 ill and healthy individuals from five countries worldwide completed the Pilot Revised WHOQOL-BREF (WHOQOL-BREF-R) along with measures of life satisfaction, anxiety, and depression for the detailed psychometric analysis of the scale. Study I confirmed the limitations of the social relationships domain, and despite its improvement, the performance of the overall scale was found to be poor. In fact, findings from modern and robust techniques challenged the 4-factor structure of the WHOQOL-BREF. Instead, results supported the performance of a 3-factor solution, which led to the development of a psychometrically sound measure. Study II is preceded by a systematic review of the literature investigating experiential avoidance as a mediator in trauma survivors with posttraumatic stress. Ten studies were identified and organised in two categories assessing experiential avoidance as a mediator between: 1) trauma exposure and posttraumatic stress, and 2) posttraumatic stress and maladaptive behaviours. Findings suggest that the development and maintenance of posttraumatic stress symptoms and maladaptive behaviours in the aftermath of trauma can be explained through the use of experiential avoidance. Methodological limitations and future directions for research are discussed. The WHOQOL-BREF-R was then used in Study II, which explored an integrative mediation model whereby experiential avoidance and emotion regulation were tested as mediators in the relationship between posttraumatic stress symptomatology and quality of life in trauma exposed adults. The two mediators were also explored for their overlapping relationship. A total of 360 participants from the community completed self-report measures of posttraumatic stress, experiential avoidance, emotion regulation, and quality of life. With the use of path analysis Study II found experiential avoidance and emotion regulation to be two distinct constructs that together act as an underlying mechanism explaining the impact of posttraumatic stress on quality of life. Alternative mediating models were explored. The current study makes an important contribution in the area of trauma and in the conceptualisation and assessment of quality of life. Findings can be considered as a first step towards an integrative mediation model of toxic mechanisms in trauma and quality of life. Additionally, the favourable psychometric properties of the WHOQOL-BREF-R make it a powerful tool for use in quality of life research.
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Quality of Life of Lower Limb Amputees in Sweden: A Comparative Cross-sectional Study / Livskvalité hos Personer med Amputation på Nedre Extremiteten i Sverige: En Jämförande TvärsnittsstudieLindgren Westlund, Karolin January 2021 (has links)
Bakgrund: Mycket av tidigare forskning som har inkluderat personer med amputation på nedre extremiteten har varit fokuserad på gång och balans och på tillfredställelse med protes. Fler faktorer påverkar livskvalité och välmående än enbart avsaknad av funktionshinder. Syfte: Att jämföra om livskvalitet skiljer sig åt mellan en grupp med amputation på nedre extremiteten och en grupp utan amputation. Metod: Tvärsnittsdata samlades in med ett självrapporterat frågeformulär. Frågeformuläret innehöll bakgrund, WHOQOL-BREF för att mäta livskvalité och en del av Community Based Rehabilitation (CBR) indikatorer för att mäta inkludering i samhället. Rekrytering skedde via sociala plattformar. Gruppjämförelser gjordes mellan och inom grupper med Welch t-test. Samband undersöktes med generaliserad linjär modell för de fyra olika domänerna i WHOQOL-BREF med avseende på kön, ålder, utbildning, och inkludering i samhället. Resultat: Totalt var 114 deltagare var inkluderade, av dessa 64 med amputation på nedre extremiteten och 50 utan amputation. Deltagarna med amputation hade statistiskt säkerställt lägre resultat jämfört med de utan amputation på allmän hälsa, allmän livskvalité, tillfredställelse med hälsa, på fysisk och miljörelaterad livskvalitédomän, samt på inkludering i samhället. Inom grupperna hade kön, ålder, och utbildningsnivå ingen påverkan på rapporterad livskvalité. Slutsats: Personer med amputation på nedre extremiteten hade lägre rapporterad livskvalité jämfört med en grupp utan amputation. Studien tyder på att en högre upplevd inkludering i samhället och en högre upplevd gångförmåga ökade livskvalitén. / <p>Betyg i Ladok 210602.</p>
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Qualidade de vida de pacientes com insuficiência renal crônica em uma unidade dialítica na cidade de Pelotas, RSGeremia, Roberta da Silveira Pinto 06 June 2012 (has links)
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Previous issue date: 2012-06-06 / Objective: Evaluate the quality of life of patients with chronic kidney disease on hemodialysis and identify possible associations with clinical and sociodemographic variables.
Method: Cross-sectional study with 68 patients with chronic renal disease on hemodialysis at the Hospital Universitário São Francisco de Paula, in Pelotas, RS. For quality of life evaluation, two instruments were used: a generic (WHOQOL-bref) and a specific (KDQOL-SF).
Results: From the studied patients, 56% were men, 53% were older than 60 years and 62% had no steady partner. The mean time on hemodialysis was 26.7 months and median 14.5 months. The physical and psychological domains were more affected when compared to social and environmental domains, which had more satisfactory results (WHOQOL-bref). Concerning to the dimensions of the KDQOL-SF, the areas that obtained the highest scores were: hemodialysis staff encouragement, symptoms / problems, quality of social interaction, cognitive function and social support. The dimensions that presented more prejudice were associated with the professional role, burden of kidney disease, emotional function and general health perception.
Conclusion: The patients with chronic kidney disease in hemodialysis during the treatment have significant changes in their quality of life. The knowledge of the most affected areas by the disease may assist in defining ways of serving and promoting the wellbeing of patient / Objetivo: Avaliar a qualidade de vida de pacientes renais crônicos em hemodiálise e identificar possíveis associações com variáveis clínicas e sociodemográficas.
Método: Estudo transversal realizado com 68 pacientes portadores de doença renal crônica, submetidos à hemodiálise no Hospital Universitário São Francisco de Paula, na cidade de Pelotas, RS. Para avaliação da qualidade de vida foram utilizados dois instrumentos; um genérico (WHOQOL-Abreviado) e outro específico (KDQOL-SF).
Resultados: Dos pacientes incluídos no estudo, 56% eram homens, 53% tinham idade superior a 60 anos, e 62% não tinham companheiro fixo. O tempo médio em hemodiálise foi 26,7 meses e mediana 14,5 meses. Os domínios físico e psicológico se mostraram mais comprometidos quando comparados aos domínios social e ambiental, que tiveram resultados mais satisfatórios (WHOQOL-abreviado). Quanto às dimensões do KDQOL-SF, as áreas que obtiveram as maiores pontuações foram estímulo por parte da equipe, sintomas/problemas, qualidade da interação social, função cognitiva e suporte social. As dimensões que apresentaram mais prejuízo estiveram associadas ao papel profissional, sobrecarga da doença renal, função emocional e percepção da saúde geral.
Conclusão: O portador de Insuficiência Renal Crônica em vigência do tratamento de hemodiálise tem alterações significativas em sua qualidade de vida. O conhecimento das áreas mais comprometidas pela doença poderá auxiliar na definição de melhores formas de atendimento e promoção do bem-estar do paciente
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Efectos de un programa sobre calidad de vida en una muestra de mujeres adultas mayores del Perú / Effects of a quality of life program in a sample of elderly women in PeruOcsa Guerra, Paulina Ines 27 November 2020 (has links)
Introducción: El incremento de esperanza de vida no se encuentra relacionado con la calidad de vida de las personas adultas mayores. Se implementaron programas para mejorar la calidad de vida; no obstante, algunas investigaciones sugieren que la intervención debe de incluir los múltiples componentes de la variable en estudio.
Objetivos: Determinar el efecto de un programa sobre la calidad de vida en una muestra de mujeres adultas mayores de Perú.
Métodos: Estudio pre-experimental con diseño de pre-post test de un solo grupo conformado por 14 mujeres con edades comprendidas entre los 60 a 85 años. El programa estuvo compuesto por 8 sesiones de 2 horas de duración cada una. La calidad de vida fue evaluada antes y después del periodo de la intervención con el cuestionario World Health Organization Quality of Life Bref (WHOQOL-BREF).
Resultados: Se obtuvo que los puntajes promedios de cada dimensión del cuestionario WHOQOL-BREF fueron mayores después de la aplicación del programa. Asimismo, hubo una magnitud del efecto grande para las dimensiones de Relaciones Sociales (d = 0.53), Salud Psicológica (d = 0.70) y Ambiente (d = 0.76); y una magnitud mediana para la dimensión Salud Física (d = 0.44).
Conclusión: El programa genera efectos positivos en la calidad de vida de las mujeres adultas mayores, con mayor impacto en la dimensión Ambiente. Por tanto, la ejecución de este programa en futuros estudios podría favorecer sus resultados y ampliar los conocimientos para el diseño de intervenciones integrales. / Introduction: The increase in life expectancy is not directly related to the quality of life of elderly people. Some programs were implemented to aim to improve the quality of life; however, some research recommend that an intervention should include multiple variable components under study.
Objective: To determine the effect of a quality of life program in a sample of older women in Peru.
Methods: Pre-experimental study with pretest-posttest design of a single group composed of 14 women aged between 60 and 85 years old. The intervention program was formed from 8 sessions that lasted 2 hours each. The elderly’s quality of life was evaluated with the questionnaire World Health Organization of Quality of Life Bref (WHOQOL-BREF), before and after the intervention period.
Results: The mean scores for each dimension of the WHOQOL-BREF were higher after the application of the program. There was a large effect magnitude for the Social Relations (d = 0.53), Psychological Health (d = 0.70) and Environment (d = 0.76) dimensions; and a medium magnitude for the Physical Health dimension (d = 0.44).
Conclusions: The intervention program has a positive impact on the quality of life of elderly women, mainly in the Environment dimension; therefore, the implementation of this program in future studies could benefit their results and contribute to the design of future interventions. / Tesis
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Qualidade de vida em pacientes com hanseníase e a influencia da atividade física na dor neuropáticaCARDOSO, Simone de La Rocque 20 November 2014 (has links)
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Previous issue date: 2014-11-20 / A Hanseníase é uma doença infecciosa que atinge pele, nervos periféricos, provoca dor, sequelas físicas e psicológicas. Pouco estudos descrevem a qualidade de vida (QV) em pacientes com dor neuropática hansênica (DNH), presente na doença. O objetivo desta pesquisa foi avaliar a QV de pacientes acometidos pela hanseníase utilizando os questionários WHOQOL-Bref e SF-36 e, investigar a influência da atividade física na QV de pacientes com DNH. Trata-se de um estudo Transversal e de Intervenção Self-control, em que foram selecionados 80 pacientes a partir de amostra de conveniência da Unidade Básica de Saúde da Vila Santo Antônio do Prata (Igarapé Açú/Pará) e Ambulatório de Dermatologia do Núcleo de Medicina Tropical da Universidade Federal do Pará (Belém/Pará). Os pacientes responderam aos questionários de avaliação de QV propostos e os casos diagnosticados com DNH participaram pelo período de 90 dias de um protocolo de Exercício Físico. No dia zero e após o período da intervenção, foram aferidas a força da preensão palmar e a flexibilidade de membros superiores e inferiores. Os resultados mostram maiores médias de QV em pacientes com ausência de DNH. Houve melhora significativa nos domínios da QV do grupo com DNH após o período de intervenção. O exercício físico deve ser incentivado enquanto proposta terapêutica para prevenção de sequelas físicas e de DNH crônica. A avaliação da QV relacionada à saúde de pacientes hansenianos pode ser uma estratégia preponderante para melhor prevenir, tratar e curar a doença nas regiões endêmicas do Brasil. / Leprosy is an infectious disease that affects the skin, peripheral nerves, causes pain, physical and psychological consequences. Some studies describe the quality of life (QOL) in patients with leprosy neuropathic pain (DNH) in this disease. The objective of this research was to evaluate the QL of patients affected by leprosy using the WHOQOL-Bref questionnaire and SF-36 and investigate the influence of physical activity on QL in patients with DNH. This is a Transversal study and intervention Self-control, in which 80 patients were selected from a convenience sample of Basic Health Unit of Vila Santo Antonio do Prata (Igarapé Açú / Pará) and the Dermatology Clinic of the Center for Tropical medicine, from Federal University of Pará (Belém / Pará). The patients answered evaluation questionnaires of QL proposed and diagnosed cases with DNH attended by 90 days of physical activity protocol. On zero day and after the intervention period were measured the power of palmar prehension and flexibility of upper and lower limbs. The results show higher averages of QL in patients with absence of DNH. There were significant improvements in the dominion of QL with DNH group after the intervention period. Physical activity should be encouraged as a therapeutic proposal for the prevention of chronic physical consequences and DNH and the evaluation of QL associated with health of leprosy patients can be a predominant strategy to better prevent, treat and cure the disease in endemic regions of this country.
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Efeitos da fisioterapia nos programas de atenção no processo de envelhecimento sobre qualidade de vida e parâmetros físicosCastro, Paula Costa 03 February 2011 (has links)
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Previous issue date: 2011-02-03 / Financiadora de Estudos e Projetos / Different programs adapted to the elderly have been proposed in order to assist and promote healthy aging, including physical therapy interventions. The effects of these programs on the participants quality of life and physical parameters are often unknown, and require investigation. This study s purpose was to develop a physical therapy collective intervention and understand how the programs São Carlos Senior University and the Geriatric Revitalizations influence quality of life, strength, flexibility, dynamic balance and physical conditioning of the participants. As a result of this study, four papers were produced. Paper one discusses the physical therapist participation at Senior Universities for physical training in a community-based program. It also describes an intervention group therapy as a part of an interdisciplinary program at São Carlos Senior University. The second paper compares the psychometric properties and correlations of two quality of life instruments, the Medical Outcomes Study 36 Item Short-Form health survey (SF-36) and The World Health Organization Quality of Life (WHOQOL)-BREF, in a sample of Brazilian elderly. Both scales showed acceptable reliability, but a poor correlation was observed between the two questionnaires related fields. The WHOQOL-BREF seems to be a better choice for an overall assessment of quality of life and the SF-36 can better discriminate between health-related known groups. The third paper presents the influence on quality of life of middle-aged and elderly post 10-month intervention at São Carlos Senior University and Geriatric Revitalization Program. UATI Group showed significant increase in quality of life level according to the overall WHOQOL bref score; REVT Group showed significant increase in health related domains. Both groups showed improvement when compared to the Control Group. The forth paper presents a 6-month, 1, 2 and three-year follow-up of Senior University and Geriatric Revitalization in the physical variables of the participants. REVT Group showed better results than UATI Group. Both intervention-groups showed better results than Control Group. These community-based programs contributed to strength, flexibility, dynamic balance and physical conditioning improvement or maintenance. Despite the differences, both programs improved quality of life and physical parameters in the participants. Senior University and Geriatric Revitalization can be considered valid choices as assistance programs in the aging process. / Diferentes programas específicos para idosos tem sido propostos para assistir e promover envelhecimento saudável, inclusive protocolos de Fisioterapia. Os efeitos de muitos desses programas na qualidade de vida e parâmetros físicos dos participantes ainda requerem investigação. Este trabalho teve como objetivo geral desenvolver uma intervenção de fisioterapia em grupo e avaliar a influência dos programas da Universidade Aberta da Terceira Idade e do Projeto de Revitalização Geriátrica sobre a qualidade de vida, força muscular, flexibilidade, controle postural e condicionamento nos participantes. São apresentados quatro artigos. O artigo um discute a inserção do fisioterapeuta no contexto da Universidade da Terceira Idade para treinamento físico de idosos e atenção coletiva. Além disso, descreve a experiência do programa de fisioterapia em grupo como parte de um trabalho transdisciplinar da Universidade da Terceira Idade de São Carlos. O segundo artigo compara as propriedades psicométricas e correlações entre duas medidas de qualidade de vida: o Medical Outcomes Study 36 Item Short-Form health survey (SF-36) e o Instrumento de Avaliação de Qualidade de Vida da Organização Mundial de Saúde (WHOQOL-BREF). Os instrumentos apresentaram boa confiabilidade, mas uma fraca correlação foi observada entre domínios correlatos dos questionários. O WHOQOL-BREF mostrou ser o instrumento mais adequado para avaliação da qualidade de vida percebida, de uma maneira global e o SF-36 parece adaptar-se melhor a populações com condições clínicas mais homogêneas. O terceiro artigo apresenta os resultados da melhoria de qualidade de vida após 10 meses de intervenção desses dois programas. O Grupo da Universidade da Terceira Idade melhorou nos Domínios da qualidade de vida, apresentando melhor resultado que o Grupo da Revitalização Geriátrica, que melhorou nos aspectos ligados à saúde e ao físico. Porém ambos os grupos foram melhor que o Grupo Controle. O quarto artigo apresenta os resultados do acompanhamento dos parâmetros físicos após seis meses, um, dois e três anos desses programas. O Grupo da Revitalização Geriátrica apresentou melhores resultados que o Grupo da Universidade da Terceira Idade. Ambos os grupos foram melhor que o Grupo Controle. Esses programas contribuíram para o aumento ou manutenção da força muscular, flexibilidade, equilíbrio e condicionamento físico dos participantes. A Universidade da Terceira Idade de São Carlos e a Revitalização Geriátrica contribuíram para o aumento da qualidade de vida de acordo com o WHOQOL-BREF e parâmetros físicos dos participantes, representando uma opção na atenção ao idoso.
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