Permanent health education in the context of obesity: a scoping review
DOI:
https://doi.org/10.11606/s1518-8787.2023057004244Palavras-chave:
Patient Care Team, Education, Continuing, Obesity Management, ReviewResumo
OBJETIVE: To map the international literature on Permanent Health Education initiatives to care for people with obesity. METHODS: In total, six databases were searched without any language or publication period restriction according to the Joana Briggs Institute manual for evidence synthesis and the Prisma extension for scoping reviews (Prisma-ScR). Articles were independently analyzed by four reviewers and data, by two authors, which were then analyzed and discussed with our research team. RESULTS: After screening 8,780 titles/abstracts and 26 full texts, 10studies met our eligibility criteria. We extracted data on methodologies, themes, definitions of obesity, outcomes, and gaps. Most initiatives came from North American countries without free or universal health systems and lasted a short period of time (70%), had multidisciplinary teams (70%), and addressed sub-themes on obesity approaches (90%). Results included changes in participants’ understanding, attitude, and procedures (80%) and gaps which pointed to the sustainability of these changes (80%). CONCLUSION: This review shows the scarce research in the area and a general design of poorly effective initiatives, with traditional teaching methodologies based on information transmission techniques, the understanding of obesity as a disease and a public health problem, punctual actions, disciplinary fragmentation alien to the daily work centrality, and failure to recognize problems and territory as knowledge triggers and to focus on health care networks, line of care, the integrality of care, and food and body cultures.
Referências
Swinburn BA, Kraak VI, Allender S, Atkins VJ, Baker PI, Bogard JR et al. The Global Syndemic of Obesity, Undernutrition, and Climate Change: The Lancet Commission report. Lancet. 2019;393(10173):791-846. https://doi.org/10.1016/S0140-6736(18)32822-8
Ceccim RBC, Feuerwerker LCM. O quadrilátero da formação para a área da saúde: ensino, gestão, atenção e controle social. Physis. 2004;14(1):41-65. https://doi.org/10.1590/S0103-73312004000100004
Burlandy L, Teixeira MRM, Castro LMC, Cruz MCC, Santos CRB, Souza SR, et al. Modelos de assistência ao indivíduo com obesidade na atenção básica em saúde no Estado do Rio de Janeiro, Brasil. CadSaude Publica. 2020;36(3):e00093419. https://doi.org/10.1590/0102-311x00093419
Ministério da Saúde (BR). Portaria Nº 424, de 19 de março de 2013. Redefine as diretrizes para a organização da prevenção e do tratamento do sobrepeso e obesidade como linha de cuidado prioritária da Rede de Atenção à Saúde das Pessoas com Doenças Crônicas.Brasília, DF; 2013.
Ceccim RB, Ferla, AA. Educação permanente em saúde. In: Pereira IB, Lima JCF, organizadores. Dicionário de educação professional em saúde. 2. ed. rev. ampl. Rio de Janeiro: EPSJV; 2009 [cited 2020 Aug 16]. Availablefrom:
http://www.sites.epsjv.fiocruz.br/dicionario/verbetes/edupersau.html
Shamseer L, Moher D, Clarke M, Ghersi D, Liberati A, Petticrew M, et al. Preferred reporting items for systematic review and meta-analysis protocols (PRISMA-P) 2015: elaboration and explanation. BMJ. 2015;350:g7647. https://doi.org/10.1136/bmj.g7647
Peters MDJ, Godfrey C, McInerney P, Munn Z, Tricco AC, Khalil H. Scope reviews (version 2020). In: Aromataris E, Munn Z, editors. JBI Manual for evidence synthesis. Adelaide (AU): JBI; 2020 [cited 2021 June 16]. Chapter 11. Available from: https://jbi-global-wiki.refined.site/space/MANUAL/4687342/Chapter+11%3A+Scoping+reviews
Tricco AC, Lillie E, Zarin W, O'Brien KK, Colquhoun H, Levac D, et al. PRISMA Extension for Scoping Reviews (PRISMA-ScR): checklist and explanation. Ann Intern Med. 2018;169(7):467-73. https://doi.org/10.7326/M18-0850
Rueda-Clausen CF, Benterud E, Bond T, Olszowka R, Vallis MT, Sharma AM. Effect of implementing the 5As of obesity management framework on provider-patient interactions in primary care. Clin Obes. 2014;4(1):39-44. https://doi.org/doi:10.1111/cob.12038
Whitaker RC, Sherman SN, Chamberlin LA, Powers SW. Altering the perceptions of WIC health professionals about childhood obesity using video with facilitated group discussion. J Am Diet Assoc. 2004;104(3):379-86. https://doi.org/10.1016/j.jada.2003.12.017
Katz S, Feigenbaum A, Pasternak S, Vinker S. An interactive course to enhance self-efficacy of family practitioners to treat obesity. BMC Med Educ. 2005;5(1):4. https://doi.org/10.1186/1472-6920-5-4
Stark CM, Graham-Kiefer ML, Devine CM, Dollahite JS, Olson CM. Online course increases nutrition professionals’ knowledge, skills, and self-efficacy in using an ecological approach to prevent childhood obesity. J Nutr Educ Behav. 2011;43(5):316-22. https://doi.org/10.1016/j.jneb.2011.01.010
McPherson ME, Mirkin R, Heatherley PN, Homer CJ. Educating health care professionals in advocacy for childhood obesity prevention in their communities: integrating public health and primary care in the Be Our Voice project. Am J Public Health. 2012;102(8):e37-e43. https://doi.org/10.2105/AJPH.2012.300833
Sarayani A, Rashidian A, Gholami K, Torkamandi H, Javadi M. Efficacy of continuing education in improving pharmacists’ competencies for providing weight management service: three-arm randomized controlled trial. J Contin Educ Health Prof. 2012;32(3):163-73. https://doi.org/10.1002/chp.21141
Campbell-Scherer DL, Asselin J, Osunlana AM, Fielding S, Anderson R, Rueda-Clausen CF, et al. Implementation and evaluation of the 5As framework of obesity management in primary care: design of the 5As Team (5AsT) randomized control trial. ImplementSci. 2014;9:78. https://doi.org/10.1186/1748-5908-9-78
Mainor A, Leeman J, Sommers J, Heiser C, Gonzalez C, Farris RP, et al. A systematic approach to evaluating public health training: the obesity prevention in public health course. J Public Health ManagPract. 2014;20(6):647-53. https://doi.org/10.1097/PHH.0000000000000046
Vasudevan DA, Northrup TF, Mandayam S, Bamidele OO, Stotts AL. Impact of physician training on diagnosis and counseling of overweight and obese Asian patients. J Racial Ethn Health Disparities. 2017;4(3):322-8. https://doi.org/10.1007/s40615-016-0231-2
Joshua S. Enhancing culturally competent care for obesity among African immigrants [dissertation]. Tucson (AZ): The University of Arizona; 2017 [cited 2021 June 21]. Available from: http://hdl.handle.net/10150/626636
Sanchez-Ramirez DC, Long H, Mowat S, Hein C. Obesity education for front-line healthcare providers. BMC Med Educ. 2018;18(1):278. https://doi.org/10.1186/s12909-018-1380-2
Asselin J, Osunlana AM, Ogunleye AA, Sharma AM, Campbell-Scherer D. Challenges in interdisciplinary weight management in primary care: lessons learned from the 5As Team study. Clin Obes. 2016;6(2):124-32. https://doi.org/10.1111/cob.12133
Osunlana AM, Asselin J, Anderson R, Ogunleye AA, Cave A, Sharma AM, et al. 5As Team obesity intervention in primary care: development and evaluation of shared decision-making weight management tools. Clin Obes. 2015;5(4):219-25. https://doi.org/10.1111/cob.12105
Campbell-Scherer DL, Asselin J, Osunlana AM, Ogunleye AA, Fielding S, Anderson R, et al. Changing provider behaviour to increase nurse visits for obesity in family practice: the 5As Team randomized controlled trial. CMAJ Open. 2019;7(2):E371-E378. https://doi.org/10.9778/cmajo.20180165
Ogunleye A, Osunlana A, Asselin J, Cave A, Sharma AM, Campbell-Scherer DL. The 5As team intervention: bridging the knowledge gap in obesity management among primary care practitioners. BMC Res Notes. 2015;8:810. https://doi.org/10.1186/s13104-015-1685-8
Ministério da Saúde (BR). Síntese de evidências para políticas de saúde: estimulando o uso de evidências científicas na tomada de decisão. Brasilia, DF; 2015.
Ministério da Saúde (BR). Política Nacional de Educação Permanente em Saúde. Brasilia, DF; 2009.
Poulain JP. Sociologia da obesidade. São Paulo: Senac São Paulo; 2013.
Nestle M. Uma verdade indigesta: como a indústria alimentícia distorce a ciência do que comemos. São Paulo: Elefante; 2019.
Peres J. Os bolsos gordos da ciência da obesidade. O Joio e o Trigo. 4 dez 2017 [cited 2021 Jun 16]. Available from: https://ojoioeotrigo.com.br/2017/12/os-bolsos-gordos-da-ciencia-da-obesidade/
Foucault M. História da sexualidade. Vol. 1, A vontade de saber (1976). Rio de Janeiro: Graal; 1999.
Miccas FL, Batista SH. Educação permanente em saúde: metassíntese. RevSaude Publica. 2014;48(1):170-85. https://doi.org/10.1590/s0034-8910.2014048004498
Vasconcelos M, Grillo MJC, Soares SM. Práticas pedagógicas em atenção básica à saúde: tecnologias para abordagem ao indivíduo, família e comunidade. Belo Horizonte, MG: Editora UFMG; Nescon UFMG; 2009.
Ministério da Saúde (BR). Portaria Nº 198/GM/MS, de 13 de fevereiro de 2004. Institui a Política Nacional de Educação Permanente em Saúde como estratégia do Sistema Único de Saúde para a formação e o desenvolvimento de trabalhadores para o setor, e dá outras providências. Brasília, DF; 2004.
Ceccim RB. Educação Permanente em Saúde: desafio ambicioso e necessário. Interface (Botucatu). 2005;9(16):161-78. https://doi.org/10.1590/S1414-32832005000100013
Merhy EE. O desafio que a educação permanente tem em si: a pedagogia da implicação. Interface (Botucatu). 2005;9(16):172-4. https://doi.org/10.1590/S1414-32832005000100015
Gard M, Wright J. The obesity epidemic: science, morality and ideology. London (UK): Routledge; 2005.
World Health Organization. Obesity: preventing and managing the global epidemic: report of a WHO consultation. Geneva (CH): WHO; 2000. (WHO Technical Report Series; nº 894).
Amparo-Santos L. Saúde, práticas corporais e obesidade na cultura contemporânea. In: Nascimento MC, Nogueira MI, organizadores. Intercâmbio solidário de saberes em sáude: racionalidades médicas e práticas integrativas e complementarers. São Paulo: Hucitec; 2013; p. 171-90.
Ralston J, Brinsden H, Buse K, Candeias V, Caterson I, Hassell T, et al. Time for a new obesity narrative. Lancet. 2018;392(10156):1384-6. https://doi.org/10.1016/S0140-6736(18)32537-6
Yates-Doerr E. The weight of obesity.Berkeley, CA: University of California Press; 2015.
Monaghan LF, Hollands R, Prtichard G. Obesity epidemic entrepreneurs: types, practices and interests. Body Soc. 2010;16(2):37-71. https://doi.org/10.1177/1357034X10364769
Zabala A. A prática educativa: como ensinar. 2. Ed. Porto Alegre: Artmed; 2010.
Gondim GMM, Monken M, Rojas LI, Barcellos C, Peiter P. O território da saúde: a organização do sistema de saúde e a territorialização. In: Miranda AC, Barcellos C, Moreira JC, Momken M, organizadores. Território, ambiente e saúde. Rio de Janeiro: Fiocruz; 2008: p. 237-55.
Caleman G, Lima VV, Oliveira MS, Massaro A, GomesR, Pereira MSF, et al. Projeto Aplicativo: termos de referência. São Paulo: Instituto Sírio-Libanês de Ensino e Pesquisa; Ministério da Saúde; 2016. (Projetos de Apoioao SUS).
Lavis JN, Oxman AD, Lewin S, Fretheim A. SUPPORT Tools for evidence-informed health Policymaking (STP). Health Res Policy Syst. 2009;7 Suppl 1:I1. https://doi.org/10.1186/1478-4505-7-S1-I1
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2023 Carolina Gusmão Magalhães, Ricardo Burg Ceccim, Lígia Amparo Santos da Silva, Verena Macedo Santos, Emile Miranda Pereira, Ana Artur Francisco Mussa Santos, Gesner Franscisco Xavier Júnior, Poliana Cardoso Martins, Mônica Leila Portela de Santana
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
Como Citar
Dados de financiamento
-
Conselho Nacional de Desenvolvimento Científico e Tecnológico
Números do Financiamento 408611/2017-0
