“Healthy Cities, Environments and Rurality” Policy: experiences in its implementation in four Colombian municipalities, 2023

2025-01-31T19:56:21+00:00

Introduction: The Colombian health promotion policy “Ciudades, Entornos y Ruralidad Saludable” (CERS), aims to contribute to improving the health conditions of populations by transforming their social determinants through intersectoral collaboration and participation. Objective: To understand the implementation of CERS in four municipalities in Colombia. Methodology: A qualitative, descriptive and cross-sectional design, through the study of multiple cases. Seventeen semi-structured interviews were carried out, transcribed, coded and categorized with representatives and leaders linked to this policy in each municipality. Results: Five categories were generated that address aspects such as the integration of CERS into territorial planning, the experiences of intersectoral collaboration, policies and multisectoral goals, the actors absent from this policy and the value that is given to them. Discussion: The implementation of CERS reflects elements related to its possibility of incorporating cross-sectorally into territorial planning instruments, the role that plays in other sectors was explicit in some cases, but not in others, as well as the meaning given to the policy. There are still sectors that need to be linked to the policy initiative. Conclusions: CERS is a policy that is implemented according to the leadership and interests of local health authorities and their capabilities to build collaborations with other sectors. Adequate territorial planning for its strengthening is fundamental, as is the understanding of the policy from health actors. It is important to continue conducting studies in other municipalities, especially in those with scarce resources and capabilities.

Validation of educational material about pain neuroscience education for adults with non-specific low back pain

2024-12-06T14:36:13+00:00

Introduction: Non-specific low back pain is a prevalent condition in the general population. The validation of educational materials focused on pain neuroscience education for these individuals is essential to ensure their quality and suitability to the context of this target population, with the aim of including them in educational programs. Objective: To validate an educational material on pain neuroscience education with the participation of experts and persons with non-specific low back pain. Methodology: A validation study was conducted following the “Guide for the Design, Use, and Evaluation of Educational Materials on Health” and “The Specific Instrument for the Evaluation of Printed Educational Materials”, developed by the Pan American Health Organization. The Content Validity Index was analyzed. Results: Seven expert physiotherapists, with an average of 15.3 years of clinical or academic experience, and 15 adults (average age 28.7±13.4 years) with non-specific low back pain participated. They assigned an average score of 43.6/45 to the evaluated educational material and agreed that it could be used as designed. The Content Validity Index per item ranged from 0.86 to 1.0, with an overall value of 0.9. Discussion: The validated educational material is relevant, coherent, and suitable for young adults with non-specific low back pain. The validation process allowed for the identification and correction of flaws, which facilitated its adaptation to the needs of the target population. Conclusion: The educational material is suitable for use with persons with non-specific low back pain as part of a pain neuroscience education program.

Salud UIS

“Healthy Cities, Environments and Rurality” Policy: experiences in its implementation in four Colombian municipalities, 2023

Validation of educational material about pain neuroscience education for adults with non-specific low back pain