Articles publicats (Càtedra de Desenvolupament d'Organitzacions i Territoris Saludables i Sostenibles)
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- ItemOpen AccessFrom Theory to Practice: A Methodology Article Describing the Eight-Stage Health Education Planning Instrument in Community Health Education(MDPI, 2026) Camí Garanto, Carla; Botigué, Teresa; Roca Llobet, Judith; Alzuria Alós, Rosa Mar; Paraíso Pueyo, Elena; Selva Pareja, LaiaBackground/Objectives: This methodology article describes the development and application of a structured planning instrument for community health education interventions. Community health education can strengthen population preparedness against respiratory threats beyond COVID-19 by improving knowledge, attitudes, and practices. The aim was to describe the development and implementation of the Eight-Stage Health Education Planning Instrument as applied in a community health education intervention aimed at improving preventive behaviors against COVID-19. Methods: A systematic, theory-based, and practice-oriented process was followed. Planning was guided by an Eight-Stage Health Education Planning Instrument. Conceptual models (ASE model, TTM, and I-Change model) were used to identify target determinants, and the Behavior Change Wheel guided the mapping stage from determinants to intervention functions and techniques. Results: The community health education intervention, developed using the Eight-Stage Health Education Planning Instrument, was named “Rethinking COVID-19” and consisted of a two-hour, in-person workshop combining brief didactic content with interactive components across three blocks: hand hygiene, healthy lifestyle, and emotional coping. Delivery procedures were predefined to ensure fidelity. The first two workshops served as formative pilots, allowing for the refinement of materials and procedures. Adjustments were guided by facilitator observations, immediate debriefs, participant satisfaction data, and one-word feedback descriptors. Conclusions: This methodology article presents the Eight-Stage Health Education Planning Instrument, a structured yet adaptable framework for the design, implementation, and evaluation of community health education programs. Its systematic stages provide an effective means of integrating theory, evidence, and community context. The “Rethinking COVID-19” intervention illustrates how the instrument standardizes planning while remaining responsive to local needs and emerging challenges. By incorporating behavioral models and clearly distinguishing between evaluation and follow-up, it strengthens methodological rigor and supports institutionalization.
- ItemOpen AccessElectrolyte Imbalance and Indirect Indicators of Dehydration in Temporary Agricultural Workers Exposed to Extreme Heat in the Mediterranean: An Observational Study on Environmental Health Risks(MDPI, 2026) Cemeli, Tània; Tort Nasarre, Glòria; Roca Llobet, Judith; Lavedán, Ana; Campoy Guerrero, Carme; Selva Pareja, Laia; Vilaplana Mayoral, Jordi; Mateo Fornés, Jordi; Espart Herrero, AnnaBackground: Climate change is intensifying extreme heat exposure in Mediterranean agricultural systems. Migrant workers engaged in outdoor fieldwork are a highly vulnerable population with limited access to resources. Crucially, there is a notable lack of data on how heat affects these workers in this specific region. Objective: This study aimed to analyze the physiological effects of high-temperature exposure by quantifying and correlating indirect indicators of dehydration and electrolyte imbalance (sodium and potassium losses, sweat, body weight, and blood pressure). Methods: An observational study was conducted over nine consecutive days involving ten agricultural participants, yielding 90 observations. Measurements of body weight, heart rate, blood pressure, skin temperature, sweat loss, and sodium and potassium concentrations were taken before, during, and after daily field activity. Results: Results showed considerable interindividual variability in thermophysiological responses. Participants lost an average of 0.8 kg (range –9.1 to +3.6 kg) and produced 3.91 L of sweat (range 1.9–6.4 L), with sodium and potassium losses of 4932 mg and 646 mg, respectively. Sweat loss correlated with sodium (r = 0.414, p = 0.001) and potassium (r = 0.791, p < 0.001), and diastolic blood pressure was moderately associated with weight loss (r = 0.576, p = 0.016). Conclusions: Sweat loss was the main driver of electrolyte depletion, with marked interindividual variability. Monitoring sweat-related indicators and diastolic blood pressure could help detect dehydration risk in agricultural workers exposed to extreme heat. Targeted hydration strategies and occupational health education are essential to mitigate these risks.
- ItemOpen AccessPedagogy of death within the framework of health education: The need and why teachers and students should be trained in primary education(Elsevier, 2023) Ramos Pla, Anabel; Arco Bravo, Isabel del; Espart Herrero, AnnaThe objective of the present study is to analyze the perceptions of in-service teachers about Pedagogy of Death within the framework of Health Education (HE), with respect to the training received and their teaching experience. A quantitative method was utilized, with the design of an ad hoc questionnaire with a Likert-type response scale and dichotomous questions. The results showed that while the teachers were aware of the need to educationally address death and health, they lacked or did not have initial or continuous training for doing so, and had not thought about it as a normalized aspect throughout their teaching career. We believe it is necessary to offer more training on Pedagogy of Death in the area of HE at universities and continuous education centers, so that it can ultimately be implemented in Primary Education classrooms.
- ItemOpen AccessHealth literacy in childhood and adolescence. A bibliometric analysis of scientific publications and professionals’ involvement(Elsevier, 2023) Santafé-Madueño, Nerea; Ramos Pla, Anabel; Selva Pareja, Laia; Barcenilla Guitard, Maria; Espart Herrero, AnnaBackground: Health Literacy (HL) is a powerful tool to empower children and adolescents in their own health. School nurses are the professionals who, with their expertise in health promotion and education, can facilitate this literacy throughout the educational process. Purpose: To analyze the scientific production in HL in childhood and adolescence in the last two decades, and to determine the involvement of professionals in this field, with emphasis on nursing professionals. Methods: A bibliometric analysis of the scientific literature (from 2000 to 2021) of articles retrieved from the Web of Science database was carried out. Original articles in all languages were considered as inclusion criteria. Bibliometrix 3.1.4 package from RStudio and VOSviewer were used to analyze publications and explain main results about citations, authors, countries, keywords trends, evolution, clusters of related terms, and professionals’ involvement. Results: A total of 2032 articles were included in the analysis. The results of the analysis showed that both publications and citations increased substantially since 2014. The most prolific authors in this field are not the most cited so far. The countries that published the most during the period evaluated were the United States, Australia and Canada. The keyword clusters identified in this scientometric study made it possible to determine hotspots in the study of HL in childhood and adolescence, with “mental health” being one of the main terms identified. There are different health-related professionals who are publishing in this field; in spite of this, nurses are not visible as authors in the publications. Conclusion: The scientific literature on HL in childhood and adolescence is a growing field in which different professionals are involved. Despite the increase in the number of publications, and despite the role that nurses play in schools regarding HL, their presence in scientific production is practically nonexistent.
- ItemOpen AccessAnalysis of the Company of Adults and the Interactions during School Recess: The COVID-19 Effect at Primary Schools(MDPI, 2021) Arco Bravo, Isabel del; Ramos Pla, Anabel; Flores i Alarcia, ÒscarThe main objective of the study was to evaluate the interactions between students and schoolteachers during recess before and after the COVID-19 pandemic in primary schools in Catalonia (Spain). In a first phase, using an observational methodology, the behaviors of adults and students were diagnosed according to the type of school. The sample consisted of 23 schools, with 69 observations at different times of the school day. The COVID-19 outbreak made it necessary to extend the present study to identify changes in school recess forced by the pandemic. In this second phase, 34 school schoolteachers were interviewed. The results show little or no adult involvement during recess, beyond mere supervision, and the need for training to improve school recess management. Regarding the changes made during the pandemic, it is concluded that there was a good implementation of protocols, an increase in organization and a reduction in conflicts. The design of school recesses with the participation of schoolteachers and students is important, although during the pandemic, this idea has taken a back seat, with schoolteachers assuming the role of dividing groups and spaces, and supervising transitions. We emphasize the importance of training students to be more proactive in conflict resolution, to ensure self-care and individual and collective responsibility.