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      O idadismo no contexto do trabalho da Estratégia Saúde da Família: projeção de saberes ao tetragrama dialógico de Morin Translated title: El edadismo en el contexto del trabajo de la estrategia salud de la familia: proyección de saberes al tetragrama dialógico de Morin Translated title: Ageism in the work context of the family health strategy: projection of knowledge on Morin’s dialogic tetragrammaton

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          Abstract

          Trata-se de um estudo teórico com o objetivo de aproximar aportes sobre o idadismo ao tetragrama dialógico de interações, proposto por Morin, no contexto do trabalho na Estratégia Saúde da Família e na Atenção Primária à Saúde. Para isso, foi realizada uma projeção simbólica de saberes sobre o etarismo organizada em quatro atos: ordem, dispersão, interação e religação. Conclui-se que esse exercício teórico pode ser transmutado para o cotidiano de trabalho na Saúde, no qual a compreensão da existência do tetragrama dialógico, atuando simultaneamente na vida de forma antagônica, concorrente e complementar, pode incitar um pensar crítico, criativo e complexo em prol de saberes e de práticas frente à complexidade do idadismo.

          Translated abstract

          Se trata de un estudio teórico con el objetivo de aproximar contribuciones sobre el edadismo al tetragrama dialógico de interacciones, propuesto por Morin, en el contexto del trabajo en la Estrategia Salud de la Familia y de la Atención Primaria de la Salud. Para ello, se realizó una proyección simbólica de saberes sobre el edadismo organizada en cuatro actos: orden, dispersión, interacción y reconexión. Se concluyó que este ejercicio teórico pueda transmutarse para el cotidiano de trabajo en la salud, en donde la comprensión de la existencia del tetragrama dialógico, actuando simultáneamente en la vida de forma antagónica, competidora y complementaria, pueda incitar un pensar crítico, creativo y complejo en pro de saberes y de prácticas ante la complejidad del edadismo.

          Translated abstract

          This is a theoretical study that aims to articulate contributions on ageism with the dialogic tetragrammaton of interactions, proposed by Morin, in the context of work in the Family Health Strategy and Primary Health Care. To accomplish this, a symbolic projection of knowledge about ageism was carried out, organized in four acts: order, dispersion, interaction, and reconnection. We concluded that this theoretical exercise can be transmuted to the daily work in health care, and that understanding the existence of the dialogic tetragrammaton, which acts in life simultaneously in antagonistic, concurrent and complementary ways, can stimulate critical, creative and complex thinking in favor of knowledge and practices that take the complexity of ageism into account.

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          Most cited references52

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          Designing Difference in Difference Studies: Best Practices for Public Health Policy Research

          The difference in difference (DID) design is a quasi-experimental research design that researchers often use to study causal relationships in public health settings where randomized controlled trials (RCTs) are infeasible or unethical. However, causal inference poses many challenges in DID designs. In this article, we review key features of DID designs with an emphasis on public health policy research. Contemporary researchers should take an active approach to the design of DID studies, seeking to construct comparison groups, sensitivity analyses, and robustness checks that help validate the method's assumptions. We explain the key assumptions of the design and discuss analytic tactics, supplementary analysis, and approaches to statistical inference that are often important in applied research. The DID design is not a perfect substitute for randomized experiments, but it often represents a feasible way to learn about casual relationships. We conclude by noting that combining elements from multiple quasi-experimental techniques may be important in the next wave of innovations to the DID approach.
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            Attitudes Toward Younger and Older Adults: An Updated Meta-Analytic Review

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              Interventions to Reduce Ageism Against Older Adults: A Systematic Review and Meta-Analysis

              Background. Research has found a strong link between ageism, in the form of negative stereotypes, prejudice, and discrimination toward older people, and risks to their physical and mental health. Little is known, however, about the effectiveness of strategies to reduce ageism. Objectives. To assess the relative effects of 3 intervention types designed to reduce ageism among youths and adults—education, intergenerational contact, and combined education and intergenerational contact—by conducting a systematic review and meta-analysis. Search Methods. We searched PubMed, PsycINFO, AgeLine, EBSCO, Embase, Cumulative Index to Nursing and Allied Health Literature (CINAHL), Global Index Medicus, Database of Abstracts of Reviews of Effects (DARE), Epistemonikos, Cochrane Database of Systematic Reviews, Campbell Collaboration, PROSPERO, GreyLit, and OpenGrey. We identified additional records by hand-searching reference lists of relevant review articles as well as records included in the meta-analysis. Two independent reviewers completed the search and screening process. Selection Criteria . Eligible studies were those that (1) evaluated an intervention designed to reduce ageism, (2) examined at least 1 ageism outcome in relation to older adults, (3) used a design with a comparison group (randomized or nonrandomized), and (4) were published after 1970, when the ageism concept was developed. Data Collection and Analysis. Two independent reviewers extracted study-level data from records using a common data collection spreadsheet. They also assessed study quality by using the Cochrane Risk of Bias Tool, and used the Grading of Recommendations, Assessment, Development, and Evaluations (GRADE) tool to assess quality of outcome evidence. Primary outcomes were attitudes toward older people and accuracy of knowledge about aging and older people. Secondary outcomes included comfort with older adults, anxiety about one’s own aging, and interest in working in the field of geriatrics or gerontology. We carried out meta-analyses with statistical mixed models. Main Results. We identified 63 eligible studies (1976–2018) with a total sample of 6124 participants. Ageism interventions demonstrated a strongly significant effect on attitudes (differences of standardized mean differences [d D ] = 0.33; P  < .001), knowledge (d D  = 0.42; P  < .001), and comfort (d D  = 0.50; P  < .001), but no significant effect on anxiety (d D  = 0.13; P  = .33) or working with older adults (d D  = −0.09; P  = .40). Combined interventions with education and intergenerational contact showed the largest effects on attitudes. We found stronger effects for females and for adolescent and young adult groups. Authors’ Conclusions. Interventions are associated with substantial reduction in ageism and should be part of an international strategy to improve perceptions of older people and the aging process. Additional research using more rigorous designs to examine the effects of interventions is strongly recommended. Public Health Implications. Ageism has well-established negative effects on the physical and mental health of older people. Findings suggest that relatively low-cost, feasible strategies involving education and intergenerational contact can serve as the basis of effective interventions to reduce ageism.
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                Author and article information

                Journal
                icse
                Interface - Comunicação, Saúde, Educação
                Interface (Botucatu)
                UNESP (Botucatu, SP, Brazil )
                1414-3283
                1807-5762
                2022
                : 26
                : suppl 1
                : e220209
                Affiliations
                [02] Natal RN orgnameUFRN orgdiv1Departamento de Medicina Clínica orgdiv2Programas de PósGraduação em Saúde da Família e Saúde Coletiva Brasil
                [01] Natal Rio Grande do Norte orgnameUniversidade Federal do Rio Grande do Norte orgdiv1Rede Nordeste de Formação em Saúde da Família orgdiv2Saúde da Família Brazil
                Article
                S1414-32832022000200200 S1414-3283(22)02600000200
                10.1590/interface.220209
                1d16c26e-2f37-4d39-bb83-8db66cdb3a18

                This work is licensed under a Creative Commons Attribution 4.0 International License.

                History
                : 29 June 2022
                : 09 May 2022
                Page count
                Figures: 0, Tables: 0, Equations: 0, References: 52, Pages: 0
                Product

                SciELO Brazil


                Idadismo,Aging,Primary health care,Family health,Complexity,Ageism,Envejecimiento,Atención primaria de la salud,Salud de la familia,Complejidad,Edadismo,Envelhecimento,Atenção Primária à Saúde,Saúde da Família,Complexidade

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