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Factors Associated With Transition of Care in Patients With Chronic Non‐Communicable Diseases: Cross‐Sectional Study
Publication . Seidler, Mardhjorie dos Santos; Trindade, Letícia Flores; Berghetti, Larissa; Castro, Letícia Y.; Rodrigues, Francini de Oliveira; Baixinho, Cristina Lavareda; Romero, Manuel Portela; Rosa, Amanda Caroline Mélo da; Kolankiewicz, Adriane Cristina Bernat
Aim: To assess the relationship between sociodemographic and clinical characteristics and the quality of care transitions among individuals with chronic non- communicable diseases after hospital discharge. Design: Cross- sectional, single- centre study. Method: Participants were people with chronic diseases who underwent clinical or surgical treatment and were discharged from a hospital in southern Brazil. Data were collected from March to July 2021. The study used clinical and sociodemographic characterisation instruments at the bedside; after hospital discharge, the care transitions measure- 15 (CTM- 15) was conducted by telephone. Descriptive and inferential statistical analyses were applied. Results: A total of 487 participants were included, with a mean age of 60.6 years; 67.4% were classified as having satisfactory care transitions. In the adjusted model, a higher likelihood of satisfactory transitions was observed among individuals who underwent surgical treatment (OR = 2.974; p < 0.001), those without family income (OR = 2.546; p < 0.001), White individuals (OR = 1.705; p = 0.027), and women (OR = 1.589; p = 0.042). Discharge with clinical devices was also associated with satisfactory transitions (OR = 1.245; p = 0.043). Conversely, individuals with family income between R$1100 and R$3299 showed a lower likelihood of satisfactory transitions, although this association was not statistically significant (OR = 0.724; p = 0.066). Conclusion: Clinical and sociodemographic characteristics significantly influence the quality of care transitions. The results highlight social and contextual factors and show that effective transitions require strategies that integrate clinical needs with the social determinants shaping the care experience. Transition practices that are sensitive to patients' social, cultural and economic contexts may help strengthen equity and safety in post- discharge continuity of care. Implications for the Profession and/or Patient Care: These findings reinforce the need for individualised discharge planning, clear interprofessional communication and health education adapted to patients' literacy levels and social conditions. Such measures can improve safety, autonomy and treatment continuity for patients with chronic conditions and support professionals in developing context- responsive care transition strategies. Reporting Method: This study followed the STROBE checklist for cross- sectional studies. Patient or Public Contribution: Patients participated in the data collection by answering the care transitions measure- 15 after hospital discharge, directly contributing to the interpretation of the care transitions data.
Game-based balance training in older adults: systematic review and meta-analysis
Publication . Tomé, Ana; Castro, Silvia; Rosa, Marlene; Tomás, Maria Teresa; Fontes, Ana Paula Fontes; Pais, Sandra
Functional decline in older adults is a major contributor to both falls and increased fall risk. Nevertheless, such decline may be mitigated through multidimensional interventions. Game-based and gamified interventions have emerged as promising alternative strategies. This study aimed to evaluate the effectiveness of these approaches in improving balance and reducing fall risk among community-dwelling adults aged 65 years and over. The research question was: Do serious games and gamification improve balance and reduce fall risk in community-dwelling older adults, compared with exercise programmes, non-gamified interventions, or control conditions? A systematic search of randomised controlled trials was conducted in accordance with PRISMA guidelines, resulting in the inclusion of nine studies from 634 records screened. Meta-analysis demonstrated significant improvements in the Functional Reach Test and the Berg Balance Scale. However, no significant overall effects were observed for the Timed Up and Go Test or the Single-Leg Stance Test. Although game-based interventions may improve specific dimensions of balance in community-dwelling older adults, the findings should be interpreted with caution. The limited number of studies, small sample sizes, heterogeneity of interventions, and reliance on balance-related surrogate outcomes rather than direct measures of fall incidence highlight the need for further high-quality research.
Food literacy among Portuguese adults with skeletal dysplasia: insights from a cross-sectional study
Publication . Guerra, Beatriz; Alves, Inês; Costa, Ricardo; Dias, Valter; Jesus, Pedro; Pereira, Cidália D.; Soliman, Neveen
Purpose
Skeletal dysplasias are a heterogeneous group of 771 rare diagnoses, that present short stature as a common feature. Despite the importance of nutrition in health management, food literacy in this population remains largely unexplored. This study aimed to assess the level of food literacy among Portuguese adults with skeletal dysplasia.
Methods
A cross-sectional observational study was conducted among adults (> 18 years) with skeletal dysplasia (n = 43, 30 female). Data were collected through an online questionnaire comprising two sections: sociodemographic and clinical information and the Portuguese version of the Food Literacy Scale (FLS). The FLS covers three dimensions: literacy about the nutritional composition of food, literacy about labelling and food choices, and literacy about healthy eating practices. Food literacy scores were calculated as percentage indices. Descriptive statistics with 95% confidence intervals and subgroup comparison by sex and age were performed.
Results
Mean overall food literacy score was 60.8% (CI 95%: 54.7–66.9). Among the three dimensions, the highest mean score was observed for healthy eating practices, 62.0% (CI 95%: 56.4–67.6), and the lowest for labelling and food choices, 59.0% (CI 95%: 51.1–66.9). No statistically significant differences were found in overall food literacy or in any of its dimensions according to sex or age. Participants reported greater difficulty with recommended protein amounts, interpreting and using food labels, adhering to the Mediterranean diet, and recommended portion sizes.
Conclusions
Adults with skeletal dysplasia in Portugal showed modest food literacy scores, mainly in domains related to food labelling and food choices. Tailored nutrition education strategies and more easily accessible food-related guidance may help address the specific literacy gaps identified in this population.
A LA e os (multi)letramentos na formação inicial reflexões a partir de um Estágio Docente no curso de Letras- Português
Publication . Araújo, Francisco; Nascimento. Juscelino; Andrade, Ludmila; Sousa, Célia Maria
Este artigo insere-se no debate sobre formação inicial de professores de Língua Portuguesa (LP) no âmbito da Linguística Aplicada (LA), considerando o papel formativo dessa disciplina na graduação em Letras, durante a realização de um estágio docente. Logo, objetivo principal é analisar as contribuições da LA para a constituição do professor de português em formação inicial, a partir de uma experiência de estágio de docência no Ensino Superior. Fundamentamo-nos nos pressupostos da LA, especialmente em Moita Lopes (2006), Candlin (2001) e Cavalcanti (1986), articulados às discussões sobre estágio docente Lima e Pimenta (2006) e multiletramentos Rojo e Moura (2019). Este artigo é de cunho qualitativo, de natureza reflexivo-analítica, configurada como estudo de caso alinhado à pesquisa bibliográfica. Concluímos, portanto, que a referida disciplina constitui espaço privilegiado de articulação entre teoria e prática, contribuindo para a formação crítica e situada do professor de Língua Portuguesa.
Jardins: O crochet hiperbólico como representação da natureza
Publication . Cruz, Joana Quintanilha Fernandes Bicho; Bispo, Renato Jorge Costa Lopes
O presente projeto pretende desenvolver, através do crochet como meio expressivo, objetos têxteis interativos com uma linguagem emocional e psicológica, traduzida numa representação visual da natureza e na construção de uma narrativa que permita ao utilizador estabelecer uma relação mais próxima com o objeto. O conceito do projeto baseia-se numa ideologia de produção sustentável e independente, que se afasta de uma lógica económica destrutiva e privilegia a natureza humana, bem como a satisfação de necessidades emocionais. O desenvolvimento dos objetos segue uma lógica política e social marcada pela construção de uma natureza não económica,
cuja gratificação pessoal se relaciona com uma perspetiva emocionalmente enriquecedora. A escolha do crochet como meio expressivo para este projeto partiu não só do interesse visual e criativo pela técnica, mas também da curiosidade pela fisicalidade e flexibilidade que esta matéria-prima oferece, permitindo desafiar e compreender as suas características físicas e assumir o seu controlo. O valor simbólico presente nos objetos assume um papel fundamental na interpretação do utilizador, que os percebe como produtos autênticos e indicadores de estados de espírito. Embora apresentem tipologias distintas, ambas as peças partilham aspetos comuns pois, foram desenhadas para funcionarem como objetos interativos, respondendo a questões relacionadas com o impacto, a versatilidade, a atribuição de significado e as reações e impressões do público. Reposicionar objetos de crochet em territórios inesperados para a sua natureza habitual provoca reações diversas, gera comunicação entre o público, capta a atenção e estimula o pensamento crítico através do questionamento. Convidar o público a fazer ou continuar o objeto, em vez de apenas o observar, é uma das formas
interativas deste projeto, promovendo assim a comunidade, o equilíbrio, o ânimo e a ecologia através do crochet como prática manual.