Unidade de Investigação - ciTechCare - Center for Innovative Care and Health Technology
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Browsing Unidade de Investigação - ciTechCare - Center for Innovative Care and Health Technology by Field of Science and Technology (FOS) "Ciências Médicas::Ciências da Saúde"
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- CLC-CPC Creating learning communities for compassionate palliative care cultures - Train-the-trainer-course CurriculumPublication . Schuchter, Patrick; Buchegger, Marianne; Jurka, Johannes; Fupun, Claudia; Adascalitei, Irina; Dreglea , Ina; Gaicu, Elena; Lazar, Alina; Dixe, Maria dos Anjos; Querido, Ana; Laranjeira, CarlosiCare - an International Integrated perspective in palliative CARE for dignity and proper support in ageing and approaching end of life" is an interprofessional and participatory project led by Organizatia Umanitaria Concordia, Romania, in cooperation with the Kardinal König Haus, Vienna and the Polytechnic University of Leiria, Portugal. The European Union financially supports this initiative under the Erasmus+ program (Grant No. 2023-1-RO01-KA220-VET-000166902). The Train-the-Trainers (TOT) course curriculum in Palliative care is focused on Death Literacy and Creating Learning Communities from the Plublic Health Palliative Care perspective. The document presents TOT conceptual foundations, adult learning Philosophy, learning fields and objectives, learning outcomes per content, and evaluation.
- O efeito do jogo na promoção do equilíbrio e na prevenção do risco de quedas em pessoas idosasPublication . Neves Rosa, Marlene Cristina; Brites, Cátia; Tarrafa, Inês; Viamonte, Miguel; Oliveira, Patrícia; Silva, CândidaIntrodução: O jogo analógico dirigido a pessoas idosas com alterações de equilíbrio e risco de queda demonstrou alguns potenciais resultados, contudo os estudos são escassos. Objetivo: O presente estudo pretendeu testar o potencial de um jogo analógico na melhoria do equilíbrio e diminuição do risco de quedas, bem como caracterizar o desempenho dos participantes no jogo e a sua relação com as variáveis de equilíbrio e risco de queda. Metodologia: Foram analisados dados recolhidos em três momentos: inicial (T0); após 6 semanas de intervenção com jogo (T1) e final (T2), após 6 semanas sem intervenção com jogo. Foram calculadas correlações entre o desempenho no jogo nas diferentes grelhas (S, M e L) e os indicadores de equilíbrio (Teste de Levantar e Ir (TUG) e teste Tinetti); estes testes foram comparados entre os períodos com e sem o jogo. Resultados: Dez pessoas idosas (87,60±7,25 anos; 8 mulheres) participaram no estudo, melhorando significativamente os valores de TUG apenas entre T0-T1 (p=0,002). Os valores do teste de Tinetti melhoraram significativamente nos dois períodos de intervenção (p=0,001; p=0,006). O desempenho na grelha L demonstrou correlação com o teste Tinetti (T0 - ρ = -0,664; p = 0,036) e com o TUG apenas na 2ª tentativa (T0; r = 0,680; p = 0,030*). Conclusão: Existe potencial benefício do jogo analógico na melhoria do risco de queda (TUG) na pessoa idosa institucionalizada. O jogo implementado, no seu nível mais exigente (grelha L), parece adequar-se ao contexto de reabilitação, promovendo aprendizagem ao longo do tempo.
- Efficacy and safety of pharmacological treatments in inclusion body myositis: a systematic reviewPublication . Santos, Eduardo José Ferreira; Farisogullari, Bayram; Yapp, Nicholas; Townsley, Hermaleigh; Sousa, Pedro; Machado, Pedro; Combe, BernardObjective: To identify the best evidence on the efficacy of treatment interventions for inclusion body myositis (IBM) and to describe their safety. Methods: Systematic review of randomised controlled trials (RCTs) of pharmacological treatments of adults with IBM, conducted according to the Cochrane Handbook, updating a previous Cochrane review. The search strategy was run on Cochrane Neuromuscular Disease Group Specialized Register, CENTRAL, MEDLINE and EMBASE, ClinicalTrials.gov and the WHO International Clinical Trials Registry Platform. Assessment of risk of bias, data extraction and synthesis were performed independently by two reviewers. Data pooled in statistical meta-analyses, if possible. Results: From a total of 487 records, 48 were selected for full-text review, 14 fulfilled the inclusion criteria, but only 2 RCTs were included in meta-analyses due to clinical heterogeneity (different drug interventions or dosages). Treatments included various immunosuppressive and immunomodulatory agents, alongside interventions modulating muscle growth and protein homoeostasis. Efficacy was assessed across multiple outcomes, namely muscle strength, physical function, mobility and muscle trophicity. Trials of methotrexate (MTX), intravenous immunoglobulin, interferon beta-1a and MTX, MTX and anti-T-lymphocyte immunoglobulin, oxandrolone, MTX and azathioprine, bimagrumab, arimoclomol, and sirolimus provided low-quality to high-quality evidence of having no effect on the progression of IBM. Conclusions: Drug interventions for IBM were not effective for most of the outcomes of interest. We observed inconsistency of outcome measures across trials. More RCTs are needed, of adequate size and duration, and using a standardised set of outcome measures.
- How Health Literacy impacts Polytechnic of Leiria Students?Publication . Teixeira Ascenso, Rita Margarida; Luis, Luis; Dias, Sara; Gonçalves, DulceIn 2021, aHealth Literacy(HL) evaluation among university students revealed notable limitations in HL. To assess the general HL of populations comprehensively, the European HLSurvey Questionnaire (HLS-EU-Q) was developed, encompassing 12 subdomains to provide a broad perspective on public health. In 2014, the questionnaire was adapted for use in Portugal, resulting in the HLS-EU-PT version, validated through a 16-question survey (HLS-EU-PT-Q16).Global HL andthreedomains’ indexes and levelswere determined, namely Healthcare (HC), Disease prevention (DP), and Health Promotion (HP). The HLSEU-Q16-PT assessment demonstrated satisfactory internal consistency, with 0.8834Cronbach's alpha coefficient.In this study, an online survey distributedbetween 2020-2021among Polytechnic of Leiria academia allowed data collection from various stakeholders, including 251 students, 109 professors, 15 researchers, and 55 other staff. From the430 responses,75 questions were analysed. The saved data wasthefocus of this work, regarding a thesis of the first edition of the master’s in data science to analysethe 251 surveyed studentsand their HL. The results revealed that thesestudents have lower HL index, and, in this case study,health areadegreeor school impactsHL.
- Lived Experiences of Physiotherapists in Caring for People with Advanced Amyotrophic Lateral Sclerosis in Portugal: A Phenomenological StudyPublication . Monteiro, Andreia; Ali, Amira Mohammed; Laranjeira, CarlosAmyotrophic lateral sclerosis (ALS) is a disease that has a multidimensional impact on a person’s life, with symptoms associated with a significant loss of autonomy. Specialized palliative care (PC) should be provided early and throughout the course of the disease. Indeed, physiotherapists should be understood as integral members of the multidisciplinary team in PC, in the care and improvement of the quality of life of these people. This study aimed to describe the lived experience of physiotherapists in the context of intervention in people with advanced ALS and their families. Descriptive phenomenology was employed as a framework for conducting semi-structured interviews to reveal experiences. Sixteen physiotherapists who performed interventions on at least one person with advanced ALS in the last 2 years were included in the study. The study involved conducting semi-structured individual interviews, through the Zoom® videoconferencing platform (version 6.4.3). Data were analyzed according to Giorgi’s five-stage approach and managed using webQDA software (Version 3.0, University of Aveiro, Aveiro, Portugal). The COREQ checklist was applied in the study. Participants were mostly female (n = 12) and aged between 26 and 55 years (M = 36.81; SD = 6.75). Four constituents were identified: (1) undulating course of a complex disease; (2) barriers to person-centered care; (3) enablers of person-centered care; (4) transition between curative and palliative care. The findings illustrate the multidimensional impact of the disease trajectory on the person and their family. This study highlights the need to invest in specialized training for physiotherapists, contributing to a person-centered PC practice with an impact on promoting comfort and quality of life.
- Physical therapy provision in multiple sclerosis across Europe: a regional lottery?Publication . Rasova, K; Martinkova, P; Pavlikoma, M; Cattaneo, D; Jonsdottir, J; Henze, T; Baert, I; Van Asch, P; Santovo, C; Smedal, T; Beiske, A G; Stachowiak, M; Kovalewski, M; Nedeljkovic, U; Bakalidou, D; Alves-Guerreiro, José; Nilsagård, Y; Dimitrova, E N; Habek, M; Armutlu, K; Donzé, C; Ross, E; Ilie, A M; Martić, AThis paper provides information about an ongoing multi-staged online web questionnaire survey established by a core group within the Special Interest Group in Mobility, Rehabilitation in Multiple Sclerosis (www.eurims.org). The aims of the survey were to document the following across Europe: the availability and setting in which physical therapy for multiple sclerosis (MS) is delivered; the level of awareness and knowledge of different physical therapy approaches; the actual content of physical therapy and applied evaluation tools.
- Psychometric evaluation of the Arabic version of the Eight-item Center for Epidemiological Studies Depression Scale (CESD-8): Specific cultural considerations for the assessment of depressionPublication . Ali, Amira M.; Al-Dossary, Saeed A.; Fekih-Romdhane, Feten; Alameri, Rana Ali; Laranjeira, Carlos; Khatatbeh, Haitham; Zoromba, Mohamed Ali; Alkhamees, Abdulmajeed A.; Aljaberi, Musheer A.; Pakai, Annamaria; El-Gazar, Heba EmadBackground Despite extensive evaluations of the Center for Epidemiological Studies Depression Scale (CESD), its shortest version, the Eight-Item version (CESD-8), is less investigated, with absolute lack of information on its psychometric properties in the Arab world. Methods To fill the gap, data collected via an anonymous online survey from Saudi samples of students (N = 979, 422) and employees (N = 314), were analyzed through exploratory factor analysis, confirmatory factor analysis, and multigroup analysis to examine the structure and measurement invariance of the CESD-8. Convergent validity and internal consistency tests involved correlating the CESD-8 with its subscales, item analysis measures, and intra class correlations. Criterion validity tests involved correlating the CESD-8 and its subscales with a single-item measure of happiness. Results Exploratory factor analysis produced two factors (negative affect and positive affect) with eigen values >1, which explained 86.4 % of the variance. In confirmatory factor analysis, the crude exploratory factor analysis model had good fit while the fit of the unidimensional CESD-8 and another two-factor structure (depressed affect and somatic complaints) was improved by correlating the residuals of the items of positive affect (CESD4 and CESD6). A three-factor model (depressed affect, somatic complaints, and positive affect) expressed the best fit in the absence of error correlations. This model was invariant across groups of students and employees, gender, and age. The scale and its three dimensions demonstrated adequate internal consistency (alpha coefficient range = 0.65–0.89), convergent validity (item total correlation range = 0.43–0.80 and range of correlations with the CESD-8 = -0.68–0.92), and criterion validity (range of correlations with happiness scores = -0.40–0.60). Conclusions The CESD-8 is a valid short scale for quick identification of people with depressive psychopathologies. Using the CESD-8 to detect heterogenous depressive symptoms, rather than assessing depression as a whole condition, may influence our understanding of the dynamics and treatments of depression in specific groups/cultures, with emphasis on absence of positive affect in the definition of depression among Arabs. Replications of the three-factor structure in different cultures are needed.
- Visual Fixations in Basketball Shooting: Differences between Shooting ConditionsPublication . Amaro, Catarina M.; Castro, Maria António; Mendes, Rui; Gomes, Beatriz B.Basketball is a sport where shooting is one of the most important factors that determines the success or failure of the teams. Therefore, basketball players need to shoot the ball accurately. The present study aimed to evaluate whether different shooting conditions influence the visual behavior of athletes. For this, the Tobbi Pro Glasses 3 equipment was used to evaluate the time of the first fixation, the number of fixations, and the total time of fixations in the basket, during the shooting movement. Different distances to the basket, simulated gym audience noise, and shooting with opposition were considered. A group of 18 athletes with an average age of 22 ± 3.72 years and an average basketball practice experience of 12.5 ± 4.52 years performed 10 valid shots from different distances and different shooting angles, with different restrictions, namely, shooting with simulated opposition and gym audience noise. Statistically significant differences between shooting with opposition and baseline, in terms of the number of fixations and the total time of fixation, were found. Regarding shooting with gym audience noise, differences only occur for the total time of fixations in one position. Despite this, in all variables and positions, the values were lower in shooting with constraints compared to the baseline.