Unidade de Investigação - ciTechCare - Center for Innovative Care and Health Technology
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Percorrer Unidade de Investigação - ciTechCare - Center for Innovative Care and Health Technology por Domínios Científicos e Tecnológicos (FOS) "Ciências Médicas::Outras Ciências Médicas"
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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.
- Content and Delivery of Physical Therapy in Multiple Sclerosis across Europe: A SurveyPublication . Řasová, Kamila; Freeman, Jenny; Cattaneo, Davide; Jonsdottir, Johanna; Baert, Ilse; Smedal, Tori; Romberg, Anders; Feys, Peter; Alves-Guerreiro, José; Habek, Mario; Henze, Thomas; Santoyo-Medina, Carme; Beiske, Antonie; Asch, Paul Van; Bakalidou, Daphne; Salcı, Yeliz; Dimitrova, Erieta; Pavlíková, Markéta; Štětkářová, Ivana; Vorlíčková, Jana; Martinková, PatriciaBackground: Guidelines and general recommendations are available for multiple sclerosis rehabilitation, but no specific guidance exists for physical therapists. Describing aspects of physical therapy content and delivery in multiple sclerosis and its determinants and analysing whether general recommendations connected with physical therapy are implemented in practice is important for interpreting clinical and research evidence. Methods: An online cross-sectional survey of physical therapists specialized in multiple sclerosis (212 specialists from 26 European countries) was used. Results: There was distinct diversity in service delivery and content across Europe. Perceived accessibility of physical therapy varied from most accessible in the Western region, and least in the Southern region. Sixty-four physical therapists adjusted their approach according to different disability levels, less so in the Eastern region. Duration, frequency and dose of sessions differed between regions, being highest in Southern and Western regions. “Hands on treatment” was the most commonly used therapeutic approach in all apart from the Northern regions, where “word instruction” (providing advice and information) prevailed. Conclusions: The content and delivery of physical therapy differs across Europe. Recommendations concerning access to treatment and adjustment according to disability do not appear to be widely implemented in clinical practice.
- Does Symptom Recognition Improve Self-Care in Patients with Heart Failure? A Pilot Study Randomised Controlled TrialPublication . Sousa, Joana Pereira; Neves, Hugo; Pais-Vieira, MiguelPatients with heart failure have difficulty in self-care management, as daily monitoring and recognition of symptoms do not readily trigger an action to avoid hospital admissions. The purpose of this study was to understand the impact of a nurse-led complex intervention on symptom recognition and fluid restriction. A latent growth model was designed to estimate the longitudinal effect of a nursing-led complex intervention on self-care management and quality-of-life changes in patients with heart failure and assessed by a pilot study performed on sixty-three patients (33 control, 30 intervention). Patients in the control group had a higher risk of hospitalisation (IRR 11.36; p < 0.001) and emergency admission (IRR 4.24; p < 0.001) at three-months follow-up. Analysis of the time scores demonstrated that the intervention group had a clear improvement in self-care behaviours (βSlope. Assignment_group = −0.881; p < 0.001) and in the quality of life (βSlope. Assignment_group = 1.739; p < 0.001). This study supports that a nurse-led programme on symptom recognition and fluid restriction can positively impact self-care behaviours and quality of life in patients with heart failure. This randomised controlled trial was retrospectively registered (NCT04892004).
- Is food insecurity related to health-care use, access and absenteeism?Publication . Dias, Sara; Gregório, Maria João; Melo, António; Matias, Maria Ana; Rodrigues , Ana M; Sousa, Rute Dinis de; Canhão,Helena; Perelman, JulianFood insecurity (FI) is defined as uncertain access to healthy food in quantity and quality. We hypothesize that FI may be associated with greater health-care use and absenteeism because it may amplify the effect of diseases; also, FI may be associated with reduced health-care access because it reflects economic vulnerability. The present study estimates the association between FI and health-care use and access, and absenteeism.Design: Cross-sectional data collected in 2015-2016. Health-care use was measured as the number of consultations, taking any drug and having been hospitalized in the past year. Health-care access was measured by the suspension of medication and having fewer consultations due to financial constraints. Absenteeism was measured by the weeks of sickness leave. Binary variables were modelled as a function of FI using logistic regressions; continuous variables were modelled as a function of FI using negative binomial and zero-inflated negative binomial regressions. Covariates were included sequentially.Setting: Portugal.Participants: Non-institutionalized adults from the EpiDoc3 cohort (n 5648).Results: FI was significantly associated with health-care use before controlling for socio-economic conditions and quality of life. Moderate/severe FI was positively related to the suspension of medicines (adjusted OR = 4·68; 95 % CI 3·11, 6·82) and to having fewer consultations (adjusted OR = 3·98; 95 % CI 2·42, 6·37). FI and absenteeism were not significantly associated.Conclusions: Our results support the hypothesis that FI reflects precariousness, which hinders access to health care. The greater use of health care among food-insecure people is explained by their worse quality of life and lower socio-economic condition, so that the specific role of poor nutrition is unclear.
- O uso de smart speakers na incapacidade: Uma scoping reviewPublication . Tavares, Rafael; Sousa, Helena; Ribeiro, JaimeIntrodução: Os smart speakers (SS), como o Amazon Echo e o Google Nest, estão estabelecidos no mercado mundial e disponíveis para a população geral. A inteligência artificial programada nestes dispositivos de conversação e a sua compatibilidade com diferentes redes cria oportunidades para a criação de intervenções em diferentes populações com incapacidade aplicáveis num contexto de casa inteligente. Objetivos: Compreender como os SS estão a ser utilizados por indivíduos com incapacidade, revelar o seu potencial e possibilidades de intervenção. Métodos: Em fevereiro de 2021 foi realizada uma scoping review baseada em artigos das bases de dados PubMed/Medline, B-On, Scopus e Web of Science. Foram considerados artigos publicados desde 2016 até 2021, escritos em português e inglês e revistos por pares. Foram incluídos estudos focados na utilização de SS disponíveis no mercado geral (Google Nest / Home, Amazon Echo, Invoke, HomePod) como agente de intervenção no ambiente residencial ou ECU, em populações com condições diversas, abrangendo indivíduos com deficiências sensoriais, cognitivas, emocionais e motoras. Resultados: Foram identificadas diferentes abordagens e exigências dos utilizadores. Os dispositivos foram aplicados como uma solução singular ou como um elemento de sistemas de maior complexidade, interagindo com outros dispositivos ou softwares. Conclusões: A identificação de diferentes intervenções para diferentes incapacidades sublinha o potencial de intervenção destes dispositivos com melhorias funcionais observadas em incapacidades físicas, cognitivas, sensoriais e emocionais. Estes dispositivos podem substituir dispositivos dispendiosos criados para nichos de população e sistemas fechados, dirigidos para formas concretas de incapacidade. Sendo a personalização uma característica relevante, a aplicação de SS não dispensa o acompanhamento técnico no processo.