Percorrer por autor "McCormack, Brendan"
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- Exploring person-centredness in technology-based gait rehabilitation after stroke : a scoping review framework analysisPublication . Fernandes, Júlio Belo; Vareta, Diana; Fernandes, Sónia; Chalaça, Ana; Almeida, Ana Silva; Maia, Ana Catarina; Magsi, Faiza; Hall, Steven; McCormack, BrendanBackground: Technology-based gait rehabilitation after stroke is expanding, however the extent to which interventions embody person-centred care remains unclear. Aims: The objective of this review is to explore the extent to which technology-based interventions for gait rehabilitation in stroke survivors reflect the principles of person-centred practice. Methods: A scoping review was conducted following the Arksey and O’Malley methodological framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-ScR) guidelines. A comprehensive search was performed in MEDLINE Complete, CINAHL Complete, Nursing & Allied Health Collection: Comprehensive, and the Cochrane Central Register of Controlled Trials, with the last search update on September 1, 2025. Data charting was aligned with the domains of the PCPF, enabling the identification of person-centredness indicators both explicitly stated in the texts and inferred from their context. Results: The search identified 1,460 records; after screening, 21 randomised controlled trials were included. Extracted data were mapped to PCPF domains to identify explicit and implicit indicators of person-centredness. Representation was variable: Prerequisites, Practice Environment, Person-Centred Processes, and Outcomes appeared across studies, while Macro Context was absent. Alignment was evident via practitioner expertise and responsive parameter adjustments (Prerequisites), specialised, well-resourced settings (Practice Environment), and personalised goal setting, real-time feedback, and preference-sensitive features (Processes). Regarding outcomes, all studies reported performance-based measures (motor performance); one included biomarker outcomes and two used Patient-Reported Outcome Measures (quality of life). No Patient-Reported Experience Measures were reported. Conclusion: Technology-focused gait trials remain predominantly biomedical in framing and reporting. Future studies should embed and report explicit person-centred processes and broaden outcomes to include patient-reported experience measures.
- Portuguese translation, cultural adaptation, and validation of the Person-Centered Practice Inventory – CarePublication . Vareta, Diana; Oliveira, Célia; McCormack, Brendan; Slater, Paul; Tyagi, Vaibhav; Ventura, FilipaBackground: In person-centered practice implementation and development, it is essential to incorporate standardized measurements that consider the perspectives of those involved in the therapeutic relationship. This work aims to translate, culturally adapt, and validate the Person-Centered Practice Inventory – Care (PCPI-C) for the Portuguese healthcare context. The PCPI-C is derived from the middle-range theory of the Person-Centered Practice Framework and is an 18-item self-reported inventory. Methods: This methodological study followed a two-stage research design entailing the translation and cultural adaptation of the PCPI-C from English to European Portuguese and the Portuguese healthcare context in phase I, followed by a psychometric evaluation (N = 312) conducted using principal component and confirmatory factor analysis in SPSS version 27.0 and SPSS AMOS version 21.0 in phase II. The model was continuously and iteratively refined until it was considered acceptable per gold standard estimators. Results: In phase I, the results revealed linguistic and contextual cultural differences compared to the original version. The cognitive debriefing showed that the respondents considered the items understandable and adequate for the purpose. In phase II, among the two adjusted PCPI-C models fit, i.e., first-order, and single-factor, the best fit to the empirical data was revealed by the single-factor structure, reflecting a good fit (x2/df = 2.408, CFI = .93, RMSEA = .07, SRMR = .05). Conclusions: The PCPI-C is a valid and reliable instrument for assessing the perceptions of Portuguese service users regarding person-centered practice. It is necessary to consider the purpose for which the instrument is used to select the most appropriate measurement model, i.e., process evaluation as an outcome or as an inventory measure for continuous improvement.