Percorrer por autor "Sousa, Natacha"
A mostrar 1 - 4 de 4
Resultados por página
Opções de ordenação
- Adapted Portuguese folk dance intervention for subacute rehabilitation post-stroke : study protocolPublication . Fernandes, Júlio Belo; Domingos, Josefa; Família, Carlos; Veríssimo, Júlio; Castanheira, Patrícia; Menezes, Carla; Vicente, Célia; Santos, Cláudia; Marvão, Elisabete; Coelho, Joana; Mestre, Joana; Teodoro, Joana; Saraiva, Júlia; Cavaco, Marlene; Sousa, Natacha; Godinho, CatarinaDance can be an innovative, well-accepted, and effective therapy for stroke survivors. The present protocol aims to assess the feasibility of adapted Portuguese folk dance as a post stroke rehabilitative activity. We will use a mixed-methods pilot study convenience sampling to recruit 16 stroke survivors with mild–moderate lower limb paresis from a rehabilitation center in Lisbon and Tagus Valley. In addition to usual care, participants will attend 3 days per week 1-h dance exercise for 8 weeks. The dance style used for this intervention will be an adaptation of the Portuguese folk dance. Assessment will be conducted before and immediately after the program intervention. Acceptability will be assessed by four key domains (enrollment, retention, satisfaction, and recommendation to others). Safety will be assessed based on the number and type of adverse events. Feasibility will be assessed based on balance performance and functional mobility. Quantitative data will be analyzed through descriptive statistics for sample characterization, followed by inferential statistics to evaluate differences in the balance recovery and functional mobility scores between the initial and final assessment. Qualitative data will be analyzed using an inductive process of content analysis. The Portuguese folk dance program has the potential to improve balance outcomes and functional mobility. Our results will help validate Portuguese folk dance as a tool for rehabilitation settings for stroke survivors. The potential of our program to enhance balance outcomes and functional mobility among stroke survivors bears implications for aging and public health initiatives. Positive results from this study could pave the way for integrating dance-based rehabilitative activities into standard stroke rehabilitation protocols, catering to older stroke survivors’ specific needs and preferences.
- Barriers and strategies affecting the use of assistive devices for falls prevention among people with Parkinson’s disease : a qualitative pilot studyPublication . Fernandes, Júlio Belo; Domingos, Josefa; Fernandes, Sónia; Ferreira, Noélia; Almeida, Ana Silva; Chalaça, Ana; Sousa, Natacha; Santos, Isabel; Duarte, Andreia; Godinho, CatarinaBackground: As Parkinson’s disease (PD) progresses, patients experience difficulties with gait and balance, requiring assistive devices to ensure fall prevention and safety. Despite the advantages provided by these aids, many people with PD do not adhere to their use. Objective: This study aims to explore the barriers to using assistive devices among people with PD and identify strategies to improve their adherence. Methods: We used a qualitative, exploratory, and descriptive research design. Individual semi-structured interviews were conducted from October 2021 to July 2022, with participants selected through convenience sampling. Thematic analysis was performed to analyze data. Results: Nineteen participants were interviewed, with the majority being male (63.2%) and a mean age of 72.3. This research identified several barriers to using assistive devices that were grouped under six broad themes and 14 subthemes. These themes included disease symptoms, physical limitations associated with holding the device, stigma, symbolism of the device, level of involvement of health professionals, and environmental factors. Concerning the strategies to improve adherence, they were grouped into themes that reflect different priority settings in the health sector. At the macro level, participants emphasized the significance of community education and intergenerational contact. At the meso level, participants highlighted the need for support groups, as well as prescription and training provided by health professionals. Finally, at the micro level, participants emphasized the importance of tailored care and shared decision-making. Conclusion: This study’s findings offer insights on barriers and strategies reported by people with PD, improving assistive device utilization.
- Health professionals’ motivational strategies to enhance adherence in the rehabilitation of people with lower limb fractures : scoping reviewPublication . Fernandes, Júlio Belo; Ferreira, Noélia; Domingos, Josefa; Ferreira, Rui; Amador, Catarina; Pardal, Nelson; Castro, Cidália; Simões, Aida; Fernandes, Sónia; Bernardes, Catarina; Vareta, Diana Alves; Peças, Dina; Ladislau, Dora; Sousa, Natacha; Duarte, Andreia; Godinho, CatarinaPatients with lower limb fractures require rehabilitation but often struggle with adherence to interventions. Adding motivational strategies to rehabilitation programs can increase patient adherence and enhance outcomes. This review aims to identify the motivational strategies used by health professionals in the rehabilitation of people with lower limb fractures. We used Arksey and O’Malley’s methodological framework to structure and conduct this scoping review. The literature search was performed using the Scopus, CINAHL, MEDLINE, Nursing & Allied Health, and Cochrane Central Register of Controlled Trials databases. The final search was conducted in February 2023. A total of 1339 articles were identified. After selecting and analyzing the articles, twelve studies were included in this review. Health professionals use several strategies to motivate patients with lower limb fractures to adhere to rehabilitation programs. These strategies include building a therapeutic alliance, increasing patients’ health literacy, setting achievable goals, personalizing the rehabilitation program, managing unpleasant sensations of exercise, using persuasion, providing positive reinforcement, avoiding negative emotional stimulation, and helping to seek support. The motivational strategies identified may help professionals to increase patient adherence to rehabilitation for lower limb fractures. This knowledge will allow these professionals to help patients overcome barriers to rehabilitation, enhance their motivation, and ultimately improve their recovery outcomes.
- Landing wise program : feasibility study protocol for Parkinson’s diseasePublication . Fernandes, Júlio Belo; Domingos, Josefa; Família, Carlos; Santos, Cátia; Santana, Diana; Gregório, Francisco; Costa, Inês; Afonso, Joana; Matos, Lúcia; Marques, Solange; Santos, Tânia; Fernandes, Sónia; Santos, Isabel; Sousa, Natacha; Ramos, Catarina; Godinho, CatarinaRegardless of the benefits of fall prevention programs, people with Parkinson’s disease (PD) will still fall. Therefore, it is crucial to explore novel therapeutic approaches that are well-accepted and effective for addressing fall risk and the fear of falls among this population. The present study aims to assess the feasibility of the Landing Wise program as a therapeutic intervention for reducing the fear of falling in people with PD. A mixed-methods study will be conducted using convenience sampling to recruit 20 people with PD with a moderate concern of falling from a Parkinson’s Patients Association. In addition to usual care, participants will attend 2 days per week, 90 min group sessions for 8 weeks. The intervention combines group cognitive behavioral intervention with the training of safe landing strategies. Feasibility will be assessed by six key domains (recruitment strategy and rates, enrollment, retention, acceptability, reasons for decline/withdrawal, and adverse events). Quantitative data will be analyzed using descriptive statistics to characterize the sample, followed by inferential statistics to evaluate differences in the Short Falls Efficacy Scale-International Scale, Movement Disorder Society Unified Parkinson’s Disease Rating Scale, Timed Up Go, 6-Minutes Walking Distance, and fall frequency and severity scores between baseline and final assessment. Qualitative data will be analyzed using an inductive thematic analysis process. There is a growing interest in developing new effective therapeutic approaches for people with PD. If proven program feasibility, this study precedes a randomized controlled trial to establish the effectiveness of the Landing Wise program.