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Percorrer por autor "Viegas, Ruben"

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  • Relationship of the SITLESS intervention on medication use in community-dwelling older adults : an exploratory study
    Publication . Viegas, Ruben; Costa, Filipa Alves da; Mendes, Romeu; Deidda, Manuela; McIntosh, Emma; Sansano-Nadal, Oriol; Magaña, Juan Carlos; Rothenbacher, Dietrich; Denkinger, Michael; Caserotti, Paolo; Tully, Mark A.; Roqué-Figuls, Marta; Giné-Garriga, Maria
    Background: Sedentary behavior (SB) and physical activity (PA) interventions in older adults can improve health outcomes. Problems related with aging include prevalent comorbidity, multiple non-communicable diseases, complaints, and resulting polypharmacy. This manuscript examines the relationship between an intervention aiming at reducing SB on medication patterns. Method: This manuscript presents a local sub-analysis of the SITLESS trial data on medication use. SITLESS was an exercise referral scheme (ERS) enhanced by self-management strategies (SMS) to reduce SB in community-dwelling older adults. We analyzed data from the ERS + SMS, ERS and usual care (UC) groups. Patient medication records were available at baseline and at the end of the intervention (4-month period) and were analyzed to explore the effect of SITLESS on medication patterns of use. Result: A sample of 75 participants was analyzed, mostly older overweight women with poor body composition scores and mobility limitations. There was a significant reduction of 1.6 medicines (SD = 2.7) in the ERS group (p < 0.01), but not in the UC or ERS + SMS groups. Differences were more evident in medicines used for short periods of time. Conclusion: The findings suggest that an exercise-based program enhanced by SMS to reduce SB might influence medication use for acute conditions but there is a need to further investigate effects on long-term medicine use in older adults.
    2023-11Contributo em revista Acesso aberto Ver mais
  • The role of community pharmacists and pharmacies in physical activity promotion : an interdisciplinary e-Delphi study
    Publication . Viegas, Ruben; Guerreiro, Mara Pereira; Duarte-Ramos, Filipa; Mendes, Romeu; Costa, Filipa Alves da
    Background: Physical activity has a key role in the prevention and control of noncommunicable diseases. Community pharmacists are an accessible source to provide brief advice to people on how to be more physically active. Nonetheless, there is a limited understanding of stakeholders' perspectives on their role in promoting physical activity, to inform policy and practice. The present study addresses this gap. Aim: To determine consensus from different health professionals on the role of pharmacists and pharmacies in brief physical activity counselling in Portugal. Method: This cross-sectional study used a two-round e-Delphi panel. The questionnaire was organised into four domains of physical activity promotion and comprised 37 items. Interdisciplinary experts rated their level of agreement using a 5-point Likert scale. Consensus was set at the outset as 75% or more of participants scoring 4 or 5 (consensus “in”) or 1 or 2 (consensus “out”). Results: Forty-two health professionals involved in promoting physical activity in the ambulatory setting in Portugal were selected through purposive quota sampling. Eighteen out of 37 items were consensual in the first round and five more achieved consensus after the second round (62.2%). Physical activity promotion was seen as the role of all healthcare workforce and pharmacies were considered as suitable spaces for service provision, regardless of remuneration. Conclusion: This study endorses a set of roles for physical activity promotion in community pharmacy from an interdisciplinary perspective. Consensually established perspectives can inform policy making and practice, streamlining the coordination of pharmacies with the national health service.
    2024-08Contributo em revista Acesso aberto Ver mais