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- Development of a European competency framework for health and other professionals to support behaviour change in persons self-managing chronic diseasePublication . Guerreiro, Mara; Strawbridge, Judith; Cavaco, Afonso Miguel das Neves; Félix, Isa Brito; Marques, Marta M.; Cadogan, Cathal A.Background: Healthcare and other professionals are expected to support behaviour change in people living with chronic disease. However, effective behaviour change interventions are largely absent in routine encounters. The Train4Health project, a European strategic partnership for higher education, sought to address this problem. The primary aim of this study, which is part of an early work package, was to develop an interprofessional competency framework for health and other professions to support behaviour change for the self-management of chronic disease at a European level. A secondary aim was to derive a set of behaviour change techniques (BCTs) from an established taxonomy to link with framework competencies. Methods: The study comprised two interlinked parts. Part 1 involved a two-round e-Delphi study with an interprofessional panel of 48 experts across 12 European countries to develop the behaviour change competency framework. Preparatory work included drafting a list of competency statements based on seven existing frameworks. Part 2 involved an expert panel of six behavioural psychologists deriving a set of BCTs to link with framework competencies. Their feedback was based on preparatory work, which focused on seven high priority chronic diseases for self-management, identified through European projects on self-management and identifying five relevant target behaviours from key clinical guidelines. A literature search yielded 29 effective BCTs for the target behaviours in the selected chronic diseases. Results: Twenty-seven competency statements, were presented in Round 1 to the Delphi panel. Consensus was achieved for all statements. Based on comments, two statements were removed, one was added, and 14 were modified. All 15 statements subjected to Round 2 were consensus-approved, yielding a total of 12 foundational competencies for behaviour change in self-management of chronic disease and 14 behaviour change competencies. Four behaviour change competencies related to BCTs. Behavioural psychologists’ feedback led to a core set of 21 BCTs deemed applicable to the five target behaviours across the seven chronic diseases. Conclusions: A behaviour change competency framework comprising 26 statements for European health and other professionals to support self-management of chronic disease was developed, linked with a core set of 21 BCTs from an established taxonomy.
- Aprender em projetos de investigação durante a licenciatura em enfermagem :Publication . Loura, David; Bernardes, Rafael; Baixinho, Cristina Lavareda; Henriques, Helga; Félix, Isa Brito; Guerreiro, MaraIntrodução: O desenvolvimento da investigação e a emergência de uma prática baseada na evidência são um desafio claro para a educação dos futuros profissionais de saúde, aos quais são requeridas competências de pesquisa, leitura e utilização correta dos resultados da investigação na prática clínica. Objetivos: Identificar o que aprendem os estudantes de enfermagem com o envolvimento em projetos de investigação, durante a licenciatura. Métodos: A revisão integrativa de literatura foi efetuada segundo um protocolo, com definição dos critérios de elegibilidade dos estudos primários, obtidos nas bases de dados dos motores de busca EBSCO, JBI e Scopus. Resultados: Os estudantes podem ser envolvidos em todas as fases do processo de pesquisa, contribuindo para a sua satisfação na aprendizagem, com impacto positivo na motivação, reflexão e integração do conhecimento, desenvolvimento de competências de comunicação, escrita científica, gestão do tempo e juízo critico. O envolvimento dos estudantes contribui para o desenvolvimento dos projetos de investigação. Conclusões: O envolvimento dos estudantes em projetos de investigação contribui para diferentes aprendizagens. Os nossos resultados sugerem que a formação teórica sobre investigação deve ser associada a outras estratégias para o desenvolvimento de conhecimentos, habilidades e atitudes de pesquisa.
- Conversational Agents for Health and Well-being Across the Life Course:Publication . Pereira Guerreiro, Mara; Angelini, Leonardo; Henriques, Helga; El Kamali, Mira; Baixinho, Cristina Lavareda; Balsa, Joao; Félix, Isa Brito; ABOU KHALED, Omar; Carmo, Maria Beatriz; Cláudio, Ana Paula; Caon, Maurizio; Daher, Karl; Alexandre, Bruno Venâncio; Padinha, Mafalda; Mugellini, ElenaBackground: Conversational agents, which we defined as computer programs that are designed to simulate two-way human conversation by using language and are potentially supplemented with nonlanguage modalities, offer promising avenues for health interventions for different populations across the life course. There is a lack of open-access and user-friendly resources for identifying research trends and gaps and pinpointing expertise across international centers. Objective: Our aim is to provide an overview of all relevant evidence on conversational agents for health and well-being across the life course. Specifically, our objectives are to identify, categorize, and synthesize—through visual formats and a searchable database—primary studies and reviews in this research field. Methods: An evidence map was selected as the type of literature review to be conducted, as it optimally corresponded to our aim. We systematically searched 8 databases (MEDLINE; CINAHL; Web of Science; Scopus; the Cochrane, ACM, IEEE, and Joanna Briggs Institute databases; and Google Scholar). We will perform backward citation searching on all included studies. The first stage of a double-stage screening procedure, which was based on abstracts and titles only, was conducted by using predetermined eligibility criteria for primary studies and reviews. An operational screening procedure was developed for streamlined and consistent screening across the team. Double data extraction will be performed with previously piloted data collection forms. We will appraise systematic reviews by using A Measurement Tool to Assess Systematic Reviews (AMSTAR) 2. Primary studies and reviews will be assessed separately in the analysis. Data will be synthesized through descriptive statistics, bivariate statistics, and subgroup analysis (if appropriate) and through high-level maps such as scatter and bubble charts. The development of the searchable database will be informed by the research questions and data extraction forms. Results: As of April 2021, the literature search in the eight databases was concluded, yielding a total of 16,351 records. The first stage of screening, which was based on abstracts and titles only, resulted in the selection of 1282 records of primary studies and 151 records of reviews. These will be subjected to second-stage screening. A glossary with operational definitions for supporting the study selection and data extraction stages was drafted. The anticipated completion date is October 2021. Conclusions: Our wider definition of a conversational agent and the broad scope of our evidence map will explicate trends and gaps in this field of research. Additionally, our evidence map and searchable database of studies will help researchers to avoid fragmented research efforts and wasteful redundancies. Finally, as part of the Harnessing the Power of Conversational e-Coaches for Health and Well-being Through Swiss-Portuguese Collaboration project, our work will also inform the development of an international taxonomy on conversational agents for health and well-being, thereby contributing to terminology standardization and categorization.