A carregar...
17 resultados
Resultados da pesquisa
A mostrar 1 - 10 de 17
- Health Literacy among Older Adults in Portugal and Associated Sociodemographic, Health and Healthcare-Related FactorsPublication . Costa, Andreia; Feteira-Santos, Rodrigo; Alarcão, Violeta; Henriques, Maria Adriana; Madeira, Teresa; Virgolino, Ana; Arriaga, Miguel; Nogueira, PauloAlthough the health literacy level of the general population was described recently, little is known about its specific levels among older adults in Portugal. Therefore, this cross-sectional study aimed to investigate the levels of health literacy demonstrated by older adults in Portugal and explore associated factors. Using a randomly generated list of telephone numbers, adults aged 65 years or more living in mainland Portugal were contacted in September and October 2022. Sociodemographic, health and healthcare-related variables were collected, and the 12-item version of the European Health Literacy Survey Project 2019–2021 was used to measure health literacy. Then, binary logistic regression models were used to investigate factors associated with limited general health literacy. In total, 613 participants were surveyed. The mean level of general health literacy was (59.15 ± 13.05; n = 563), whereas health promotion (65.82 ± 13.19; n = 568) and appraising health information (65.16 ± 13.26; n = 517) were the highest scores in the health literacy domain and the dimension of health information processing, respectively. Overall, 80.6% of respondents revealed limited general health literacy, which was positively associated with living in a difficult household financial situation (4.17; 95% Confidence Interval (CI): 1.64–10.57), perceiving one’s own health status as poorer (7.12; 95% CI: 2.02–25.09), and having a fair opinion about a recent interaction with primary healthcare services (2.75; 95% CI: 1.46–5.19). The proportion of older adults with limited general health literacy in Portugal is significant. This result should be considered to inform health planning according to the health literacy gap of older adults in Portugal
- Effectiveness of Social Prescribing Programs in the PrimaryHealth-Care Context:Publication . Costa, Andreia; Sousa, Carla Joana; Seabra, Paulo; Virgolino, Ana; Santos, Osvaldo; Lopes, Joaquim Manuel de Oliveira; Henriques, Maria Adriana; Nogueira, Paulo; Alarcão, VioletaSocial prescribing (SP) is an approach that promotes the use of local non-clinical activities by people. The referral is usually made by primary health-care professionals, in a process wherein local providers play a pivotal role. The main objective of this study was to identify domains of intervention and evidence about the effectiveness of SP programs regarding health-related outcomes. A systematic literature review was carried out following Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. A literature search was conducted in PubMed, CINHAL, and SCOPUS. Inclusion criteria of the reviewed papers were as follows: (i) effectiveness studies of interventions designated as SP or interventions entailing SP conceptual components; (ii) interventions with adults. Quality assessment was performed with the Cochrane tool for assessing risk of bias in randomized trials; an assessment tool developed by the US National Heart, Lung and Blood Institute was applied to observational studies. Overall, 13 articles were included for analysis, with a total of 4603 patients. Although three studies comprised a control group, only two followed a randomized controlled trials (RCT) design. Nine principal domains of intervention within SP were identified, with three categories of outcome measures: Physical and psychological wellbeing; Health behaviors and self-efficacy; and Health care resources end economic evaluation. SP is an emergent and promising health-care intervention, and it has been used to promote different health behaviors. Evidence of SP effectiveness on patient’s health and wellbeing is not strong. Further research is needed for understanding how SP can be applied efficiently.
- Public health nursing and public health policies:Publication . Cunha, Carmen; Henriques, Maria Adriana; Costa, AndreiaObjectives: to characterize the interventions of specialist nurses of community health and public health of a Group of Health Centers, to identify the main facilitating factors for the performance of competences, and the contribution to public health policies. Method: this is a case study carried out with nurses specialized in community health and public health nursing. Data were collected through interviews from October to December 2019. Analysis was guided by two strategies: starting from the theoretical propositions and working the data from the ground up; and two techniques: pattern matching and explanation building. Results: from the constructed matrix, ten theoretical propositions, ten emerging evidences, five patterns and five explanatory hypotheses emerged. There are interventions for epidemiological surveillance, planning and project management. Personal training and communication stand out as facilitating factors. Conclusion and implications for practice: the intervention of the nurses of these specialties presents a dimension centered on project planning and management identifies and reflects the facilitating factors of the performance of their competencies, as an applicator of public health policies
- Nursing Trends: research for a better health – Lisbon 2022Publication . Lopes, Joaquim Manuel de Oliveira; Baixinho, Cristina Lavareda; Henriques, Maria Adriana; Costa, Andreia
- Intervenções para a promoção da literacia em saúde no rastreio do cancro colo-retal:Publication . Torres, Jorge; Vieira, Ana Teresa; Costa, Andreia
- The Effectiveness of eHealth Interventions in Promoting the Health Literacy of Informal Caregivers: A Systematic Literature Review ProtocolPublication . Valentim, Patrícia; Costa, Paulo; Henriques, Adriana; Costa, Andreia; Nogueira, PauloDigital Information and Communication Technologies (ICTs) offer significant opportunities to enhance public health, particularly through their strategic use in promoting health literacy. Objectives: This systematic review protocol aims to outline the methodological steps necessary to conduct a systematic review of the effectiveness of digital interventions in improving health literacy among informal caregivers. Methods: This review will include studies involving adult informal caregivers (≥18 years) undergoing a digital health intervention promoting health literacy. Intervention, effectiveness or efficacy, RCT, quasi-experimental, and observational studies will be eligible. This review will follow the methodology for Cochrane Systematic Review and Meta-Analysis. The search strategy will identify studies published in the databases SCOPUS and Web of Science, as well as CINAHL (via EBSCO) and PubMed and gray literature sources. Two in-dependent reviewers will screen the studies, extract data, and critically appraise the selected studies. It is planned that the risk of bias will be assessed using the RoB2, Newcastle-Ottawa Scale (NOS), and the ROBINS-I (Risk Of Bias In Non-randomized Studies of Interventions). From the included studies, data will be extracted on the identification of the study, the aim of the study, characteristics of the population, study method and intervention and control conditions, study variables, and significant results. Conclusions: It is anticipated that the results of the study will guide healthcare professionals and managers in incorporating digital technologies into health literacy programs for informal caregivers. Whenever possible, a statistical meta-analysis will be performed to combine study results. The PROSPERO registration number is CRD42024589465.
- Monthly Analysis of Infant Mortality Rate in Portugal during the COVID-19 Pandemic: Insights from Continuous MonitoringPublication . Nogueira, Paulo Jorge; Camarinha, Catarina; Feteira-Santos, Rodrigo; Costa, Andreia Silva; Nobre, Miguel de Araújo; Nicolau, Leonor Bacelar; Furtado, Cristina; Elias, CecíliaIntroduction: The COVID-19 pandemic significantly impacted global public health. Infant mortality rate (IMR), a vital statistic and key indicator of a population's overall health, is essential for developing effective health prevention programs. Existing evidence primarily indicates a decrease in IMR during the COVID-19 pandemic. We conducted a national-level analysis to calculate IMR and describe its course over the years (from 2016 until 2022), using a month-by-month analysis. Methods: Data on the number of deaths under one year of age was collected from the Portuguese E-Death Certification System (SICO), and data on the number of monthly live births was obtained from Statistics Portugal. The IMR was calculated per month, considering the previous 12 months' cumulative number of deaths under one year of age and the number of live births. Results: In Portugal, the IMR decreased before and during the COVID-19 pandemic. The lowest values were observed in September and October 2021 (2.15 and 2.14 per 1000 live births, respectively). The IMR remained below the threshold of three deaths per 1000 live births during the pandemic's critical period. Conclusion: Portugal has achieved remarkable progress in reducing its IMR over the last 60 years. The country recorded its lowest-ever IMR values during the COVID-19 pandemic. Further studies are needed to fully understand the observed trends.
- Social prescribing for older adults in mainland Portugal: Perceptions and future prospectsPublication . Costa, Andreia; Henriques, Joana; Alarcão, Violeta; Madeira, Teresa; Virgolino, Ana; Henriques , Adriana; Santos, Rodrigo Feiteira; Polley, Marie; Arriaga, Miguel; Nogueira, PauloBackground: In order to address health inequalities, which have been exacerbated by the COVID-19 pandemic, and promote older adults' quality of life, it is necessary to explore non-medical approaches such as social prescribing. Social prescribing is a person-centered approach that allows health professionals to refer patients to services provided by the social and community sectors. This study aimed to explore older adults' perceptions of social prescribing in mainland Portugal and to identify factors associated with these perceptions, providing insights for future implementation strategies. Methods: A cross-sectional study was conducted with 613 older adults aged 65 to 93. Participants' sociodemographic, economic, and health characteristics were assessed, along with their perceptions of social prescribing's benefits and activity interest. Results: Over 75% of respondents agreed that social prescribing would benefit the health system and their community. Most participants (87.7% and 89.7%, respectively) thought that activities like personal protection and development activities and cultural enrichment would be particularly relevant to them. Factors such as marital status, education, health status, and pain/discomfort levels influenced the perceived relevance of these activities. Conclusion: This study reveals that older adults in mainland Portugal are open to social prescribing and suggests that tailored interventions considering individual preferences and characteristics can lead to more effective implementation and equal access to social prescribing. Further research and policy efforts should focus on integrating social prescribing into the healthcare system to support healthy aging in Portugal.
- Impact of social prescribing intervention on people with type 2 diabetes mellitus in a primary healthcare context: a systematic literature review of effectivenessPublication . Oliveira, Dulce; Nogueira, Paulo; Costa, Andreia; Henriques , AdrianaAim To identify social prescribing intervention for people with type 2 diabetes mellitus (T2DM) in the context of primary healthcare and evaluate their impact on improving health, behavior, and economic outcomes. Subject and Methods Following the Preferred Reporting Items for Systematic Review and Meta-Analyses (PRISMA) guidelines, a literature search was conducted in SCOPUS database (MEDLINE) and via EBSCO Host (CINHAL, MEDLINE, and Psychology, and Behavioral Sciences Collection). Review studies were included and excluded on the basis of defined criteria. A comprehensive quality appraisal was conducted by analyzing the risk of bias according to each study design. Narrative synthesis was performed by analyzing the social prescribing intervention, with the outcomes sorted into categories. Results Eleven papers were selected with 19,202 participants describing nine social prescribing intervention domains with a positive contribution to health-related outcomes (improvement in quality of life, psychological and mental well-being, physical activity, and modestly reduced HbA1c), less evidence for health-related behavior outcomes (self-care management slow growth) and less evidence for health-related economic evaluation (small decline in care costs and primary care visits). Social prescribing intervention delivery in a face-to-face mode, performed for longer periods and involving fewer professionals in the referral and accompaniment of the person, demonstrated greater effectiveness. Quality methodology evaluation revealed concerns about the low quality of some studies and a high risk of bias. Conclusion The analyzed studies suggest that social prescribing interventions can play an important role in producing related health, behavioral, and economic outcomes for people
- Enfermagem de saúde comunitária e de saúde pública:Publication . Cunha, Carmen; Costa, Andreia; Henriques, Maria Adriana