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Fernandes JB, Fernandes S, Domingos J, Castro C, Romão A, Graúdo S, Rosa G, Franco T, Ferreira AP, Chambino C, Ferreira B, Courela S, Ferreira MJ, Silva I, Tiago V, Morais MJ, Casal J, Pereira S, Godinho C. Motivational strategies used by health care professionals in stroke survivors in rehabilitation: a scoping review of experimental studies. Front Med (Lausanne) 2024; 11:1384414. [PMID: 38813377 PMCID: PMC11133544 DOI: 10.3389/fmed.2024.1384414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/09/2024] [Accepted: 05/02/2024] [Indexed: 05/31/2024] Open
Abstract
Introduction Cognitive and motor impairments are common among stroke survivors. Physical therapy is often used to improve the functional capacity of stroke survivors. However, limited adherence to rehabilitation programs is a challenge. Motivation plays a crucial role in the success of rehabilitation programs as it influences individual adherence to treatment and overall health outcomes. This review aims to identify current trends in motivational strategies used by healthcare professionals for stroke survivor rehabilitation. Methods Following the framework developed by Arksey and O'Malley, a scoping review was conducted. We performed a literature search using MEDLINE, CINAHL, the Cochrane Central Register of Controlled Trials, Nursing & Allied Health, and MedicLatina databases. Results A total of 906 papers were identified. After selecting and analyzing the articles, 17 papers were included in this review. Health professionals use various strategies to motivate stroke survivors. These approaches include establishing a therapeutic alliance, improving patients' health literacy, defining realistic goals, fostering problem-solving skills, personalizing the rehabilitation program, showcasing success stories, utilizing persuasive techniques, offering encouragement and compliments, providing emotional support, and effectively managing symptoms. Conclusion The knowledge gathered in this review can guide healthcare professionals in helping patients overcome barriers to rehabilitation, improve their motivation, and ultimately enhance their recovery outcomes.
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Affiliation(s)
- Júlio Belo Fernandes
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Sónia Fernandes
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Josefa Domingos
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
| | - Cidália Castro
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Ana Romão
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Susana Graúdo
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, Hospital Garcia de Orta, Almada, Portugal
| | - Gonçalo Rosa
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health and Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, Hospital Garcia de Orta, Almada, Portugal
| | - Tânia Franco
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, Hospital Garcia de Orta, Almada, Portugal
| | - Ana Patrícia Ferreira
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, Hospital Garcia de Orta, Almada, Portugal
| | - Claudine Chambino
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, Hospital Garcia de Orta, Almada, Portugal
| | - Bruno Ferreira
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, Hospital Garcia de Orta, Almada, Portugal
| | - Susana Courela
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, Hospital Garcia de Orta, Almada, Portugal
| | - Maria José Ferreira
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, Hospital Garcia de Orta, Almada, Portugal
| | - Isabel Silva
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, Hospital Garcia de Orta, Almada, Portugal
| | - Vera Tiago
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, ACeS Almada-Seixal, UCC Seixal, Seixal, Portugal
| | - Maria João Morais
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, ACeS Almada-Seixal, UCC Seixal, Seixal, Portugal
| | - Joana Casal
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, ACeS Almada-Seixal, UCC Seixal, Seixal, Portugal
| | - Silvia Pereira
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, ACeS Almada-Seixal, UCC Seixal, Seixal, Portugal
| | - Catarina Godinho
- Department of Nursing, Unidade Local de Saúde de Almada-Seixal, ACeS Almada-Seixal, UCC Seixal, Seixal, Portugal
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Fernandes JB, Baixinho C, Outeiro TF, Godinho C. Editorial: One health care in psychiatric and neurological diseases. Front Psychiatry 2024; 15:1399709. [PMID: 38571998 PMCID: PMC10988477 DOI: 10.3389/fpsyt.2024.1399709] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/12/2024] [Accepted: 03/14/2024] [Indexed: 04/05/2024] Open
Affiliation(s)
- Júlio Belo Fernandes
- Nurs Lab, Almada, Portugal
- Egas Moniz Center for Interdisciplinary Research (CiiEm), Egas Moniz School of Health & Science, Almada, Portugal
| | - Cristina Baixinho
- Nursing School of Lisbon, Lisbon, Portugal
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Lisbon, Portugal
| | - Tiago F. Outeiro
- Department of Experimental Neurodegeneration, Center for Biostructural Imaging of Neurodegeneration, University Medical Center Göttingen, Göttingen, Germany
- Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany
- Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom
- Scientific Employee With an Honorary Contract at Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Göttingen, Germany
| | - Catarina Godinho
- Nurs Lab, Almada, Portugal
- Egas Moniz Center for Interdisciplinary Research (CiiEm), Egas Moniz School of Health & Science, Almada, Portugal
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Vicente C, Fernandes S, Romão A, Fernandes JB. Current trends in psychotherapies and psychosocial interventions for people with dementia: a scoping review of randomized controlled trials. Front Psychiatry 2024; 15:1286475. [PMID: 38317762 PMCID: PMC10838973 DOI: 10.3389/fpsyt.2024.1286475] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/31/2023] [Accepted: 01/09/2024] [Indexed: 02/07/2024] Open
Abstract
An outcome of dementia is a progressive decline in cognitive function. Implementing psychotherapies and psychosocial interventions is crucial for bolstering cognitive abilities, promoting independence, and elevating the quality of life for individuals with dementia. This review aims to identify current trends in psychotherapies and psychosocial interventions for people with dementia. A Scoping review was developed based on the framework proposed by Arksey and O'Malley. The literature search was conducted on electronic databases, including Scopus, Cochrane Central Register of Controlled Trials, MEDLINE, CINAHL, Nursing & Allied Health Collection, and MedicLatina. Executed in June 2023, the search focused on articles published in English, Portuguese, and Spanish between 2013 and 2023. Through this search, 1409 articles were initially identified. After selecting and analyzing the reports, sixteen trials were included in this review. Eight distinct categories were identified, covering different strategies. These categories run from computerized game-based cognitive training and reminiscence therapy to compensatory and restorative strategies, memory and attention training, calculation training, dual-task training, counseling, and personalized goal attainment. The findings of this scoping review highlight the diverse landscape of psychotherapies and psychosocial interventions for people with dementia.
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Affiliation(s)
- Célia Vicente
- Department of Nursing, Hospital Garcia de Orta, Almada, Portugal
- Nurs Lab, Caparica, Almada, Portugal
| | - Sónia Fernandes
- Nurs Lab, Caparica, Almada, Portugal
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Caparica, Almada, Portugal
| | - Ana Romão
- Nurs Lab, Caparica, Almada, Portugal
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Caparica, Almada, Portugal
| | - Júlio Belo Fernandes
- Nurs Lab, Caparica, Almada, Portugal
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Caparica, Almada, Portugal
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Abbott S, Denton A, Wong SH, Mollan SP, Bul KCM. Weight management communications in idiopathic intracranial hypertension: challenges and recommendations from the patients' perspective. BMJ Neurol Open 2023; 5:e000527. [PMID: 38116470 PMCID: PMC10729070 DOI: 10.1136/bmjno-2023-000527] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2023] [Accepted: 11/05/2023] [Indexed: 12/21/2023] Open
Abstract
Background Idiopathic intracranial hypertension (IIH) is a neurometabolic condition severely impacting the quality of life of people living with IIH (PwIIH). Most PwIIH are overweight or live with obesity, and weight loss is recommended by healthcare professionals (HCPs) as it is central to disease management. There is currently no research evaluating patient-clinician interactions when discussing weight management in IIH. The aim of this study was to evaluate the patient experience of communication with HCPs regarding weight management from the perspective of PwIIH. Methods A cross-sectional online survey was developed and distributed by the IIH UK charity via their mailing list and social media network. Eligible participants were adults with IIH who have been recommended to lose weight by their HCP. Descriptive statistics were used to summarise quantitative responses and content analysis was used to inductively draw out themes from open-ended free-text responses. Results There were 625 respondents. One-fifth of PwIIH (n=127/603, 21%) felt that HCPs were supportive and empathetic about weight management. Five themes were identified on how experiences regarding weight management for IIH can be improved, with PwIIH recommending for HCPs to: (1) detail the relationship between IIH and weight, (2) individualise care, (3) give advice, (4) provide support and (5) adapt communication. Conclusion The majority of PwIIH recalled a poor experience and negative emotions when engaged in discussions regarding weight management with their HCPs. Further research should explore the HCPs perspective and evaluate interventions aiming to improve the quality of patient-HCPs communication in IIH.
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Affiliation(s)
- Sally Abbott
- Institute for Health and Wellbeing, Centre for Healthcare and Communities, Coventry University, Coventry, UK
- Department of Dietetics, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
| | | | - Sui H Wong
- Department of Neuro-Ophthalmology, Moorfields Eye Hospital NHS Foundation Trust, London, UK
- Medical Eye Unit, Guy's and St Thomas' Hospitals NHS Trust, London, UK
- Faculty of Life Sciences and Medicine, King’s College London, London, UK
- Institute of Neurology, Department of Clinical and Movement Neuroscience, University College London, London, UK
| | - Susan P Mollan
- Birmingham Neuro-Ophthalmology, University Hospitals Birmingham NHS Foundation Trust, Birmingham, UK
- Institute of Metabolism and Systems Research, Translational Brain Science, University of Birmingham, Birmingham, UK
| | - Kim CM Bul
- Institute for Health and Wellbeing, Centre for Intelligent Healthcare, Coventry University, Coventry, UK
- Renal Services, University Hospitals Coventry and Warwickshire NHS Trust, Coventry, UK
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Fernandes JB, Domingos J, Família C, Santos C, Santana D, Gregório F, Costa I, Afonso J, Matos L, Marques S, Santos T, Fernandes S, Santos I, Sousa N, Ramos C, Godinho C. Landing wise program: feasibility study protocol for Parkinson's disease. Front Med (Lausanne) 2023; 10:1247660. [PMID: 37915322 PMCID: PMC10616464 DOI: 10.3389/fmed.2023.1247660] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/26/2023] [Accepted: 10/06/2023] [Indexed: 11/03/2023] Open
Abstract
Regardless 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.
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Affiliation(s)
- Júlio Belo Fernandes
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Josefa Domingos
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal
| | - Carlos Família
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal
- Molecular Pathology and Forensic Biochemistry Laboratory, Caparica, Portugal
| | - Cátia Santos
- Department of Nursing, Centro Hospitalar de Setúbal, Setúbal, Portugal
| | - Diana Santana
- Department of Nursing, Hospital Garcia de Orta EPE (HGO), Almada, Portugal
| | | | - Inês Costa
- Department of Nursing, Hospital Garcia de Orta EPE (HGO), Almada, Portugal
| | - Joana Afonso
- Careceiver and NOVA Medical School (MS) & NOVA School of Business and Economics (SBE), Lisbon, Portugal
| | - Lúcia Matos
- Department of Nursing, Hospital Garcia de Orta EPE (HGO), Almada, Portugal
| | - Solange Marques
- Department of Nursing, Hospital Garcia de Orta EPE (HGO), Almada, Portugal
| | - Tânia Santos
- Department of Nursing, Hospital Garcia de Orta EPE (HGO), Almada, Portugal
| | - Sónia Fernandes
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
| | - Isabel Santos
- ARS LVT, ACES Arrábida, UCC Palmela, Palmela, Portugal
| | - Natacha Sousa
- ARS LVT, ACES Lisboa Norte, UCC Integrar na Saúde - ECCI Benfica, Lisbon, Portugal
| | - Catarina Ramos
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal
- LabPSI, Almada, Portugal
| | - Catarina Godinho
- Egas Moniz Center for Interdisciplinary Research (CiiEM), Egas Moniz School of Health & Science, Almada, Portugal
- Nurs* Lab, Almada, Portugal
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Fernandes JB, Godinho C, Outeiro TF, Baixinho CL. Editorial: Personalized care in neurological diseases. Front Hum Neurosci 2023; 17:1216902. [PMID: 37323934 PMCID: PMC10265636 DOI: 10.3389/fnhum.2023.1216902] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/04/2023] [Accepted: 05/16/2023] [Indexed: 06/17/2023] Open
Affiliation(s)
- Júlio Belo Fernandes
- Escola Superior de Saúde Egas Moniz, Almada, Portugal
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Almada, Portugal
- Grupo de Patologia Médica, Nutrição e Exercício Clínico (PaMNEC), Almada, Portugal
| | - Catarina Godinho
- Escola Superior de Saúde Egas Moniz, Almada, Portugal
- Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Almada, Portugal
- Grupo de Patologia Médica, Nutrição e Exercício Clínico (PaMNEC), Almada, Portugal
| | - Tiago F. Outeiro
- Department of Experimental Neurodegeneration, Center for Biostructural Imaging of Neurodegeneration, University Medical Center Göttingen, Göttingen, Germany
- Max Planck Institute for Multidisciplinary Sciences, Göttingen, Germany
- Translational and Clinical Research Institute, Faculty of Medical Sciences, Newcastle University, Newcastle upon Tyne, United Kingdom
- Scientific Employee With an Honorary Contract at Deutsches Zentrum für Neurodegenerative Erkrankungen (DZNE), Göttingen, Germany
| | - Cristina Lavareda Baixinho
- Nursing School of Lisbon, Lisbon, Portugal
- Nursing Research, Innovation and Development Centre of Lisbon (CIDNUR), Lisbon, Portugal
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Pernes M, Agostinho I, Bernardes RA, Belo Fernandes J, Baixinho CL. Documenting fall episodes: a scoping review. Front Public Health 2023; 11:1067243. [PMID: 37200991 PMCID: PMC10187064 DOI: 10.3389/fpubh.2023.1067243] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/12/2022] [Accepted: 02/27/2023] [Indexed: 05/20/2023] Open
Abstract
Documentation is an important measure for the management of fall risk because it concentrates the attention of professionals, raises awareness of the existence of fall risk factors, and promotes action to eliminate or minimize them. This study aimed to map the evidence on information to document episodes of falls in older adults. We opted for a scoping review, which followed the Joanna Briggs Institute protocol for this kind of study. The research question that guided the research strategy was "What recommendations emerge from the research on the documentation of falls of the older person?" The inclusion criteria defined were older adults who had at least one fall; nursing documentation after a fall has occurred; and nursing homes, hospitals, community, and long-term care. The search was performed on the following platforms: MEDLINE, CINAHL, Scopus, and Cochrane Database of Systematic Reviews in January 2022 and allowed the identification of 854 articles, which after analysis resulted in a final sample of six articles. The documentation of fall episodes should answer the following questions: Who? What? When? Where? How? Doing what? What was said? What were the consequences? and What has been done? Despite the recommendations for the documentation of fall episodes as a preventive measure for their recurrence, there are no studies evaluating the cost-effectiveness of this measure. Future studies should explore the association between fall documentation, fall recurrence prevention programs, and their impact on the prevalence rate of the second and subsequent falls, as well as the severity of injuries and fear of falling.
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Affiliation(s)
| | | | - Rafael A. Bernardes
- The Health Sciences Research Unit, Nursing (UICISA:E), Nursing School of Coimbra (ESEnfC), Coimbra, Portugal
| | - Júlio Belo Fernandes
- Escola Superior de Saúde Egas Moniz, Caparica, Almada, Portugal
- Grupo de Patologia Médica, Nutrição e Exercício Clínico (PaMNEC)—Centro de Investigação Interdisciplinar Egas Moniz (CiiEM), Almada, Portugal
| | - Cristina Lavareda Baixinho
- Nursing School of Lisbon, Lisbon, Portugal
- Nursing Research, Innovation and Development Cetre of Lisbon (CIDNUR), Lisbon, Portugal
- *Correspondence: Cristina Lavareda Baixinho
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