The increasing aging population is driving the development of digital solutions to promote active and healthy aging. However, the adoption of these technologies depends on their alignment with users' needs and expectations. One way to enhance the adoption of these solutions-including those incorporating interactive elements such as games-is to foster the active participation of older adults and other stakeholders in their development. Thus, the objective of this study was to adapt, through a stakeholder-driven co-design process, an institutional digital health platform to community-based use by independently living older adults, with a focus on promoting active and healthy aging. A qualitative study was conducted based on three co-design moments involving individuals aged 55 and older, nurses, and policymakers. During the co-design moments, participants explored the digital resource and proposed improvements. Data were analyzed using content analysis techniques. The co-design process explicitly addressed concepts of reuse and sustainability, focusing on how existing institutional digital resources could be adapted to meet the needs of older adults living independently. Participants emphasized accessibility, social interaction, and content individualization as key factors. The most frequently mentioned improvement suggestions included integrating physical activity features, individualized reminders, and a communication network. The adaptation of digital resources based on stakeholder suggestions reinforces the importance of active user involvement in developing solutions for health promotion and active aging. The study's main contribution lies in demonstrating how institutional resources can be transformed into community-based digital health tools addressing the gap between institutional digital health innovation and real-world community implementation.
This poster presents a reflective experience report based on clinical observation within a specialised paediatric transport team. It explores the role of clinical decision-making in patient safety during the transport of critically ill children. Prepared for PCCS London 2026, organised by the Paediatric Critical Care Society (PCCS). Society website: https://pccsociety.uk/
PURPOSE:To evaluate the impact of phase III cardiac rehabilitation (CR) protocol on the physical fitness of individuals with cardiac disease in a community-based setting. DESIGN:A descriptive-correlational longitudinal study conducted at a community center in Portugal from November 2022 to January 2023. METHODS:Participants underwent two evaluation points, 10 weeks apart, during which they completed 20 supervised rehabilitation sessions. Physical fitness was assessed using validated instruments for the Portuguese population. Data collection was performed by rehabilitation nurses, and data were analyzed using SPSS version 28. RESULTS:The sample included 30 participants, mostly male (63.3%), with a mean age of 66.1 years. The majority were overweight (56.7%), and 43.3% had an elevated cardiovascular risk based on abdominal circumference. Statistically significant improvements were observed in abdominal circumference, lower limb strength, handgrip strength, and cardiorespiratory capacity. A nonsignificant but positive trend was also observed in body mass index. CLINICAL RELEVANCE:This study highlights the importance of community-based Phase III CR exercises as a strategy to improve functional outcomes and reduce cardiovascular risk. These interventions require structured supervision to ensure safety and effectiveness. CONCLUSIONS:The Phase III CR protocol led to meaningful improvements in physical fitness and anthropometric indicators among cardiac patients, supporting the continued expansion of structured rehabilitation services in community settings.
Introdução A pesca artesanal é essencial para a subsistência e a cultura de muitas comunidades tradicionais no Brasil e no mundo.1,2 Presente em ambientes como mares, rios, lagos e manguezais, estima-se que um em cada 200 brasileiros seja pescador artesanal, o que evidencia sua importância no país.3 Objetivo Analisar os comportamentos, interações e práticas culturais no trabalho da pesca artesanal, e sua relação com o processo saúde-doença dos pescadores em uma ilha do Paraná. Métodos Trata-se de uma pesquisa qualitativa, de abordagem etnográfica, realizada na Ilha de Superagui, no município de Guaraqueçaba-PR. Baseia-se no método etnográfico de Bronislaw Malinowski, com uso da observação participante. A população será composta por pescadores residentes, homens e mulheres com 18 anos ou mais. A coleta de dados inclui observação participante, entrevistas etnográficas, questionários semiestruturados e registros como diário de campo, fotografias e áudios. A análise seguirá as etapas da etnografia: preparação, imersão, observação, documentação e interpretação. O estudo iniciou-se em 2024, com término previsto para 2027. A análise será apoiada pelos softwares Word, Excel® 2016 e Iramuteq. Resultados Nas visitas realizadas em fevereiro e outubro de 2024, observou-se que a principal atividade econômica local é a pesca de camarão. A unidade de saúde conta com médico e odontólogo apenas uma vez por semana, dificultando o acesso contínuo à saúde. Para atendimentos emergenciais, os moradores precisam se deslocar por via marítima até Guaraqueçaba (cerca de 30 a 35 km, com duração de 50 minutos a 1h30) ou Paranaguá (aproximadamente de 35 a 46 km, com tempo viagem entre 50 minutos a 2h05), o tempo de viagem é variável conforme o tipo de embarcação e as condições do mar, que enfrentam dificuldades de transporte, como a ausência de ambulanchas. Conclusão O estudo parcial evidenciou vulnerabilidades no acesso à saúde de pescadores artesanais, sugerindo a ampliação da atenção básica, formação profissional sensível à cultura local e políticas públicas intersetoriais específicas em conjunto com os objetivos de desenvolvimento sustentável (ODS), especialmente o ODS 3 da saúde e bem-estar, de qualidade e do ODS 8 trabalho digno e crescimento econômico.
OBJECTIVES:Care refusal behaviours in dementia represent meaningful expressions of autonomy, yet validated assessment tools for Portuguese-speaking populations remain absent. The Refusal of Care Informant Scale (RoCIS) measures care refusal expressions during personal care interactions. This study aimed to conduct cross-cultural validation of the RoCIS for European Portuguese populations, establishing psychometric properties in nursing home settings. METHOD:This cross-sectional study employed systematic translation and psychometric evaluation using classical test theory and Rasch analysis. A sample of 183 older adults living with dementia from 12 Portuguese nursing homes was assessed using the Portuguese RoCIS alongside validated measures, including the Cohen-Mansfield Agitation Inventory, Neuro-psychiatric Inventory-Questionnaire, Barthel Index, and Functional Assessment Staging Tool. RESULTS:The Portuguese RoCIS demonstrated internal consistency (Cronbach's α = 0.834; 95% CI: 0.796-0.867). Rasch analysis confirmed item reliability (0.91) and unidimensionality. Convergent validity was established through significant correlations with agitation (r = 0.523, p < 0.001) and neuropsychiatric symptoms (r = 0.427, p < 0.001). Known-groups validity showed significant discrimination across cognitive dependency levels (F(2,180) = 3.410, p = 0.035). CONCLUSION:The Portuguese RoCIS represents the first cross-cultural validation beyond the original country of development, providing strong evidence for the scale's international applicability and supporting relationship-centred dementia care globally.
