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Agar AlmeidaRelated papers
Comparing six self-report measures of pain intensity in children
The Suffering Child, 2005
Cross-cultural adaptation and translation of two pain assessment tools in children and adolescents
Jornal de Pediatria, 2008
Measurement of self-reported pain intensity in children and adolescents
Journal of Psychosomatic Research, 2010
Evidence for the use of a numerical rating scale to assess the intensity of pediatric pain
European Journal of Pain, 2009
Anxiety and Pain Severity in Children Based on Self-Report
International Journal of Child Health and Nutrition, 2021
Background and Objective: Evaluation of the severity of pain in children can help the medical team diagnose the type of disease. In this study, anxiety and pain intensity in children were examined based on self-report. Materials and Methods: This cross-sectional study was performed in 2018 on 300 children aged 3 to 12 years, referring to outpatient treatment centres in Kerman. To measure the severity of pain felt by children, FPS-R was used. The level declared by children was evaluated by the pain intensity estimated by parents and doctors using a visual analogue scale (VAS) and the standard FLACC (Face, Legs, Activity, Cry, Consolability scale) for correlation. The data were analysed using SPSS software version 25. Results: The pain reported by children was obtained by VAS (4.16 ± 3.49), and the estimated pain by the doctor was obtained by FPS-R (2.87±1.68). The pain severity estimated by the doctor using FLACC had the highest correlation with the pain estimated by the doctor using VAS and the lowest correlation with the pain estimated by the mother using VAS. Conclusion: The results of this study showed that FPS-R could be used as a suitable self-report tool in children and, along with the standard FLACC, can help the medical team recognize the severity of children's pain.
Aten Primaria. 2013;45(Espec Cong 1):5-58
ISSN: 0212-6567
Publicación Oficial de la Sociedad Española de Medicina de Familia y Comunitaria
Atención Primaria
www.elsevier.es/ap
Sociedad Española de Medicina de
Familia y Comunitaria
www.semfyc.es
Mayo 2013
Vol. 45. Especial Congreso 1
www.elsevier.es/ap
Incluida en MEDLINE, EMBASE, SCOPUS
y SCIENCE CITATION INDEX EXPANDED
PARALLEL SESSIONS: SYMPOSIUMS
Ist World Congress of Children and Youth Health Behaviors /
4th National Congress on Health Education
Viseu-Portugal, 23-25 May 2013
SYMPOSIUM: PAIN ASSESSMENT IN CLINICAL
PARTICULAR SITUATIONS — NEW INSTRUMENTS
Coordinator: Luís Manuel da Cunha Batalha, Escola Superior
de Enfermagem de Coimbra, batalha@esenfc.pt
Incorporate Communications
Conclusions: Illness experience seems to play a role in the use of
words to describe pain. Health professionals should also be aware
of age and gender related differences in pain language to avoid
underestimating the experience of less communicative groups.
PSYCHOMETRIC PROPERTIES OF PORTUGUESE VERSION
OF THE ADOLESCENT PEDIATRIC PAIN TOOL
Catarina Campos, Luís Batalha, Ananda Fernandes, Ana Perdigão
HEALTHY AND CANCER CHILDREN’S CHOICE OF WORDS
TO DESCRIBE PAIN
Ananda Fernandesa, Catarina Camposa, Luis Batalhaa,
Ana Perdigãoa, Armando Oliveirab
(VFROD6XSHULRUGH(QIHUPDJHPGH&RLPEUD
)DFXOGDGHGH3VLFRORJLDH&LrQFLDVGD(GXFDomR
da Universidade de Coimbra. Portugal.
a
b
Contact details: amfernandes@esenfc.pt
Introduction: Pain perception is influenced by age and gender.
As children grow, their ability to express and understand the pain
experience changes. Illness experience may also play a role in
children’s choice of words to describe pain.
Objectives: To compare the use of pain descriptors by children and
adolescents of different age groups, gender and health condition.
Methods: As part of a larger study, 67 pain descriptors from
Adolescent Pediatric Pain Tool were presented to two groups of
children (8-12 years old) and adolescents (13-17 years old): healthy
and diagnosed with cancer (n = 48). In each group, 24 subjects were
included: 6 boys and 6 girls. Following Q-sort procedure, children were
asked to recall their pain experiences and allocate each descriptor to
one of three categories: a) words that I know and use to describe pain;
b) words that I know but don’t use to describe pain; c) words that I
don’t know. For each subject, the percentage of words that were
used within the number of words that were known was calculated
and used as dependent variable in stepwise regression analysis.
Results: Cancer subjects use fewer words to describe their pain
compared to healthy subjects. Although there were no age and
gender related differences in whole group analysis, sub-analysis in
the cancer group showed that adolescents (13-17 yo) and girls use
more words to describe their pain. Health condition and age group
were retained as predictors in regression analysis.
(VFROD6XSHULRUGH(QIHUPDJHPGH&RLPEUD
Contact details: catarinacampos@esenfc.pt
Background: The Adolescent Pediatric Pain Tool (APPT) assesses
pain location, intensity and quality (list of pain descriptors).
Several studies defend its inclusion in pain assessment in cancer
children.
Objectives: To examine the psychometric properties of the
Portuguese version of the APPT.
Methods: Methodological study conducted in two pediatric
oncologic units. We included 100 Portuguese cancer children
aged between 8-17 yo. Patients reported their present pain or
their last pain episode. Outcome measures: Demographic data,
number of pain sites and surface area, pain intensity and quality
scores (total, sensory, evaluative, affective and temporal) were
obtained. Psychometric properties were established by calculating
the correlation between location, intensity and quality scores
(Spearman test) and by testing the differences between age groups
(8-12 yo and 13-17yo) and sex (Mann-Whitney U test). Construct
validity of the theoretically organized dimensions was assessed
using optimal scaling method.
Results: There is a positive relationship between number of pain
sites and pain area and total number of descriptors (rs = 0.21,
p = 0.02; rs = 0.28, p = 0.002, respectively) and between intensity
and total number of descriptors (rs = 0.34, p = 0,00). The five
quality scores were positive correlated to each other (rs = 0.39 to
0,89, p = 0.00). Pain location, intensity and quality were not
VLJQLÀFDQWO\GLIIHUHQWEHWZHHQ\RDQG\RDQGER\VDQG
girls. Factor analysis was suggestive for 4-factor solution but the
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Conclusions: The psychometric properties of the Portuguese
version of the APPT suggest that the questionnaire may be used to
assess pain in Portuguese cancer children.
0212-6567/$ - see front matter © 2013 Elsevier España, S.L. Todos los derechos reservados.
6
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
A FUNCTIONAL STUDY OF THE INNER FEATURES
OF CAPS HAND DRAWN FACES: ESTIMATING SCALE
VALUES AND IMPORTANCE
Joana Gonçalvesa, Armando Oliveirab, Luís Batalhaa,
Ananda Fernandesa
Nursing School of Coimbra. bInstitute of Cognitive Psychology.
Portugal.
a
Contact details: jcgoncalves@gmail.com
Introduction: Many quantifiable self-report scales have been
proposed for pediatric use. The CAPS (Children Anxiety and Pain
Scale) is one such scale, composed of two sets of hand drawn faces
for assessing pain and anxiety/fear, respectively, in children.
Objectives: This work is aimed at exploring the claim that the two
sets of faces correspond to two distinct constructs: anxiety/fear
and pain.
Methods: The methodology of information integration theory
(IIT) and functional measurement (FM) was used. Two samples of
children (9-12 years old) took part in the experiments: without a
regular experience of pain (n = 23); undergoing a post operatory
period (n = 21). Both groups performed on two experiments, one
for each of the two CAPS subscales. Factorial combination of 5
(upper-face features) x 5 (lower-face features) were presented and
evaluated on a graphic rating scale.
Results: In both groups, upper-face components were the most
important in pain faces, and the least important in anxiety/
fear faces. This pattern of relative importance remained when
instructions were reversed.
Conclusions: Outcomes support the notion that the two sets of
faces of CAPS embody different constructs. The graphic elements
of the two sets do express different concepts. Having or not a
UHJXODUH[SHULHQFHRIDFXWHSDLQGLGQRWVLJQLÀFDQWO\DOWHUHGWKH
way children evaluated either fear or pain.
SYMPOSIUM: PSYCHOSSOCIAL DETERMINANTS
OF HEALTH
Coordinator: Vitor Manuel Costa Pereira Rodrigues, Universidade de Trás-os-Montes e Alto Douro, vmcpr@utad.pt
Incorporate Communications
BREASTFEEDING AND NUTRITIONAL STATUS IN CHILDREN
Maria Teresa Coutinhoa, Maria José Santosb, Vitor Rodriguesc
8QLGDGHGH&XLGDGRVQD&RPXQLGDGHGH0DWHXV$&(6'RXUR,
8QLYHUVLGDGHGH7UiVRV0RQWHVH$OWR'RXUR(6(QI95
c
8QLYHUVLGDGHGH7UiVRV0RQWHVH$OWR'RXUR(6(QI95&,'(6'
Portugal.
a
b
2011/2012 school year. The instrument used to collect data was
the Monitoring of Infant-Juvenile Health Indicators Questionnaire:
Impact on Education for Health.
Results: In this study, 49.7% of the children were male and 50.3%
were female. 70.5% of the children were fed with breast milk (LM)
and 29.5% were not breast fed. More than half of the children (59%)
ZHUHRIDYHUDJHZHLJKWZKLOHZHUHFODVVLÀHGDVSUHREHVH
and 18.5% as obese. With respect to the various possibilities being
studied, we observed that none of the variables significantly
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Conclusions: The present study showed that there are no
VWDWLVWLFDOO\VLJQLÀFDQWGLIIHUHQFHVLQUHODWLRQWRWKHQXWULWLRQDO
state of children which were breast fed and those that were not
(x² = 1.962 p = 0.375).
THE PERCEPTION OF PARENTS ABOUT THEIR CHILDREN’S
FOOD PRACTICES
Ana Santosa, Amâncio Carvalhob, Vítor Rodriguesc
8QLGDGHGH6D~GH)DPLOLDU)pQL[&HQWURGH6D~GH9LOD5HDO,,
8QLYHUVLGDGHGH7UiVRV0RQWHVH$OWR'RXUR(6(QI95&,(&
c
8QLYHUVLGDGHGH7UiVRV0RQWHVH$OWR'RXUR(6(QI95&,'(6'
Portugal.
a
b
Contact details: vmcpr@utad.pt
Introduction: Overweight and obesity in general and childhood
obesity in particular have been considered an emerging public
health problem worldwide. This pathology was considered by the
World Health Organization as a multifactorial disease.
Objectives: Identify what is the perception of parents about their
responsibility in feeding practices of children and relationship with
childhood obesity.
Methods: A quantitative correlational-predictive type study, which
took place between february and april 2012. Anthropometric
evaluation, with BMI calculation using cut of points, percentile
curves according the Directorate General of Health, and a validated
questionnaire of attitudes, beliefs and feeding practices, applied
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from Peso da Régua, being the sample correspondent to the
accessible population.
Results: The prevalence of overweight in our sample is 23.3% and
obesity is 19.6%. Most parents control the eating habits of their
children (76.2%) and have the perception that the eating behaviors
of children are largely their responsibility (91.0%), while not being
very concerned about the weight of children (14.9%). Among the
various beliefs and attitudes of parents, those that show statistically
VLJQLÀFDQWGLIIHUHQFHVZKHQFURVVHGZLWK%0,XVLQJFXWRISRLQWV
were the concern about the child’s weight (Kruskal-Wallis: p = 0.00)
and the pressure to eat (Kruskal-Wallis: p = 0.034).
Conclusions: The results, found by us, show the relevance of
developing a proposed intervention focused on family, whose focus
will be essentially the beliefs and attitudes of parents regarding the
infant feeding practices.
Contact details: vmcpr@utad.pt
Introduction: Obesity is considered the epidemic of the 21st
century, its prevalence has increased in recent decades. This
evolving tendency is particularly evident in children, due to its
persistence into adulthood and the inherent difficulties in
its treatment.
Objectives: The objectives of this study are to identify the
relationship between AM and exclusive feeding (AME) with the
nutritional state of children aged 3 to 6 years.
Methods: This is a study of a descriptive, transversal and correlational nature. The sample was made up of 173 children,
between the ages of 3 and 6, which were attending pre-school in
one of the school groups in the district of Vila Real, during the
PARENTAL FACTORS AND ADOLESCENT ATTITUDES
TOWARDS SEXUALITY
Elisa Salgueiroa, João Castrob, Vitor Rodriguesc
Centro de Saúde de Sabrosa. bUniversidade de Trás-os-Montes
H$OWR'RXUR(6(QI95cUniversidade de Trás-os-Montes e
$OWR'RXUR(6(QI95&,'(6'3RUWXJDO
a
Contact details: vmcpr@utad.pt
Introduction: Adolescence is, by itself, the time of initial exploration and experimentation of experiences related to sexuality and
intimacy, making this a vulnerable group. Thus, adults, families and
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
educators that accompany the teenager are important actors in his
development process.
Objectives: Identify parental factors that may underpin adolescent’s sexual attitudes.
Methods: In this context we conducted the study “parental
IDFWRUVWKDWLQÁXHQFHDGROHVFHQW·VDWWLWXGHVUHJDUGLQJVH[XDOLW\µ
It is a quantitative descriptive-correlational study, which seeks
WRLGHQWLI\SDUHQWDOIDFWRUVWKDWPD\LQÁXHQFHWHHQV·DWWLWXGHV
towards sexuality, bearing in mind that parents are the key players
in this critical and sensitive period that is adolescence. The sample
consists of 123 adolescents attending the 9th grade from four
schools.
Results:7KHPRVWVLJQLÀFDQWRYHUDOOUHVXOWVLQGLFDWHDIDYRUDEOH
attitude towards sexuality by almost half of young people (48%) and
an unfavorable attitude by only 34,1%. This attitude, by hypothesis
testing, is related to: i) gender, with the female having the higher
average values in the attitudes scale; ii) age group, where younger
adolescents show higher rates; iii) existence of loving relationship;
iv) parental reference gender and parents’ profession. Also, in
accessory data collected from parents, was found that the mother
is the parental member who talks more with the children, is more
aware and realizes when they have problems. She is also more frequently the responsible for education.
Conclusions: The family context is of great importance in young
SHRSOH·VDGRSWLRQRIVH[XDOEHKDYLRUVH[LVWLQJDKLJKO\VLJQLÀFDQW
correlation for the comfort in talking about sexuality with adolescents, family cohesion and adaptability.
PARENTAL BEHAVIOR AND SEXUAL ATTITUDES
IN ADOLESCENTS
Ivo Barreiraa, Cristina Antunesb, Vitor Rodriguesc
a
Centro de Saúde de Celorico de Basto. bUniversidade de
7UiVRV0RQWHVH$OWR'RXUR(6(QI95&383cUniversidade
GH7UiVRV0RQWHVH$OWR'RXUR(6(QI95&,'(6'3RUWXJDO
Contact details: vmcpr@utad.pt
Introduction: The parental behavior is an essential factor in the
relationship that is established between parents and children.
The styles and/or parenting practices adopted, as well as the
organizational culture of the family may determine adolescent’s
sexual attitudes and behaviors as well as their involvement in risky
behaviors.
Objectives: The present study aimed to relate some characteristics
of the parental behavior, perceived by the adolescents, with
attitudes and sexual behaviors.
Methods: This research involved 364 adolescents attending 9th
grade, of which 144 (39.6%) were male and 220 (60.4%) were
female, aged between 14 and 18 years old (standard deviation = 0.715). The data collection instruments used were Inventory
of the Organizational Culture of the Family and the Scale of
Attitudes to Sexuality in Adolescents.
Results:7KHUHVXOWVUHYHDOHGVWDWLVWLFDOO\VLJQLÀFDQWGLIIHUHQFHV
between genders in sexual attitudes with girls having more
favorable sexual attitudes and behaviors. There was a positive
correlation between sexual attitudes and the family organizational
culture. The variables Culture of Interpersonal Relationships,
Hierarchical Culture and Heuristics Culture were the best
predictors of the adolescents’ attitudes and sexual behaviors.
The results of this research highlighted the importance of the
some family-related variables in the relation to adolescents’
sexual attitudes and suggest that the implementation of programs
and projects in schools in the context of sexuality must involve
parents.
Conclusions: Future studies with other variables and involving
parents directly, may collect additional information necessary to
understand the sexual attitudes and behaviors of adolescents.
7
THE PERCEPTION OF PARENTS ABOUT THE FEEDING
BEHAVIOR OF CHILDREN
Maria Soqueiroa, Amâncio Carvalhob, Vítor Rodriguesc
Centro de Saúde de Montalegre. bUniversidade de
7UiVRV0RQWHVH$OWR'RXUR(6(QI95&,(&cUniversidade
GH7UiVRV0RQWHVH$OWR'RXUR(6(QI95&,'(6'3RUWXJDO
a
Contact details: vmcpr@utad.pt
Introduction: Childhood obesity has increased over recent
years, mainly due to poor eating habits and sedentary lifestyle.
Eating behavior and eating style appear as aspects to consider in
addressing behavioral and psychological obesity.
Objectives: The present study aimed to examine how parents
perceive eating behavior of children and its relationship to obesity.
Methods: This is a descriptive, correlational, cross-sectional quantitative study, involving a sample of 197 children aged between 3
and 6 years old and their parents. For data collection we used a
VHOIIXOOÀOOLQJTXHVWLRQQDLUHWKDWZDVDGPLQLVWHUHGWRWKHSDUHQWV
guardians (general characteristics of the household, weight at
birth, length of gestation and lactation) and The Children’s eating
behavior Questionnaire (CEBQ). To data analysis SPSS Statistics Vs
20.0 was used.
Results: The results showed an overall prevalence of pre-obesity
(14.7%), and obesity slightly higher (15.2%). Results don’t differ
significantly between sex, age, type of education and School.
7KHUHZDVVLJQLÀFDQWVWDWLVWLFDOGLIIHUHQFHVE\,0&SHUFHQWLOHLQ
scale “satiety responsiveness” (Kruskal-Wallis = 17,635, p = 0.001),
with a higher result in underweight children (138.34); “slowness
in eating” (Kruskal-Wallis = 16,640, p = 0,001), with higherresults
in lower weight children (M = 122.63); “enjoyment of food”
(Kruskal-Wallis = 12,110, p = 0.007), with higher results in obese
(124.41), and on “emotional overeating” (Kruskal-Wallis = 14,143,
p = 0.003) with higher results in obese children (122.05).
Conclusions: These results allow us to consider that prevalence of
obesity in the sample is quite high and the perception of parents
about “satiety responsiveness”, slowness in eating”, “enjoyment of
food” and “emotional overeating.
SYMPOSIUM: HEALTH EDUCATION
Coordinator: José Manuel Peixoto Caldas, Faculdade de
Psicologia e das Ciências da Educação UP, jcaldas@fpce.up.pt
Incorporate Communications
MATERNAL HEALTHCARE INEQUITIES IN MIGRANTS:
THE PERSPECTIVE OF CARE PROVIDERS
Lígia Moreira Almeidaa, Alejandra Ortizb
a
Institute of Public Health. Faculdade de Medicina
da Universidade do Porto (ISPUP/FMUP). Iberoamerican
Observatory of Health and Citizenship (IOHC). Centre
IRU5HVHDUFKDQG,QWHUYHQWLRQLQ(GXFDWLRQ)DFXOW\
RI3V\FKRORJ\DQG(GXFDWLRQDO6FLHQFHV8QLYHUVLW\RI
3RUWR &,,()3&(83 3RUWXJDObCenter for Research
and Studies in Sociology. University Institute of Lisbon
&,(6|,6&7(,8/ 3RUWXJDO
Contact details: ligia_almeida@fpce.up.pt
Background: Healthcare as a universal right is a basic requirement
for the social inclusion of immigrants. The effects that migration
8
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
can display in health and quality of life are varied and complex,
extremely important in periods of recognized vulnerability of
women: pregnancy and motherhood.
Objectives: In order to characterize the healthcare provided to
this population in the defined periods, we sought to assess the
perception of immigrants regarding the quality of received care
and its adequacy. Later, we gathered complementary information
among trained health professionals.
Methods: The investigation protocol followed a mixed methodology.
It is intended to assess whether the qualitative data collected
(semi-structured interviews) converge with health indicators
(questionnaires) — triangulation techniques. The participants
are recent immigrants mothers from Eastern Europe, Brazil and
Portuguese Speaking African Countries and Portuguese (for comparison), contacted through civilian associations and referral
Hospitals in the metropolitan area of Porto, as well as health professionals (doctors, nurses and administrative staff) working in the same
Hospitals.
Results: Misinformation about rights and gaps in doctor-patient
communication and expectations during medical consultations
often interact with social determinants, resulting in impoverished maternal health outcomes and suboptimal medical procedures.
Conclusions: Health services should consider migrants’ health
literacy in order to improve responses to their needs. New Public
Health scopes must target professional awareness of the need for
additional care in vulnerable populations (e.g. migrants who lack
social support) to promote superior quality of care.
DROP OUT THE SHAFT: THE INTERNET ADDICTION
BEHAVIOR IN DISCUSS
Gustavo Malafaya Sá
HEALTH AND EDUCATION: THE IMPACT
OF EMPOWERMENT AND SELF-CARE STRATEGIES
IN TYPE II DIABETIC POPULATION
José Caldas
&,,()3&(8QLYHUVLGDGHGR3RUWR3RUWXJDO
Contact details: jcaldas@fpce.up.pt
Introduction: The prevalence of diabetes is increasing globally due
on the one hand, to the aging of the population, but also because
of increased risk factors (eg increase in obesity and decreased
physical activity).The prevalence of diabetes in 2010 was 12.4% of
population aged between 20 and 79, which corresponds to a total
of about 991 000 individuals; in the same year 623 new cases of
diabetes by 100 000 population were detected in Portugal.
Literature Review: The literature has pointed out that most elder
people with diabetes have difficulty in adhering to therapeutic
programs (metabolic control, diet plan, exercise and drug therapy).
Guidelines: The main objective of this project is, through qualitative and quantitative strategies, addressing health promotion in
diabetics through empowerment strategies in order to facilitate
integration of behavioral changes and acquisition of health and
self-care behaviors, at different levels. It is intended to make a
collection of individual needs, personal and social representations
of diabetic individuals, to make a survey of common denominators
for the organization of research-action (which will seek support
in the literature): improvement of information and accessibility
content on DM2, self-care, monitoring and prevention of problems
associated with DM2-asymptomatic disease, dietary transgressions
and construction of personal strategies for routine and dietary
UHHGXFDWLRQLQWHUSHUVRQDOLQÁXHQFHVDQGGHYHORSPHQWRIFRSLQJ
skills and decision making, problems with medication.
Conclusions: Therefore, we intend to build important therapeutic
alliances with family for an extension of healthcare in time, as part
of diabetics’ life contexts and meaningful relationships.
Institute of Social Sciences. University of Minho. Portugal.
Contact details: gustavosa2010@gmail.com
Introduction: This paper intended to analyze the process of
Internet addiction, which has gradually expunged individuals
IURPWKHLUVRFLDOOLIHRIÁLQHPLQLPL]LQJLQWHUSHUVRQDOUHODWLRQ
ships.
State of the art:7KHFHQWUDOLVVXHLVUHÁHFWRQWKHJURZLQJPRYH
ment of migrating the postmodern individual to virtual communities
and relationships by this option focused in “weak ties” to the
detriment of personal contact face-to-face. It’s proposed to
understand why the option of dipping into these communities to
seek new opportunities for socializing, pluralizing exponentially the
multiple voices. The analysis will focus on the individual as a user of
the network.
New perspectives: In terms of methodology, the choice for the
development of this paper was the hypothetical-deductive method.
The idea is to make a crossing of sociological and communicational
theories about the discourse relationship with web data gathered
from scientific studies that have been conducted in centers for
Internet addiction in the United States in recent years. From that
intersection, the aim is to produce a “social gaze” from then
diagnose “social prisoners” on the web.
Theorical and Practical implications: It is important to note
that this discussion understands that there is a “social arena”
in which individual and Internet are together, but with different
functions: an addict and an addictive. This is a complex system
that is directly “linked” on the relation of seduction by the
symbolic and psychological development of each individual:
a place where social exchanges mediated by screens are the
solution for building ephemeral relationships, and text becomes
hypertext and translates the emotions of practical and objective
way.
SYMPOSIUM: WHAT SHALL WE DO ABOUT
YOUTH ALCOHOL USE?
Coordinator: Irma da Silva Brito, Escola Superior de Enfermagem de Coimbra, irmabrito@esenfc.pt
Incorporate Communications
DO YOU HAVE A FANTASTIC LIFESTYLE?
NIGHTS OUT AND YOUTH LIFESTYLES
Armando Silvaa, Irma Britoa, João Amadob
a
(VFROD6XSHULRUGH(QIHUPDJHPGH&RLPEUD3RUWXJDO
Universidade Católica Portuguesa. Portugal.
b
Contact details: armandos@esenfc.pt
Introduction: To address real problems we should use a participatory approach to widening understandings through the use of
communicative spaces and practical engagement with tools for
inquiry. The behaviour of alcohol consumption is related with
lifestyle, especially in youth. So it needs to be assessed before
start prevention programs.
Objectives: Describe quantitative methods for assess lifestyle and
behaviour of alcohol use among young people.
Methods: Epidemiologic research was carried out to determine
the healthy lifestyle behaviour prevalence of university students.
The sampling included 3459 students who respond to an on-line
questionnaire, selected by a simple random sampling method. Data
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
were collected between October and December 2012 by using “Do
you have a Fantastic Lifestyle” (Silva, Brito, Amado, 2011) and
Self-Esteem (Rosenberg, 1964), both portuguese version.
Results: Results show that 65% aren’t member of a community
group; 35% feel stressed, 34% don’t do health-check-up, 33%
don’t eat often fruits and vegetables; 29% smoke and 23% don’t
usually talk with relatives about sexuality. Lifestyle behaviour
point averages medium level of 85.81 ± 13.06; Medium level
Self-Esteem 30.04 ± 5.14. A week, they go out at night on average
1.27 ±WLPHV7KHUHLVDVLJQLÀFDQWSRVLWLYHFRUUHODWLRQEHWZHHQ
Lifestyle behaviour with Self-Esteem (.567; p = .000) but a negative
FRUUHODWLRQZLWKWLPHVRIJRLQJRXWDWQLJKW î S= .013).
Conclusions: This data will be used to design and organize a Health
Education strategy in each of the fields of education/schools;
monitoring student’s health status; and evaluate the impact of
recreational context health promotion within PEER.
TAKE CARE: REDUCING ALCOHOL CONSUMPTION
IN UNDERAGE
Maria do Rosário Mendesa, Irma Britob, Clara Marquesc,
Nuno Freitasc, Fernando Mendesa
,5()5($3RUWXJDOb(VFROD6XSHULRUGH(QIHUPDJHP
de Coimbra (PT); c(VFROD6HFXQGiULD''LQLV 37 3RUWXJDO
a
Contact details: rosarinhomendes@gmail.com
In Europe, there are clear regulations about age at which adolescents
are allowed to buy and use alcohol. Yet, no precise wording of law
can prevent infringements. This gap between legal norms and
SUDFWLFDOH[SHULHQFHVVHHPVWREHGLIÀFXOWWRGHDO2IWHQLWLVHDV\
for minors to buy alcohol, sometimes, because the retailers turn a
blind eye on this, sometimes because they do not even know the law
for the youth protection. Also, young people experience a careless
dealing with the topic of alcohol in their families, where alcohol use
is frequent. Even key persons, such as experts in youth facilities or
FRDFKHVÀQGLWGLIÀFXOWWRJDLQDFFHVVWRDGROHVFHQWVZKHQLWFRPHV
to the topic of alcohol. TAKE CARE project propose new strategies
towards a responsible consumption of alcohol among adolescents in
Europe. Is a multilevel approach: focuses on adolescents with heavy
alchool use, parents, key persons and retailers.
Objectives:5HÁHFWLQJRQHIIHFWLYHQHVVRISUHYHQWLQJDQGUHGXFLQJ
alcohol consumption among underage.
Methods: Pre-post multicentric study (10 EU countries) with no
control samples. Results show that approach is effective. The
evaluation of TAKE CARE did not only prove that adolescents
reconsider their consumption habits after the interventions, but
also that parents, key persons and retailers now know more about
the risks of alcohol use by adolescents and plan to pay closer
attention to the compliance with the laws after the intervention.
Discussion: Multilevel approach allows to training risk competence in
adolescents and strengthening educational skills of parents and key
persons. This project, which not only tried out new methodological
paths, but, as a joint project of ten partner countries, also showed,
KRZWKH(XURSHDQLGHDFDQEHÀOOHGLQSUDFWLFH
PEER PRESSURE AND YOUTH ALCOHOL CONSUMPTION
Andreia Cardosoa, Raquel Carvalhoa, Ricardo Machadoa,
Sara Antunesa, Filipa Homemb, Irma Britoc
a
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6XSHULRUGH(QIHUPDJHPGH&RLPEUD 37 b3((58,&,6$( 37
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development, as can be involved in risky behaviors, especially in
9
youth. Peer pressure is characterized as a phenomenon in which
people of the same age actively encourage an individual to act or
think in a certain way. This research aims to describe validation
of the Portuguese version of “Peer Pressure Scale” for secondary
and higher education and to search correlation between peer
pressure and alcohol use. “Peer Pressure Scale” is based on the
“Peer Pressure Inventory” by Clasen and Brown (1985), applied
to teenagers. We proceeded to translation, retroversion and
adaptation from the original scale, pre-test, data collection and
psychometric analysis in 2 samples of Coimbra. Scale is comprised
RILWHPVZLWKVFRUHGIURPîWRJURXSHGLQWRWKUHHGLPHQVLRQV
academic involvement, healthy behavior and appropriate social
behavior. Sample of secondary education were 50 students from a
professional school, aged between 16 and 23Y (Cronbach’s a = .797).
Higher education sample were 186 students, aged between 20 and
24Y (Cronbach’s a = .886). Splitting sample according gender,
FRUUHODWLRQEHWZHHQSHHUSUHVVXUHDQGDOFRKROXVHLVVLJQLÀFDQWIRU
women (men = .039; women = .870). This scale seems to be a useful
tool, particularly in detecting the dimensions of peer pressure
that exists among students, according level of education. Due to
the small sample size, generalizations are not valid. This scale is
being adapted to new data collection in different contexts, also in
online format. We intend to apply it in most schools, integrating in
\RXWKHGXFDWLRQDOLQWHUYHQWLRQ DPRQJ3((5SURMHFW IRUUHÁHFWLRQ
on the influence of peers and effects on the involvement of in
the academic environment, performance and risky behaviors.
BEFORE YOU GET BURNT: PEER EDUCATION
AND HARM REDUCTION IN RECREATIONAL CONTEXT
Veronica Coutinhoa, Filipa Homemb, Paulo Anjosc,
Fernando Mendesd, Irma Britoa
(VFROD6XSHULRUGH(QIHUPDJHPGH&RLPEUD 37
3((58,&,6$( 37 c$VVRFLDomR([LVWrQFLDV 37
d
,5()5($3RUWXJDO 37 3RUWXJDO
a
b
Contact details: vcoutinho@esenfc.pt
Alcohol binge drinking is recognized as a key enabler of risky sexual
practices and various associated problems, such as unwanted
pregnancies, regretted sex or even the transmission of Sexually
7UDQVPLWWHG,QIHFWLRQV 67,V ,WLVDOVRUHODWHGZLWKWUDIÀFDFFLGHQWV
and violence. In fact, during student’s festivities, it seems that
drunkenness is leading to neglect prevention methods such as
DEVWLQHQFHÀGHOLW\FRQGRPXVHRUVH[ZLWKFDVXDOSDUWQHUV ´RQH
night stand”). Peer education emerges as a strategy to promote
effective health literacy.
Objectives: Reflecting on practice of preventing and reducing
alcohol consumption among young people in recreational context.
Methods: Before you get burnt is a strategy in which individuals of a
social group (students) educates members of the same group, with the
DLPRISRVLWLYHO\LQÁXHQFLQJ,Q&RLPEUDVLQFHWUDLQHGVWXGHQWV
do peer-to-peer counseling about alcohol consumption and sex during
night student’s festivities. In pairs, they colect data, talk about limits
consumption and teach how to recognize risk and use protection.
Results: Since 2007 to 2012 target-population(n = men 3124;
women 1940) shows a critical pattern of behavior: Drunkenness
during festivities (average) men 69.2 ± 33.3%, women 56.3 ± 35.3%;
Binge drinking (average) men 10.2 ± 7.5 UBP, women 6.5 ± 5.5 UBP,
Unprotected sex (prevalence&OR) men 21.8%, OR .562, women
14.7%, OR .502; Accept unprotected occasional sex (prevalence&OR)
PHQ25ZRPHQ25 'ULYLQJXQGHULQÁXHQFH
of alcohol (prevalence) men 66.0%, women 32.2%; Need treatment
because acute intoxication (prevalence): men 10.1%, women 7.5%.
Conclusions: Subjects like social pressures, substance abuse
and sexuality are topics where individuals seams to feel more
comfortable and less defensive talking to a peer (Peer education)
than with a specialist.
10
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
FACTORS ASSOCIATED WITH EXPERIMENTATION AND
REGULAR ALCOHOL USE IN YOUTH: A QUALITATIVE STUDY
Irma Britoa, José Preciosob, Claudia Correiac, Carlos Albuquerqued,
Hilson Cunha Filhoe
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,QVWLWXWRGH(GXFDomR8QLYHUVLGDGHGR0LQKR 37 3RUWXJDO
c
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o consumo de álcool em adolescentes escolarizados:
0HOKRUDURFRQKHFLPHQWRSDUDXPDSUHYHQomRHÀFD]µÀQDQFLDGR
SHOD)XQGDomRSDUDD&LrQFLDHD7HFQRORJLDHFRÀQDQFLDGRSHOR
SURJUDPD&203(7(8QLYHUVLGDGHGR0LQKR 37 3RUWXJDO
d
(VFROD6XSHULRUGH6D~GHGH9LVHX 37 3RUWXJDOe&(6129$
&HQWURGH(VWXGRVGH6RFLRORJLDGD)DFXOGDGHGH&LrQFLDV6RFLDLV
e Humanas da Universidade Nova de Lisboa (PT). Portugal.
a
b
Contact details: c.gomescorreia@gmail.com
Introduction: According to the latest report from ESPAD (2011), in
Portugal, 74% of youth report having used alcohol in the past year,
52% last month and 22% reported “binge drinking”.
Objectives: Describe the risk and protective factors associated with
experimentation and regular alcohol use in youth, according to sex.
Methods: Focus group method (World Café) to assess social
representation of alcohol use among young people. Drawing on
seven integrated design principles, the World Café methodology
LVDVLPSOHHIIHFWLYHDQGÁH[LEOHIRUPDWIRUKRVWLQJODUJHJURXS
dialogue. We organized nine groups of university students (n = 223)
who use alcohol (1 boys, 2 girls and 4 mixed) and one group of
10 young people who do not use alcohol. Each group was divided
LQWRVPDOOJURXSVRISHRSOHZKRUHÁHFWDVHULHVRITXHVWLRQV
They responded discussing into group and between groups, noting
the views on a sheet. Data were analyzed by content anlysis.
Results: We identified several risk factors associated with
experimentation (curiosity, ignorance of the risks, behaviors and
perceptions of parents) and regular alcohol consumption (peer
pressure, looking for fun and disinhibition, social pressure). There
are some differences between the sexes: regarding risk factors
for experimentation, the attitudes of family members towards
consumption of alcohol emerge as more relevant for males, while in
IHPDOHVWKHLQÁXHQFHRISHHUVKDVDPRUHVLJQLÀFDQWUROH
Conclusions: Attitudes of peers in females and family perception in
males were the most relevant factors. Prevention programs should take
into account this difference in gender and develop preventive actions
based on those differences. Also should alert parents to the dangers of
drinking, help them be aware to that behavior and act as a good model.
SYMPOSIUM: PSYCHOLOGICAL DETERMINANTS
OF PEDIATRIC HEALTH AND ADAPTATION:
CONTRIBUTES TO INTERVENTION PLANNING
Coordinator: Luisa Barros, Faculdade de Psicologia da Universidade de Lisboa, lbarros@fp.ul.pt
Incorporate Communications
PARENTS AND CHILDREN’S REPORT ABOUT SLEEP HABITS
AND CHILDREN’S UNDERSTANDING OF SLEEP AND
FALLING ASLEEP STRATEGIES
Margarida Santosa, Patricia Januáriob, Elisabete Carolinoc,
Ana C. Guimarãesb, Andreia Ribeirob
a
)38/H(67(6/bFPUL. c(67H/
Contact details: margarida.santos@estesl.ipl.pt
Introduction: Although sleep is recognized as an important
determinant of child’s health and development, the large majority
of studies focus only on epidemiological aspects of sleep disorders.
To our knowledge, no one has questioned children about their
quality of sleep and the way they cope with problems around
sleep. This study aimed to identify sleep habits (SH) in school
aged children and to explore children’s understanding of sleep
and children’s meanings about: quality of sleep, problems to fall
asleep, night waking and strategies to fall asleep. Participants
were 142 school aged children (8-9 years old) and their parents
(139 mothers; 125 fathers).
Methods: All parents completed Children’s Sleep Habits
Questionnaire (Owen, 2000) and all children the Sleep Self Report
(Owen et al, 2000). A semi-structured interview was conducted
with a subsample of 58 children, randomly chosen.
Results: Parents reported moderate to low levels of sleep
disturbance in their children. Some differences were found among
fathers, mothers and children’s report, especially in events
occurring during sleep, with mothers and children reporting
higher levels of disturbances. Sleep habits were in general
age-appropriate. Some less adequate routines like watching TV to
fall asleep were reported. Children use a concrete level to explain
sleep and their meanings and strategies are related to their own
personal experiences. They reported using a diverse number of
VWUDWHJLHVWRIDOODVOHHSDQGGLIÀFXOWLHVLQJRLQJEDFNWRVOHHSZKHQ
waking in the middle of the night.
Conclusions: Parents and children’s sleep reports showed some
differences in the expected direction. Children’s meanings about
sleep and sleeping strategies should be considered to improve the
HIÀFDF\RILQWHUYHQWLRQV
EARLY CHILDHOOD SLEEP: EFFECTS OF PARENTAL
DISCIPLINE PRACTICES ON SLEEP HABITS, PATTERNS
AND DIFFICULTIES
Ana Goes, Luisa Barros
FPUL. Portugal.
Contact details: lbarros@fp.ul.pt
Introduction: It is widely recognized that sleep-related parental
behaviors are relevant contributors to the emergence and
maintenance of sleep problems during early childhood. More
recently, discussion about the impact of parental discipline
practices on sleep outcomes has emerged. Nevertheless, these
different parental behaviors and strategies were not examined
simultaneously.
Objectives: This study aimed to describe the prevalence of sleep
habits and difficulties in a community sample of Portuguese
toddlers and preschoolers. Additionally, it intended to examine
the contribution of parental discipline and parental sleep-related
EHKDYLRUVWRVOHHSSDWWHUQVKDELWVDQGGLIÀFXOWLHV
Methods: 297 parents of children aged 2 to 6 years participated in
this study. Parents completed several questionnaires to measure
GHPRJUDSKLFVFKLOGUHQ·VVOHHSSDWWHUQVKDELWVDQGGLIÀFXOWLHV
and parental discipline strategies.
Results: Some dimensions of discipline were associated with
children’s sleep. Harsh and inconsistent discipline strategies
contributed to children’s sleep habits. Short sleep duration was
associated with parental involvement at sleep onset and with
bedtime routines. Bedtime resistance was predicted by parental
discipline strategies and by parental sleep-related behaviors.
'LIÀFXOWLHVWRVHWWOHORQJVOHHSRQVHWDQGQLJKWZDNLQJZHUHRQO\
predicted by parental sleep-related behaviors.
Conclusions: This work reinforced the importance of common
recommendations on sleep hygiene and also pointed that sleep
interventions should consider broader parental behaviors in
order to change parental sleep behaviors and children’s sleep
outcomes.
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
WHAT PARENTAL COGNITIVE DIMENSIONS ARE
IMPORTANT TO UNDERSTAND CHILDREN’S EATING
HABITS?
Graça Andradea,b, Luísa Barrosb, Rosário Ramosc
a
)38/H(67(6/bFPUL. cUniversidade Aberta.
Portugal.
Contact details: mgandrade@estesl.ipl.pt
Introduction: The rising epidemics of excessive weight and
obesity from early ages and the fact that Childhood eating habits
(CEH) and food preferences are acquired during childhood,
make it essential to organize early intervention programs to
promote healthy eating behaviors. Some parental determinants
of preschool children’s eating habits have been identified, but
process of interaction between these are still poorly understood.
Objectives: To evaluate parental cognitive dimensions associated
with CEH in preschool years and study their association with
children’s BMI, CEH and food preferences.
Methods: 232 parents of preschool children (5-6 years old)
completed socio-demographic, Children’s Eating Habits and
Nutritional Knowledge questionnaires and self-report measures
about perception of weight, concern, control an self-efficacy.
Children’s BMI and food preferences were also evaluated.
Results: Most parents of overweight and obese children underestimated their child’s weight, which only occurred with
few parents of normal weight children. Children’s eating
habits were associated with parents’ nutritional knowledge,
perception of control over and concerns with their child’s
eating behaviors.
Conclusions: Results are discussed in terms of their contribution
to a better understanding of the role of parental cognition in
the acquisition and maintenance of CEH and their relevance to
designing future interventions.
WHY DO TEENAGERS NEED HEALTHCARE PROVIDERS
AND HEALTHCARE SERVICES? PERSPECTIVES
OF URBAN ADOLESCENTS
Graça Vinagrea, Luísa Barrosb
a
)38/H(6(/bFPUL. Portugal.
Contact details: gvinagre@sapo.pt
Introduction: According to health providers, adolescents seek
primary care less then what would be desirable to achieve
important health promotion goals. The importance of client’s
meanings about healthcare is increasingly recognized, yet little is
known about adolescents’ perceptions of their needs and concerns
that may lead them to seek healthcare.
Objectives: To identify and analyze adolescents’ health concerns
and their subjective needs to seek healthcare providers and
services.
Methods: A cross sectional study, using a mixed qualitative and
quantitative methodology, was conducted with 982 adolescents,
aged between 13 to 19 years and attending schools in Lisbon.
They answered sociodemographic questions and a questionnaire
about health needs and concerns based on ideas generated in
an earlier qualitative study and relevant literature, with several
forced-response and some open-ended questions.
Results: Concerns about illness were the most prevalent, but
other concerns related with developmental changes and common
problems in adolescence were also evident. The needs for seeking
healthcare services and providers go beyond diagnosis and
treatment of diseases, and include illness prevention and health
11
SURPRWLRQDVZHOODVDGYLFHDQGJXLGDQFHIRUVSHFLÀFKHDOWKDQG
developmental concerns. Some differences between concerns
and needs that may lead to adolescents to seek either providers or
services emerged.
Conclusions:7KHVHÀQGLQJVKHOSWRJDLQDEHWWHUXQGHUVWDQGLQJRI
the concerns and needs that may justify adolescents’ subjective
perception of reasons to seek help from healthcare providers and
services, which may contribute to inform and change the practice
of providers and the organization of services, particularly in the
domain of health promotion.
SYMPOSIUM: NURSING CHALLENGES
IN PRIMARY HEALTH CARE - FILLING
THE GAPS
Coordinator: Célia Maria Abreu de Freitas, University of
Aveiro, cfreitas@ua.pt
Incorporate Communications
COMPREHENSIVE STUDY OF BREAST CANCER
SCREENING ADHERENCE: EMERGING EDUCATIONAL
PROPOSALS
Célia Freitasa, Nilza Costab, Luiz Turac
(VFROD6XSHULRUGH6D~GHGD8QLYHUVLGDGHGH$YHLUR
'HSDUWDPHQWRGH(GXFDomRGD8QLYHUVLGDGHGH$YHLUR
Portugal. cFaculdade de Medicina da Universidade Federal
do Rio de Janeiro. Brasil.
a
b
Contact details: cfreitas@ua.pt
Introduction: Non-adherence has been regarded as one of the
main problems of the health system both, by the effects of gains in
health, as well as, the quality of life and patient satisfaction with
health care.
Objectives: To identify the determinants factors of adherence to
the Program for Breast Cancer Screening (PRCM) in a sample of
women aged 45 to 69 years, and emerging from the results propose
health education strategies.
Methods: This is a descriptive and explanatory cross-correlated
study with a non-probability convenience sample of 805 women.
It was applied a survey, complemented with field notes, in two
different settings: at the health centre to the adherents’ women
and at home, those who don’t adhere to PRCM. A combination of
bivariate and multivariate analysis was performed to determine
differences between the groups and predict the exogenous
variables.
Results: Was found that adhere to the PRCM, women who
have a Good Knowledge Profile (X2 = 10.260; p = 0.006), and
a Concordant Behaviour Profile with the guidelines of PRCM
(X2 = 348.193; p = 0.000). Although there is no significant
statistically dependence between the motivations and adherence
to PRCM (X2 = 0.199; p = 0.656), if we analyse particularly the
motives of adherence, some women are concerned, both with
early detection as disease inheritance. The multivariate analysis
VKRZVDVLJQLÀFDQWGLVFULPLQDWLRQSRZHURIWKHH[RJHQRXVYDULDEOHV
VWXGLHG7KH%HKDYLRXU3URÀOHLVWKHRQHWKDWKDVDKLJKHUGHJUHHRI
differentiation between the groups of adherents and non-adherents
to PRCM.
Conclusions: We found in the results of the present study
an involve ment of factors which integrate multiple levels of
intervention, and a challenge for health education practices to
achieve the goals of the PRCM.
12
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
THE PERCEPTION OF THE PUERPERA REGARDING
TO THE NEED AND IMPORTANCE OF POSTPARTUM HOME
VISITS
Rita Leala, Ana Almeidab, António Ferreirac, Cristina Quelhasb,
Carina Carvalhod
a
86)6WD-RDQD$&(6%DL[R9RXJD3RUWXJDObCentro Hospitalar
GH9LOD1RYD*DLD(VSLQKR(3(3RUWXJDOc(VFROD6XSHULRUGH
(QIHUPDJHP&UX]9HUPHOKD3RUWXJXHVDGH2OLYHLUDGH$]HPpLV
Portugal. d+RVSLWDOGH6DQWR$QGUp(3(3RUWXJDO
Contact details: ritamariaferreiraleal@gmail.com;
Introduction: Puerperium is a particularly critical point in the life
RIDIDPLO\7KHUHDUHVFLHQWLÀFDOO\SURYHQEHQHÀWVRIKRPHYLVLWV
to postpartum mothers and newborns. This study was aimed at
identifying the perception and importance given by new mothers
to the reception of postpartum visits from a midwife, in addition,
DWDEHWWHUXQGHUVWDQGLQJRIZKDWVSHFLÀFWRSLFVWKH\ZRXOGOLNHWR
be targeted by health education.
Methods: This study is descriptive, cross-sectional and quantitative.
The participants included 60 mothers evenly distributed throughout
three different hospitals in Portugal.
Results: The study revealed that majority of postpartum mothers
would like to have a home visit conducted by a midwife, shortly
after their hospital discharge. As a matter of fact there was high
level of stressed importance (71.7%) to this point in particular.
Breastfeeding was the topic with the highest record of importance,
whereas sexual activity/contraception was the least (31.7%).
Conclusions: Based on the analysis of studies of postpartum
home visits conducted and the results obtained in this study, we
FRQFOXGHGWKDWLWLVQHFHVVDU\WRUHÁHFWRQWKHFXUUHQWPHDVXUHV
taken to support postpartum families as well as taking into account
the gap that exists for a structured postpartum midwife home
visitation protocol. Realizing the importance of the issues mothers
would like to see addressed, it seems ever so imperative to work on
organizing and focusing health education on their needs.
FAMILY’S DYNAMIC RELATION DURING AN ACCIDENTAL
CRISIS
Nânci Teixeiraa, Norminda Magalhãesb
Medical Research Network. bUniversidade Católica Portuguesa.
Porto. Portugal.
a
Contact details: nanci01@aeiou.pt
Introduction: Within the principles and assumptions of Health
Family Nursing, it’s important to identify the dynamic relationship
during an unintentional crisis, such as the dependence in one of its
members.
Objectives: Conduct a situational diagnosis on Family according
the concepts of Modelo Dinâmico de Avaliação Intervenção Familiar
(Figueiredo, 2009), based on cognitive and executive knowledge as
the compliance behaviours of informal caregivers, in a household
where one element is elderly and chronic disease.
Methods: Triangulation methods. This study is descriptive and
accomplished a convenience sample of 10 families for 10 months.
Collection data through semi-structured interviews during home
visits. Pair-wise comparison technique trough a community
project named EUC (Nursing; Urbanism; Caregiver). Activities
performed as health education sessions introducing a new concept:
non-therapeutic group.
Results: The structural dimension showed 9 lower middle class,
where emotional support (33%) was the social function of external
relations, between its members. The functional dimension indicated
that the family-subsystem daughter, the primary caregiver, was the
responsible for solving all problems (56%).
Conclusions: The results highlighted the family identity risks but
also the non use of community resources; these represent the
overload tasks for one single person, either the needs of resilience
process demanding for the health team the concerns based on the
work with families.
SYMPOSIUM: HIGHER EDUCATION IN THE
DEVELOPMENT OF SEX EDUCATION IN MIDDLE
SCHOOL - A PROJECT
Coordinator: Hélia Maria da Silva Dias, Santarém Health
School of Higher Education, helia.dias@essaude.ipsantarem.pt
Incorporate Communications
THE EXPRESSION OF SEXUALITY IN PRE-PUBERTY
TO ADOLESCENCE
Olímpia Cruz, Conceição Santiago, Hélia Dias
6DQWDUpP+HDOWK6FKRRORI+LJKHU(GXFDWLRQ3RO\WHFKQLF
Institute of Santarém. Portugal.
Contact details: olimpia.fonseca@essaude.ipsantarem.pt
Introduction: The plasticity of social evolution in contemporary
society contributes to a diversity of ways of living adolescence,
where the uniqueness of transition from childhood to adulthood,
in their different spheres, characterizes this dynamic and complex
time, full of opportunities and risks. The project started in the
academic year 2008/09 and has been developed along with
students of the 2nd and 3rd cycles, promoting discussion about bio
physiological changes in the female and male reproductive system,
the process of formation of sexual identity and gender, psychological
changes and changes in the ability of social integration. On a
high-school level, where an adult body is developing, psychosexual
implications of these changes are worked: the new sexed body, the
change of body image and risks associated with sexuality-unwanted
pregnancy and STIs.
Objectives:5HÁHFWLQJRQWKHSDWKGHYHORSHGLQWKHDUHDRIVH[XDO
education in schools per cycle of schooling.
Methods: Resorted to the interactive/active methodologies method
in the context of class.
Results: 68 sessions were developed with the participation of
2241 students, where interest and involvement was noticed,
manifested by attention, interaction and issues concerning
the topics covered. In older people, issues emerged focused on
affective-sexual experiences, seeking answers to their individual
concerns and questions.
Conclusions: The designed interactive sessions fostered an open
debate and involvement of participants with a sence of motivation
to acquire healthy habits and decision making in the context of
sexual and reproductive health.
THE PROMOTION OF PARENT-CHILD COMMUNICATION
ABOUT SEXUALITY IN SCHOOLS
Teresa Carreira, Hélia Dias
6DQWDUpP+HDOWK6FKRRORI+LJKHU(GXFDWLRQ3RO\WHFKQLF
Institute of Santarém. Portugal.
Contact details: teresa.carreira@essaude.ipsantarem.pt
Introduction: Addressing issues concerning the sexuality of children
LVDGLIÀFXOWDUHDIRUPRVWSDUHQWVHYHQLIWKH\DUHDZDUHRIWKHLU
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
responsibility, so it is important to develop training actions to
facilitate this educational intervention.
Objectives: To describe a set of interventions conducted with
parents with the intent to train them for a better parental exercise
in terms of sexuality.
Methods: Training sessions on school context, organized in an oral
presentation space and a constructive debate.
Results: 5 sessions developed: 3 addressed to parents of students
in the middle-school and 2 addressed to parents of high-school
students. All projects were integrated in health education and
sexuality projects existent in each school. Content focused on
the importance, myths, obstacles and facilitating aspects in
communication between parents and children, with particular
emphasis on the strategies to promote the approach of sexuality in
family context. Use of interactive sessions, with space for debate
and construction of ideas. The heterogeneity of parents was not
inhibitory of an honest and constructive discussion, once the
sessions were not focused on the differences, but in the similarities
as parents.
Conclusions: Overall, the performance of activities proved to be a
promoting area of expression of ideas and opinions regarding the
sexuality of children and youth by parents, revealing the awareness
about the importance of their role and willingness to see the school
as a promoter of the realization of training actions of this nature.
1RWEHLQJDUHFHQWÀQGLQJFRUURERUDWHVWKHLPSRUWDQFHRISDUHQWDO
involvement in sexual education in schools and in constructing a
school that contributes to personal and social development of each
student.
THE SEX EDUCATION PROGRAMS IN SCHOOLS:
A SYSTEMATIC LITERATURE REVIEW
Conceição Santiago, Olímpia Cruz, Hélia Dias, Teresa Carreira,
José Amendoeira
6DQWDUpP+HDOWK6FKRRORI+LJKHU(GXFDWLRQ3RO\WHFKQLF
Institute of Santarém. Portugal.
Contact details: mconceicao.santiago@essaude.ipsantarem.pt
Introduction: Sex education is understood as a process of global
education and health promotion. The general basis of the system of
implementation of sex education in schools are a reality today. Also,
the NSP 2012-2016 contemplates puberty and youth as privileged
periods of acquirment of healthy behaviors.
Objectives: Analyze empirical studies that integrate intervention
programs regarding sex education in schools for adolescents.
Methods: RSL by the PI[C]OD method along with the question:
Which are the intervention programs in sexual education for
adolescents? Search bases CINAHL Plus with Full Text, MEDLINE
with Full Text; Nursing & Allied Health Collection: Comprehensive;
MedicLatina with descriptors: Programs, Education, Adolescent
DQG6H[XDOLW\IURPWR2IWKHDUWLFOHVLGHQWLÀHGE\
analyzing the title and summary and by application of the criteria
for inclusion and exclusion, resulted 10.
Results: Consensually emerges the importance of the implementation of sexual education programs for teenagers in school. In
the different approaches are evident: strategic lines of intervention
for teenagers, parents and teachers; the importance of evaluating
the different phases of the programs and the need to evaluate the
impact of the programs implementation in sexual behavior changes
in adolescents.
Conclusions: Studies substantiate the project of ESSS in promotion
of sexual health of adolescents in school and contribute to the
LGHQWLÀFDWLRQRIVWUDWHJLHVIRUDVVHVVLQJEHKDYLRUFKDQJHV,WLV
generally agreed that sex education in adolescence promotes
effective informed decision making sustained in knowledge
and skills that prevent or delay adverse effects of early sexual
behavior.
13
SYMPOSIUM: RESEARCH ON HOSPITAL
CLOWNS’ INTERVENTIONS-CURRENT
AND FUTURE CHALLENGES
Coordinator: Susana Caires, Universidade do Minho,
s.caires@sapo.pt
Incorporate Communications
EXPECTATIONS OF PEDIATRIC HOSPITAL STAFF
REGARDING THE OPERAÇÃO NARIZ VERMELHO’S
HOSPITAL CLOWNS
Conceição Antunesa, Carmen Moreirab, Susana Cairesa, Susana
Correiaa
,QVWLWXWHRI(GXFDWLRQ8QLYHUVLW\RI0LQKR3RUWXJDObFaculty of
Medicine. University of Oporto. Portugal.
a
Contact details: mantunes@ie.uminho.pt
Introduction: In Portugal, amongst the interventions that combine
art, play, and humor for the promotion of wellbeing and quality of
life in pediatric settings, the hospital clowns are attracting growing
attention and recognition in society, particularly, amidst their
targets: children, parents, and hospital staff.
Objectives: To identify the pediatric staff’s main expectations
regarding the work of Operação Nariz Vermelho.
Methods: Assessment of staff’s expectations (n = 37 professionals)
one month before the HC’s started their intervention was
completed with a 30 minutes interview. The anticipated advantages
and disadvantages of HC’s presence, the activities they might
perform conjointly, the functions HCs should undertake, or the
skills they could learn via observation and collaboration with HCs
were examined.
Results: Substantial openness of most of the professionals
regarding the presence and teamwork with HCs, and anticipation
of several advantages for the child, parents, staff, and the
hospital were described. The attenuation of the negative impact
of internment experiences, greater cooperation with staff, or
the facilitation of family-staff communication was anticipated
as advantages. Fear of clowns and the feeling of “childishness”
(amongst teenagers) or “disrespect” for the children’s emerged as
PDLQGLIÀFXOWLHV
Conclusions: The hospital staff’s receptiveness regarding joint
work with HCs is understood as vital to the reinforcement of
WKHEHQHÀWVWKDWWKLVW\SHRILQWHUYHQWLRQPLJKWKDYHRQDOOWKH
pediatric community. Additional studies are being developed within
´5LUpRPHOKRUUHPpGLR"µLQWHUYHQWLRQVLQRUGHUWRFRQÀUPWKLV
assumption.
THE ETHICAL OF JOY: THE ENCOUNTER AMONGST
CLOWNS AND HEALTH STAFF ON BEHALF OF PEDIATRIC
SETTING’S WELFARE
Morgana Masetti
Pontifícia Universidade Católica de São Paulo. Brasil.
Contact details: morgana.ops@terra.com.br
Introduction: Health is, above all, a social science, that
antagonizes and confronts us with live and death, grief and joy,
birth and loss. Nevertheless, the current health structure inhibits
WKH´ÁRZµRIWKLVVRFLDOLPDJLQDU\SXWWLQJWKHPDLQIRFXVRIKHDOWK
staffs’ training on symptoms, procedures and technics. Few other
aspects are incorporated in health professionals’ training agenda.
In Brazil, this scenario has undergone gradual changes, since the
90s, together with the hospitals’ humanization. The introduction
14
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
of playrooms, storytelling, or clowns in pediatrics brought the
patients’ needs to focus, in detriment of disease and treatment.
Objectives: Evaluate the influence of Doutores da Alegria (a
Brazilian group of professional clowns) in the relationship of health
professionals with children, parents, and staff.
Methods: Application of the Questionnaire of Health Staff
Perception’s of Doutores da Alegria (n = 567).
Results: Three-quarters (75.5%) of the participants referred the
observation and cooperation with clowns as encouraging to seek
new ways to approach the children, and to prolong these contacts
(69%). They also started recognizing children as more than a sick
body (75.2%) and felt calmer (83%) on their work. Higher levels of
satisfaction (76.3%) and improved work routines (63.7%) were also
mentioned. Improved rapports inside the team (56.8%), greater
availability to listen to colleagues, higher cohesion levels (49.5%)
and improved receptivity to talk about delicate issues (45.8%) were
also mentioned.
Conclusions:7KHZRUNRIKRVSLWDOFORZQVUDWLÀHVWKHQHHGWRFDUH
for healthcare givers, and creating communication channels that
humanize relationships, practices, and, consequently, enhancing
the different pediatric partakers’ welfare and satisfaction.
SYMPOSIUM: EFFECTIVE HEALTH
COMMUNICATION WITH
CHILDREN AND ADOLESCENTS —
POTENTIALITIES AND CHALLENGES
Coordinator: Isabel Silva, Universidade Fernando Pessoa,
isabels@ufp.edu.pt
Incorporate Communications
MOTIVATIONAL INTERVIEWING IN PAEDIATRIC HEALTH
CARE SETTINGS: POTENTIALITIES AND CHALLENGES
Isabel Silva, Glória Jólluskin, Rute Meneses
Universidade Fernando Pessoa. Portugal.
Contact details: isabels@ufp.edu.pt
Introduction: Very often young people feel poorly motivated by
suggestions from health professionals about what and how they
should change in their lifestyle or to manage their conditions.
Motivational Interviewing is a useful method in the treatment of
lifestyle problems and chronic diseases. This review addresses
the motivational interview as a patient-centred care method for
brief paediatric interventions, discussing the particularities of its
application in paediatric care.
State of the Art: Physicians in paediatric health care settings
deal with complex challenges in providing comprehensive care to
children, adolescents, and their parents. Research suggests that
Motivational Interviewing is effective in addressing behavioural,
developmental, and social problems in the context of paediatric
practice, revealing to be particularly useful for clients who are
reluctant/ ambivalent about changing their behaviour. It proves
to improve paediatric health outcomes ranging from adherence to
functional status.
New perspectives: There is a growing body of literature suggesting
that the current standard Motivational Interview training format
may not provide practitioners with enough skilfulness. Even enhanced training, including systematic feedback and supervision, may
QRWEHVXIÀFLHQW)XUWKHUUHVHDUFKUHODWHGWR0RWLYDWLRQDO,QWHUYLHZ
training is needed.
Theoretical and practical implications: The process for
Motivational Interview is well establishing - built a relationship;
setting an agenda; assessing/exploring importance, confidence
and readiness; helping families select an action plan; building
FRQÀGHQFHLQWKHLUDELOLW\WRFKDQJH+RZHYHUODUJHVFDOHVWXGLHV
are needed to test its effectiveness in daily clinical work in
paediatric primary and secondary health care.
BREAKING BAD NEWS TO CHILDREN IN HEALTH CARE:
PROFESSIONAL COMMUNICATION SKILLS
6RÀD$QGUDGH,VDEHO6LOYD*OyULD-yOOXVNLQ5XWH)0HQHVHV
Hélder Pereira
Universidade Fernando Pessoa. Portugal.
Contact details: 19585@ufp.edu.pt
Introduction: Delivering bad news is an integral part of health-care
professionals’ work and responsibility, but it is a complex and
GLIÀFXOWWDVNIRUPDQ\7KLVWDVNEHFRPHVPRUHFKDOOHQJLQJZKHQ
dealing with children, because of their emotional and cognitive
development, as well as because the unique intermediary role of
the family in the decision-making process. In this communication
it is intended to characterize, through a literature review, the
current situation regarding communication of bad news to children
by health-care professionals.
State of the Art: Effective communication is an essential tool for
an accurate diagnosis, to develop a treatment plan, correlating
with improved patient knowledge, treatment adherence and
psychosocial adjustment to illness. Delivering bad news is an
LPSRUWDQWFKDOOHQJHLQWKHÀHOGRIFRPPXQLFDWLRQIRUKHDOWKFDUH
professionals. It seems to be consensual that children should be
informed about their medical condition, however there is no
agreement concerning how this should be done, in spite of the
efforts to set guidelines in this area. In Portugal there has been
investment in the training of professionals, but little or nothing is
known about the effectiveness of these actions.
New perspectives: When communication skills improve, the quality
of care provided also increases, but many professionals do not feel
FRQÀGHQWLQWKHLUFRPPXQLFDWLRQDELOLWLHV,WLVWKHUHIRUHHVVHQWLDO
professional training that enables efficient transmission of bad
news and a child and family centered care.
Theoretical and practical implications: It is essential to characterize the needs related to communicating of bad news to children
in Portuguese health professionals in order to adjust and enhance
the training of current and future health professionals.
INTERVENTION IN THE TREATMENT OF CHILDHOOD
OBESITY: COMMUNICATION IN THE MULTIDISCIPLINARY
TEAM
Soraia Ribeiro, Isabel Silva, Glória Jólluskin, Rute Meneses
Universidade Fernando Pessoa. Portugal.
Contact details: soraiaribeiro88@live.com.pt
Introduction: Childhood obesity is increasing, being associated to
serious health problems. It is a multifactorial condition that involves
genetic, psychosocial and environmental factors, being a target of
LQWHUHVWWRSURIHVVLRQDOVIURPGLVWLQFWÀHOGV,QWKLVFRPPXQLFDWLRQ
we present a characterization of treatment programs for childhood
obesity, focusing on their structure and effects.
State of Art: Although the prevalence of obesity is increasing among
young people, few seek treatment. The literature describes several
obesity prevention programs for children and adolescents, but when
the focus is treatment less information is found. Similarly to adult
population, treatment programs for children and adolescents also
show modest success in the long term. Moreover, little is known
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
about the development process, content and implementation of
these programs.
New perspectives: The informative approaches revealed to be
inefficient for behavior changes. Therefore, the intervention
in childhood obesity requires a multidisciplinary approach for
children, with family involvement, focusing in changing eating
habits, reducing sedentary lifestyle and increasing physical activity.
This will be potentiated if implemented by multidisciplinary teams
and by the adoption of interactive approaches.
Theoretical and practical implications: The programs should
be organized in order to establish permanent changes that are
integrated into the lifestyle of the family at different developmental stages. The intervention will be potentiated by health care
professionals’ communication skills, not only in what concerns to
children and families, but also within the team.
SYMPOSIUM: NEEDS OF HOSPITALIZED
CHILDREN PARENTS — UNDERSTANDING
TO BETTER CARING
Coordinator: Ernestina Maria Batoca Silva, Escola Superior
de Saúde de Viseu, ernestinabatoca@sapo.pt
Incorporate Communications
PERCEPTION OF PARENTS OF HOSPITALIZED CHILDREN
ABOUT THE EFFECTS IN THE FAMILY AND THE NEED
FOR INVOLVEMENT IN CARE
Olga Santosa, Ernestina Silvab
a
Centro Hospitalar Tondela-Viseu, EPE. bEscola Superior
de Saúde de Viseu. Instituto Politécnico de Viseu/CI&DETS.
Portugal.
Contact details: olgacsantos1@gmail.com
Introduction: The hospitalization of a child is an experience that
leads to great changes in a child’s life and family. This experience
depends on several factors including the strategies that promote
parental involvement in the child care. Child care is not just about
children, but also their parents. It is important to understand their
needs. The aim was to identify the parents’ perception concerning
the attributed importance, satisfaction and independence to
overcome the “needs of support and guidance” (NSO) and the
“needs of the sick child and other family members” (NCF).
Methods: Descriptive study, exploratory, of quantitative
nature, with a sample of 184 parents of hospitalized children
in four Portuguese hospitals. It was used the “Needs of Parents
Questionnaire” adapted to the portuguese population (Ferreira [et
al] 2010).
Results: We found that parents of hospitalized children assigned
more importance to the NSO (mean 80.29; sd 12.72) and are more
independent from the hospital concerning NCF (mean 72.81; sd
,WDSSHDUHGDVLJQLÀFDQWSRVLWLYHFRUUHODWLRQLQVDWLVIDFWLRQ
of both needs (r = 0.764**), as well as a correlation between
marital status and satisfaction in the NSO category (UMW = 3.135;
p = 0,039). Concerning the residence there are significant
differences in the needs NSO (UMW = 2.907.500; p = 0.005) and
in the NCF (UMW = 3.135; p = 0.034). We also found that parents
are more independent from the hospital when they have at least
two hospitalizations, presenting in the NSO a mean ordination of
97.62 and 99.16 in the NCF.
Conclusions: Considering the needs of parents when facing his
FKLOG·VKRVSLWDOL]DWLRQHQDEOHVQXUVHVWRUHÁHFWRQWKHVWUDWHJLHVRI
15
adaptation to disease processes and support parental role, towards
the improvement of pediatric care.
PARENTAL PERCEPTION OF CHILD HOSPITALIZED
ABOUT THE NEEDS: A STUDY IN PEDIATRICS
Sílvia Santos
Centro Hospitalar Cova da Beira. Portugal.
Contact details: silvynursesantos@gmail.com
Introduction: The study addresses the perception of the parents
about their needs in child’s hospitalization and the relationship
with the emphasis, degree of satisfaction and independence to
overcome the needs: trust; feel that trust itself; information;
support and guidance; physical and human resources; and relating
to the child and other family members.
Objectives: To analyze the importance, satisfaction and independence of parents vis-à-vis perceived needs; identify the relationships that exist between the needs and the characteristics of their
parents, children in hospital and hospitalization.
Methods: Descriptive and exploratory study, a non-probability
sample for convenience with 94 parents of children hospitalized in
3 hospitals in the central region, in 2012, using the needs of parents
questionnaire - NPQ.
Results: Parents have attributed greater importance to the need
to trust (100%) and the need for information (93%); reported
more satisfaction in need of trust (93%) and feel that trust itself
(76.6%); parents expect help from hospital to satisfy all their needs
during the hospitalization of the child, with evidence for the need
to trust (92%). Some of the features of the parents (sex, age,
previous experience of hospitalization and profession), children
(age, current disease and gravity) and hospitalization (admission,
UHFHSWLRQDQGUHVSRQVLEOH DUHVWDWLVWLFDOO\VLJQLÀFDQWUHODWLRQVKLS
with the importance, satisfaction and perceived independence by
parents in various needs.
Conclusions: Parents consider it important that the hospital get
involved and collaborate in the satisfaction of their needs. The
results show an average satisfaction for most needs and so this
collaboration should be optimized.
PARENT’S PERCEPTION OF NEWBORN HOSPITALIZED
IN NEONATOLOGY ABOUT THE SATISFACTION
OF THEIR NEEDS
Ana Rabasquinho
Centro Hospitalar Cova da Beira. Portugal.
Contact details: anizabel.rabasqui@gmail.com
Introduction: The birth of a child is a unique and rewarding experience, but some factors may determine how parents experience
this period.
Objectives: To identify the needs of parents of newborns during the
hospitalization of their son; understand the strategies of parents to
meet the needs.
Methods: This is a quantitative descriptive and explanatory
cross-correleted study, sample of 45 parents of newborns
hospitalized in the neonatal unit of the Centro Hospitalar Cova da
Beira and the ULS Guarda. Used a questionnaire to collect data on
the characteristics of parents, newborns, newborns hospitalization,
coping strategies of parents and the needs parents experienced
during the hospitalization of their infants (support needs,
emotional, related to physical resources, information, support and
guidance).
Results: Parents who had no previous experience in neonatology
82,2% (N = 37) valued the need to feel supported (p = 0.017).
The effective support provided by nurses and hospitalization of
16
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
LQIDQWVZLWKVLJQLÀFDQFHOHYHO S= 0.010). As well as the support
provided by the sponse (90%) during the period of hospitalization
(p = 0.029). The experiences of parents verbalized with negative
feelings (51.18%) (anxiety, anguish/fear, pain/suffering, guilt).
Participation in care was the main coping strategy reported by
parents (77.8%).
Conclusions: Nurses should act as promoter of the approximation
process and interaction parents/newborn, involving them in the
care of his son, triggering all possible means in order to meet the
perceived needs and allow adequate adaptation, contributing to
the excellence of care.
NEEDS IN PHYSICAL AND HUMAN RESOURCES:
THE PERSPECTIVE OF THE PARENTS
OF THE HOSPITALIZED CHILD
Clara Sampaioa, Ernestina Batocab, Pedro Ferreirac
a
Centro Hospitalar Trás-os-Montes e Alto Douro. Portugal.
,39(VFROD6XSHULRUGH6D~GHGH9LVHX3RUWXJDOcFaculdade
GH(FRQRPLDGD8QLYHUVLGDGHGH&RLPEUD3RUWXJDO
b
Contact details: clarasampaio42@gmail.com
Introduction: Parents are children’s main caregivers; their presence
during hospitalization is beneficial for both. Understanding
the parent’s physical and human resource needs is crucial in
the development of strategies that promote involvement and
participation in their child’s care.
Objectives: Understanding parent’s expectations with regards to
the importance, satisfaction and independence felt in relation
to physical and human resource needs.
Methods: Exploratory, descriptive, correlational, quantitative
study of a sample of 184 parents of hospitalized children, in four
Portuguese hospitals. To collect data we used the “Needs of Parents
Questionnaire” (NPQ) (Ferreira, et al 2010) and a questionnaire for
the socio/demographic characterization of the parents, child and
hospitalization.
Results: Parents consider the physical and human resource needs
very important (x̄ = WKHPDMRULW\DUHVDWLVÀHG Ĉ[= 67.068),
and do not depend on the hospital to satisfy them (x̄ = 74.536). In
characterization, the parents of the younger children gave more
importance to the physical and human environment (p = 0.005)
and are more dependent on the hospital (p = 0.000); the people
IURPUXUDODUHDVDUHPRUHVDWLVÀHGWKDQWKRVHIURPXUEDQDUHDV
(p = 0.005); parents that had the obligatory academic level were
WKHPRVWVDWLVÀHG S= 0.042); those which accompanied the child
IRUWKHÀUVWWLPHZHUHPRUHGHSHQGHQWRQWKHKRVSLWDOWRVDWLVI\
their needs (p = 0.003).
Conclusions: It is not enough to legislate about parent’s accompaniment of a hospitalized child if appropriate conditions are not
given and, if in a multidisciplinary environment, the concepts of
involvement, partnership, negotiation and parental role are not
approached.
NEEDS OF TRUST PERCEPTION ON HOSPITALIZED
CHILDREN’S PARENTS
Rosa Machadoa, Ernestina Batocab
a
Centro Hospitalar Cova da Beira. Portugal.
(VFROD6XSHULRUGH6DXGHGH9LVHX3RUWXJDO
b
Contact details: arcadenoe14@gmail.coml
Introduction: The hospitalization of a child often leads to routine
changes and stress situations to the child and parents, modifying
the family dinamics.
Objectives: Analise parents perception face to importance,
satisfaction and indepence relative to the need to trust and need
to trust themselves.
Methods: The sampling variables of the study were based on
184 parents of hospitalized children answers, coming from four
hospitals. This is a descriptive study, in which was used the Needs
of Parents Questionnaire, as a tool to collect the data. Data was
processed on SPSS.
Results::DVYHULÀHGWKDWSDUHQWVRIKRVSLWDOL]HGFKLOGUHQDUHPRUH
VDWLVÀHGZKHQIHOWWKHLPSRUWDQFHDUHJLYHQWRWKHQHHGRIWUXVW
themselves. Also, the parents point more prominence to importance
and satisfaction in both needs mention in this study. The child’s age
LQÁXHQFHWKHSDUHQW·VSHUFHSWLRQWRZDUGVLQGHSHQGHQF\IRUWKH
need of trust and trust each other, because younger the child is
more the parents feel that the hospital should help to overcome
their needs. Concerning to the number of hospitalizations, parents
of children with fewer hospitalizations think the hospital should
help overcome the needs perceived in both needs, and consider
it very important that professionals trust itself. Urban parents
demonstrate more satisfaction in both needs and with superior
nivel studies considered that the hospital shoud help them to
oevercome this needs.
Conclusions: This work reveals the contribute in the studie of
knowledge about the needs of trust of hospitalized children
parents. We can improve trust working in partnership with the
parents valuing comunication, empatie, listening, fundamentals
atitudes to detect parent’s needs during hospitalization and not
always verbalized.
PERCEPTION OF INFORMATION EXPERIENCED BY PARENTS
OF HOSPITALIZED CHILDREN
Regina Martinsa, Ernestina Silvab
a
Unidade Local de Saúde de Castelo Branco.
Hospital Amato Lusitano. Portugal. b(VFROD6XSHULRU
GH6D~GH,QVWLWXWR3ROLWpFQLFRGH9LVHX&, '(763RUWXJDO
Contact details: ginomartins@gmail.com
Introduction: The child’s illness and their admission is a
matter of high concern for their parents. The organization of
the family changes, requiring monitoring and inclusion in the
process of caring for your child (Ramos, 2008).Child care is also
raising a family, which implies a knowledge that allows us to
identify their needs through a process of empathy promoter of
a better adaptation to the disease. It is therefore important to
recognize the needs of parents to support strategies to reverse
an effective improvement of pediatrics care. This study aims to
understand the perception of information needs of parents of
hospitalized children. The aims are to identify the information
needs of parents of hospitalized children, with regard to the
importance, satisfaction and independence to overcome those
needs, analyze the information needs and its relation with
VRPHVRFLRGHPRJUDSKLFYDULDEOHVDQGWKHKRVSLWDOUHÁHFWRQ
the information given to parents. We developed a quantitative,
descriptive, correlational and cross study. The data collection
instrument was the Portuguese version of the questionnaire
“NPQ” applied to a sample of 184 parents of hospitalized children
in pediatrics and neonatology services from four hospitals in
North and Central Portugal. Statistical analysis was performed
with the support of IBM SPSS version 19.
Results: The results show us that some characteristics of both
parents of hospitalized children and the hospital in question have a
VWDWLVWLFDOO\VLJQLÀFDQWUHODWLRQVKLSZLWKVDWLVIDFWLRQLQGHSHQGHQFH
and the importance attached to the information needs. Thus,
understanding the perception of parents about what they expect
IURPWKHKRVSLWDOKHOSVWKHVKDULQJRINQRZOHGJHWKDWZLOOEHQHÀW
everyone: children, parents and health professionals.
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
SYMPOSIUM: RESILIENCE, HEALTH
AND VULNERABILITIES - BETWEEN
THE THEORY AND THE PRACTICE
Coordinator: Maria Celeste Rocha Simões, Faculdade de
Motricidade Humana / Universidade Técnica de Lisboa,
csimoes@fmh.utl.pt
Incorporate Communications
HOW RESILIENCE REALLY WORKS:
A REVIEW OF EVIDENCE-BASED PROGRAMS
Ana Fonseca, Cristel Lopes, Marco Loureiro,
Ana Colaço, Ana Pereira, Juliana Eusébio,
Leonor Colaço, Celeste Simões, Paula Lebre
UTL/FMH/Aventura Social. UNL/IHMT/CMDT. Portugal.
Contact details: amdagf@gmail.com
Introduction: Resilience has gained great deal of interest in
research in the last decades. Many authors have presented original
theoretical frameworks, looking at resilience as a personality factor
or as a composite of several factors, originating evidence-based
programs covering different age groups across the lifespan mainly in
childhood and adolescence, aiming at promoting healthy behaviors
and preventing risk behaviors.
Objectives: This presentation aims at describing a systematic
review of evidence-based resilience programs describing their
methodological aspects, focus and outcomes.
Methods: A research of resilience evidence-based programs was
performed, each program analyzed in terms of their target group,
goals, methods, results, observing whether resilience was a main
or secondary outcome.
Results: The programs’ target population ranged from infants to
\RXQJDGXOWV7KHJRDOVZHUHDOLJQHGZLWKWKHVSHFLÀFDLPVRIHDFK
program, including the promotion of health behaviors and drug
abuse prevention. The program’s recipients, application setting
strategies and the involvement of others varied according to the
program concerned.
Conclusions: Since resilience has a great importance in human
development, with direct implications on how well the individual
is able to adjust when facing adversity in particular for individuals
from vulnerable groups, a key idea is that interventions need to
focus on developing assets and resources rather than concentrating
on risk amelioration. Major findings from the evidence-based
programs should guide our resilience based interventions which
should be delineated across behaviors and tailored to individual’s
developmental level, including Individual, family and social
environment components.
RESILIENCE RESEARCH IN NATIONAL CONTEXT:
THE EXPERIENCE OF SOCIAL ADVENTURE PROJECT
Celeste Simões, Paula Lebre, Margarida Gaspar de Matos,
Equipa do Projeto Aventura Social
UTL/FMH/Aventura Social. UNL/IHMT/CMDT. Portugal.
Contact details: csimoes@fmh.utl.pt
Introduction: Research on resilience is growing all over the world.
Portugal is not an exception and the Social Adventure Project is one
RIWKHUHVHDUFKJURXSVWKDWLVZRUNLQJLQWKLVÀHOG
Objectives: To present the research undertaken and the main
UHVXOWVREWDLQHGLQWKHODVWÀYH\HDUVDVZHOODVDFXUUHQW(XURSHDQ
Project on Resilience - RESCUR Project.
17
State of Art: The several studies conducted showed that resilience
is a dynamic process, where risk and protective factors and
processes play a major role (Simões, 2012). Internal and external
assets are important protective factors. Some of these factors
can even moderate the impact of cumulative risk that can threat
VLJQLÀFDQWO\WKHZHOOEHLQJRIFKLOGUHQDQGDGROHVFHQWV7KHUHVXOWV
obtained in these studies support the importance of resilience
assets to face the risk and their inclusion in intervention programs
designed to promote the well-being and the quality of life of
individuals, in particular for those that are more vulnerable, should
be taken seriously.
New Perspectives/Directions: Taking into account the foregoing
results, the RESCUR project (2013-2016), counting with six
partners, including Portugal, aims the development of a resilience
curriculum as a key competence in education in Europe in order
to promote academic, emotional and social literacy of children
who may be at risk of negative outcomes, namely school failure,
social exclusion or mental health problems, by providing them
key tools to overcome the disadvantages and obstacles in their
development.
Theoretical and practical implications: The knowledge gained
with the development of these studies will allow establishing new
tools to develop resilience during childhood and adolescence and
consequently to promote health and well-being.
RAISING RESILIENT CHILDREN WITH AUTISM SPECTRUM
DISORDERS, DO WE TALK OF A DIFFERENT KIND
OF RESILIENCE?
Paula Lebrea, Celeste Simõesa, Margarida Gaspar de Matosa,
Carla Gonçalvesb, Sara Teixeirab, Equipa do Projeto Aventura
Sociala
a
UTL/FMH/Aventura Social. UNL/IHMT/CMDT; bUTL/FMH/
Aventura Social. Portugal.
Contact details: pmelo@fmh.utl.pt
Introduction: Considering the fact that one of our interventions
has been focused in working with children with autism spectrum
disorders (ASDs) in mainstream schools, resilience can be seen as
valuable for the improvement of this practice.
Objectives: A systematic review of literature aimed to identify
and synthesize research on individuals with ASDs including the
WHUPUHVLOLHQFHVRWKDWZHFRXOGLGHQWLI\IDFWRUVLQWKLVVSHFLÀF
group that could minimize the impact of risk factors (such as
stressful life events) and enhance the protective factors (such
as social support, and active coping) that increase ability to deal
with life’s challenges, giving us support to delineate practices
towards enhancement of individual strengths, interests and
talents.
Methods: Comprehensive searches were conducted in electronic
databases (Medline, Web of Science, Cochrane) and relevant
journals in ASD’s domain, published between 2003 and February
)URPDWRWDORISDSHUVLGHQWLÀHGPHWRXUFULWHULDDQG
SDSHUVZHUHLGHQWLÀHGIRUWKHUHYLHZ
Results: The majority of papers were concerned with resilience
in family members (parents, siblings) or caregivers of individuals
with ASDs.
Conclusions: The research was heterogeneous demonstrating that
research on resilience and autism is at a relatively early stage,
rather using different concepts when psychosocial interventions are
reported (coping, communication, social skills). There is a need
for further reviews including interventions for individuals with
ASDs, their families in contexts such as schools in order to better
understand how to promote the ability to cope and overcome every
day adversity in children with ASDs, focusing on building assets
LQVWHDGRIÀ[LQJGHÀFLWV
18
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
RESILIENCE AND SELF-DETERMINATION:
A WAY TO LIFE-SATISFACTION AND SUCCESS
IN THE LIFE OF PEOPLE WITH DISABILITIES?
Lúcia Canhaa, Celeste Simõesa, Margarida Gaspar de Matosb,
Laura Owensc
a
UTL/FMH/Aventura Social. UNL/IHMT/ CMDT. Portugal. bFMH/UTL.
CMDT/UNL. cUniversity of Wisconsin Milwaukee. United States.
Contact details: lucia.canha@gmail.com
Introduction: Situations that may involve adversity, as having a
disability or health problems, are situations that put youth at risk
for not doing well in life. However, many youth with disabilities
have positive post-school outcomes. These children and youth
who have positive outcomes despite vulnerability and risk
have been called resilient. Self-determination, social skills and
socio-cognitive skills are elements that appear in the literature on
resilience, risk and adaptation.
Objectives: Investigate how some protective and risk factors can
strength or hinder the success in lives of peoples with disabilities.
In particular this study relates resilience with self-determination,
and some indicators of well-being.
Methods: Adolescents and young adults with disabilities (n = 90)
responded a self-reported questionnaires regarding their
perception of Resilience (sense of mastery, sense of relatedness,
emotional reactivity), Self-determination (autonomy, psychological
empowerment, self-realization), Quality-of-life, and Subjective
Health Complains.
Results: Higher reported scores on resilience (sense of mastery
scale & sense of relatedness scale) by participants with disabilities
are associated with a higher self-determination (autonomy &
psychological empowerment), a positive perception of their
quality-of-life, and less psychological symptoms.
Conclusions: Youth with disabilities positive perception of selfdetermination and resilience are associated with well-being aspects.
The study pointed out the importance of having opportunities to
experience positive interactions with others, in order to foster the
VHQVHRIFRQWURORUPDVWHU\RYHUOLIHVHOIHIÀFDF\DQGH[SHFWDWLRQVRI
success, factors that contribute to positive life outcomes.
SAVORING AND RESILIENCE: WHAT IS THE RELATIONSHIP
BETWEEN THEM AND HOW CAN WE DEVELOP ONE,
PROMOTING THE OTHER?
Paulo Gomesa, Celeste Simõesb
8/+7(VFRODGH3VLFRORJLDH&LrQFLDVGD9LGD87/)0+$YHQWXUD
Social, UNL/IHMT/CMDT. Portugal. bUTL/FMH/Aventura Social.
UNL/IHMT/CMDT. Portugal.
a
Contact details: p11gomes@hotmail.com
Introduction: The study of emotions and their relationship to
health has a long history. However, only in the last decade we have
focused on positive emotions and their importance to the physical
and mental health.
Objectives: Within the Positive Psychology, we propose a model
based on the processes of Savoring and Resilience and thereon
discuss its implications on health and healthy lifestyles in youth
and adolescents.
State of the art:%U\DQWDQG9HURII GHÀQHG6DYRULQJDVWKH
ability to attend to, appreciate, and enhance positive experiences.
Is the process through which people actively get pleasure and
satisfaction from these same experiences. Is the positive counterpart
of coping, the self-assessment of the capacity to enjoy positive
events. Recently, Tugade (2011) concluded that this ability to
experience positive emotions in stressful circumstances contributes,
significantly, to successful coping and resilience. Another model
that helps us to frame these concepts and their implications is the
broaden-and-build theory (Fredrickson, 1998; 2001). This model
suggests that cultivating positive emotions can be useful for building
resilience (Tugade & Fredrickson, 2007). One important aspect
is that Savoring can be developed and trained as early as infancy.
Theoretical and practical implications: This model, though still
in early stages, indicates that Savoring allows expanding and
building interpersonal relationships, promotes physical and mental
KHDOWKLQFUHDVHVFUHDWLYLW\DQGIDFLOLWDWHVWKHSURFHVVRIÀQGLQJ
connections and meaning in life.
SYMPOSIUM: DEPRESSION IN ADOLESCENCE —
VULNERABILITY AND PROTECTIVE FACTORS
Coordinator: Ana Paula Soares de Matos, Faculdade de Psicologia e de Ciências da Educação da Universidade de Coimbra,
apmatos@fpce.uc.pt
Incorporate Communications
A PSYCHOMETRIC PRELIMINARY STUDY OF THE QUALITY
OF RELATIONSHIPS INVENTORY (QRI) - MOTHER VERSION,
IN ADOLESCENTS
Rosário Pinheiro, Ana Paula Matos, Daniela Marques
&,1(,&&)3&(8&3RUWXJDO
Contact details: pinheiro@fpce.uc.pt
Introduction: This study presents the psychometric properties
of the Quality of Relationships Inventory - mother version, an
instrument constituted by 24 items distributed by 2 factors, which
explain 45.36% of the total variance. Furthermore, it evaluates the
dimension of support/depth (a = 0.944), which explains 29.35% of
WKHWRWDOYDULDQFHDQGWKHGLPHQVLRQRIFRQÁLFW a = 0.881), which
explains 16.01% of the total variance.
Methods: In the 164 adolescents inquired, we had 79 male and
85 female, aged between 12-17 years, being the average age of
13.80.
Results::LWKUHJDUGWRJHQGHUGLIIHUHQFHVWKH\ZHUHVLJQLÀFDQW
for the factor support/depth (t =î S< .05) and for the
FRQÁLFWIDFWRU W= 2619, p < .01). Whilst girls showed a higher mean
value for support from mother; boys, in turn, presented a higher
mean value for conflict with the mother. Regarding correlation
with depressive symptoms (assessed by CDI, Kovacs, 1985), it was
IRXQGDPRQJVWER\VWKHH[LVWHQFHRIDQHJDWLYHDQGVLJQLÀFDQW
correlation, for the factor support / depth in the relationship with
the mother (r =îS< .0019). Amongst girls, there were no
VLJQLÀFDQWFRUUHODWLRQVLQDQ\RIWKHIDFWRUV
Conclusions: This study did not identify any association between
depressive symptoms and conflict with the mother and is the
support and depth of this relationship that becomes associated, in
males, with the lowest depressive symptoms.
SHAME MEMORIES AND DEPRESSION IN ADOLESCENTS:
THE ADAPTIVE ROLE OF EMOTIONAL INTELLIGENCE
Sara Marques, Paula Castilho
&,1(,&&)3&(8&3RUWXJDO
Contact details: paulacastilho@fpce.uc.pt
Introduction:(PRWLRQDOO\LQWHOOLJHQWSHRSOHDUHGHÀQHGLQSDUW
as those who regulate their emotions according to a logically
consistent model of emotional functioning. Therefore, emotional
LQWHOOLJHQFHFDQEHGHÀQHGDVWKHFDSDFLW\WRSURFHVVHPRWLRQDO
LQIRUPDWLRQDFFXUDWHO\DQGHIÀFLHQWO\LQFOXGLQJWKDWLQIRUPDWLRQ
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
relevant to the recognition, construction, and regulation of
emotion in oneself and others (Salovey & Mayer, 1990). Recent
research has led to an increased interest in the role of emotional
intelligence in normal and psychopathological behaviors among
children and adolescents. Indeed, difficulties in the ability to
process emotions effectively underlie psychological suffering,
including depression. On the contrary, individuals with high levels
of emotional intelligence have more life satisfaction, happiness and
well-being (Salovey et al, 2005).
Methods and expected results: The primary goal of the present
study was to explore the relationship between shame traumatic
memories, emotional intelligence and depression in a school
based sample of 300 Portuguese adolescents (ages between 15 and
18 years old). Moreover, we sought to test the potential mediator
effect of emotional intelligence on the relationship between shame
traumatic memories and depression.
Conclusions: Given emotional intelligence key role to our intrapersonal and interpersonal adjustment and to psycho pathology
vulnerability, the current study may contribute to a better elucidation of emotional intelligence development and its contribution
to human suffering.
SELF-CRITICISM AND DEPRESSIVE SYMPTOMATOLOGY
IN ADOLESCENTS
Andreia Azevedo, Ana Paula Matos
&,1(,&&)3&(8&3RUWXJDO
19
Components of the “3rd generation therapies”, including
components of self-compassion, have proved to be important in
the prevention of depression recurrence. According to Neff (2003),
self-compassion includes three main components: self-kindness
versus self-judgment, a sense of common humanity versus isolation,
DQGPLQGIXOQHVVYHUVXVRYHULGHQWLÀFDWLRQ3UHOLPLQDU\HYLGHQFH
suggests that positive dimensions of self-compassion predict
depressive symptomatology in a negative way.
Methods: The main aim of this research is to examine the relationships between the components of self-compassion and depressive
symptomatology in a sample of adolescents, with ages between
14 and 18 years old. The Self-Compassion variable is measured
using The Self-Compassion Scale (Neff, 2003) and Depressive
V\PSWRPDWRORJ\LVLGHQWLÀHGE\WKH&KLOGUHQ·V'HSUHVVLRQ,QYHQWRU\
(CDI; Kovacs, 1985). Upon the completion of the data collection on
the sample, which will be constituted by adolescents from general
population, the data will be tested through structural equation
modeling.
Results: It is hypothesized that self-kindness, common humanity
and mindfulness will be negatively associated with depressive
symptomatology, and that self judgment, isolation and overLGHQWLÀFDWLRQZLOOEHUHODWHGSRVLWLYHO\ZLWKGHSUHVVLYHV\PSWR
matology. It is also expected that self-compassion continues to be
a strong negative predictor of depressive symptoms, even after
controlling for self-criticism.
Conclusions:&OLQLFDOLPSOLFDWLRQVZLOOEHGLVFXVVHGVSHFLÀFDOO\
that the development of self-compassion skills could be very
important when treating depressed self-critical individuals.
Contact details: andreia.azevedo81@gmail.com
Introduction: Depression research has given considerable attention to the investigation of personality vulnerabilities. The
trait of self-criticism, in particular, is commonly implicated in
the development and maintenance of depression. Self-critical
individuals are more likely to become depressed, less likely to
respond to treatment and more prone to relapse when they
do respond. According to Gilbert et al (2004), self-criticism is a
multidimensional construct, with different scopes: the inadequate
self, the hated self and the reassuring self. Previous evidence shows
that these forms may be associated with depression in different ways.
Methods: The purpose of this research is to examine the relationships between the forms of self-criticism, measured with The
Forms of Self-Criticizing and Reassuring Scale (Gilbert et al, 2004),
and depressive symptomatology, identified by the Children’s
Depression Inventory (CDI; Kovacs, 1985). The sample is composed
of adolescents, aged from 14 to 18 years old, from the general
SRSXODWLRQ'DWDFROOHFWLRQLVEHLQJÀQDOL]HGDIWHUZKLFKZLOOIROORZ
an analysis of the sample through structural equation modeling.
Results: It is hypothesized that the two forms of self-criticism,
the inadequate self and the hated self, relate to depressive
symptomatology in a different way. The hated self would reveal a
stronger positive association with depressive symptomatology than
the inadequate self. It is also conjectured that the reassuring self
would be negatively associated with depressive symptomatology.
Conclusions: Clinical implications will be discussed, particularly
concerning the need to evaluate and to intervene in self-criticism,
probably developing skills of self-reassurance.
RELATIONSHIPS BETWEEN SELF-COMPASSION
AND DEPRESSIVE SYMPTOMATOLOGY IN ADOLESCENCE
Andreia Azevedo, Ana Paula Matos
&,1(,&&)3&(8&3RUWXJDO
Contact details: andreia.azevedo81@gmail.com
Introduction: In adolescence, depression appears to be a very
impairing and recurrent condition (Monroe & Harkness, 2011).
A PSYCHOMETRIC PRELIMINARY STUDY OF THE
QUALITY OF RELATIONSHIPS INVENTORY (QRI):
FATHER VERSION, IN ADOLESCENTS
Ana Paula Matos, Rosário Pinheiro, Daniela Marques
&,1(,&&)3&(8&3RUWXJDO
Contact details: apmatos@fpce.uc.pt
Introduction: The present research evaluates the psychometric
properties of the Quality of Relationships Inventory (Pierce, 1994)
- father version.
Methods: Of the 164 adolescents who participated in the study,
79 were male and 85 females, aged between 12 and 17 years.
Results: This instrument has 24 items distributed by two factors,
that explain 53.24% of the total variance, assessing the Support/
Depth domain (a = .944), which accounts for 34.618% of total
YDULDQFHDQGWKHGRPDLQRI&RQÁLFW a = 0.881), which explains
18.617% of total variance. From this factorial structure item
2 was removed, since it was the only item with a content clearly
associated with conflict that saturated in the support / depth
domain. Regarding the correlation with the CDI (Kovacs, 1985),
an instrument that assesses depressive symptoms, in the group
of boys, the factor support/depth in the relationship with the
father was negatively related with depressive symptoms (r =î
p = < ZKLOVWWKHFRQÁLFWIDFWRUVKRZHGDSRVLWLYH\HWQRW
significant, correlation with depressive symptoms. In the girls’
group, the factor support/depth in the relationship with the father
was also related, in a negative way, with depressive symptoms
(r =îS< DQGFRQÁLFWIDFWRUVKRZHGDVLJQLÀFDQWSRVLWLYH
correlation, although low, with depressive symptoms (r = .289,
p < .01).
Conclusions: The conflict with the father seems to relate to
depres sion only in girls. We can conclude that if the conflict
with the father seems to be related to higher depressive
symptoms only in girls, the support and depth of the relationship with the father relates, in both sexes, with lower depressive symptoms-
20
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
SYMPOSIUM: PROMOTING BREASTFEEDING FROM THE PRACTICE TO THE SCIENTIFIC
KNOWLEDGE
Coordinator: Dolores Silva Sardo, Escola Superior de Enfermagem do Porto, dolores.sardo@gmail.com
Incorporate Communications
THE INTENTION OF THE PREGNANT TO BREASTFEED
Cláudia Brása, Manuela Ferreirab
6HUYLoRGH2EVWHWUtFLD0DWHUQLGDGH%LVVD\D%DUUHWRbInstituto
3ROLWpFQLFRGH9LVHX(VFROD6XSHULRUGH6D~GHGH9LVHX3RUWXJDO
a
Contact details: clau.bras@hotmail.com
Introduction: The World Health Organization recommends breastfeeding exclusively up to six months old. However, a large number
RIPRWKHUVJLYHXSEUHDVWIHHGLQJHDUO\GXULQJWKHÀUVWPRQWKVRI
the baby’s life. The disposal to perform this behaviour is imbued
with social, cultural and economical habits but mainly depends on
the intention of the pregnant woman and the various conditions
that interfere with her.
Methods: This research aims to identify predictive factors of
the intention of the woman to breastfeed. The realized study is
quantitative, non-experimental, cross-sectional, co-relational,
descriptive and explanatory. A questionnaire was given to
216 pregnant women who had been given prenatal surveillance
and preparation courses for childbirth/parenting, consisting in
socio-demographical, obstetrical and contextual characteristics
related with the breastfeeding.
Results: The results suggest that women who are multiparous
(24.5%), with previous experience in nursing (22.2%), and who
decided to breastfeed before the pregnancy (74.3%), that show
higher levels of intention to a breastfeeding behaviour. Younger
pregnant women (24.1%), with a lower education level (13.9%)
and pregnant women who decided to breastfeed until the age
recommended by the World Health Organization (18.3%), are
more motivated to breastfeeding, showing extrinsic and intrinsic
motivation, respectively.
Conclusions: This study indicates us that the attitudes and the
perceived behavioural control were the factors that stood out as
predictors of the intention to breastfeed, rather than the subjective norms.
HEALTH PROFESSIONAL’S ATTITUDES TOWARDS
BREASTFEEDING
Antónia Queirósa, Paula Nelasb, João Duarteb, Betty Ariaa
+RVSLWDO&HQWUH(QWUH'RXURH9RXJDbPolytechnic Institute
RI9LVHX6XSHULRU6FKRRORI+HDOWKRI9LVHX3RUWXJDO
a
Contact details: toqueiros@gmail.com
Introduction: The study of health professionals’ attitudes
in relation to breastfeeding (BF) allows for reflection and
the encouragement of change in the behaviour of health
professionals who directly assist women/couples who are or will
breastfeed.
Objectives: To assess the attitudes of health professionals
(nurses and physicians) with regards to BF and to identify the
VRFLRGHPRJUDSKLFIDFWRUVWKDWLQÁXHQFHWKHLUDWWLWXGHV
Methods: This is a quantitative, descriptive, analytic-correlational
cross-sectional study, with a sample of 408 health professionals
working in the northern region of Portugal. The assessment protocol
allows for a socio-demographic characterization of the sample
and also includes the Assessment Scale of Health Professional’s
Attitudes towards BF by Marinho (2003).
Results: The results showed that 40.2% of these professionals
have a positive attitude towards BF whereas 35.6% have a negative attitude. Women presented a better attitude regarding
“beliefs about the benefits of breastfeeding”, “importance/
interest in regards to breastfeeding” and “general advice on BF”.
The younger professionals (≤ 35 years old) have a worse attitude
towards the “importance/interest in regards to breastfeeding”and
a better attitude towards the “decision not to breastfeed”. Those
professionals who were ≤ mayor o igual 46 years old have a worse
attitude in “general advice on BF”. Those who were married and
have children present a better attitude towards the “importance/
interest in regards to breastfeeding” whereas those without children
have a better attitude towards the “decision not to breastfeed”.
Conclusions: Identifying factors that negatively influence the
attitude of health professionals towards BF allows us to minimize
them thus contributing to success in breastfeeding.
BREASTFEEDING: PERCEIVED SELF-EFFICACY
AND MATERNAL EMOTIONS
Adelaide Orfão
$&(6&DVFDLV3RUWXJDO
Contact details: adelaideorfao@gmail.com
7KH%UHDVWIHHGLQJUDWHVKDYHH[SHULHQFHGDVKDUSGHFOLQHLQWKHÀUVW
month of life. The human face is the stage of our identity, and a
privileged channel of communication, showing often what we didn’t
want to reveal. The aim of this study was to categorize the observation
of some characteristics of lactating mothers with possible predictive
value of maternal satisfaction and success with breastfeeding.
As methodological support, it was used 2 questionnaires (one for
characterization and a self-filling “Self-Efficacy Scale”) and set
of 8 photos of each facies of the lactating mother. The study was
exploratory, descriptive and comparative, with descriptive statistics
and inferential statistics to compare the two groups of dependent
variables in a quantitative non-normal distribution. To accept or
UHMHFWWKHVHK\SRWKHVHVZDVXVHGDVDUHIHUHQFHOHYHORIVLJQLÀFDQFH
(a) ≤ 0.05. For the dependent variables in a quantitative was
used parametric statistics. Analysis and interpretation of results
highlight the main conclusions. Mothers with higher education
REWDLQHGDVFRUHVLJQLÀFDQWO\KLJKHURIVHOIHIÀFDF\LQEUHDVWIHHGLQJ
than mothers with secondary schooling. The thrill comes more as
asurprise in new mothers in the calf, the ones that had dystocia, and
the ones who felt that they had not received relevant information.
The fear emotion was more intense in the mothers that remained
rooming 24/24 hours during hospitalization with their babies, versus
mothers separated by several hours. The exclusive breastfeeding
practiced throughout the hospital without using add-in, implied a
greater intensity of emotions, anxiety, fear andguilt. The study of
WKHPDWHUQDOSHUVSHFWLYHVRIWKHGLIÀFXOWLHVPD\EHDEOHWRUHVKDSH
clinical practice.
DETERMINANTS OF MATERNAL AFFECTION:
IMPACT OF VARIABLE OF BREASTFEEDING
Bruno Gomesa, Paula Nelasb, João Duarteb, Manuela Ferreirab,
Claúdia Nisac
Cova da Beira Hospital Centre. b3RO\WHFKQLF,QVWLWXWHRI9LVHX
Superior Health School. cLocal Health Unit of Castelo Branco.
Portugal.
a
Contact details: seg.bruno@gmail.com
Introduction: Breastfeeding is a stage of the female reproductive
SURFHVVZKRVHSUDFWLFHUHVXOWVLQEHQHÀWVIRUWKHKHDOWKRIZRPHQ
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
and children involved in the breastfeeding process, with positive
repercussions for society. By opting for practice, the mother and
provide food to the child, maintains body full of senses proximity
to the affective relationship mother and son.
Objectives: Verify the impact that breastfeeding has in affect
breast.
Methods: Study of quantitative, cross-sectional and correlational
descriptive character-explanatory, being a non-probabilistic
sample of convenience (n = 312). Data collection was carried
out through a questionnaire, which is divided into two parts. The
first makes breastfeeding dyad variables. The second includes
the inventory of maternal affection and scale of attitudes to
breastfeeding mother’s face. This data collection instrument was
administered to the mother’s health consultation in child 2 years
of age.
Results: It was found previous experience of breastfeeding
(p = WKHLQWURGXFWLRQRIDSDFLÀHU S= 0.035) and behavior
(component of attitudes towards breastfeeding p = 0.006) has
explanatory power on maternal affection being that only the latter
showed predictive power.
Conclusions: Health professionals should enhance the process by
which mothers bind to the baby, respect the paths that lead to
emotional involvement and increase health gains.
MOTHER’S ATTITUDES TOWARDS BREASTFEEDING
Cláudia Fernandes, Manuela Ferreira, João Duarte,
Paula Nelas, Bruno Gomes
(VFROD6XSHULRUGH6D~GHGH9LVHX3RUWXJDO
&RQWDFWGHWDLOV FODXGLDQLVD#VDSRSW
Introduction: Breastfeeding beyond nourish, protect, favors
cognitive development, creates an emotional bond between
mother / child. Breastfeeding depends on sociocultural, professional, educational level, the action of health professionals, the
media.
Objectives: This study was intended to determine whether the
socio demographic, obstetric variables, breastfeeding, skin to skin
FRQWDFWLQWKHÀUVWKRXURIOLIHDQGURRPLQJLQLQÁXHQFHDWWLWXGHV
to breastfeeding mothers.
Methods: This study was a quantitative, cross-sectional, descriptive, explanatory, with no probabilistic convenience sample
(n = 312). Data collection took place with socio-demographic
questionnaire, inventory maternal affection and scale of attitudes
to breastfeeding mothers face. Was administered to the mothers
in child health appointement 2 years of age, in the period
01.10.2010 to 30.12.2011, in health centers of municipalities of
Covilha, Fundão, Viseu and Guarda.
Results: We found that women with better attitudes to breastfeeding are aged between 19-35 years, married / unmarried, living
in town, with higher education and skilled workers in a professional
situation employed full time. The marital status, educational level,
number of previous pregnancies, mode of delivery and pregnancy
(term / preterm), the existence of children with breastfeeding
earlier time and introduction of pacifiers, are predictors of
maternal attitudes to breastfeed.
Conclusions:%UHDVWIHHGLQJLVDELRORJLFDOSURFHVVLQÁXHQFHG
by woman’s environment, previous pregnancies, type of birth,
skin to skin contact and sociodemographic characteristics.
These variables must be considered in policies to promote
breastfeeding.
21
SYMPOSIUM: HEALTH PROMOTING SCHOOL:
FROM A CONCEPTUAL FRAMEWORK
TO ORIENTATED COMMUNITY RESEARCH
Coordinator: José Amendoeira, Higher Health School-Polytechnic Institute of Santarem, jose.amendoeira@essaude.
ipsantarem.pt
Incorporate Communications
HEALTH PROMOTING SCHOOL PROJECT AS A VEHICLE
FOR THE PROMOTION OF HEALTHY LIFESTYLES:
THE IMPORTANCE OF FOOD
Anabela Cândidoa, Celeste Godinhoa, José Amendoeirab
a
(VFROD6XSHULRUGH6D~GH,36DQWDUpP8L,36b(VFROD6XSHULRU
GH6D~GH,36DQWDUpP8L,36&(6129$3RUWXJDO
Contact details: anabela.candido@essaude.ipsantarem.pt
Introduction: Building knowledge/attitudes towards healthy eating
has guided intervention in the community, under the Project of
Health Promoting School, Health School of Santarém (ESSS), within
a paradigm where overnutrition has become the target of attention
so relevant as malnutrition (Baptista, 2006).
Objectives: To promote healthy eating habits in children/young;
promote awareness school community of the importance to adopt
healthy lifestyles and contribute to better quality of life through
health gains.
Methods: Considering the different requests, we have adapted
the types of intervention: information sessions, using expository
methods, educational games, active methodologies; Evaluation of
knowledge (worksheets).
Results: The project HPS of ESSS, between january 2010/december
2012 encompassed 421 children/young Preschool 146; 1st Cycle
93; 2nd cycle 131; 3rd Cycle 51. Also involved parents, teachers
and assistants operating (60). The contact with children/young
people revealed the curiosity motivated by the themes. In school
community stand out behaviors verbal/nonverbal satisfaction
SURGXFHGE\WKHLQWHUYHQWLRQ,GHQWLÀHGIXUWKHUFRQFHUQVDERXWWKH
health of children/young people and suggestive changing attitudes.
Conclusions: Participation within the different school communities
have increasingly demonstrated the value assigned to the HPS as a
strategy to promote healthy lifestyles, emphasizing both a heightened
awareness of their responsibilities and decision-making relating to
the promotion of healthy eating habits in children/young people.
HEALTH PROMOTION IN NURSING CURRICULA:
TEACHERS’ AND STUDENTS PERSPECTIVE:
SYSTEMATIC LITERATURE REVIEW
Maria do Carmo Figueiredoa, José Amendoeirab
(VFROD6XSHULRUGH6D~GH,36DQWDUpP8L,36
(VFROD6XSHULRUGH6D~GH,36DQWDUpP8L,36
&(6129$3RUWXJDO
a
b
&RQWDFWGHWDLOV PFDUPRÀJXHLUHGR#JPDLOFRP
Introduction: One of the main challenges of nursing education is
to expand the capabilities of students to be health promoters in
WKHVWFHQWXU\6FLHQWLÀFHYLGHQFHVXSSRUWVDJUHDWWKHPHYLVLEOH
in the curricula of undergraduate and postgraduate courses to
prepare students with the ability and credibility with the eyes of
WKHVFLHQWLÀFFRPPXQLW\RI+3
Objectives: To describe and analyze empirical studies on HP in
nursing education.
Methods: Using the PI[C]OS method from the questions: What is the
mobilization of knowledge by teachers on the HP in nursing curricula?
22
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
What are the meanings attributed by students about learning of
HP. The search was conducted in Portuguese, English, between
2000-2009, in databases online; open repositories, following a
systematic process from research to the critical evaluation of studies.
Results: The findings highlight the difficulties of teachers in
substantive aspect of the curriculum. The content is focused on the
activities of HE, and skills in prevention. There are fragmentation
RIFRQWHQWDQGWKHUHLVQRLQWHUGLVFLSOLQDU\LGHQWLÀHG6WXGHQWV
attribute different meanings, they consider HP with little relevance
in the real world experiences of nursing. Expressing the need
IRUDVSHFLÀFPRGXOHIRUWKHEDVLFVDQGLQWHJUDWHGPRGXOHVIRU
deepening understanding of HP; they refer the need of concrete
H[DPSOHVIURPSUDFWLFHWRWKHRU\LQUHÁHFWLRQ
Conclusions: Given the demands on nurses as health promoters in
the 21st century, and knowing that HP is a process with positive
effects on the health of citizens while participating subjects on it,
HP is important to be included in the curricula of nursing students
to consolidate knowledge and develop attitudes and skills.
CHILDREN TO IMMIGRANT PARENTS: THE HEALTH
PROMOTION
Alcinda Reisa, Arminda Costab
(VFROD6XSHULRUGH6D~GH,QVWLWXWR3ROLWpFQLFR
de Santarém. UiIPS. ICBAS-UP. bICBAS-UP. Portugal.
a
School of Health, the ACES Lezíria, Groupings School and other
community resources, has developed a logic of partnership
between different sectors: health, education, local authorities and
companies, a mutual assumption of responsibility in reducing the
prevalence of overweight and obesity in Portugal.
Objectives: To analyze the results of the diagnostic situation held,
equating problems and needs in the community within the school
feeding; evaluate the intervention developed with the school
community.
Methods: Research-action, enabling the production of knowledge
DERXWUHDOLW\WKHVNLOOVWUDLQLQJRIDFWRUV *XHUUD GHÀQLQJ
the problem from practice, and acting systematically studying the
effects of action developed (Streubert and Carpenter, 2002). The
MRLQWLQWHUYHQWLRQ KHDOWKDQGVRFLDO UXQVLQÀYHVFKRROJURXSV
covering 987 children from preschool and 2469 1st cycle, teachers,
assistants and parents operating, focused from the results of
diagnosis.
Results: Interventions evaluated as frankly positive for the development of children conceptions about healthy eating, promoting
positive intentions to adequate food; activities to develop
guidelines to strengthen / change eating habits.
Conclusions: Monitoring of intervention comes translating knowledge acquisition, suggesting guidance rails for further intervention
in order to promote personal and social development of children
and the construction of knowledge / attitudes towards healthy
lifestyles.
Contact details: alcinda.reis22@gmail.com
Introduction:7KHSURFHVVRIFRPPXQLFDWLRQLQWKHÀHOGRIKHDOWK
promotion to immigrants presents some peculiarities. One of
them is the frequent need of use of the immigrants’ children as
interpreters and mediators of the immigrants/nurses’ relation.
Objectives: To characterize health promotion with immigrants
and the communication process when their children are interpreters.
Methods: This is a qualitative study, ethnographic (Streubert
& Carpenter, 2002), in family health units and households of
LPPLJUDQWV:HGHÀQHWKHQXUVHVDQGLPPLJUDQWVDVVXEMHFWVRI
the study, a total of 52. We developed participant observation
(Spradley, 1980), narratives, ethno-biographical interviews (Poirier,
Valladon & Raybaut, 1999) and focus group (Geoffrion, 2003).
Results: From the triangulation of the data emerging in different
WHFKQLTXHVZHLGHQWLÀHGFXOWXUDOGRPDLQVHQFRXQWHUV·JXLGDQFH
transfer of knowledge; expression of feelings and mobilization of
beliefs. As a common denominator to these areas we identified
immigrants’ young children as mediators and facilitators in the
communication process between nurses and immigrants. We
validated this interpretative analysis in the two focus groups
developed (with immigrants and with nurses).
Conclusions: From the results of this research, we concluded about
health promotion with immigrants-immigrants’ children contribute
WRDVHQVHRIVHFXULW\DQGFRQÀGHQFHDPRQJWKHSDUWLHVLQWKH
communication process; the use of children as interpreters for
minimizing language barrier puts however important ethical issues;
the existence of children in immigrant families acts as bond and
adherence to health care.
EAT WELL LIVE BETTER: AN ACTION RESEARCH PROJECT
IN PARTNERSHIP TO PREVENT OBESITY
Celeste Godinhoa, Anabela Cândidoa, José Amendoeirab
(VFROD6XSHULRUGH6D~GH,36DQWDUpP8L,36b(VFROD6XSHULRUGH
6D~GH,36DQWDUpP8L,36&(6129$3RUWXJDO
a
Contact details: umis.projetos@essaude.ipsantarem.pt
Introduction: The project Eat Well to Live Better in Santarem,
incorporating as partners, the City Council (the promoter), the
INTERVENTION PROGRAMS TO PREVENT OBESITY
IN CHILDRENS AND ADOLESCENTS. A SYSTEMATIC
LITERATURE REVIEW
José Amendoeiraa, Celeste Godinhob, Anabela Cândidob
(VFROD6XSHULRUGH6D~GH,36DQWDUpP8L,36&(6129$
(VFROD6XSHULRUGH6D~GH,36DQWDUpP8L,36
Portugal.
a
b
Contact details: umis.projetos@essaude.ipsantarem.pt
Introduction: Accordingly the Action Plan for the Global Strategy
for Prevention and Control of Non Communicable Diseases (WHO,
2008), the inadequate nutrition was presented as one of the forth
main risk factors for chronic diseases. Since 2008 the Higher Health
School of Santarem, as Health Promotion School, emphasize the
prevention of obesity in children and adolescents. It’s an action
research study in a partnership methodology.
Aims: To identify intervention programs to prevent obesity in
children and adolescents, using health promotion strategies in the
community.
Methods: A SLR with the question PI[C]OD: What are the intervention programs (O) in the domain of education to prevent
obesity (I) in children and adolescents (P)? Seven descriptors:
intervention programs & prevention & education & nutrition &
adolescent & obesity & community, submitted to databases CINAHL
Plus; MEDLINE; Nursing & Allied Health Collection: Comprehensive;
MedicLatina, between 2003 and 2013.
Results: 34 articles obtained. Reading all the title and abstract:
7 articles. After read the articles in full text, 6 articles was
analyzed, including the scientific level accordingly with Perry,
3RWWHU (ONLQ 0RGLÀHGIURP*X\DWW*
Conclusions: The contribution from several programs: to curricular
dimension, we found a positive correlation with the programmatic
contents; the emphasis and the relevance when several partners
work together with the community and to a psycho-social
dimension, developing an intra and interpersonal domain,
emphasizing the importance of active methodologies, the game for
example. We can identify the real importance of several factors
LQÁXHQFHLQSUHYHQWLRQRIREHVLW\
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
INTERVENTION PROGRAMS FOR THE PREVENTION
OF SMOKING IN CHILDREN AND ADOLESCENTS:
A SYSTEMATIC LITERATURE REVIEW
Maria Andréa, José Amendoeirab
a
(VFROD6XSHULRUGH6D~GH,36DQWDUpP8L,36b(VFROD6XSHULRU
GH6D~GH,36DQWDUpP8L,36&(6129$3RUWXJDO
Contact details: clara.andre@essaude.ipsantarem.pt
Introduction: Tobacco consumption is presented as a risk factor
that should be targeted for intervention in the implementation of
SUHYHQWLRQVWUDWHJLHVWKDWDUHEDVHGRQWKHHIIHFWLYHPRGLÀFDWLRQ
of lifestyle. The great challenge facing today is the adoption of
behaviors that allow maximizing the potential welfare. As we know,
DOWKRXJKWKH\DUHZHOOGHVFULEHGWKHEHQHÀWVRIQRWVPRNLQJIRUWKH
quality of life and well-being, tobacco use is a reality in our society.
Objectives: Identify intervention programs for the prevention of
VPRNLQJLQFKLOGUHQDQG\RXQJSHRSOHEDVHGRQVFLHQWLÀFHYLGHQFH
developed at the international level.
Methods: The research was performed by PI[C]OS, with the
question: Which intervention programs for the prevention of
smoking in children and young people?, In EBSCO Host® (timeline:
January 2003 to February 2013) in databases: CINAHL Plus with Full
Text; MEDLINE with Full Text; Nursing & Allied Health Collection:
Comprehensive; MedicLatina. Descriptors: Intervention Program;
Prevention, Health Promotion; Tobacco (MeshBrowser).
Results: In the research were identified 3 articles, excluding
repetitions for databases and an article fulltext not available,
being excluded after reading the abstract. A quasi-experimental
study and two reports (guidelines). The participants were students
LQ*UDGH,QWHUYHQWLRQSURJUDPVLGHQWLÀHG: Stay Away from
Tobacco and HealthierUS Cooperative Agreement Program.
Conclusions: In our country there has been a reduction of tobacco
consumption and experimentation on the part of younger, which
may be related to the different interventions. In this sense, it is
important to develop intervention programs targeting children and
young people whose evidence demonstrates its effectiveness.
SYMPOSIUM: RISK BEHAVIORS —
WHAT WE KNOW AND WHAT WE DO
Coordinator: Ana Frias, Universidade de Évora, anafrias@
uevora.pt
Incorporate Communications
CHILDHOOD OBESITY CONTEXT
Antonia Chora, Felismina Mendes
23
Methods: We applied a qualitative methodology using the focus
groups interviews, 10 groups of parents of children attending a
consultation of obesity were made. The Inclusion criteria for the
study were: parents having no kinship between them, all attending
the consultation of childhood obesity, from various locations
Alentejo and participate voluntarily in the study.
Results: We performed a review of interventions and identified
parental knowledge and also its difficulties. Problem areas that
UHTXLUHLQWHUYHQWLRQDQGWKHVKRUWDQGPHGLXPWHUPZHUHLGHQWLÀHG
Conclusions: We conclude that there are some areas that parents
in particular dominate like the practices of eating right and who
should decide , however there are other areas that they cannot
FRQWURODQGZKLFKKDYHVWURQJLQÁXHQFHRQIHHGLQJWKHFKLOG\RXQJ
person.
CONDOM USE AND THE EMOTIONAL AND SEXUAL CAREER
OF TEENAGERS
Margarida Sim-Sim
University of Évora. Portugal.
Contact details: msimsim@uevora.pt
Introduction: The use of condom is a matter that teenagers
approach, a fact that proves the antecipation of protection. However, this isn’t the same as asking a partner for its use - or, in other
words, to reach an agreement on the method used. Negotiating the
use of condom consists on the ability to persuade the partner into
using this method during the couple’s interactions.
Objectives: 1. to describe the emotional and sexual career,
2. the use of condom with the current partner, 3. the adoption of
negotiation strategies, 4. the connection between emotional and
sexual experience and the negotiation of the use of condom.
Methods: Transversal, quantitative and descriptive study. Convenient sample of 342 adolescents (41.5% boys) that attend
high schools in the region of Évora. The inquiry regards socioGHPRJUDÀFDVSHFWVHPRWLRQDODQGVH[XDOH[SHULHQFHVDQGWKH
&RQGRP,QÁXHQFH6WUDWHJ\4XHVWLRQQDLUH &,646 VFDOHRI1RDU
(2003) with a of Cronbach varying between .949 and .783 on the
subscales.
Results: On the emotional and sexual career, practices reveal that
96,4% have touched their partner, 93.7% kissed him/her, 75.7% have
had sexual contact above their clothes, 55% experienced sexual
contact without penetration and 49.2% have had sexual intercourse
with penetration. The negotiation strategies around the use of
condom are of high number. Nevertheless, the more experienced
had lower propensity to negociate the use of the method.
Conclusions: We verify the need to redirect teenagers’s education
towards the prevention of STI. Having a bigger number of sexual
experiences is compatible with a more advanced age and a broader
information, which would led into a propensity to negociate.
+RZHYHUWKDWLVQ·WZKDWZHYHU\ÀHG7KLVVXJJHVWVWKDWVXEMHFWV
are taking some risks.
University of Évora. Portugal.
Contact details: mafcc@uevora.pt
Introduction: Recent studies shows that the prevalence of
obesity continues to increase. The present study was based on the
GLIÀFXOWLHVIDFHGE\WKHSDUHQWVRIREHVHFKLOGUHQ7KHGHFLVLYH
factors for this problem are various, however are noteworthy
behavioral factors that includes the practices of child/youth family
DQGVFKRROIDFWRUVZKLFKLQFOXGHVDOVRWKHLQÁXHQFHRIIULHQGVDQG
employees, which play an important role in the overweight control.
Objectives: Analyze the knowledge and difficulties children/
young obese parents; Promote the sharing of knowledge among of
children/young obese parents.
IN DOUBT’S PLACE: PSYCHOLOGICAL COUNSELING
AND HIV/AIDS THE PARTICULARITY OF SERVICE
TO YOUTH PEOPLE
Edgar Palminhas
$VVRFLDomRSDUDR3ODQHDPHQWRGD)DPtOLD $3)
'HOHJDomRGR$OHQWHMR 3RUWXJDO
Contact details: edpalminhas@hotmail.com
Introduction: Access to Voluntary Counselling and Testing (VCT),
DQRQ\PRXVDQGFRQÀGHQWLDOLVDQLQWHUQDWLRQDOO\UHFRPPHQGHG
24
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
strategy adopted by Portugal since 2000, through the creation of
a national network of Counselling Centers and HIV Early Detection
(CAD). In recent years, has resorted to CAD a very heterogeneous
SRSXODWLRQZKLFKLQFOXGHVDVLJQLÀFDQWQXPEHURI\RXQJSHRSOH
The approach to the care of young people in these health structures
DQGWKHLUVSHFLÀFLW\LVWKHSXUSRVHRIWKLVFRPPXQLFDWLRQ
State of the Art: With a rate of new diagnoses and an increase of
infected people on treatment above the european average (UNAIDS,
3RUWXJDOKDVZRUU\LQJÀJXUHVZLWKUHJDUGWRWKH+,9$,'6$W
the end of 2011, 41035 cases of HIV/AIDS were diagnosed, of which
5339 (13%) of these were diagnosed in young people aged between
15 and 24 years (INSA, 2011). Equally worrying is the growing trend
in the heterosexual transmission category.
New perspectives/guidelines: Considering that there is clear
evidence that early diagnosis results in a better prognosis, expected
low morbidity and improved quality of life (ECDC, 2010), as well as
knowledge of HIV status contributes positively to the adoption of
preventive behaviors, the ATV has an important role and clearly
remains a high priority in terms of public health policies.
Theoretical and practical implications: Assuming the existence
of some shortcomings by young portugueses in the level of
knowledge related to HIV/AIDS (Matos, 2007) and considering
the ATV is partially responsible for preventing new cases, it is
LQWHQGHGWRDGGUHVVWKHVSHFLÀFFDUHWR\RXWKSHRSOHLQWKLVDUHD
identifying and adjusting more effective communication processes
based on guidelines, in form to contribute to the good clinical
practices.
*This communication is the result of personal and professional
experience unrelated to the institution.
HIV/AIDS PREVENTION: INTERVENTION PROJECT
OF THE HIGHER SCHOOL OF NURSING.
UNIVERSITY OF ÉVORA (ESESJD/UÉ)
Ermelinda Caldeira, Ana Frias, Vitória Casas Novas,
Margarida Sim-Sim
Universidade de Évora. Portugal.
Contact details: anafrias@uevora.pt
Introduction: With an estimate of 1400 new cases of HIV/AIDS
infection in Portugal every year, recent UNAIDS’ reports (2010)
reveal that there are around 42000 people infected with HIV/
AIDS in our country. These are indeed disturbing indicators of the
Portuguese epidemic, which place Portugal, within the context
of West Europe, in the group of countries where the HIV/AIDS
incidence rate is higher. For this reason the HIV/AIDS Control
and Prevention National Program is seen as priority policy of the
Ministry of Health and of the Health National Plan. The ESESJD/
UE, in partnership with the Unity of Community Care of Evora, is
developing a pilot project of intervention with pairs.
Aim: Characterize the UE community (students, teachers, staff)
regarding their knowledge and behaviors related to HIV/AIDS
transmission; Inform/create awareness about HIV/AIDS transmission
close to the students and others in the community of University of
Evora; Ease the access to Counseling services for sexual health and
HIV/AIDS transmission.
Methods: Training of educators pairs; Dynamize awareness
campaigns in different venues of the UE; Analyze the characteristics
regarding the attitudes, knowledge and behaviours related to HIV/
AIDS transmission, within the academic community of UE.
Conclusions: Due to the various roles, ages and experiences of
people who circulate and interact, due to the lack of coverage of
SURMHFWVLQVWLWXWLRQDOO\GHÀQHGWKH8(LVDSULYHOHJHGFRQWH[WIRU
establishing a Community Intervention Program to deal with the
thematic of STD and HIV/AIDS, aiming a better well-being of the
UE community.
SYMPOSIUM: GROWING UP HEALTHY
OR GROWING UP OVERWEIGHT — A REFLEXION
ABOUT INFLUENCES AND SOLUTIONS
IN THE PARENTHOOD CONTEXT
Coordinator: Graça Aparício, ESSV- Polytechnic Institute of
Viseu, gaparicio5@hotmail.com
Incorporate Communications
EARLY CHILDHOOD OBESITY PREVENTION…
A CONTRIBUTION TO PRACTICE
Margarida Lourençoa, Célia Santosb, Isabel do Carmoc
a
Universidade Católica Portuguesa. Instituto de Ciências
da Saúde. Portugal. b(VFROD6XSHULRUGH(QIHUPDJHPGR3RUWR
Portugal. cFaculdade de Medicina de Lisboa. Portugal.
Contact details: margaridalourenco@ics.lisboa.ucp.pt
Introduction: Childhood obesity is one of the greatest health
FKDOOHQJHVIRUWKHWZHQW\ÀUVWFHQWXU\,WVSUHYDOHQFHFRQWLQXHV
to increase throughout the world. Prevention is recognized as
WKHVROXWLRQZKLFKZLOOEHQHÀWIURPORQJWHUPKHDOWK7KHUHIRUH
efforts to prevent childhood obesity should be started as soon
as possible. Based on this assumption we define the objective:
Construct an algorithm that may have applicability in practice and
contribute to the prevention of early childhood obesity.
Methods: We conducted a literature review by searching
bibliographic on two international online databases: EBSCO and
B-on, the documentary collection of the Portuguese Catholic
University (Lisbon) and RCAAP. To limit the search we used
the search terms: childhood obesity and prevention and early
intervention. We still use data from Delphi technique from the last
stage of our PhD study.
Results: From research done we construct an algorithm, structured
in three parts. At first, are included the pre-conceptional
instructions, related to BMI and promoting healthy lifestyles. In the
second part, we refer to instructions during pregnancy directed
for monitoring weight, eating habits and physical activity, and
evaluation of risk factors. In the third part, we included a group of
targeted interventions for the child and parents/family.
Conclusions: The prevention of childhood obesity should be
initiated as early as possible, because the damage caused by this
disease is many times for the rest of his life. The child nutrition
is a process that requires continuous care, beginning in the
pre-conceptional period but extended during childhood.
ARE PORTUGUESE MOTHERS AWARE THAT THEIR
CHILDREN ARE OVERWEIGHT?
Patrícia Nascimentoa, Graça Aparíciob, João Duarteb,
Carlos Albuquerqueb
a
Master Student. Child Health and Pediatrics Nursing/Health
6FKRRO3RO\WHFKLF,QVWLWXWHRI9LVHXbHealth School/Polytechic
,QVWLWXWHRI9LVHX3RUWXJDO0,6,-3URMHFWIXQGHGE\)&7
UHIHUHQFH37'&&3(&('DQG&, '(76)&73(VW2(
&('8,
Contact details: pfscn@sapo.pt
Background: The expectations and idealization of perfect child can
be considered as the causes of maternal perception change of the
children’s body image. Regarding childhood obesity several studies
report that parents are unaware or unconcerned that their child is
overweight.
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Aims: Evaluate the maternal perception of their children’s body
image and relate it with the child nutritional status.
Methods: Descriptive-correlational, transversal study, in a sample
of 1424 children (average age = 4.58; SD = 0.99) and their mothers,
average age 34.47 years old (SD = 5.29), residents in Portugal
regions. The children were weighted, measured and the BMI was
FODVVLÀHGDFFRUGLQJWRWKH1&+6 &'& 7RHYDOXDWHWKHUHDO
and ideal maternal perception it was used the “Body Silhouette
Chart”, Collins (1991).
Results: Majority of children had normal weight (60.2%), 5.5%
underweight and 34.3% had overweight (including 17.4% obesity),
ZLWKVLJQLÀFDQFHFRPSDUHGWRVH[RIWKHPRWKHUVUHYHDOHG
themselves worried/very worried while 46.2% revealed themselves
nothing/little worried that their child would present overweight.
The difference between real mother’s perception and child
nutritional status indicate that in 42.3% there was no discrepancy,
44.3% considered that the children were thinner than in reality
and 13.4% heavier, with significance regarding sex (x² = 9.175;
p = 0.010) and children’s age (x² = 33.424; p = 0.000) and according
to mother’s age and education but independent of income and
residence.
Conclusions: The study revealed low maternal accuracy in the
perception of the child’s nutritional status, so valorise the cultural
EHOLHIVLQWKHDFWLYLWLHVRIKHDOWKSURPRWLRQFDQEHWKHÀUVWVWHSWR
the acceptance of a healthy life style and prevention of childhood
overweight.
BETWEEN PLEASURE OF EATING AND LACK
OF APPETITE… IMPLICATIONS OF EATING BEHAVIOUR
ON CHILDHOOD OVERWEIGHT
Ana Cardosoa, Graça Aparíciob, João Duarteb, Madalena Cunhab,
Carlos Albuquerqueb
a
Masters Student. Child Health and Pediatrics Nursing/Health
6FKRRO3RO\WHFKLF,QVWLWXWHRI9LVHXbHealth School/Polytechic
,QVWLWXWHRI9LVHX3RUWXJDO0,6,-SURMHWIXQGHGE\)&7
UHIHUHQFH37'&&3(&('DQG&, '(76)&73(VW2(
&('8,
Contact details: anaf_cardoso@hotmail.com
Introduction: Childhood obesity is considered to be a serious
problem of public health, therefore, studying the child eating
behaviour plays an important role for its control.
Aim: To analyse the influence of parental socio-demographic variables and children eating behaviour in their nutritional
status.
Methods: Observational and transversal study with 1424 preschool
children, mean age 4.58 years old, (Sd = 0.995) and their
parents, living in different regions of Portugal. It was carried out
DQWKURSRPHWULFPHDVXUHPHQWVDQGQXWULWLRQDOVWDWXVFODVVLÀFDWLRQ
by NCHS (CDC, 2000). The eating behaviour was measured by the
parents’ responses to the Child Eating Behaviour Questionnaire,
(CEBQ) validated to Portugal (Viana & Sinde, 2008).
Results: In the sample, they were normal weight 60.2%, 5.5%
underweight, 16.9% overweight and 17.4% obese. Parental perception of children eating behaviour showed differences among
JHQGHUDVUHJDUGVWKHVL[GLPHQVLRQV+RZHYHURQO\VLJQLÀFDQWRQ
“Desire to Drink”(boys: Mean = 2.60; Sd = 2.65; girls: Mean = 2.32;
Sd = 2.42) (t = 2.10; p = 0.036). Parental socio-demographic
YDULDEOHV UHVLGHQFHHGXFDWLRQLQFRPH KDYHDVWURQJLQÁXHQFH
on the perception of children eating behaviour. Regression analysis
pointed out that from eating behaviour, “enjoyment of food”
and “selectivity” are predictor variables of BMI, indicating that
the higher it is, the higher is BMI and the response to satiety
and emotional under-eating; the higher it is, the lower is BMI,
explaining 11.3% (r = 0.337; p = 0.038).
25
Conclusions: This study suggests that parental socio-demographic
YDULDEOHVLQÁXHQFHFKLOGUHQHDWLQJEHKDYLRXUDQGWKLVRQHH[SODLQV
their BMI. These factors should be taken into account when
planning intervention approaches in the control appointments of
child health.
WHAT PARENTS KNOW ABOUT INFANT FEEDING?
ANALYSIS OF KNOWLEDGE AND SOCIOECONOMIC
DETERMINANTS
Graça Aparícioa,*, Madalena Cunhaa, Anabela Pereirac, João Duartea
a
+HDOWK6FKRRO3RO\WHFKLF,QVWLWXWHRI9LVHX3RUWXJDO
Aveiro University. Portugal.
b
Contact details: gaparicio5@hotmail.com
Introduction: The determinants that support parents’ decisions in
daily practice of children’s feeding are complex.
Aim: To analyze the influence of socio economic variables in
parent’s knowledge about child feeding and relate the parent’s
knowledge with child’s BMI.
Methods: Cross-sectional study with 792 parents, women average
age 34.15 years (SD = 5.01), men 36.1 years old (SD = 5.34),
residents in center of Portugal. Parent’s knowledge was obtained
applying the Infant Feeding Questionnaire constructed and
validated by Aparício et al (2012).
Results: Globally, 35.9% parents had higher education, 54.9%
earning medium/high wage. Had “good” level of knowledge 51.9%,
especially mothers (52.4%), while 33.3% fathers “insufficient”.
2QO\WKHROGHUPRWKHUV \ROG VKRZHGJUHDWHUDQGVLJQLÀFDQW
levels of knowledge, (MO = 425,49; X2 = 9,391; p = .025) those
with higher education (MO = 431.88; X2 = 54.274; p = .000) and
the higher-income families (MO = 394.57; X2 = 27.261, p = .000).
Multivariate analysis indicated that “good” level of knowledge
is determined in 69.6% by mothers with higher education and
“insufficient” level in 36.7% explained by those with lower
education and in 51.1% by low-income households. Correlations
between parental knowledge and child’s BMI established positive
UHODWLRQVKLSVEXWRQO\VLJQLÀFDQWDWWKHGLPHQVLRQ)HHGLQJUXOHV
(r = 0,104; p = 0,007) and Global knowledge (r = 0,075; p = 0,038)
which mean that higher rules and better knowledge, are associated
with higher child’s BMI.
Conclusions: Parent’s socio-economic characteristics influence
their knowledge about infant’s feeding, and although that
knowledge alone, may not determine the most appropriate feeding
practices, the health promotion and feeding education should be
more addressed to family features.
*Research Funded by FCT SFRH/PROTEC/50169/2009 and FCT
CI&DETS FCT-PEstOE/CED/UI4016/2011/IPV.
MY CHILD IS OBESE!? MY CHILD IS OBESE! THE MEANING
OF THE EXPERIENCE OF PARENTHOOD WITH THE OBESE
CHILD
Emília Duartea, Abel Paivab, Isabel do Carmoc
(VFROD6XSHULRUGH6D~GH'U/RSHV'LDV,QVWLWXWR3ROLWpFQLFR
de Castelo Branco. Portugal. b(VFROD6XSHULRUGH(QIHUPDJHP
do Porto. Portugal. cFaculdade de Medicina. Universidade
de Lisboa. Hospital de Santa Maria. Portugal.
a
Contact details: emiliaduarte@ipcb.pt
Introduction: The experience of the transition process in
parenthood, in the family life cycle, implies a constant adaptation
of the parental roles to the stages of the child’s growth/development, incorporating new knowledge and changing behaviours to
26
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
respond to changes and developmental, situational and health/
disease demands that occur in the child’s life. In the case of
obese children, and obesity being a disease, these aspects are
of particular importance, especially in earlier ages.
Objectives: Understanding the experience of the transition to the
parental role by the mothers of preschoolers with obesity.
Methods: A qualitative approach was carried out through case
studies. Participants were families of obese children. We conducted
ÀYHVHPLVWUXFWXUHGLQWHUYLHZVZLWKPRWKHUVDVUHSUHVHQWDWLYHV
of the family. Data was organized and analysed through thematic
content analysis of Bardin (2007), subsidized by the theoretical
assumptions of Meleis et al (2000).
Results: The awareness of the obesity problem (perception of
being obese, obesity as a health issue and the recognition of the
GHWHUPLQDQWV DQGWKHDWWLWXGHDGRSWHGE\WKHPRWKHUVLQÁXHQFH
the experience of parenthood, translated in assuming parental
responsibility, parents perceiving themselves as behavioural
models, and also in the perception of the need for change in
lifestyles, readiness to change and facilitators and inhibitors of
change, in a healthy transition process.
Conclusions: Understanding the experience lived by the mothers
of obese children in the construction of parenthood can contribute
to nursing interventions, with the family, to promote the change
of lifestyles needed to reduce obesity in a healthy transition
process.
SYMPOSIUM: PROMOTING HEALTH
AND WELLBEING OF PREGNANT WOMAN
Coordinator: Vitor Franco, Universidade de Évora, vfranco@
uevora.pt
PRENATAL COUNSELING AND DECISION-MAKING ABOUT
CAESARIAN BIRTH: EXPLORATORY QUALITATIVE STUDY
Maria da Luz Barrosa, Vitor Francob
a
Évora University. Nursing Departament. bÉvora University.
Psychology Departament. Portugal.
Contact details: mlb@uevora.pt
Introduction: The availability of medical resources has predisposed
parturient women to interventionist practices in birth. Caesarian
has therefore become a frequent procedure in obstetrics as the
high percentage of caesarian birth in developed countries has
shown, which is sometimes performed at the parturient request.
This increase in cesarean birth has become a major concern in
public health at international level (Simzek et al, 2012).
Objectives: The study aims at understanding the reasons why
some mothers wish to have a caesarean, and at identifying ways of
approaching parturient women in order to provide them with the
adequate information about caesarian birth.
Methods: A qualitative approach. Semi structured interviews
with six specialized nurses were conducted at Beja Hospital from
August to November 2012. The data was collected and processed in
accordance with the grounded theory.
Results: Studying the accumulated data enabled us to realize that
the nurses themselves identify the need of improving the level of
information about caesarian birth that should be given by specialists
to parturient mothers. The main reasons that mothers-to-be
pointed out in favor of a caesarian birth were: “fear of vaginal
birth”, “ignorance of sequels”, and “past bad experiences”.
2WKHUUHDVRQVWKDWZHUHLGHQWLÀHGZHUH ´DSSUHKHQVLRQWRZDUGV
suffering”, “ignorance in general” and “past experiences of
others”. Counseling should therefore cover all those areas.
Conclusions: There are different factors that lead to a decision
for a caesarian birth. It is therefore necessary to approach the
mother-to-be accordingly: she should be provided with consistent
extensive information that would facilitate her choice.
Incorporate Communications
BODY IMAGE AND BREASTFEEDING INTENTIONS
ON LAST TRIMESTER OF PREGNANCY
EDUCATE FOR BIRTH
Ana Frias
Évora University. Nursing Departament. Portugal.
Contact details: anafrias@uevora.pt
Introduction: The information provided to pregnant women in
the preparation for delivery sessions allows them to face birth in
a serene and confident way, and to assume a more appropriate
behaviour when going to and staying at the maternity.
Methods: This research, of quantitative nature and exploratory
TXDOLW\DLPVWRGHWHUPLQHWKHLQÁXHQFHRIWKH3V\FKRSURSK\ODFWLF
Method on women’s behaviour in the delivery room and during
labour (delay of the active phase of labour, analgesic usage, type
of delivery). In order to examine the devised hypotheses, we
used parametric tests (Student’s t-Test) and the nonparametric
chi-square test.
Results: We gathered that the highest percentage of women
who’d already exhibited signs of labour before checking-in to
the maternity, had performed Psychoprophylactic Preparation for
Birth, and therefore, that the majority of pregnant women whose
ELUWKKDGWREHLQGXFHGKDGQ·W7KHUHVXOWVVKRZKLJKO\VLJQLÀFDQW
differences in analgesic usage, delay of the active phase of labour,
and type of delivery, between the groups that did and did not
perform Psychoprophylactic Preparation for Birth.
Conclusions: This study thus points to the existence of seve ral
advantages/benefits in Preparing for Labour, using the Psychoprophylactic Method.
Margarida Sim-Sim
University of Évora. Portugal.
Contact details: msimsim@uevora.pt
Introduction: During pregnancy there are a varied number of
FKDQJHVWKDWKDYHVLJQLÀFDQWHIIHFWVLQGLIIHUHQWERG\SDUWVDV
well as in the body as a whole. By the end of the third trimester,
woman’s decision on the preferred method to nurture the child is
eminent.
Objectives: 1. describe the body-image of pregnant women and
relate it with 2. the weeks of pregnancy, 3. the Body Mass Index
[BMI] on the 3rd trimester, 4. the breastfeeding intentions and 5.
the expectation of having nurses’ support.
Methods: Transversal, quantitative and descriptive study.
Convenient sample of 47 women on their last trimester which
attended a group of pre-natal class. The questionnaire includes
VRFLRGHPRJUDÀFDVSHFWVDQGYDULDEOHVUHODWHGZLWKERG\LPDJH
(i.e. Attitude Toward Body Image Scale; Strang & Sullivan, 1985),
with a of Cronbach of.817, and with breastfeeding intentions (i.e.
Infant Feeding Intentions; Nommsen-Rivers, & Dewey, 2009) with
a of Cronbach of .687, as well as with the expectations of being
supported by nurses.
Results: The pregnant woman’s body-image is high (M = 45;
DP = 8.29). We observe a significative correlation between this
variable and the weeks of pregnancy (r = .460; p = .003). No
DVVRFLDWLRQZDVYHULÀHGEHWZHHQWKHERG\LPDJHDQGWKHSUHJQDQW
BMI, as well as in the intentions of breastfeeding until the sixth
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
month. However, such occurs in the indicator that expresses the
atempt of at least trying to breastfeed (r = .319; p = .039). The
expectation of having the support of nurses in breastfeeding is
related to body-image (r = .354; p = .021).
Conclusions: The pregant BMI is not enhanced on the body-image.
Though there doesn’t seem to exist a strong determination towards
breastfeeding, having the support of nurses may improve the
results of the attempts to breastfeed.
PRE-NATAL AQUATIC PREPARATION
Célia Serra, Ana Frias
27
Instruction in Competition adapted for Football (Saic) (Santos,
2003).
Results: The results show that the coaches transmit a lot of
instruction which is affective positive, negative prescriptive and
descriptive in an audio and audio-visual form, directed towards
the athlete or the team and particularly concerning tactics and
SV\FKRORJLFDODVSHFWV1RVLJQLÀFDQWGLIIHUHQFHVZHUHIRXQGDVWR
any of the dimensions studied between the two groups.
Conclusions: We can therefore come to the conclusion that the
coaches’ academic degree has no influence on the instruction
transmitted to the athletes during the competition period.
FCT and CI&DETS (PEst-OE/CED/UI4016/2011).
Universidade de Évora. Portugal.
Contact details: cmserra@sapo.pt
Introduction: Water, a source of well-being, peace, fullness,
freedom and harmony. For quite some time now, water is sought
DIWHUIRULWVUHQRZQHGEHQHÀWVLQWHUPVRIUHOLHYLQJWKHSK\VLFDO
and emotional changes which commonly occur during pregnancy.
Objectives: 1. Describe the process of intervention, arising from
the use of the aquatic environment in prenatal preparation, 2.
Relate the gains in health from prenatal preparation aquatic.
Methods: Descriptive creating and applying a preparation course
aquatica prenatal clients healthy pregnant from 28 weeks of
gestation, entered in ACES Setubal and Palmela.
Results: The emancipation in the water environment, respiratory
domain, perception of a correct posture, awareness of the perineal
area, pelvic mobility, participation of the woman’s partner, fetal
perception along with the water’s qualities, provide the woman
with a unique experience.
Conclusions: Water, as a non pharmacological measure that
relieves the discomforts felt during the last trimester pregnancy
as well as a facilitating measure in the natural childbirth process.
SYMPOSIUM: SPORT AND PHYSICAL ACTIVITY
Coordinator: José de Jesus Fernandes Rodrigues, ENSSEE,
ESDRM - IPSantarém, jrodrigues@esdrm.ipsantarem.pt
Incorporate Communications
INSTRUCTION BEHAVIORS OF JUVENILE FOOTBALL
COACHES DURING COMPETITION
André Matiasa, João Serranob, João Petricab
a
THE SAFETY OF YOUNG ADOLESCENTS IN NATURE-BASED
SPORTS: RISK PERCEPTION AND PREVENTION
Luís Carvalhinho, Henrique Frazão, João Moutão
Sport Sciences School of Rio Maior. Portugal.
Contact details: lcarvalhinho@esdrm.ipsantarem.pt
Introduction: The practice of nature-based sports has grown
increasingly among young adolescents in the context of education,
sports, social and tourism (Winter, 2000; Bricker, 2002). However,
some of these activities contain an increased risk, which is
necessary to be aware of and minimize it. The feeling of vertigo and
adventure mobilizes more practitioners (Sman, Marle, Eckhardt,
& Aken, 2003), and the knowledge of risk factors is essential for
the safe development of these activities (ISO, 2008; Weber, 2001).
So, the purpose of this study was to develop a questionnaire to
measure the key risk factors involved in nature-based sports.
Methods: The questionnaires used by Foo (2004) and Gama (2011)
were initially adapted to the following sports: climbing, canyoning,
mountain biking, surfing, windsurfing and kitesurfing. After it,
18 experts were consulted about the facial and content validity of
this new questionnaire, which was then applied to a exploratory
sample of 44 monitors.
Results: The experts committee gave their agreement on the facial
and content validity of this new questionnaire. Data collection
done allows us to identify the most important risk factors in each
dimension: i) Risks relating to people: Experience of technical
and material handling; ii) Risks associated with materials:
preservation and conservation of the materials and performance
materials; iii) Risks associated with environment: Knowledge of the
characteristics of spaces and the weather conditions.
Conclusions: The results give initial support to the validation of
this new questionnaire developed to measure the key risk factors
involved in nature-based sports. In future, it is important to apply it
ODUJHUVDPSOHVDQGUXQDFRQÀUPDWRU\IDFWRULDODQDO\VHVWRYDOLGDWH
this new questionnaire.
Polytechnic Institute of Castelo Branco.
Polytechnic Institute of Castelo Branco. Portugal.
b
Contact details: j.serrano@ipcb.pt
Introduction: Behaviors while learning how to play football and
the way that coachers use when talking to teenagers, how they
use words in order to explore players’ potentialities reflect in
teaching-learning process.
Objectives: To assess of instruction behaviors and compare the
coaches with academic degree to coaches without academic degree
that work with children and teenagers, during competitive period.
Methods: This is a case-study with a convenience sample of six
coaches and were recorded during 12 games. Teams were from
Castelo Branco, they played for the district championship of the
Football Association. It was used direct observation in order to
collect information regarding their behavior while teaching. The
evaluation protocol for the instrución was Analysis System of
HEALTH, SPORT AND VALUES IN TRAINING YOUNG
FOOTBALL PLAYERS
Valter Pinheiroa, Antonino Pereirab, José Rodriguesc,
Oleguer Camerinod, Pedro Sequeirae
,QVWLWXWR6XSHULRUGH&LrQFLDV(GXFDWLYDVGH2GLYHODV3RUWXJDO
(VFROD6XSHULRUGH(GXFDomRGH9LVHX3RUWXJDOc(VFROD6XSHULRU
de Desporto de Rio Maior. Portugal. d,QVWLWXW1DFLRQDO'·(GXFDFLy
Física de Catalunya. Lleida. Spain. e8QLGDGHGH,QYHVWLJDomR
do Instituto Politécnico de Santarém. Portugal.
a
b
Contact details: pedro.sequeira.ui@sc.ipsantarem.pt
Introduction: There are several international organizations
(UNESCO, EU, etc.) that advocate greater investment in
28
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
sport for young people with the aim of promoting physical
and mental health and building team spirit and values that
encourage their social integration. The values go up and live
through examples and models, hence the importance and
responsibility of various sports agents, especially the coach,
which should enhance the sporting spirit in all environments
and circumstances of sports.
Objectives: To analyze the behavior, in competition, of the football
coach of youths with a degree in Physical Education and Sport,
promoting the values - fair play.
Methods: To analyze the behavior of the coach in the competition
we used the Observational Methodology (Anguera, Blanco, Mendo
/RVDGD :HÀOPHGIRXUIRRWEDOOFRDFKHVRI\RXWKVZLWK
a degree in Physical Education and Sport, 4 games by coach for a
total of 16 games.
Results: The analysis performed to “event plots” and “event
frequency”, allow us to conclude that the football coaches of
youths with a degree in Physical Education and Sport, have both
behaviors non-promotores as promoters of fair play. It means that
their conduct is guided as much by each other, depending on the
time of the game and the result. Thus, it appears that the coach
“says swearing”, “argues with the referee,” “disrespects their
athletes”, “permits the use of profanity,” “enables discussions with
the referee,” among others.
Conclusions: The present licensed coaches conduct inconsistent
because both reveal non-promoting and promoting behaviors
concerning fair play, especially when a given moment “disrespect
their athletes” and then “praising their performances.”
TESTING THE VALIDITY OF THE RECOVERY AND STRESS
QUESTIONNAIRE FOR ATHLETES. (RESTQ-SPORT):
STRESS ANALYSIS MODULE
Ana Leitea, António Rosadoa, Francisco Alvesa,
Francisco Mendesb
a
PHYSICAL EDUCATION AND SPORT PHYSICAL ACTIVITY
IN PRIMARY SCHOOL
Abel Figueiredoa, Filipa Constanteb, João Estevesb
&HQWHUIRU6WXGLHVLQ(GXFDWLRQ7HFKQRORJLHVDQG+HDOWK
&, '(76 b6FKRRORI(GXFDWLRQ3RO\WHFKQLF,QVWLWXWHRI9LVHX
Portugal.
a
&RQWDFWGHWDLOV DEHOÀJXHLUHGR#HVHYLSYSW
Introduction: Scholar Physical Activity through Physical Education
(PE) and Sport Physical Activities (SPA) have important roles on
health promotion. In Portugal PE in Primary School (PS) is compulsive
RQSURJUDPVEXWGLIÀFXOWWRLPSOHPHQWEDVHGRQWKH367HDFKHU
Objectives: To assess if SPA as a CEA interfered in the PE approach.
Methods: The group of study was constituted by 30 primary
teachers of Oliveira de Frades’s Schools (22 female and 8 male). A
questionnaire was used to collect sociodemographic data, PE and
SPA valorization and aproach data, before and after implementation
of SPA in CEA program.
Results: Descriptive analysis evidenced a general favorable
appreciation in PE and in its non-replacement by SPA; Specific
apreciation show that PS teachers are in favor of the replacement
RI3(E\63$6LJQLÀFDQWFRUUHODWLRQVZHUHIRXQG 7KHLQFUHDVHRI
the importance conceded to maintaining PE approach, correlates
with more regular PE approach (p = 0.004) after SPA has started.
The increasing belief of PE replaced by SPA correlates with the
decreasing importance of PE approach after SPA has started, and
with the PE lower frequency approach before (p = 0.018) and after
(p = 0.000). The longer the service, higher the tendency to consider
SPA sufficient (p = 0.011) and lower the tendency to approach
PE (p = 0.018), before SPA. Teachers with a stable professional
VLWXDWLRQMXGJH63$DVVXIÀFLHQW S= 0.002).
Conclusions: Despite the importance conceded to this domain
by Primary Scool Teachers, the implementation of Sport Physical
Activities program (complementary and optional) has reduced the
frequency of Physical Education classes.
FMH/UTL. b(6(9,393RUWXJDO
Contact details: arosado@fmh.utl.pt
Introduction: Knowing the level of physical and mental stress
of athletes is crucial to enhance the process of sport training,
emphasizing the need to validate assessment tools and training
control that enable this understanding.
Objectives: The purpose of the present study was to test the
psychometric qualities of stress module of RESTQ-Sport, an
instrument to assess the athletes’ stress levels and recovery.
Methods: A study of different measures of validity and reliability/
fidelity analyses was conducted. The analysis of the original
scale determined the construction of the Portuguese version,
reduced when compared to the original version and with better
psychometric values. The sample included 206 competitive
Swimming athletes, female (N = 92) and male (N = 114), with
mid-level (N = 149) and high (N = 57) performance athletes.
Results: Concerning the values of global adjustment of models of
scale resulting from CFA, the stress model showed a good level of
global adjustment: x² (48) = 87.112; (p ≤ .001), x²/df = 1.815,
CFI = .966, GFI = .934, PCFI = .703, PGFI = .575, RMSEA = .063.
This version has been assessed concerning construct validity,
concurrent and predictive, through the study of the correlation of
the values obtained in the reduced version with the POMS scales
(concurrent validity) and through the comparison of the reduced
version of RESTQ-Sport with several predictive variables to test
the predictive validity. The cross validity of the scale was also
studied.
Conclusions: The final version of the questionnaire has been
GHPRQVWUDWHGWRKDYHJRRGDFFHSWDEOHOHYHOVRIUHOLDELOLW\ÀGHOLW\
factorial, concurrent, cross and predictive validity.
SYMPOSIUM: STRATEGIC INNOVATION
IN HEALTH EDUCATION OF CHILDREN
AND YOUTH
Coordinator: Manuel Alves Rodrigues, Escola Superior de
Enfermagem de Coimbra, demar7@gmail.com
Incorporate Communications
DRAWING/WRITING AS A CREATIVE RESOURCE
FOR ASSESSMENT OF CHILDREN’S HEALTH PERCEPTION
Manuel Rodriguesa, Dulce Cruzb
8,&,6$ ( (6(QI& bUniversidade de Évora. Portugal.
a
Contact details: investiga@esenfc.pt
Introduction: Since 1997, after a sequence of quasi-experimental
studies, Rodrigues developed the concept of Edutherapeutic
Method. During its early stage (children’s health perception
evaluation), this method integrates the drawing/writing as
appropriate technology. Besides a questionnaire on perceived
health and well-being, a Drawing/Writing Sheet (DWS) was
created and validated. This sheet allows children to express their
perception on health external factors through drawing/writing.
Objectives: This study aims at presenting the Writing/Drawing
Sheet and the Model of Selection, Categorization and Analysis of
the drawings commented by children.
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Methods: Description of the structure, process and model of
analysis of an instrument to assess how children perceive health.
Results: The DWS integrates two plans of registration (drawn and
commented). The meaning of the drawings is conveyed by the child
and not through technical interpretation. The records are expressed
in two dimensions, considering what the child feels (good/bad for
health). The average time for SDW application is 30 min. Analysis
PRGHO WZRREVHUYHUV RUGHULQJDQGHQFRGLQJ6': GHÀQLWLRQRI
the a priori categorical structure, based on WHO health priorities;
contrasting drawing information with written comment; creation of
registration units; two- dimensional categorical organization of the
perceived aspects as good and bad for health; categorical hierarchy
depending on the indicators frequency; construction of the matrix
of associated factors analysis; profiling children in relation to
assessed external health factors.
Conclusions: Once the profile set, it is possible to intervene in
context, strengthening the protective factors and preventing the
risk factors through the edutherapeutic regulation pro.
FELIZ MENTE: A WEBSITE TO PROMOTE MENTAL HEALTH
LITERACY
Luís Loureiro, Manuel Rodrigues
29
VWUDWHJLHVIRUPLOGHUSUREOHPVDQGÀUVWDLGVNLOOVWRVXSSRUWRWKHUV
affected by mental health problems (Jorm, 2012).
Objectives: To assess the impact of mental health education and
internet-based sessions in schools.
Methods: Multi-level and descriptive, exploratory study with
the application of an instrument to assess mental health literacy
4X$/L60HQWDO LQWKHÀUVWSKDVH,QWKHVHFRQGSKDVH LQWHUYHQWLRQ
it will be used a quasi-experimental design with pre-and post-test.
Research Question: What is the level of mental health literacy of
adolescents and youth about depression and alcohol abuse, on
the various components of the concept? The intervention consists
of three classroom sessions (total duration = 4.5 hours) and
simultaneously continued access to a website: http://felizmente.
esenfc.pt. 30 students of a secondary school in the central region of
Portugal were randomly selected for the intervention.
Expected results: It is expected that the program has a substancial
DQGVLJQLÀFDWLYHUHVXOWLQFUHDVLQJPHQWDOKHDOWKOLWHUDF\OHYHOVDQG
having a moderated size effect.
Conclusions: There is a need for interventions in school with the
aim of increasing mental health literacy, being this intervention a
valid approach.
8,&,6$ ((6(QI&3RUWXJDO
PREDICTIVE CRITERIA OF VENIPUNCTURE IN PEDIATRIC
EMERGENCY DEPARTMENT
Contact details: luisloureiro@esenfc.pt
Luís Batalhaa, Patricia Lourençob, Regina Estevesb, Dulce Almeidab
Introduction: In recent years, Internet has become more than
just a communication tool, and the number of users who rely on
websites for information about health issues has increased. Young
people have problems in acessing mental health services although
mental health problems have grown among this population. The
WHUPPHQWDOKHDOWKOLWHUDF\LVGHÀQHGDV´NQRZOHGJHDQGEHOLHIV
about mental disorders which aid their recognition, management or
prevention” (Jorm, 2000).
Objectives: Describe how the website Feliz Mente can be important
to promote mental health literacy among young people, who have
low mental health literacy.
Methods: Multi-level and descriptive, exploratory study with
the application of an instrument to assess mental health literacy
(QuALiSMental) to a sample of 4938 adolescents and young people
in the central region of Portugal.
Results: Both the lack of knowledge about the options of help
seeking as the stigma associated with mental disorders prevent
affected individuals to seek help or to receive information about
their problems. This suggests the need for additional sources that
can provide the information needed to identify early symptoms and
so seek professional help.
Conclusions:&RPELQHGZLWKWKHEHQHÀWVRIDQRQ\PRXVO\DQGHDV\
DFFHVVZHEVLWHVFDQDFWDVÀUVWSRLQWRIFRQWDFWIRU\RXQJSHRSOH
struggling with mental illness. The challenge now is to ensure that
young people know the best online initiatives established and
recognized.
a
YOUTH MENTAL HEALTH LITERACY ABOUT DEPRESSION
AND ALCOHOL ABUSE
Ana Pedreiroa, Luís Loureiroa, Manuel Rodriguesa, Ana Amaralb
a
(VFROD6XSHULRUGH(QIHUPDJHPGH&RLPEUD (6(QI&
Centro Hospitalar e Universitário de Coimbra.
(3(+RVSLWDO3HGLiWULFR3RUWXJDO
b
Contact details: batalha@esenfc.pt
Introduction: In order to reduce the waiting time of children and
their caregivers, the nurse at triage can apply the local anesthetic
after identifying the children who required venipuncture.
Objectives: Create a Criteria List to predict the need for venipuncture in children in emergency departement and assess the usefulness, validity (sensitivity and specificity) and predictive ability
(positive and negative predictive value).
Methods: The two-phase study was conducted at an emergency
GHSDUWHPHQWRID3HGLDWULF8QLWRID&HQWUDO+RVSLWDO7KHÀUVW
phase consisted of creating a Criteria List based on three methods:
interviews with emergency departement nurses, retrospective
analysis of the clinical records and analysis of two lists of familiar
situations with the same purpose. In the second phase, we assessed
and compared the validity, predictive ability and usefulness of both
PHWKRGVIRULGHQWLÀFDWLRQRIFKLOGUHQZKRUHTXLUHYHQLSXQFWXUH
Results: After designing the Criteria List and over two months, the
decisions concerning the application of the EMLA cream using the
Criteria List and the Clinical Judgment in 3768 children showed a
higher sensitivity when the nurse uses the Criteria List (88% versus
DQGVLPLODUYDOXHVIRUVSHFLÀFLW\ YHUVXV SRVLWLYH
predictive value (47% versus 49%) and negative predictive value
(98% versus 99%).
Conclusions: We concluded that nurses’ decision-making based on
WKH&ULWHULD/LVWLGHQWLÀHVPRUHFKLOGUHQZKRUHTXLUHYHQLSXQFWXUH
thus representing an important contribution to pain control in
Emergency Departement.
8,&,6$ ( (6(QI& b(67H6&3RUWXJDO
Contact details: apedreiro@esenfc.pt
Introduction:0HQWDOKHDOWKOLWHUDF\FDQEHGHÀQHGDV´NQRZOHGJH
and beliefs about mental disorders which aid their recognition,
management or prevention” and has several components: the
public’s knowledge of how to prevent mental disorders, recognition
of when a disorder is developing, knowledge of help-seeking
options and treatments available, knowledge of effective self-help
QUIZ GAME - ALCOHOL, TRUTH OR CONSEQUENCES
Teresa Barroso
8,&,6$ ((VFROD6XSHULRUGH(QIHUPDJHPGH&RLPEUD3RUWXJDO
Contact details: tbarroso@esenfc.pt
Introduction: After the study to assess knowledge about alcohol
(Barroso, 2009) and the quasi experimental study: Prevention of
30
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
alcohol use/abuse among adolescents: a school-based intervention
(Barroso, 2012), we developed the Quiz Game “Alcohol, Truth or
consequences”, directed to adolescents. It’s composed of a series
of questions which promote the analysis of useful knowledge about
alcohol.
Objectives: This study aims at presenting the Quiz Game “Alcohol,
Truth or consequences”.
Methods: Description of an awareness session for adolescents to
increase useful knowledge about alcohol based on a creative and
interactive methodology.
Results: The “Alcohol, Truth or consequences” is composed of a
series of questions which promote the analysis of useful knowledge
about alcohol in a critical and communal way, starting with the
already existing knowledge, the discussion with different team
members and then analysis with the activity’s facilitator. The teams
are then divided into a maximum of 4 groups (3 to 5 participants),
played in sets of three rounds. The questions follow a specific
sequence designed based on previous studies and analyze
knowledge about the effects and consequences of alcohol.
Conclusions: These awareness sessions are school-based universal
prevention strategies. They are health education awareness-raising
sessions which can also be used as reinforcement sessions after
more intensive intervention programs.
SYMPOSIUM: DEALING WITH STRESS AND RISK
FACTORS TO IMPROVE MENTAL HEALTH
Coordinator: Anabela M. Sousa Pereira, Universidade de
Aveiro, anabelapereira@ua.pt
Incorporate Communications
STRESS AND SOMATIZATION: PORTUGUESE ADAPTATION
OF CHILDREN’S SOMATIZATION INVENTORY (CSI-24)
Sónia Ferreira, Anabela Pereira, Sara Monteiro
'HS(GXFDomR8QLYHUVLGDGHGH$YHLUR3RUWXJDO
Contact details: psi.soniaferreira@gmail.com
Introduction: Recent studies have been valuing the psychosomatic,
its relation between body and mind and its effects in stress-inducing
situations. The research in this area is recent and needs assessment
tools.
Objectives: Adaptation to the Portuguese population of Children’s
Somatization Inventory (CSI24), published by Lynn S. Walker, Judy
Garber e Warren Lambert, intended for children and adolescents
and their parents.
Methods: A sample was studied, of the center of the country, of
children/adolescents between the ages of 8 and 18 in a school
context and their parents, which answered to ICS-24 to evaluate
the existence and the severity of somatic symptoms.
Results:7KHÀQGLQJVVXJJHVWWKDWPRVWRIWKHFKLOGUHQDGROHVFHQWV
show somatic symptoms. It was found that girls complain more
than boys, being monosymptomatic the complaints of the younger
ones, while older ones tend to point more than one symptom.
The most frequent symptoms are: headaches, tiredness, muscle
aches and stomach ache. The symptomatology is associated with
stress-inducing factors, being that the physical, emotional and
FRJQLWLYHIDFWRUVDUHLGHQWLÀHGERWKE\WKHSDUHQWVDQGWKHFKLOGUHQ
The results of the parents are mostly the same as the children.
Conclusions: The Portuguese version of CSI seems be a selfassessment tool valid and reliable, capable of measuring the somatic symptoms in children and adolescents. Furthermore this study
establishes a direct relationship between stress levels and somatic
manifestations. The results support the necessity for prevention
and intervention programmes.
SUICIDE PREVENTION: TEACHER TRAINING NEEDS
Agar Almeida, Anabela Pereira, Maria Helena Pedrosa
University of Aveiro. CIDTFF. Portugal.
Contact details: almeidaagar@gmail.com
Introduction: Suicide is one of the leading causes of death in
Portugal. Health Promoting School it may intervene in the scope
mental health and reveals itself as a key element in its prevention.
This study aims to identify teacher training needs in Education and
Health, specially in the prevention of suicide, preparing and arming
the educational community to deal with this problem.
Methods: Correlational descriptive and non-experimental study,
with a sample of 323 teachers of the central zone of the Portuguese
territory. Data collection was performed using an online survey on
“Qualtrics Survey Software”.
Results: It can be pointed out that there are 95% of School Groups
with Health Education Project, 65% of teachers are trained in
Health Education. Only 3% relate they were been provided training
in suicide prevention, 79% needs guidance and support to identify
and prevent behaviours of suicide risk. As for the parassuicide 92%
is not aware of its existence and 13% refer that during their work
experience students had already attempted suicide. Also 88% of
educators / school teachers consider that by being able to identify
children/adolescents at risk of suicide they can reduce the number
of suicide attempts and 87% believe that schools should ensure a
policy of suicide prevention.
Conclusions: The prevention of suicide must include initial teachers
training. This study knowledge leads us to propose a continuous
Training Program, focused on this area.
ILLICIT AND LICIT DRUGS USE AMONG YOUNG ADULTS
IN PORTUGAL
Anabela Pereiraa, Sara Monteirob, Catarina Caladoc,
Rosa Gomesc, Inês Direitoc, Paula Vagosc
a
University of Aveiro. CIDTFF-University of Aveiro. Portugal.
University of Aveiro. IBILI-University of Coimbra. Portugal.
c
University of Aveiro. Portugal.
b
Contact details: anabelapereira@ua.pt
Introduction: Illicit and licit substance use result in substantial
PRUELGLW\DQGPRUWDOLW\DQGVLJQLÀFDQWVRFLHWDOHFRQRPLFFRVWV
Objectives: To delineate the pattern of consumption (occasional
use, abuse or dependence) of illicit and licit drugs in a sample of
higher education students.
Methods: A total of 511 higher education students, aged between
18 and 51 years, completed the following instruments: Demographic
questionnaire and Characterization Questionnaire of Population
(ECRIP; IREFREA, 2006).
Results: Cannabis is the drug chosen by the majority of young
people, mostly sporadic and recreationally; drug use is associated to
socio-cultural factors, especially with regard to the father’s education [X2(3) = 15.229, p = 0.002]; drugs are considered as an enabler
of social relations [X2(1) = 6.648, p = 0,01] and allow to have more
success with the opposite sex [X2(1) = 5.360, p = 0.021, p < 0,05].
Conclusions: This study becomes relevant because it allows the
FRQVXPHUWRXQGHUVWDQGWKHFKDUDFWHULVWLFVDQGWKHSURÀOHRIWKH
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
population of interest, in order to be able to adapt and improve the
real needs of these individuals.
RISK FACTORS FOR DEPRESSIVE SYMPTOMATOLOGY
IN YOUNG ADULTS
Sara Monteiroa, Anabela Pereirab, Raquel Relvasc
31
higher scores on State Anxiety Scale after the intervention, but no
VWDWLFDOO\VLJQLÀFDQFHZDVIRXQG
Conclusions: The results corroborate the effectiveness of biofeedback programs, even brief ones, as effective interventions on
anxiety. Still, due to the small sample size, this study should be
interpreted with caution; it seems to us a good starting point for
future studies on brief biofeedback sessions, using larger samples.
a
University of Aveiro. IBILI-University of Coimbra. Portugal.
University of Aveiro. CIDTFF-University of Aveiro. Portugal.
c
$JUXSDPHQWRGH(VFRODVGH$UULIDQD6DQWD0DULDGD)HLUD
Portugal.
b
Contact details: anabelapereira@ua.pt
Introduction: Surveys in many countries have reported that young
adults experience relatively high rates of mental health problems
and mental illness. Depression and anxiety, together with substance
use disorders, are the most common mental illnesses in young
people, and account for three-quarters of the burden of all mental
illness in this age group.
Objectives: To evaluate the associations among vulnerability to
stress, pessimism, dysfunctional attitudes and personality with
depressive symptomatology in a sample of young adults.
Methods: A total of 198 higher education students completed an
on line questionnaire which assessed: depressive symptomathology
(BDI-II; Beck, Steer, & Brown, 1996), vulnerability to stress (QVS;
Vaz Serra, 2000), pessimism (LOTR; Scheier, Carver, & Bridges,
1994), dysfunctional attitudes (DAS; Weissman & Beck, 1978) and
personality (NEO-FFI; Mccrae & Costa, 2004).
Results: As expected, vulnerability to stress, pessimism, dysfunctional attitudes and neuroticism were positively associated with
depressive symptomatology. Multiple regression analysis was used
to test if the vulnerability to stress (global QVS), dysfunctional
attitudes (global DAS) and neuroticism predicted participants’
ratings of depressive symptomatology. The results of the regression
indicated the three predictors explained 56% of the variance
(R2 = .56, F (23,158) = 66.58, p < .001). It was found that only neuroWLFLVPVLJQLÀFDQWO\SUHGLFWHGGHSUHVVLYHV\PSWRPDWRORJ\ b = .60,
p < .001).
Conclusions: Findings suggest that risk factors, particularly neuroticism may be instrumental in explaining the development of
depressive symptoms in young adults.
BRIEF BIOFEEDBACK INTERVENTION PROGRAM IN
UNIVERSITY STUDENTS WITH HIGH ANXIETY LEVEL
Paulo Chaló, Anabela Pereira, Luis Sancho
Universidade de Aveiro. Portugal.
Contact details: paulo.chalo@ua.pt
Introduction: Greater propensity to develop anxiety in students
entering University is well documented. It is important to develop
and implement intervention programs that are easily accessible,
represents a low cost and briefed in time. The use of Biofeedback.
Objectives:2EVHUYHWKHHIÀFDF\RIDEULHIELRIHHGEDFNLQWHUYHQWLRQ
SURJUDPLQÀUVW\HDUVWXGHQWVDWWKH8QLYHUVLW\RI$YHLUR
Methods: We selected 17 students with high scores on the Trait
Anxiety Scale, of the State-Trait Anxiety Inventory (STAI) (Speilberger, 1973; Silva 2003). One group (N = ZDVVXEMHFWHGWRÀYH
biofeedback sessions, 10 minutes each, over 5 weeks, with Biofeedback 2000 x-pert Software and Hardware. The scores obtained in
STAI before and after the intervention, were compared with the
control group (N = 10).
Results: We found a reduction on the Trait Anxiety Scale scores for
ERWKJURXSVDIWHUWKHLQWHUYHQWLRQEXWRQO\VLJQLÀFDQW S< .05) in
the group submitted to the biofeedback program. We also observed
that a wider percentage of subjects on control group obtained
PSYCHOLOGICAL DISTRESS: A STUDY WITH PORTUGUESE
NURSING STUDENTS
Ana Varelaa, Anabela Pereirab, Ariana Pereiraa, José Carlos Santosc
a
University of Aveiro. bUniversity of Aveiro. CDTIFF. c(6(1)&
Coimbra Nursing College.
Contact details: anavarela@ua.pt
Introduction: Psychological distress (PD) is characterized by the
experience of an unpleasant psychological state of emotional
burden with physical and psychological experience of depressive
and anxious symptoms. Comparative to the general population,
higher education students seem to have an increased vulnerability
regarding PD, especially those attending to health-related courses.
Methods: The aim of the present investigation is to study the
prevalence of PD in a representative sample of Portuguese students.
A total of 500 nursing students (both gender) participated in the
study. PD was assessed by the following instruments: SymptomQuestionnaire (SQ-48), Hospitalar Anxiety and Depression Scale
(HADS) and Brief Symptom Inventory (BSI). A sociodemographic
form was also administrated.
Results: Major results of SQ-48 indicates by decrease order the
prevalence of Anxiety, Depression, Somatization, Cognitive problems, Work functioning, Vitality; Aggression; Social Phobia and
Agoraphobia. Comparative analisys showed that women presented
higher anxiety and depression, and assumed more symptomatology.
Conclusions: This research highlights the importance of psychological distress in academic life. Research on this topic helps us
to achieve greater knowledge and adds relevant implications for
well-being in higher education. Future directions for research and
practise are also discussed.
SYMPOSIUM: EDUCATION, HEALTH,
WELL-BEING AND CITIZENSHIP-RESEARCH
IN PSYCHOLOGY AND EDUCATION IN
THE AMAZON
Coordinator: Suely Aparecida N. Mascarenhas, Universidade
Federal do Amazonas, suelyanm@ufam.edu.br
Incorporate Communications
STRESS, ANXIETY, DEPRESSION AND ACADEMIC
PERFORMANCE OF BRAZILIAN STUDENTS
Suely Mascarenhasa, José Ribeirob
a
Universidade Federal do Amazonas. Portugal.
Universidade do Porto. Portugal.
b
Contact details: suelyanm@ufam.edu.br
Introduction: The psychological state of anxiety, stress and depresVLRQH[HUWVWURQJLQÁXHQFHRQWKHZHOOEHLQJDQGWKHFRQFHQWUDWLRQ
Those indicators have a negative impact on the cognitive conditions
of students affecting the activities of studying and learning.
32
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Objectives: This work aims to register the influence of the
psychological phenomena stress, anxiety and depression on the
well-being and academic performance of students.
Methods: To evaluate the occurrence of stress, anxiety and
depression of Brazilian college students a sample of n = 1357 of
students at UFAM and UFGD were interviewed. They answered
the scales EADS 21 consisting of 21 items. Seven associated to
stress, seven to anxiety and seven to depression. It was found out
that there are differences between the groups of students and
the indicators of stress, anxiety, depression having as variable of
grouping the academic performance (p = 0.000).
Conclusions: From the total information and data analyzed it is
concluded that there is association among the phenomena stress,
anxiety, depression, well-being and academic performance. That
fact suggests the importance of strengthening or establishing
services of psychological support to the students.
there are differences between the groups of protagonists having
compared the academic performance (p = 0.000).
Conclusions: The indicators show that the occurrence of bullying
in college environment is noticed by the students having impact on
their well-being and academic performance.
SYMPOSIUM: SUBSTANCE ABUSE: A FOUR HAND
SYMPHONY
Coordinator: Marisa Fonseca Silva, ESTGL-IPV, mfonseca@
estgl.ipv.pt
Incorporate Communications
RESILIENCE AND WELL-BEING OF BRAZILIAN STUDENTS
SMART SHOPS: HEALTH IMPLICATIONS
Suely Mascarenhas , José Ribeiro
António Fernandes
a
b
Universidade Federal do Amazonas. Portugal. bUniversidade
do Porto. Portugal.
a
Contact details: suelyanm@ufam.edu.br
Introduction: The resilience is a phenomenon that has been
investigated in psychology considered as the capacity of the psychic
apparatus return to the equilibrium state after being exposed to
stressing events. The interest of the research was the association
between the resilience and the well-being of Brazilian students.
Objectives: The purpose of this work is to check the impact of
the resilience on the well-being and the academic performance of
college students in Brazil.
Methods: A sample of n = 500 students was asked to answer the
instrument brief scale of behavior of resilience as well as social and
demographic information.
Results: It was observed meaningful differences between the
groups of performance when it comes to resilience and well-being
(p = 0.000).
Conclusions: The indicators show differences among the groups
of students referring to the resilient behavior, well-being and
academic performance. Those evidences point out the importance
of identifying the style of the students’ resilience to support and
strengthen it.
PREVENTION OF BULLYING FOR THE PROMOTION
OF MENTAL HEALTH OF BRAZILIAN STUDENTS
Suely Mascarenhasa, José Avilés Martínezb
a
Universidade Federal do Amazonas. Portugal.
8QLYHUVLGDGHGH9DOODGROLG(VSDQKD
b
(67*/3RUWXJDO
Contact details: afernandes@estgl.ipv.pt
Introduction: The Smart Drugs or New Psychoactive Substances are
substances that act on the central nervous system, altering their
ability to think, analyze, abstract, judge and act.
Sate of art: Its potential abuse is a target of society’s concern,
due to the considerable increase in the consumption of this
substances in the last two decades (from 2010 until the end of
2012, in Portugal, 34 episodes of new psychoactive substances
consumption were reported) (DGS, 2012). Its consumption is
increasing among early adolescents. According to the same source,
14.7% were young people 14 to 15 years and 17.6% at 17 years
young. Parallel to the consumer, there were problems such as coma
(5.9%), hospitalization for at least a day (47.1%), physical sequelae
(2.9%) and mental (14.7%). In these, the most observable symptoms
are anxiety (32.4%) and arrhythmia (11.8%) (DGS, 2012). Because
this are changed substances that are changed starting from the
original, in most cases we don’t know its constitution. Beyond
this lack, their attractive packaging only contain information
relating to non-human consumption, leads to a delay in the health
professionals performance that may cause irreversible damage to
the consumer.
New guidelines: In this sense, it is the purpose of this
communication to share experiences in the area of assistance
to consumption of psychoactive substances, in order to alert
the community of the possible consequences associated with its
XVHVXFKDVWKHGLIÀFXOW\RIKHDOWKSURIHVVLRQDOVRSHUDWLRQDQG
the aftermath left by consumption risks. Therefore, we present
the conduct of operations in the emergency hospital/prehospital
context with young persons with this symptoms.
Contact details: suelyanm@ufam.edu.br
Introduction: The bullying phenomenon is considered as a sub
category of interpersonal violence present in several social
contexts. In the school context where it happens, the prevention
can be done through a moral education program that assures the
construction of tolerance behavior and mutual respect.
Objectives: This work aims to present the typologies of bullying
LGHQWLÀHGLQWKHUHVHDUFK
Methods: To identify the typologies of bullying that occur in the
school environment researched a sample of n = 1489 students was
interviewed. The students of both sexes were enrolled at UFAM
and UNIR.
Results: The typologies of bullying found were: exclusion,
nickname, intimidation, curse. They demonstrate the occurrence
of the phenomenon in the context studied. It was found out that
SUBSTANCE USE: A LEGAL APPROACH
Jacinto Gomes
(67*/3RUWXJDO
Contact details: jgomes@estgl.ipv.pt
Introduction: Decriminalize means remove from the scope of
FULPLQDORIIHQVHVFHUWDLQEHKDYLRUKLWKHUWRSXQLVKDEOHE\DÀQHRU
imprisonment.
State of art: In Portugal, with the entry into force of Law
30/2000 of 29/11, which occurred in July 2001, the consumption
of psychoactive substances is no longer considered a crime. From
this date, the consumption of these substances became framed as
a situation of administrative character, being solved in this way.
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
It should be noted that the Law 30/2000 applies only to situations
of use, possession and possession of controlled substances for his
own use, because if we’re talking about cultivation or production
of these substances, the fact remains criminalized and therefore
subject the application of criminal law. To this law, if the consumer,
spontaneously, undergo a treatment on its own initiative, is no
longer subject to sanctions that it provides, and the responsible
for his treatment are those institutions that are part of the public
KHDOWKV\VWHPRUSULYDWHVLQFHTXDOLÀHGIRUWKLVSXUSRVH
New guidelines: The same law also distinguishes consumers that
are or are not drug addicts and gives them a different treatment
misdemeanours that can pass by the suspension process, as a rule,
up to 2 years. The application of sanctions is, as appropriate, by the
LPSRVLWLRQRIDÀQHRUDQRQÀQDQFLDOSHQDOW\KRZHYHUWKDWWKH\
also may be suspended. The suspensions of the proceedings or the
sentence may be revoked if the consumer does not demonstrate
WKDWWKHGHWR[LÀFDWLRQSURFHVVLVKDYLQJUHVXOWV,WLVLQWHQGHGZLWK
this, treating a health problem and at the same time facilitate the
social reintegration of individuals, since it does not pass the scrutiny
of judicial condemnation, with the implications that this may bring.
SMART SHOPS: NEW INTERVENTION GUIDELINES
Patrícia Monteiro
33
State of art: Although there are no national studies related
with the nature and the consequences of substance use, several
indicators lead us to suspect that abuse of these substances as
well as the problems related to the abuse have been increasing
steadily. In fact, studies carried out in this area are usually related
to the social, psychological and health effects produced by the
consumption. Only in recent years some researchers have proposed
studies related to prevention strategies. The most significant
theoretical developments operated in the prevention of substance
use can be grouped into three dominant theoretical orientations:
informative-communication, humanist and neo-behaviourism
models (Carvalho, 1990). To an alternative model of prevention
would be advantageous to associate, in the study of drug use, the
individual factors and the socio-cultural factors. Thus intervention
strategies could be promoted to be addressed to individual or, on
the other hand, promoted to change a group behaviour.
New guidelines: This new strategies could pass by educate people
how they can protect themselves and their family from social harm
dangerous, given information about the local substances addiction,
and/or involve the community in drug abuse prevention programs
(Sarami & Sarami, 2012). Community partnerships are a way of
promoting responses to complex social problems in order to build
healthier communities. This methodology would be present both
in the prevention of substance use and the reintegration of ex
consumers.
(67*/3RUWXJDO
Contact details: pmonteiro@estgl.ipv.pt
Introduction: Since the beginning of time, mankind has used
drugs throughout history and cultures. The search for well-being,
pleasure and happiness is an innate human feature. The approaches
on substance use are very demanding considering the constant
challenge we face to acknowledge the various dimensions on the
phenomenon, such as the most consumed substances, the risk and
protective factors, consumption patterns and social representations
WKDWDOORZWKHGHÀQLWLRQRIPRUHHIIHFWLYHDSSURDFKHV
State of art: In recent years, the emergence of new psychoactive
substances, the so called “legal highs”, in the synthetic form,
QRWLÀHGE\WKH(XURSHDQ8QLRQKDVKDGDQH[SRQHQWLDOLQFUHDVH
In Portugal, we have been witnessing, the proliferation of numerous
“smart shops”, which allowed an increase in the supply of these
substances. Simultaneously, we have been witnessing a wide
debate on this matter in the media, political and legal forums and
SXEOLFRSLQLRQ*LYHQWKLVVRFLDODODUPDQGWKHDEVHQFHRIVSHFLÀF
responses to this phenomenon, different perspectives emerge:
the prohibitionist way, focusing on the substance, and therefore,
emptying of the “smart shops”; the way that advocates that
prohibition does not address the availability of these products,
placing the focus on preventive approaches targeting drug users,
going beyond the informational component.
New guidelines: This new phenomenon presents itself as a
LQFUHDVHGFKDOOHQJHIRUSURIHVVLRQDOVZKRZRUNLQWKLVÀHOG,WLV
LPSRUWDQWWRZRQGHULIWKHJXLGHOLQHVGHÀQHGVRIDUIRUWKHDUHDV
of intervention, such as prevention, treatment, social reintegration,
harm reduction and dissuasion, are the most suitable to enable the
development of responses for this new daily challenge.
SUBSTANCE USE: SOCIAL AND COMMUNITY MEASURES
Marisa Silva, Mauro Oliveira
(67*/3RUWXJDO
Contact details: mfonseca@estgl.ipv.pt
Introduction: Human health and community development have an
inseparable relationship. Drug abuse, addiction and its side-effects
are serious threats for health, drug abuse prevention programs are
one of the basic factors in health promotion.
SYMPOSIUM: THE EDUCATIONAL
ENVIRONMENT, AS A HEALTH PROMOTION
AREA
Coordinator: Filipe Jorge Gamboa Martins Nave, Escola
Superior de Saúde - Universidade do Algarve, fnave@ualg.pt
Incorporate Communications
ASSESSING STEATOSIS OF THE LIVER IN COLLEGE
STUDENTS USING ULTRASSONOGRAPHY
João Pinheiro, Susana Nunes, Luís Madeira, Vanessa Gomes,
Rui Almeida, António Abrantes, Luís Ribeiro, Kevin Azevedo
Universidade do Algarve. Portugal.
Contact details: jppinheiro@ualg.pt
Introduction: Fatty liver (steatosis of the liver) is one of the most
common reasons people have abnormal liver blood tests. Excessive
alcohol intake also causes fatty liver because of the way alcohol is
burned in the liver.
Objectives: Assessement of fatty liver using an abdominal
ultrasound exam and its relation to body mass composition.
Methods: This is a quantitative and descriptive study with a
non-probability convenience sample of 126 college students. Liver
ultrasound exams and image interpretation were performed and
UHYLHZHGE\WKUHHWUDLQHGVRQRJUDSKHUVZKRFODVVLÀHGQRUPDOOLYHU
DQDWRP\DQGSDWKRORJLFDOÀQGLQJV)DWW\OLYHUPD\EHGLDJQRVHG
if liver echogenicity exceeds that of renal cortex and spleen and
WKHUHLVDWWHQXDWLRQRIWKHXOWUDVRXQGZDYHORVVRIGHÀQLWLRQRIWKH
diaphragm, and poor delineation of the intrahepatic architecture.
Results: We found that 97% of college students presented
normal liver anatomy with no pathological findings. 1.5% had
signs of fat accumulation and early steatosis. Ultrasound of
the abdomen showed the liver as “echogenic,” that is more
dense than usual toward sound waves. There is a weak relation
between Body Mass Index with the presence of fatty liver (Phi Test
with value = 0.271 and Aprox. Sig. = 0.000 and Cramer’s v with
34
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
value = 0.191 and Aprox. Sig = 0.000). Also there were unexpected
ÀQGLQJVLQRIWKHVDPSOHVXFKDVDFDVHRIGXSOLFDWLRQRIWKH
gallbladder and several cases of kidneys cists.
Conclusions: At least 80% of persons with fatty liver do not develop
any serious problems. If they lose weight and reduce their alcohol
intake the fat goes away and the liver returns to normal. Although
ultrasound does not measure fat, when an echogenic liver is found,
this is related to excess fat.
TRANSLATION, ADAPTATION AND VALIDATION
OF A QUESTIONNAIRE FOR ASSESSING UNIVERSITY
STUDENTS’ LIFESTYLES (CEVJU-II)
Emília Costaa, Filomena Matosa, José Pachecoa,
Conceição Farinhaa, Montserrat Villasb, Adelaide Paivaa
a
Universidade do Algarve. Portugal. bUniversidade de Huelva.
(VSDQKD
Contact details: eicosta@ualg.pt
Introduction: 35 million deaths each year are preventable by
FKDQJLQJVSHFLÀFKHDOWKEHKDYLRUV<RXQJDGXOWVDUHDFULWLFDOJURXS
for the adoption of healthy lifestyles, mostly the students who’ll
become health professionals, for their important role as models
and educators. CEVJU-II consists of a pool of items related to health
and life-style, regarding six factors (practices and beliefs): physical
activity; leisure time; self-care and healthcare; eating habits;
drugs use and sleep.
Objectives: Translation, adaptation and validation of CEVJU-II to
Portuguese.
Methods: This process of cultural adaptation and validation
included translation, back translation and evaluation by an expert
group. Cronbach’s alpha was used to evaluate reliability and factor
analysis to assess validity. Questions that increased alpha if deleted
and/or sorted unexpectedly in factor analysis were also checked.
201 students were included.
Results: CEVJU-II overall alpha is good (0.879) and globally
acceptable (ranging from 0.6 to 0.7) for the different dimensions.
The KMO value was acceptable (0.522) factor analysis produced
meaningful subscales but not always matching the original ones.
Two of the twelve original dimensions of the scale present lower
YDOXHVRIUHOLDELOLW\DVSHFWWREHFODULÀHGLQIXUWKHUUHVHDUFK
Conclusions: This preliminary data indicates that CEVJU-II is
reliable to be used for measuring university students’ lifestyles;
differences between variables suggest the instrument’s sensitivity.
We consider it a useful tool to identify health needs and to plan
targeted health promotion strategies. Despite psychometric
properties, CEVJU-II must be examined in a larger population.
between 12 and 17 years-old (M = 15.47 years-old; SD = 1,66)
and show valid and accurate psychometric characteristics in
both previous studies. To re-validate the questionnaire we used
a sample of 1361 subjects, aged between 10 and 17 years-old
(M = 12.26 years old; SD = 1.65).
Results:)URPWKHUHVXOWVZHÀQGYDOLGDQGDFFXUDWHSV\FKRPHWULF
characteristics and the results are according to the theory.
0HDVXULQJ&KLOG5HVLOLHQFH6FDOHUHYHDOVDQLQWHUQDOFRHÀFLHQF\
Alpha Cronbach (0,859), the factorial analyses show three factors.
0HDVXULQJ6WDWH5HVLOLHQFH6FDOHUHYHDOVDQLQWHUQDOFRHÀFLHQF\
Alpha Cronbach (0.832), the factorial analyses show three factors.
Conclusions: Findings add support to the MSCR as a reliable and
valid instrument that measures three components of resilience
processes in adolescents.
FAMILY AND LIFESTYLE IN NURSING STUDENTS LEARNING
Sérgio Brancoa, Filipe Naveb
a
+RVSLWDOGH)DUR(3(bUniversidade do Algarve. Portugal.
Contact Details: nunosergiobranco@gmail.com
7KHDLPRIVWXG\LVWRGHWHUPLQHDQGDQDO\]HWKHLQÁXHQFHRIWKH
Organizational Culture of Family and Lifestyle in Learning Styles
on Students in 1st Cycle of Studies on Nursing. This study has a
quantitative design. The sample is constituted by 331 nursing
students. The data collection instrument is composed by the
socio-demographic characterization of the individuals, the
Questionnaire of Honey-Alonso Learning Style, The Family
Organizational Culture Inventory and the Questionnaire Attitudes
and Health Behaviour “My Lifestyle”. The subjects of the study
H[SUHVVHGDSUHIHUHQFHIRUWKH5HÁH[LYH/HDUQLQJ6W\OHIROORZHG
E\WKH7KHRUHWLFDO/HDUQLQJ6W\OH7KHUHLVDVLJQLÀFDQWUHODWLRQVKLS
EHWZHHQWKH5HÁH[LYH/HDUQLQJ6W\OHDQGWKH<HDURIVWXG\)DWKHU·V
Occupation and Household Income and between Active Learning
Style and Year of study and Place of Residence. We notice that
the preferential learning style is sensitive to the Family Culture
strengthening the role of Family as a matrix of learning processes
and this is also relating to the Lifestyle, emphasizing the idea of
intervention strategies focused on the individual and Family. There
LVDOVRDVLJQLÀFDQWUHODWLRQVKLSEHWZHHQ/LIHVW\OHVDQG/HDUQLQJ
Styles. To recognize the preferential learning style can be essential
to develop favorable learning environments. The recognition of
learning styles less developed requires the use of strategies to
promote development to expanding the capacity to learn in any
learning environment. The results showed also a relationship
between lifestyle and the development of practice and learning
strategies regulated by the contexts. It becomes clear that any of
these processes are initiated within the family, the matrix of human
learning, where each person develops his identity.
ADAPTATION AND VALIDATION OF A RESILIENCE SCALE
Filomena Matosa, Helena Martinsa, Saúl Jesusa, Chok Hiewb
a
Universidade do Algarve. bUNB. Portual.
Contact details: fmatos@ualg.pt
Introduction: Resilience is an important process of human
development. Resilience allows the human being to adapt and
resist in a healthy way after adverse events.
Objectives: This article presents the validation of the Measuring
State-Child Resilience (MSCR) among three samples of youth (one
Japonese and two Portuguese samples).The main goal is to validate
a questionnaire to evaluate resilience in portuguese adolescents. Is
based in two premises: resilience depends on three factors: I am, I
have, I can (Grothberg, 1995) and develops since infancy (Werner,
1989).
Methods: The questionnaire was validated to the portuguese
population by Martins (2005) with a sample of 905 subjects aged
SOCIAL REPRESENTATIONS TOWARDS THE INCLUSION
OF CHILDREN WITH SPECIAL EDUCATIONAL NEEDS
ON REGULAR CLASSES
Helena Gomes
$JUXSDPHQWRGH(VFRODVGH&DVWUR9HUGH3RUWXJDO
Contact details: hmbgomes20112@hotmail.com
Introduction: The opening of the school to society takes responsibility in providing for all children and therefore, also to children
with Special Educational Needs (SEN), integrative responses
essential to their success in education that meets their individual
needs.
Objectives: The main goal is to build and validate a measurement
instrument that allows understanding the social representations
of teachers towards the inclusion of children with SEN in regular
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
classes, promoting the development of progressively more inclusive
attitudes, leading to the improvement of education and health of
our children.
Methods: We used a population of teachers of the Group of Schools
of Castro Verde (77 subjects) obtaining the valid participation
of 46 subjects. The instrument, Teacher’s Representation Social
Scale with the inclusion of children with SEN (ERSINEE), consists
RILWHPVSUHVHQWHGLQ/LNHUWIRUPDWZLWKÀYHOHYHOVRIUHVSRQVH
with good saturations and a convergent and discriminant validity.
Results: The (ERSINEE) scale, presents a good factorial structure
of four dimensions, with a KMO = 0692, with a Cronbach alpha
coefficient = 0857 and an Explained Variance = 67,499. The
(ERSINEE) results indicate that (21.7%) assume very inclusive
attitudes, (32.6%) assume attitudes with some traces of inclusiveness, (30.4%) assume representations with some traces of exclusion
and (15.2%) are of very exclusive representations.
Conclusions: The scale has good psychometric properties, good
internal consistency and a stable factorial structure, which may
allow a reliable assessment of social representations of inclusion,
especially if the study can be extended to other populations of
teachers, with the goal of national sampling and the consequent
adoption of educational strategies that integrate the differences.
35
and mid-teens showed higher frequencies of feeling low and
irritability/bad temper regarding PES than older adolescents. PES
also moderates leaving school aspirations. This is true for boys
and girls, but determined by the gender of the parent. Literature
suggests that stressors in parents’ lives may disrupt healthy
parenting. Thus, family relations can be negatively affected by job
loss. This is still a work in progress hypothesis.
Conclusions: It is a study with a large representative sample of
Portuguese school-children with internationally tested measures
that brings evidence for the influence of PES in adolescents’
psychological well-being and protective factors (family connectedness and education), in a country where such information is needed.
RELATION BETWEEN SEXUAL ATTITUDES, KNOWLEDGE
AND HIV/AIDS ATTITUDES IN SEXUAL ORIENTATION
Marta Reis, Lúcia Ramiro, Margarida Gaspar de Matos, José Alves
Diniz, Celeste Simões
Projecto Aventura Social. Faculdade de Motricidade Humana.
Universidade Técnica de Lisboa. Portugal. CMDT-LA/UNL-Centro
GD0DOiULDH'RHQoDV7URSLFDLV/DERUDWyULR$VVRFLDGR,QVWLWXWR
de Higiene e Medicina Tropical. Universidade Nova de Lisboa.
Portugal.
Contact details: reispamarta@gmail.com
SYMPOSIUM: PROTECTION AND RISK FACTORS
IN PORTUGUESE ADOLESCENTS AND YOUNG
- HBSC, SSREU, OSYS AND TEMPEST STUDIES
Coordinator: Mafalda Ferreira, Aventura Social-Faculdade
de Motricidade Humana, fafi@sapo.pt
Incorporate Communications
ADOLESCENTS AND PARENTAL EMPLOYMENT STATUS:
DATA FROM THE PORTUGUESE HEALTH BEHAVIOUR
IN SCHOOL-AGED CHILDREN
Diana Frasquilhoa, Margarida Matosb, Tânia Gasparc,
José Caldas-de-Almeidad
a
Faculty of Medical Sciences/UNL. Aventura Social/UTL.
CMDT/UNL. Portugal. bTechnical University of Lisbon. CMDT/UNL.
Portugal. cUniversity Lusíada of Lisbon. Aventura Social/UTL.
CMDT/UNL. Portugal. dFaculty of Medical Sciences/UNL. Portugal.
Contact details: dianafguerreiro@gmail.com
Introduction: Portugal is facing an unprecedented economic
recession and the highest unemployment rate (18%) ever recorded
in the country.
Objectives: To assess the relationship between sociodemographic
variables,parental employment status (PES) and its effects on
adolescents’ psychological well-being, educational aspirations and
family interactions.
Methods: This is a cross-sectional descriptive correlational
study with a national representative sample of 5050 Portuguese
school-children with a mean age of 14 years old (DP = 1.85).
Collected data from the Portuguese Health Behaviour in
School-aged Children Survey/WHO was analysed. We found that
PES is associated with adolescents’ low mood and irritability/
bad temper. The father’s employment status was associated
with high frequencies of low mood and irritability/bad temper,
while the mother’s employment status had no effect. Girls with
non-employed fathers showed greater variations on low mood,
whereas boys showed variation in irritability/bad temper. Children
Introduction: The attitudes and knowledge concerning sexuality
haven’t remained constant over time.
Objectives: In this sense, we investigated the relationship between
knowledge about HIV/AIDS transmission, sexual attitudes and
attitudes towards those living with HIV/AIDS in university students.
We also intend to assess how knowledge and attitudes relate to
sexual orientation.
Methods: 3278 questionnaires were administered to 993 men and
2285 women. This is a quantitative descriptive and explanatory
cross-correlated study with a non-probability convenience sample
of 3278 university students in Portugal. The evaluation protocol
includes sociodemographic questionnaire, the scale of knowledge
about HIV/AIDS transmission, the scale of sexual attitudes and the
scale of attitudes towards those living with HIV/AIDS.
Results: The results show that most are sexually active, had their
ÀUVWVH[XDOLQWHUFRXUVHDW:HIRXQGVWDWLVWLFDOO\VLJQLÀFDWLYH
differences as for sexual orientation: homosexuals begin their
sexual lives before heterosexuals and these present a more
positive sexual attitude than bisexuals. Bisexuals have a less
discriminatory attitude towards people infected with the HIV/AIDS
than homosexuals.
Conclusions: To experience sexuality positively it’s crucial to invest
in sexual education as a strategy of sexual and reproductive health.
TEMPEST PROJECT: SELF-REGULATORY TOOLS
Margarida Matosa, Tânia Gasparb, Gina Toméc, Teresa Santosc,
Equipa Aventura Sociald
a
Universidade Técnica de Lisboa. Projecto Aventura Social.
CMDT/Instituto de Higiene e Medicina Tropical. National Tempest
Coordinatior. bUniversidade Lusíada de Lisboa. Projecto Aventura
Social. CMDT/Instituto de Higiene e Medicina Tropical,National
7HPSHVW([HFXWLYH&RRGLQDWLRUcUniversidade Técnica de Lisboa.
Projecto Aventura Social. CMDT/Instituto de Higiene e Medicina
Tropical, Research. Tempest Research Team. dUniversidade
Técnica de Lisboa. CMDT/Instituto de Higiene e Medicina
Tropical. Portugal.
Contact details: ginatome@sapo.pt
The TEMPEST project is a research project that has been running
from 2009 to 2013 in nine European countries: Belgium, Denmark,
36
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Finland, Germany, Netherlands, Poland, Portugal, Romania,
and United Kingdom. TEMPEST stands for Temptations to Eat
Moderated by Personal and Environmental Self-regulatory Tools,
which represents the main aim of the project: find out in what
way adolescents can learn to regulate their food intake in a food
replete environment. In Portugal the study involved 1200 children
and adolescents, mean age 12.5 years old (SD = 1.61), ranging from
9 to 17 years old, using two age groups: 9-12 years old (50.7%)
and 13-17 years old (49.3%). The sample included 4.3% boys and
51.8% girls, from different school levels: 5th grade (16.8%), 6th
grade (19.8%), 7th grade (30.8%), 8th grade (17.8%) and 9th grade
(14.9%).The final version of the cross-cultural questionnaires
TESQ-E (Tempest Self regulation Questionnaire for Eating) consists
of six strategies that can be grouped into three higher order factors:
1. Actions towards temptation (A- Avoidance of temptations;
B- Controlling temptation); 2. Change psychological meaning of
temptation (E- Distraction; F- Suppression); 3. Action towards goal
(D- Goal setting; C- Goal deliberation). Gender, age group, socio
economic status and country area differences regarding children
and adolescents related with TESQ-E and complementary scales
ZHUHLGHQWLÀHGXVLQJ$129$:HFDQEHIRXQGVLJQLÀFDQWJHQGHU
differences in four factors and two main dimensions, in all cases
girls presented higher means of self-regulation for eating. It was
DOVRIRXQGVLJQLÀFDQWDJHJURXSGLIIHUHQFHVLQDOOIDFWRUVDQGDOO
main dimensions, in all cases younger students presented higher
means of self-regulation.
VALIDATION OF DRINKING MOTIVES QUESTIONNAIRE
REVISED (DMQ-R) IN PORTUGUESE ADOLESCENTS
Mafalda Ferreira, Margarida Matos, Celeste Simões, José Diniz
UTL/FMH/Aventura Social. UNL/IHMT/CMDT. Portugal.
&RQWDFWGHWDLOV IDÀ#VDSRSW
Introduction: In the motivational model of alcohol use, there are
WZRGLPHQVLRQVXQGHUO\LQJWKHFODVVLÀFDWLRQRIGULQNLQJPRWLYHV
resulting in four drinking motive categories: enhancement, social,
coping, and conformity motives.
Objectives: The purpose of this study was to validate the Drinking
Motives Questionnaire-revised for portuguese adolescents.
Methods: The sample included 3494 students, mean age 15 years
old, in the 8th and 10th grades of the public school system from
Portugal. Data collection was held within the HBSC (Health Behavior
in School-aged Children) survey from 2010. For the purpose of this
VSHFLÀFVWXG\WKH'045ZDVXVHG
Results: Using factor analysis the current study provides evidence
RQWKHEHVWÀWWLQJIDFWRUVWUXFWXUHLQDODUJHUHSUHVHQWDWLYHJHQHUDO
population study among Portuguese adolescents using the DMQ-R
(Drinking Motives Questionnaire Revised) presenting a four-factor
structure.
Conclusions:7KHUHVXOWVUHSOLFDWHDQGH[WHQGSUHYLRXVÀQGLQJV
among adolescents, in line with the motivational model of alcohol
use, and suggest the utility of using the DMQ-R in future studies on
adolescents’ drinking motives.
SYMPOSIUM: HOSTILE BEHAVIORS IN
ADOLESCENTS - A MENTAL HEALTH ISSUE?
Coordinator: Maria Madalena Cunha, Escola Superior de
Saúde-Instituto Politécnico de Viseu, madalenacunhanunes@
gmail.com
Incorporate Communications
HOSTILE BEHAVIORS IN ADOLESCENTES:
PERCEPTIONS TO THE PARENTAL CONFLICT
Carla Cruz, Ana Calçada, Maria Nunes, Mariline Almeida,
Daniela Branco, Anabela Antunes
(VFROD6XSHULRUGH6D~GHGH9LVHX3RUWXJDO
Contact details: cruzcarla@hotmail.com
Introduction: Teenagers have been studied in various contexts of
YLROHQFH,QÁXHQFHGE\VRFLRGHPRJUDSKLFDQGIDPLO\EDFNJURXQG
adolescents with hostile behaviors, may adopt an asocial conduct of
marginality and crime, undermining the entire life course.
Objectives:$QDO\]HWKHLQÁXHQFHRIVRFLRGHPRJUDSKLFYDULDEOHV
on the behavior of adolescents; Identify the interference of family
background variables on adolescents’ violent behavior.
Methods: A quantitative, analytical, descriptive, correlational,
experimental and not cross study on a sample of 1,890 individuals
of both sexes with an average age of 16:30 years, attending the
10 th, 11 th and 12 th grade. Instrument for data collection:
Inventory of Buss-Durkee Hostility (BDHI); Inventory of Perceived
Parental Behavior to face (CRPBI); Scale of Perceived Parental
&RQÁLFW &3,& 6FDOHRI(PRWLRQDO&KLOG6DIHW\3DUHQWDO6XEV\VWHP
(SIS).
Results: 1890 adolescents, 863 (45.7%) male gender, X = 16.3 and
1027 (54.3%) of female gender, X = 16.23; Live in the city (68.7%),
co-habite with the parents (82.9%), that have married parents
(86.3%). (BDHI) most of the adolescents with hostile behaviors
- (CRPBI): Sample tends to acceptance, psychological control
and permissive control. There are positive correlations. (CPIC):
There is a positive relationship between all factors p = 3.000
(SIS)-There are positive correlations between the factors. Gender,
area of residency, educational attainment level of the father and
PRWKHUHQGPRQWKO\LQFRPLQJLQÁXHQFHKRVWLOHEHKDYLRUVRIWKH
adolescents.
Conclusions/Suggestions: Develop intervention strategies in
schools, discussed with school principals, teachers, parents and
students in order to prevent the escalation of hostile behaviors in
adolescents.
HOSTILE BEHAVIOURS IN ADOLESCENTS:
WHAT INTERVENTIONS?
Carla Cruz, Glória Pereira, Jorge Costa, Ana Esteves,
Daniela Branco, Patricia Araújo
(VFROD6XSHULRUGH6D~GHGH9LVHX3RUWXJDO
Contact details: cruzcarla@hotmail.com
Introduction: The hostile behavior in teenagers are a growing
reality in the world, are of great importance investigation, that
contribute to the improvement of health care and prevention
of stigmatization of adolescents. Thinking about adopting new
strategies for the educational community to enable the prevention
and combating of such behaviors is urgent.
Objectives: Delineate strategies, within the educational community
to support teenagers with hostile behavior. Sample consisting of
39 directors of High Schools class.
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Methods: Qualitative study of phenomenological and enrolled in
the naturalistic paradigm (or interpretive) study. Data collection
through questionnaire, consisting of open-response questions on
characterization data sample and teachers’ opinions about the
formal teaching strategies, teaching strategies and practiced and
recommended review of the role of nurses in schools. The strategies
are the most recommended interventions intra-school followed
by targeted interventions for caregiver. There is a wide range of
strategies that teachers can use to promote healthy behaviors and
SUHYHQWLRQFRUUHFWLRQRIKRVWLOHEHKDYLRUVEXWZHÀQGWKDWVRPH
do not consider this important issue.
Results: The directors consider that the group formal teaching
strategies are not effective. Faced with hostile behaviors in
adolescents, say the pedagogical strategy that more use is dialogue.
Conclusions: Given the scale of the problem and the apparent
aloofness of the school community, we suggest the implementation
of a program of intervention to hostile behaviors in adolescents in
schools.
DEPRESSION AND HOSTILE BEHAVIORS IN ADOLESCENTS
Carla Cruz, Maria Nunes, Patrícia Araújo,Glória Pereira,
Daniela Branco, Anabela Antunes
(VFROD6XSHULRUGH6D~GHGH9LVHX3RUWXJDO
37
of violence in adolescents, one of the most visible forms of violence
in society.
Objetives: Identify the presence of hostile behaviors in adolescents;
Analyze the existence of a relationship between hostile behavior
and sociodemographic variables and the family context.
Methods: A quantitative, analytical, descriptive, correlational,
cross-sectional, non-experimental. Sample of 920 adolescents with
a mean age of 16 years. Data collection: questionnaire for socio
demographic characteristics; Inventory of Buss-Durkee hostility.
Results: Sample: 920 adolescents, 45.4% are males and 54.6%
females. Residing in rural areas (31.3%) and residing in urban areas
(68.7%). The presence of hostile behaviors, in the ages understood
between 14 and 15 years old, have the highest values of assault,
verbal hostility and resentment. The adolescents with 16 years old
show higher indexes of indirect hostility, irritability en negativism.
The higher indexes of fears and culpability are present in the
adolescents with the ages understood between 17 and 20 years old.
Variables: Sex, place of residence, educational attainment of the
father, the mother’s educational attainment and monthly income,
LQÁXHQFLQJKRVWLOHEHKDYLRUVLQDGROHVFHQWV
Conclusions: The family intervention its importing, promoting
healthy attitudes relational within the family; educational
FRPPXQLW\LQWHUYHQWLRQWKHWHDFKHUÀJXUHUHIHUHQFHLGHQWLI\LQJ
hostile behaviors in adolescents. Articulation school-family
promoting healthy behaviors in adolescents.
Contact details: cruzcarla@hotmail.com
Introduction: The Hostile behaviors in adolescents, may be
associated with mood disorders in this particular case, the
depressive symptoms. The escalation of violence and depression
in adolescents is increasing, making it increasingly desirable to
explore these aspects as an answer to this problem.
Objectives: To analyze the relationship between Hostile Behaviors
and depression in adolescents; Relate depression with Hostile
Behaviors in Adolescents.
Methods: A quantitative, non-experimental, cross-sectional,
descriptive and correlational study. Sample of 1890 adolescents,
(54.3%) were female and the average age of 16.26 years.
Participants attending the 10 th/11 th/12 th grade and Professional
Course, Secondary School City of Viseu. The data collection
instru ment consists of a questionnaire for sociodemographic
characteristics; Depression Scale (Reynolds, 1989); Inventory of
Buss-Durkee Hostility (BDHI).
Results: As regards depressive symptoms we concluded that 9 out
of 10 young, has no depressive symptoms (96.5%) and the majority
of which have lies in the age group of 17 years or more. Sex is also
discriminating with regard to depression because are the females
that show more depressive symptoms; We can say that there is
a relationship between Hostile Behaviors and Depression, being
the presence of depression higher in youth who present Hostile
Behaviors.
Conclusions: The Hostile Behaviors in Adolescents associate
themselves across sociodemographic variables and depression,
there is a correlation between Hostile Behaviors and adolescents
with depressive symptoms.
HOSTILE BEHAVIORS IN ADOLESCENTS, A REALITY?
Carla Cruz, João Carvalho Duarte, Ana Esteves, Patricia Araujo,
Glória Pereira, Daniela Branco
(VFROD6XSHULRUGH6D~GHGH9LVHX3RUWXJDO
Contact details: cruzcarla@hotmail.com
Introduction: The teenager, experiences/feels moments of hostility
which may, if continued, breaking a life path of success, becoming
an individual with asocial behavior, thickening the growing reality
SYMPOSIUM: DYNAMIC MODEL OF FAMILY
ASSESSMENT AND INTERVENTION (MDAIF) FROM TRAINING PROCESSES TO THE
DEVELOPMENT OF FAMILY HEALTH SKILLS
Coordinator: Maria Henriqueta de Jesus Silva Figueiredo,
Escola Superior de Enfermagem do Porto, henriqueta@
esenf.pt
Incorporate Communications
MDAIF BASED TRAINING: PHC NURSES PERCEIVED SKILLS
ON PLANNING INTERVENTIONS IN FAMILY HEALTH
NURSING PROCESS
Isilda Coutoa, Maria Figueiredob, Palmira Oliveirab, Carla Castroc,
Margarida Santosb, Pedro Silvad
$&H6(VSLQKR*DLDb(VFROD6XSHULRUGH(QIHUPDJHPGR3RUWR
Hospital Militar do Porto. dULS Matosinhos. Portugal.
a
c
&RQWDFWGHWDLOV =LFR#JPDLOFRP
Introduction: Dynamic Model of Family Assessment and
Intervention-MDAIF (Figueiredo, 2012) operational matrix shows
a data model that guides the care process: family assessment,
diagnosis formulation, interventions planning, and results
implementation assessment. It was highlighted this operational
component in comparison with others theoretical models in family
nursing as an effective contribution to systematization and to
adequacy of the nurse practices with families.
Objectives: To explore the differences in PHC nurses’ perceived
competence in nursing process’ planning interventions stage before
and after a MDAIF education program.
Methods: Exploratory, descriptive, quantitative approach. A
questionnaire was administered to 185 nurses submitted to training
program. The instrument took the form of Likert scale with 7 response
options (1- “totally incompetent”; 4- “competent”; 7- “Totally
competent”). It was used the Student t test for paired samples
and a maximum error of 5%, utilizing the IBM SPSS Statistics 21.
38
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Results: There was a statistically significant improvement in
perceived skills in planning interventions, in all MDAIF settings
after training. Similarly, the global average score after training is
VLJQLÀFDQWO\KLJKHUWKDQWKHJOREDODYHUDJHVFRUHEHIRUHWUDLQLQJ
(M = 3.79 before training, M = 4.37 after training (t (184) =î
p = 0.000), standing at a moderate level of competence.
Conclusions: Skills perception on intervention planning, as well
as the changes occurred after training, suggests that the training
process is valuable to knowledge and capabilities acquisition that
enhance attitudes regarding intervention planning, conducting to
families health promotion.
MDAIF BASED TRAINING: PHC NURSES’ PERCEIVED SKILLS
NURSING PROCESS’ IMPLEMENTING PHASE
Margarida Reis Santosa, Maria Henriqueta Figueiredoa, Palmira
Oliveiraa, Carla Castrob, Isilda Coutoc, Pedro Silvad
a
(VFROD6XSHULRUGH(QIHUPDJHPGR3RUWRbHospital Militar
do Porto. Portugal. c$&H6(VSLQKR*DLD3RUWXJDO
d
Unidade Local de Saúde de Matosinhos. Portugal.
Contact details: mrs@esenf.ptl
Introduction: The Dynamic Model of Family Assessment and
Intervention- MDAIF (Figueiredo, 2012) operational matrix guides
the care process: family assessment, diagnosis formulation,
interventions planning and results implementation assessment. It
KDVDQRSHUDWLYHDQGG\QDPLFVWUXFWXUHLQWHQGLQJWREHÁH[LEOHDQG
interactive allowing Primary Health Care (PHC) nurses to propose
interventions answering the families’ care needs.
Objectives: To explore the differences in PHC nurses’ perceived
competence in nursing process’ implementing phase before and
after a MDAIF education program.
Methods: Exploratory, descriptive and quantitative study. A
questionnaire was answered by 185 nurses submitted to a education
program. The instrument based on Likert scale with 7 response
options. Data was analyzed using Paired-Samples T Test (p ≤ 0.05),
using IBM SPSS Statistics 21.
Results:7KHUHZDVDVWDWLVWLFDOO\VLJQLÀFDQWLPSURYHPHQWLQ3+&
nurses’ perceived competence in nursing process’ implementing
SKDVHDIWHUWKHHGXFDWLRQSURJUDPLQDOOGHÀQLWLRQVZLWKH[FHSWLRQ
to care provider role. Despite the perception lie at moderate levels
of competency before and after training, the overall average score
DIWHUWUDLQLQJLVVLJQLÀFDQWO\KLJKHUWKDQWKHJOREDODYHUDJHVFRUH
before training (M = 3.78 before training, M = 4.30 after training t
(184) = 5.165, p = 0.000).
Conclusions: Results suggest MDAIF usage as a reference to
support nurses training, contributing to nurses perceived skills in
intervention level, with positive impact in nursing process regarding
the implementation phase. PHC nurses’ familiarization with care
SURYLGHUUROHVHHPVWREHUHODWHGZLWKDQRQVLJQLÀFDQWHYROXWLRQ
of the perceived skills, although nurses perceive themselves more
competent after the training program.
MDAIF BASED TRAINING: PHC NURSES’ PERCEIVED
COMPETENCE ON NURSING PROCESS’ OUTCOMES
EVALUATION
Maria Figueiredoa, Palmira Oliveiraa, Carla Castrob, Isilda Coutoc,
Pedro Silvad, Margarida Santosa
(VFROD6XSHULRUGH(QIHUPDJHPGR3RUWRbHospital Militar do
Porto. Portugal. c$&H6(VSLQKR*DLDdULS Matosinhos. Portugal.
a
Contact details: henriqueta@esenf.pt
Introduction: The Dynamic Model of Family Assessment and
Intervention_ MDAIF (Figueiredo, 2012) was co-developed and
validated through research conducted in Primary Health Care (PHC).
In 2011 Portuguese Nursing Profession Regulator decided to adopt
MDAIF as the theoretical framework for Family Health Nursing. It
allowed the creation of knowledge based on interventions and had
lead to effective changes in nurses’ practices.
Objectives: To explore the differences in PHC nurses’ perceived
competence in the outcomes evaluation phase of the nursing
process before and after training.
Methods: Exploratory, descriptive, quantitative approach. A
questionnaire was administered to 185 nurses submitted to a
education program. The instrument took the form of Likert scale
with 7 response options. It was used the Student t test for paired
samples and a maximum error of 5%, using IBM SPSS Statistics 21.
Results:7KHUHZDVDVWDWLVWLFDOO\VLJQLÀFDQWLPSURYHPHQWLQ3+&
nurses’ perceived competence in nursing process’ in outcomes
evaluation phase, after the education program, with exception
in family planning area (M = 4.3 before training, M = 4.51 after
training, p = 0.408). Although, despite moderate levels of
perceived competences, the overall average score after training
LVVLJQLÀFDQWO\KLJKHUWKDQWKHJOREDODYHUDJHVFRUHEHIRUHWUDLQLQJ
(M = 4.02 before training, M = 4.33 after training (t (183) =î
p = 0.000).
Conclusions: Positive changes in nursing outcomes’ perceived
competencies consolidates MDAIF training process, suggesting the
implementation of learning strategies related to family planning.
The development of skills in nursing outcomes will allow also to
identify families health potencial by the evaluation of changes
occured in its functioning.
SYMPOSIUM: SEXUALITY AND SEX EDUCATION:
ATITUDES AND SCHOOL PROGRAMS
IN THE ALTO MINHO REGION
Coordinator: Luísa Ramos Santos, ESS-IPVC, luisasantos@
ess.ipvc.pt
Incorporate Communications
YOUNG PEOPLE AND SEX EDUCATION: ARTICULATION
BETWEEN THE SCHOOL AND HEALTH FACILITIES
Jorge Ribeiroa, Sandra Reisb,c, Luísa Santosc
$JUXSDPHQWRGH(VFRODVGH$JUDH/LPDb8/6$0(3(
(VFROD6XSHULRUGH6D~GH,39&3RUWXJDO
a
c
Contact details: jorgemanuelpereiraribeiro@gmail.com
The implementation of sex education (SE) projects in Portugal
is, from 2009 onwards, compulsory in all education levels.
These projects are intended to be comprehensive, involving
the sociocultural, biological and psychological dimensions of
sexuality and, to that end, should also establish partnerships.
These strategies are governed by the legislation in force, in the
law 60/2009, that establishes the monitoring by professionals in
the healthcare facilities, and by the directive 196-A of 2010 that
guarantees the support, locally, of the public healthcare facility.
Finally, and not the least, it should always be the characteristics
and needs of the individuals to whom these projects are intended
to determine the activities to develop, instruction methods to
use and messages to convey. Thus, our goal is to know the opinion
of young people about the participants and contexts, taking into
consideration the different topics to approach in the SE projects.
Our sample consists of 343 students, aged between 15 and 19 years
old and attending high school. The questionnaire was created for
this study. Our results show that most students chose the classroom
(CR) as the ideal place to address these issues, 69%, regarding
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
individual care, either school (AIE), 18%, the healthcare centre
(AICS), 16%, or in the community (AIC), 6%. The preference of
the topics to address differ according with the modalities chosen,
being dating, 75%, and sexual orientation, 73%, the most chosen in
the CR, pornography and body image and self-esteem, 24%, in the
AIE, and voluntary termination of pregnancy, 26%, in the AICS, and
sexually transmitted diseases, 11%, in the AIC. It seems that the
establishment of partnerships answers to the needs of young people
for different people and spaces for SE.
other models being also adopted, such as the risk models and
moral mode. It became evident in this study the feasibility of a
transdisciplinary approach to sex education in schools, as well as
WKHQHHGWRUHÁHFWRQPRGHOVXQGHUO\LQJLPSOHPHQWHGSURJUDPV
HEALTH, SEXUALITY AND SEX EDUCATION IN TEENAGERS
IN THE ALTO MINHO REGION
Sandra Reisa,b, Luísa Santosb
a
ANALYSIS OF A SEX EDUCATION PROGRAM IN AN
EDUCATIONAL TERRITORY OF THE ALTO MINHO REGION
Joana Cerqueiraa, Teresa Araújob, Luísa Santosb
a
8/6$0(3((VFROD6XSHULRUGH6D~GH,39&b(VFROD6XSHULRU
GH6D~GH,39&3RUWXJDO
Contact details: teresaaraujo@ess.ipvc.pt
Sex education in schools is assumed as necessary, essential and
mandatory. This study aims at understanding the mechanisms
of the applicability and functionality of Sex Education in School
Healthcare Regional Program (PRESSE) in a group of schools in
the Alto Minho Region. The sample is composed of four teachers,
three female and one male, aged between 25 and 44 years old, and
involved in the implementation of PRESSE in the third CEB (Basic
School Cycle). We used a content analysis of the interviews. Results
showed that the main reason for the involvement of teachers was
the fact that they were class directors. Teachers also considered
as reasons for joining the program the fact that there are sex
education concepts that are wrong, the surrounding social context,
higher institutional orientation, the need for teacher training in
this area and the need for structured support. Moreover, teachers
assessed as positive the possibility of sharing experiences and the
participation of the school community in the program. As strong
points of PRESSE were highlighted the answer to the student needs
and the open relationship to address issues of sexuality, and as
a weakness the short time to accomplish it. Finally, the reasons
given by teachers for continuing PRESSE were the willingness to
answer to student needs, the perception that its implementation
will be progressively simpler. We concluded that, according to the
teachers interviewed, the PRESSE program meets students’ needs
and it proves to be a means of facilitating sex education in schools.
MODELS IN SEX EDUCATION AND PRACTICES
OF TEACHERS OF BASIC EDUCATION IN THE ALTO MINHO
REGION
Goreti Alvesa, Teresa Araújob, Luísa Santosb
a
$JUXSDPHQWRGHHVFRODVGR9DOHGR7DPHO3RUWXJDO
(VFROD6XSHULRUGH6D~GH,39&3RUWXJDO
b
Contact details: mgoretialves@aeiou.pt
The implementation of sex education in Portuguese schools is
currently mandatory. This study was conducted in a group of
schools in the Alto Minho region and its aims were to identify the
sex education programs being taught in the 2nd and 3rd basic
education cycles, and to identify the underlying models. The
methodology used included document analysis, using summary
books, class curricula plans, lesson plans, activities assessment
reports, educational project of the group of schools, curriculum
- annual plan of activities and sex education project. The sample
was composed of one class per grade of the 2nd and 3rd cycles of
basic education. Results showerd a transdisciplinary approach in
the implementation of sex education and the approach of several
themes proposed in the legislation. It was also found that most
sex education programs followed the biographical model, with
39
8/6$0(3(b(VFROD6XSHULRUGH6D~GH,39&3RUWXJDO
Contact details: sandra.barbeitos.reis@gmail.com
Sex education is nowadays seen as essential, either in the scope
of personality formation and in the development of the individual
as a whole. It should be understood in a holistic perspective,
within the concepts of Education and Health, with the purpose of
educating teenagers towards living a healthy sexuality, focusing
on the diagnosis of their needs in this area and relying on the
articulation of different educational agents. This study aims at
analysing the relationship between teenagers’ sexual behaviour and
the perception regarding parental attitudes. The methodology is
quantitative. The sample consisted of 360 teenagers, aged between
15 and 19 years old, of both sexes and attending high school. Data
were obtained through the Youth Perceptions Inventory, adapted
by Fleming (1993) and through a questionnaire on sexual behaviour.
We found that teenagers that percept greater control, are those
who begin sexual intercourse later and that beginning occurs when
they are 16 years old or older. Therefore, we have found that
WKHSHUFHSWLRQRISDUHQWDODWWLWXGHVFDQLQÁXHQFHWKHEHKDYLRXU
of teenagers as far as sexuality is concerned, which seems to
show the need to integrate, actively, parents in the design and
implementation of sex education projects in school.
KNOWLEDGE ABOUT SEXUALITY OF STUDENTS
IN VOCATIONAL EDUCATION
Maria da Graça Lopesa, Luis Carlos Graçab, Maria Teresa Araújob
a
Unidade Local de Saúde do Alto Minho.
,QVWLWXWR3ROLWpFQLFRGH9LDQDGR&DVWHOR3RUWXJDO
b
Contact details: maraujoprof@gmail.com
Introduction: The socialization of individuals in the area of
sexuality is a result of the intervention of multiple social actors
in all contexts of teenagers in order to face their sexual and
reproductive health.
Objectives: This research, conducted in 2011/12, examines the
knowledge of students in vocational education about sexuality.
Methods: This is a quantitative descriptive and cross-correlated
study, with a non-probability convenience sample of 112 students,
using self-administered questionnaire.
Results: This population is aged between 15 and 27 years old,
mostly male (54.5%). The boys attend, mostly, technical courses and
girls, humanity courses. About half the students respond correctly
to questions related to puberty, adolescence and sexuality. Of
these, the female students of the courses of humanities and older
(20-24 years) show more knowledge. The perception of risk is low,
higher in females, revealing higher knowledge about contraception.
Knowledge deficiency is evident about Sexually Transmitted
Infections (STI’s) and their prevention. The sources of information
on sexuality/sexual education are, in descending order of priority:
friends, mother to the female, internet to the male, girlfriend/
boyfriend; teacher and health professional.
Conclusions: Considering that in our study, approximatly 95% of
adolescents/young people have already started sexual relations
and teen pregnancy is 9%, emerges the need to implement sexual
educatio in all vocation schools.
40
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
SYMPOSIUM: ADOLESCENT SEXUALITY
Coordinator: Paula Nelas, Escola Superior de Saúde de
Viseu - IPV, pnelas@gmail.com
Incorporate Communications
THE SEXUAL MOTIVATION OF TEENS: INFLUENCE
OF INTERLOCUTERS
Vera Madeiraa, Carlos Albuquerqueb, Graça Aparíciob,
João Duarteb, Paula Nelasb
a
Aces Cova da Beira. Centro de Saúde do Fundão. Portugal.
+HDOWK6FKRRO3RO\WHFKLF,QVWLWXWHRI9LVHX3RUWXJDO0,6,-
3URMHFWIXQGHGE\)&7UHIHUHQFH37'&&3(&('
DQG&, '(76)&73(VW2(&('8,
b
Contact details: madeirav@gmail.com
Introduction: The onset of sexual activity can be considered one of
the moments with the greatest impact on teenage life, therefore
becomes important to know the motivations that underlie the
decision to start or not sexual activity.
Objectives: Analyze the influence of preferred interlocutors in
motivating teens to have sex or not.
Methods: Cross-section observational study conducted on a sample
of 545 adolescents (51.9% girls), average age of 13.95 years
(Dp = 1.25), attending the 3rd cycle of basic education from
four portuguese groups of schools, 53.1% residents in villages.
A sociodemographic characterization of sexual experience was
performed and the Scale of motivation to have sex or not was used
(Leal & Maroco, 2010).
Results: In the study 28.3% were dating, 87.3% reported not
having sexual experience, 18% admitted to have experiences near
to intercourse and 12.7% more intimate relationships, with boys
revealing higher average values in the range of motivation to have
sex or not. The analysis of the relationship with interlocutors
indicated motivation to have sex when they talk with the mother
(UMW = 29876.5, p = 0.001) and with the girlfriend/boyfriend
(UMW = 15771.5, p = 0.029) with significance in the sub-scales
“hedonism and health” and with teachers (UMW = 13362.0,
p = 0.018), in the sub-scale “conservatism/disinterest.” Proved to
be motivated to not have sex when they talk with their brothers,
with significance in the sub-scale “fear” (UMW = 15178.0,
p = 0.025).
Conclusions: Inferring that the preferential interlocutor to talk
DERXWVH[XDOLW\LQÁXHQFHVDGROHVFHQWPRWLYDWLRQWRKDYHVH[RU
not, it is considered crucial that the players chosen by teenagers
must be well informed in order to guide them in a assertively way
and more suited to their real needs.
DETERMINANTS OF ATTITUDES TOWARD SEXUALITY
IN PORTUGUESE STUDENTS OF EIGHTH/NINTH YEAR
OF SECONDARY EDUCATION
Daniela Teixeira, Paula Nelas, Graça Aparício, João Duarte,
Carlos Albuquerque
6FKRRORI+HDOWK9LVHX3RO\WHFKQLF,QVWLWXWHRI9LVHX3RUWXJDO
MISIJ projet funded by FCT-reference PTDC/
&3(&('DQG&, '(76)&73(VW2(&('8,
&RQWDFWGHWDLOV GDQLHODBWHL[HLUD#KRWPDLOFRP
Introduction: In a society of changes, we live in a new way of living
sexuality in adolescence, which may arouse feelings in adolescents
that lead to adoption of sexual attitudes and behaviors with
implications on their health.
Objectives: To characterize the attitudes towards sexuality of
students in the eighth/ninth year of secondary education in town
halls of Tabuaço and Fundão and identify the determinants of these
attitudes.
Methods: A cross-sectional and explicative study developed
in a sample consisting of 545 portuguese students (average
age = 13.95 years, Dp = 1.25), 53.1% living in the village and
attending the eighth/ninth year of secondary education. The data
collection was carried out through a questionnaire to characterize
the sample and experiences of sexuality and the Scale of attitudes
towards sexuality in adolescents (Nelas et al, 2010).
Results: 46.6% of adolescents have favorable attitudes, 40.4%
unfavorable and 13.0% showed themselves indifferent. The
multivariate analysis (Decision tree) revealed that significantly
favorable attitudes towards sexuality are determined in 66.3% by
girls (X2 = 17.57, p = 0.000), 75.0% from those who talk with the
mother about sexuality (X2 = 8.710, p = 0.013), 45.6% by boys living
in Fundão (X2 = 60.815, p = 0.000), and attend the 8th / 9th grade
(X2 = 8.539, p = 0.042). The attitudes were unfavorable in 64.6%
explained by adolescents of Tabuaço and 70.7% of those who resort
to friends on matters of sexuality (X2 = 8.906, p = 0.012).
Conclusions: The results explain the determinants of teenagers’
attitudes towards sexuality and can guide the implementation
of health programs more suitable to the Portuguese regional
reality contributing to a healthier living in this area of the new
generations.
KNOWLEDGE OF ADOLESCENTS ABOUT SEXUALLY
TRANSMITTED INFECTIONS
6RÀD&RLPEUD0DQXHOD)HUUHLUD3DXOD1HODV-RmR'XDUWH
Carlos Albuquerque
6FKRRORI+HDOWK9LVHX3RO\WHFKQLF,QVWLWXWHRI9LVHX
3RUWXJDO &, '(76)&7 0,6,-SURMHWIXQGHGE\)&7UHIHUHQFH
37'&&3(&('DQG&, '(76)&73(VW2(&('
8,
Contact details: sophia.coimbra@gmail.com
Introduction: Healthy behaviors are important for the physical
and psychological well-being of adolescents. They may be
influenced by family, peer group, school and media. Sexually
Transmitted Infections’s are frequently asymptomatic and
therefore untreated, they contribute to the existence of chronic
conditions that negatively affect the sexual and reproductive
health of individuals.
Objectives:$QDO\]HWKHLQÁXHQFHRIVRFLRGHPRJUDSKLFYDULDEOHV
contextual variables on sexuality knowledge of sexually transmitted
infections.
Methods: A descriptive, non-experimental and cross-sectional
study. The non-probabilistic convenience sample consists on
1216 adolescents attending the 9th year of study in Portuguese Public Schools and are a part of the project PTDC/CPE-CED/
103313/2008.
Results: Adolescents that are dating (N = 308) 32.4% are male,
and (29.6%) were dating for 1-6 months. The female adolescents,
the majority (39.2%) have been dating for 1-6 months. Among the
JURXSVWKHUHZDVQRVWDWLVWLFDOVLJQLÀFDQFH [= 8.643, p = 0.071).
The majority (53.3%) talks with friends about sexuality. The girls
are those who speak more with their mothers (49.5%) and boys
are the ones who speak more with their fathers (50%). The female
adolescents (x2 = 25.43, p = 0.00), are those who did not had sex
(x2 = 9.17, p = 0.01), with comprehended ages between 14 and
15 years (x2 = 19.69 p = 0.00), are those who demonstrates greater
knowledge about sexually transmitted infections.
Conclusions: The results demonstrate the need to develop programs
to promote knowledge in the sexually transmitted infections area,
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
personal and social skills able to empower adolescents to adopt
healthy lifestyles.
FAMILY CULTURE AND ADOLESCENT SEXUALITY
Célia Grilo, Manuela Ferreira, Paula Nelas, João Duarte,
Carlos Albuquerque
6FKRRORI+HDOWK9LVHX3RO\WHFKQLF,QVWLWXWHRI9LVHX3RUWXJDO
&, '(76)&7 0,6,-SURMHWIXQGHGE\)&7UHIHUHQFH37'&
&3(&('DQG&, '(76)&73(VW2(&('8,
Contact details: celia2x1@sapo.pt
Background: Although adolescence is considered a universal
phenomenon characterized by increased autonomy and
transformation of family relationships, its experience has different
meanings in the future quality of life.
Objectives: To analyze the relationships between the socio-demographic variables, sexual context, family organizational culture and
the sexual attitudes adopted by teenagers.
Methods: Observational descriptive and correlational, transversal
study. The non-probabilistic convenience sample consists of
1216 adolescents attending the 9th year of study in Portuguese Public
Schools and is part of the project PTDC/CPE-CED/103313/2008, the
questionnaire applied was family organizational culture of Nave
(2007) and attitudes towards sexuality of Nelas et al (2010).
Results: The majority lives in a village (47.5% of boys and 50.0%
girls). 12.9% of boys do not use condoms in all relationships, and
the same applies to 17.8% of girls. They belong mostly (55.8% boys
and 49.5% girls) to a family with poor interpersonal relationships
culture. The majority (51.8%) males and (58.9%) females have a
family with moderate heuristic culture. Boys and girls (33.6% and
36.9%) both demonstrate a predominantly moderate hierarchy
family culture and a moderate social goals family culture as well.
Adolescents who have a bad attitude towards sexuality, mostly
(43.2%) present a weak interpersonal relationships family culture
with statistical significance (X2 = 32,092, p = 0.000) and have
moderate hierarchy family culture and also moderate social goals
IDPLO\FXOWXUHZLWKRXWVWDWLVWLFDOVLJQLÀFDQFH
Conclusions: The family that loves, welcomes and cares is the
same that educates and informs about sexuality, promoting youth
empowerment making them safer, healthier and happier.
ADOLESCENTS AND SEXUALITY: KNOWLEDGE
AND ATTITUDES
Toni Correia, Manuela Ferreira, Paula Nelas, João Duarte,
Carlos Albuquerque
6FKRRORI+HDOWK9LVHX3RO\WHFKQLF,QVWLWXWHRI9LVHX3RUWXJDO
&, '(76)&7 0,6,-SURMHWIXQGHGE\)&7UHIHUHQFH37'&
&3(&('DQG&, '(76)&73(VW2(&('8,
Contact details: tonicorreia2@gmail.com
Introduction: Emerging concerns about all aspects of sexuality
and the contribution that each agent must give education to train
responsible teenagers in their choices and respect the dignity of
the human person.
Objectives: To characterize the attitudes adopted by adolescents
WRZDUGVWRFRQGRPVDQGELUWKFRQWUROSLOOV$QDO\]HWKHLQÁXHQFH
of sociodemographic and contextual variables and also knowledge
about sexuality in family planning attitudes towards condoms and
the pill.
Methods: A descriptive, non-experimental and cross-sectional
study. The non-probabilistic convenience sample consists of
1216 adolescents attending the 9th year of study in Portuguese Public
Schools and is part of the project PTDC/CPE-CED/103313/2008.
41
Results: 15.1% of boys and 10.5% of girls had sex. Teenagers aged
14 have more inadequate attitudes (21.3%) towards condom.
Most teenagers who believes it is important to use condoms has
inappropriate attitudes against the pill (48.5%). Age (p = 0.242) and
residence (p = GLGQRWLQÁXHQFHDWWLWXGHVWRZDUGVFRQGRPV
sex (p = LQÁXHQFHVWKHDWWLWXGHVWRZDUGVFRQGRPDQGSLOO
Have less culpability against the condom adolescents who have
father (p = 0.030), friends (p = 0.039) and boyfriend (p = 0.023) as
interlocutors about sexuality. The sexual context variables have no
VLJQLÀFDQWHIIHFWRQDWWLWXGHVWRZDUGVSLOO S> 0.05).
Conclusions: Sex education should be a commitment to health
professionals, it can be considered the main way to prevent risky
behaviors and should not only address contraceptives methods.
SYMPOSIUM: QUALITY OF LIFE IN DIABETES —
POSSIBLE INFLUENCES AND FORMS
OF INTERVENTION
Coordinator: Ana Paula Soares de Matos, Faculdade de
Psico logia e de Ciências da Educação da Universidade
de Coimbra, apmatos@fpce.uc.pt
Incorporate Communications
THE IMPACT OF A MINDFULNESS-BASED INTERVENTION
IN DIABETIC PATIENTS’ ANXIETY
Ana Paula Matos, Raquel Oliveira, Daniel Seabra, Diogo Carreiras
)DFXOGDGHGH3VLFRORJLDH&LrQFLDGD(GXFDomRGD8QLYHUVLGDGH
de Coimbra. Portugal.
Contact details: apmatos@fpce.uc.pt
Introduction: Diabetes Mellitus is a chronic disease that affects
11.7% of the Portuguese population. As so, it is important to test
new forms of therapy that will help patients to better deal with
the disease, allowing them better quality of life and a reduction of
stress and anxiety.
Objectives: The present study aims at testing the efficiency of
a single mindfulness-based intervention in anxiety regulation
amongst diabetic patients.
Methods: The sample is composed of 83 males and 83 females,
diagnosed with Type 1 and 2 Diabetes, with ages between 16 and
77 years old. A self-report scale to assess anxiety state, with high
values of reliability (STAI-Y1; Spielberger, 1983), was run before
and after the mindfulness-based intervention.
Results: A comparison was made between the group of subjects
that underwent intervention, against those who had not, in what
concerns the state anxiety measure The present research showed
WKDWWKHPLQGIXOQHVVPHGLWDWLRQSUDFWLFHKDGVLJQLÀFDQWHIIHFWV
in anxiety regulation in female subjects: the diabetic women of
the experimental group, after the intervention, revealed levels of
DQ[LHW\VLJQLÀFDQWO\ORZHUZKHQFRPSDUHGZLWKWKHZRPHQRIWKH
control group. It should also be dully noted that women presented
higher levels of anxiety, both in time 1 and 2 (before and after the
intervention).
Conclusions: Despite the significance of the results obtained,
in order to obtain empirical evidence for the Third Generation
Therapies it is important to replicate the present analysis in
ORQJLWXGLQDOVWXGLHVZKLFKWHVWWKHHIÀFLHQF\RIPLQGIXOQHVVEDVHG
interventions among diabetic patients.
42
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
ANXIETY AND DEPRESSION IN DIABETIC PATIENT:
THEIR INFLUENCE IN QUALITY OF LIFE
variables interfere on quality of life, since the majority of
interventions in Diabetes aim at promoting life quality.
Ana Paula Matos, Raquel Oliveira, Maria José Reis, Vanessa Alves
)DFXOGDGHGH3VLFRORJLDH&LrQFLDGD(GXFDomRGD8QLYHUVLGDGH
de Coimbra. Portugal.
Contact details: apmatos@fpce.uc.pt
Introduction: Studies point out to the fact that anxiety and
depression are prevalent in diabetic patients and that these
comorbid conditions of Diabetes can affect patients’ quality of life.
Objectives: The aims of the present study are: i) to explore the
associations between anxiety and depression, by gender; and
LL WRDQDO\]HWKHLQÁXHQFHRIDQ[LHW\DQGGHSUHVVLRQV\PSWRPVLQ
quality of life.
Methods: 166 diabetic patients integrate the sample, 83 are men
and 83 are women. The Hospital Anxiety and Depression Scale
(HADS, Zigmond & Snaith, 1983) was administered in order to assess
anxiety and depression symptoms; The World Health Organization
Quality of Life - Bref (WHOQOL-Bref; Vaz Serra et al, 2006) was used
to evaluate quality of life in four domains - Physical, Psychological,
Social and Environmental.
Results::HREWDLQHGVLJQLÀFDQWDQGSRVLWLYHDVVRFLDWLRQVEHWZHHQ
anxiety and depression, both in men and women diabetic patients.
Regarding to quality of life, Physical and Psychological domains
were negatively associated with anxiety, in men, and with
depression, in women.
Conclusions: The association obtained between anxiety, depression
and quality of life stress the importance of delineating intervention
programmes in order to help diabetic patients to cope with these
psychopathological symptoms and improve their quality of life.
DEMOGRAPHIC AND CLINICAL VARIABLES RELATED
TO QUALITY OF LIFE IN DIABETES
Ana Paula Matos, Raquel Oliveira, Vanessa Alves, Maria José Reis
)DFXOGDGHGH3VLFRORJLDH&LrQFLDGD(GXFDomRGD8QLYHUVLGDGH
de Coimbra. Portugal.
Contact details: apmatos@fpce.uc.pt
Introduction: Diabetes can have an important impact on patients’
life and demographic and clinical variables may be associated with
patients’ quality of life (QOL). Thus far, literature has not been
consistent in what concerns the links established between some
socio-demographic factors (age and gender) and clinical variables
(type of Diabetes and time of diagnose) and QOL.
Objectives: The present research analyzes the connections
between patients’ QOL and demographic and clinical variables.
Methods: The sample is comprised of 83 men and 83 women, aged
16 to 77 years, of which 23% have type 1 Diabetes and 77% type 2.
The World Health Organization Quality of Life-Bref (WHOQOL-Bref;
Vaz Serra et al, 2006) was used to evaluate four domains of QOL.
Results: There were significant differences between genders,
with males scoring higher in General QOL and in Psychological and
3K\VLFDOGRPDLQV,QUHJDUGRIDJHWKHUHDUHVLJQLÀFDQWGLIIHUHQFHV
between age groups, in Physical and Social domains, with older
patients presenting lower levels of QOL. There are significant
associations between age and QOL (General and Physical domain),
the advancing of age being related to lower levels of QOL. The
relation between duration of disease and QOL is negative and only
VLJQLÀFDQWIRUZRPHQLQ*HQHUDO42/DQGLQ6RFLDO3V\FKRORJLFDO
DQG(QYLURQPHQWGRPDLQV7KHUHLVRQO\DVLJQLÀFDQWGLIIHUHQFH
between types 1 and 2 Diabetes, in males: type 1 patients’ showing
higher levels of physical QOL than type 2.
Conclusions: QOL is affected by many demographic and clinical
variables in Diabetes. It is important to understand how these
SYMPOSIUM: MOTHER AND CHILD PRIMARY
HEALTH CARE, AN INVESTMENT WITH RETURN!
Coordinator: Maria Helena Rebelo, Agrupamento de Centros
de Saúde Dão Lafões, hsrebelo@gmail.com
Incorporate Communications
ARE OUR CHILDREN BEING TRANSPORTED SAFELY?
DIAGNOSE OF THE ROAD TRANSPORT IN A GROUP
OF PORTUGUESE CHILDREN
Graça Aparícioa, Helena Rebelob
+HDOWK6FKRRO3RO\WHFKLF,QVWLWXWHRI9LVHXbAgrupamento
GH&HQWURVGH6D~GH'mR/DI}HV9LVHX3RUWXJDO
a
Contact details: gaparicio5@hotmail.com
Introduction: Despite the positive evolution in children’s safety
while passengers, there is still divergence between intent to
protect and actual effective protection. The aim of this study was
to diagnose adopted behaviours while transporting children in the
car during an awareness intervention.
Methods: Descriptive and transversal study carried out by the
SECURITY ALERT GROUP (GAS) during output/collecting children
at school, with a sample of 70 parents/caregivers 51,3% females,
average age 37,3 years old; (SD = 4,99), and 78 children (average
age 6,3 years old; SD = 3,26), in a basic school in the centre of
Portugal. The evaluation of the safety while being transported in
a car was done through a STOP road intervention in association
with the local authorities, using a characterization/descriptive
questionnaire and registering the data observed.
Results: The majority of the drivers were aged between 34-37 years
(42.1% females), 30.3% had high school education levels and 28.9%
secondary school, 55.2% made part of the staff boards and 49.3%
ZHUHHPSOR\HGZLWKRXWTXDOLÀFDWLRQVSUDFWLVHGWKHXVHRI
child restraints (CR) in maternity after labour and 6.5% had left
maternity with a borrowed CR as part of the “DISCHARGED SAFETY”
project. From the children 14.3% were transported without safety,
(53.8% aged 9-10 and 28.6% 3-5). Within these, 31.3% travelled
without child restraints in the car and 31.1% with an inadequate
system. In a 100m route 96.0% of the drivers confirmed wear
seat-belt and only 90.8% always used the CR.
Conclusions:6LJQLÀFDQWSHUFHQWDJHRIFKLOGUHQVWLOOEHLQJGULYHQ
without security, so it stays relevant to intervene and educate this
issue as a way to empower parents to a more active and positive
intervention in the best interests of their children.
PREPARING FOR BIRTH: PARENTAL EDUCATION
Isabel Martinsa, Elvira Estevãoa, Paula Areiasb, Teresa Coimbrab
86),QIDQWH'+HQULTXH$&(6'mR/DI}HV9LVHX
86)9LULDWR$&(6'mR/DI}HV9LVHXcUSF Alves Martins/
$&(6'mR/DI}HV9LVHX3RUWXJDO
a
b
Contact details: isabelita-martins@hotmail.com
Introduction: Viseu Health Centres I and III provide weekly sessions
of preparation for birth and parenthood which can be attended
by their patients. With these sessions it is intended, through the
psych prophylactic method, to help the couple living the moment
RIFKLOGELUWKZLWKOHVVDQ[LHW\LQFUHDVLQJWKHLUFRQÀGHQFHDQGVNLOOV
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
to look after the baby. Pregnant women are referenced by family
nurses or by the nurse that conducts the sessions.
Methods: It is a transversal study, quantitative and based in the
evidence of the clinical practice. The sample is composed by
539 pregnant women who attended the sessions in these Health
Centres, during the years 2011 and 2012.
Results: In relation to the amount of pregnant women from AECS,
41% attended the preparation for birth and parenthood.
Conclusions: The study has shown the great level of participation in
these sessions. It is predominantly a nursing activity that demands
VSHFLÀFWUDLQLQJLQWKHDUHDDQGSHUVRQDOPRWLYDWLRQ7KHSUHJQDQW
women/ couples that participate refer the following aspects as
very positive: sharing experiences; the involvement of the future
father in the birth of the baby; the reduction of anxiety and fear
in relation to labour and they also mention the development of
strategies that reduce the perception of pain and increase the
couple’s capacity to look after the baby.
BREST-FEEDING CORNER: THE ROLE OF THE NURSE
IN PROMOTION OF BREAST-FEEDING
Paula Pinho
USF Lusitana. Portugal.
Contact details: alegriapaula@hotmail.com
Introduction: Nurses are na important resource in the area of
breast-feeding and the specialized training contributes positivaly
to the creation of attitudes of acceptation in women, and the
intervention must occur during the pregnancy cycle and after labour.
Objectives: To analyse the contributions of the counsellors in the
promotion of maternal breast-feeding in “Cantinho da Amamentação” - Viseu.
Methods: It is a transversal study, with a quantitative approach
and using a seletive sample of institutional basis. Were studied
432 cases of patients who atended “Cantinho da Amamentação”,
in the years 2011 and 2012. The tecnique of suckling was evaluated
in 153 binomial mother/newborn, using the UNICEF/WHO protocol.
Results: The number of patients studied was 432, 420 were done
face to face and 12 werw done by telephone. The problems that
were identified were doubts in relation to breast-feeding and
maternal suckling, and the following situations were verified:
problems in making the newborn pick up the nipple; mammary
engorgement, nipples with fissures or aching nipples and the
fear of not having enough milk. the most common interventions
were information/enlightenment/motivation in relation to
breast-feeding (69.8%), correcting the way the newborn sucks
the nipple (31%), teaching about the extraction and preservation
of maternal milk (28.6%), massage (18.6%) and milk extraction
(17.1%).
Conclusions: The study showed the importance of observation/
evaluation of the suckling technique by the counsellor, as a subsidy
for the correction of the inappropriate attitudes contributing to
WKHVXFHVVRIPDWHUQDOEUDVWIHHGLQJ*LYHQWKHVSHFLÀFLW\RIHDFK
mother-infant dyad, it will be important to continue the study to
improve nursing interventions.
LOCAL TEAM OF PRECIOUS INTERVENTION OF VISEU:
FROM REFERENTATION TO PRAXIS
Helena Rebelo
(TXLSD/RFDOGH,QWHUYHQomR3UHFRFHGH9LVHX3RUWXJDO
Contact details: hsrebelo@gmail.com
Introduction:,QWKHÀHOGRIWKH3ODQRI$FWLRQIRUWKH,QWHJUDWLRQ
of Handicapped or Disabled People 2006-2009, it was created
in Portugal the National System of Precocious Intervention in
43
childhood (SNJPI) whose mission is to guarantee the Precocious
Intervention in Childhood. It’s is directed to children up to six years
old, and it has criteria of eligibility (1. Changes in body functions
or structure or 2. Serious risk of delay in growth) having in mind
their normal development and the social inclusion not only of the
children but also of their families. The processes include three
levels: the national level (articulation), regional (coordination)
and local (intervention). The Local Team of Intervention of Viseu
(ELI) has multidisciplinary professionals whose intervention is done
directly with the child and her family in home or school context.
Methods: Study done in the field of the clinical practice based
in evidence, comprehending a sample of 60 children, age
average = 4 years old, distributed by eligibility criterion: criterion
1 = 61.3% and criterion 2 = 38.7%.
Results: From the children, 48.9% were signaled by health
services, 16.3% by education, by other ELI 10.2%, and 24.6% by
other institutions. The intervention in the educational field
comprehended 42.8% of the children, supported at home 24.4% and
in a mixed regime 32.6%, standing out 61.2% with intervention in
the level of education.
Conclusions:7KLVSURJUDPEHFRPHVPRUHHIÀFLHQWLILWLVVWDUWHG
precociously, that is why it so important to identify the children
with eligibility criteria and quick referentiation. To spread the
program and differentiated training of health professionals in
child’s development must be priority.
SYMPOSIUM: REGIONAL PROGRAM
OF SEX EDUCATION IN HEALTH SCHOOL
Coordinator: Maria da Paz Amorim Luís, Administração Regional de Saúde do Norte, I.P., mariapaz.presse@gmail.com
Incorporate Communications
PRESSE IN THE 3rd CYCLE OF PRIMARY EDUCATION:
THE CHALLENGES OF ADOLESCENCE
Miriam Gonzaga, Maria da Paz Luís
ARS Norte. I.P. Portugal.
Contact details: mgonzaga@arsnorte.min-saude.pt
Introduction: The Regional Programme on Sex Education in School
Health offers an intervention aimed at school-aged children and
young people in the northern region of Portugal. Considering the
demands of adolescence, the 3rd Cycle of Primary Education earned
a particular attention since this age period is currently regarded
as “a stage of life that requires the individual ability to adapt to
social demands while one is undergoing biological and psychological
transformations”(Anastácio, 2010).
Objectives: To promote the effective implementation of
an innovative programme of sex education, which is highly
structured and sustained; to provide healthcare and education
professionals with a Textbook of Sex Education that allows an easy
access to up-to-date and relevant information in the context of
sex education; to develop activities targeted at students, and
administered by teachers.
Methods: PRESSE offers activities and group dynamics to be
implemented with students of the 3rd Cycle of Primary Education.
Three thematic areas are addressed through teaching suggestions,
activities and evaluation models. PRESSE-GIA has developed
interventions in schools, supporting the practice of health and
education professionals by promoting this particular area with
students of 2nd and 3rd cycle of primary and secondary school.
Results: Implementation of PRESSE with about 90000 students.
44
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Conclusions: The education system can, in close collaboration
with health professionals, enhance a healthy, happy and joyful
human sexuality. A sustained and structured intervention towards
an educated youth can contribute to increased knowledge and the
development of social skills, which will ultimately promote the
sexual and reproductive health of this population.
PRESSE IN THE 2nd CYCLE OF PRIMARY EDUCATION:
SEXUALITY IN PRE-ADOLESCENCE
Cármen Guimarães, Maria da Paz Luís
ARS Norte. I.P. Portugal.
Contact details: cguimaraes@arsnorte.min-saude.pt
Introduction: Pre-adolescence is a stage characterized by major
developmental changes. Sexually, this period is marked by the
onset of pubertal body changes; by changes that occur in the
perceptions that boys and girls form of themselves and others; and
by the relationships established with peers and adults (Frade et al,
2006). The Regional Programme on Sex Education in School Health
(PRESSE) emerged from the need to structure and support the
implementation of sex education in the northern region of Portugal.
Objectives: To promote the effective implementation of an
innovative programme of sex education, which is highly structured
and sustained; to provide teaching tools that support the
implementation of sex education in schools, namely an Activity
1RWHERRNVSHFLÀFWRHDFKF\FOHRIHGXFDWLRQZLWKVHYHUDODFWLYLWLHV
suggested for each of the thematic areas.
Methods: PRESSE in the 2nd cycle of primary education suggests the
implementation of six sessions of sex education that are planned and
structured according to the objectives and contents provided for
this level of education in the article No. 60/2009, of August the 6th,
and its respective regulations (Ordinance No. 196-A/2010, 09 April).
These sessions are organized according to the three thematic
areas that should usually be covered in this cycle of education
and are preferably applied by the Head of the year Teacher.
Results: In its fourth year of implementation PRESSE has reached
over 90000 students of the northern region of Portugal.
Conclusions: This program intends to engage the whole school
community in the implementation of sex education, with a
cross-curricular and dynamic approach, in which Students,
Teachers, Parents, Teaching Assistants and the rest of the
educational community are actively involved.
PRESSE IN THE 1st CYCLE OF PRIMARY EDUCATION
AND IN HIGH SCHOOL
Susana Sousa, Maria da Paz Luís
$GPLQLVWUDomR5HJLRQDOGH6D~GHGR1RUWH,33RUWXJDO
Contact details: susanad.sousa@arsnorte.min-saude.pt
Introduction: The Regional Programme on Sex Education in School
Health is oriented to children and adolescents in school in the
northern region as to educators, teachers, operational assistants and
families. PRESSE elaborates, plans and enrolls all intervention means
directed to children and adolescents, considering their cognitive and
psychosexual development, their social and cultural environment
and the interests and necessities associated with their age.
Objectives: In the 1st Cycle of Primary Education it wishes to
contribute to the construction of “I in relation”, by the comprehension of the importance of the body, the understanding
of human reproduction, the value of affection in family and
social relationships, critical thought about sexual roles of the
development of body protection skills and boundary notions. In
the High School, PRESSE promotes a healthy sexual experience,
responsible and risk free, a pleasure body image enhancer, a
positive self-esteem, a relation assertiveness and the prevention of
violent and abusive relationships.
Methods: The pedagogical methodologies of PRESSE are dynamic
DQGLQWHUDFWLYHWRSURPRWHDFDOPDQGFRQÀGDQWVXUURXQGLQJWKDW
stimulates the expression of feelings, curiosities, and interests
of sexual nature proper to the developmental stage. The PRESSE
models of intervention for the 1st Cycle and High School advocate
an approach of four and three thematic areas in that order.
Results: The implementation of PRESSE until the school year of
2011/12 covers over 90000 students of different grades.
Conclusions: PRESSE has contributed so that the children and
adolescents in school of the northern region gain skills and build
fundamental values to a healthy living and a happy and pleasant
sexuality.
IMPLEMENTATION OF REGIONAL PROGRAMME OF SEX
EDUCATION IN SCHOOL HEALTH: HEALTH PERSPECTIVE
Jacinto Gomes
$561RUWH$&(6'RXUR,8&&0DWHXV3RUWXJDO
&RQWDFWGHWDLOV MDFLQWRJRPHV#JPDLOFRP
Introduction: Sexuality, though in different ways, is present
throughout life. We are all sexual beings and sexuality exists on
children, youth, elderly and disabled. Several studies show that
the more informed one is, higher are the responsibility of the
youth of both sexes towards sexuality. Education for sexuality
is an issue much broader than mere transmission of information
on male and female sexual organs, contraception or sexually
transmitted diseases. Knowledge about sexuality may serve to
develop communication skills, mutual understanding, tenderness,
sensitivity and responsibility towards others.
Objectives: Share the experiences of the school health team of
UCC PRESSE schools in Vila Real.
Methods: The pedagogical methodologies of PRESSE are dynamic
and interactive.
Results: Since the academic year 2009/2010, the program has
involved more than 3500 students and 180 teachers.
Conclusions: The PRESSE methodology offers a sustained, structured sex education in schools, with the involvement of the whole
school community teachers, students, assistants operating
educação. Promove charge of the inter-institutional relationship
between the school and health.
SYMPOSIUM: PATIENT WITH ACUTE CORONARY
SYNDROME: FROM PRE-HOSPITAL CARE
TO QUALITY OF LIFE
Coordinator: António Madureira Dias, Escola Superior de
Enfermagem de Viseu, madureiradias@gmail.com
Incorporate Communications
PREVALENCE OF PAIN IN PRE-HOSPITAL EMERGENCY
CARE: THE PRIORITY OF CHEST PAIN
Lénia Ferreiraa, António Diasb
,QVWLWXWR1DFLRQDOGH(PHUJrQFLD0pGLFD ,1(0 b(VFROD6XSHULRU
GH6D~GHGH9LVHX (669 3RUWXJDO
a
Contact details: mrtlenia@gmail.com
Introduction: Although multidimensional phenomenon, when acute
pain, is a warning to safeguard the physical integrity and should be
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
recognized and treatment started early, like the chest pain. There
are no known studies, as part of its prevalence in pre-hospital
emergency in Portugal.
Objectives: To determine the prevalence of pain in patients
assisted by differentiated teams of pre-hospital emergency and
identify associated factors to: the evaluation/not evaluation,
the presence, intensity of pain, the implemented measures and
reevaluation.
Methods: Conducted a retrospective study by analyzing the records
of patients, after call to the European emergency number 112,
assisted by emergency teams Immediate Life Support (ILS) and
Advanced Life Support (ALS).
Results: Of the 1170 activations analyzed, we included
553 patients considered capable of self-report pain, which
was evaluated in 338 and found no record at 215 patients. The
prevalence was 39.24%, mostly mild, and intense to maximum in
19.5% of cases. Associated with evaluation of pain, were the ILS
team, situations of trauma and medical disease by chest pain.
Associated with the presence of pain, where assisted by ILS,
medical disease, especially in chest pain. The pharmacological
measures of pain control were associated with complaints of chest
pain, while the non-pharmacological measures to the use of a
numerical scale.
Conclusions: The prevalence of pain was 39.24% and founded
asymmetries in their recovery and control for the type of activations
and teams of emergency, especially in the chest pain valued and ILS
through the evaluation, reevaluation and presence of pain.
DELAY TIME OF INTRA-HOSPITAL ACUTE CORONARY
SYNDROMES
Nuno Santosa, António Diasb
'HSDUWPHQWRI(PHUJHQF\+RVSLWDO&HQWHU7RQGHOD9LVHX
Portugal. b&, '(766XSHULRU+HDOWK6FKRRO3RO\WHFKQLF,QVWLWXWH
RI9LVHX3RUWXJDO
a
Contact details: nuno.miranda.martins@gmail.com
Introduction: In patients with ST-elevation Myocardial Infarction
(STEMI), the early reperfursão is the treatment of choice. Keep
the shortest time interval from the beginning of symptoms to
reperfusion is emphasized in current guidelines as a priority.
Objectives: Determining the delay time of the in-hospital Acute
&RURQDU\6\QGURPHVDQGDQDO\]HWKHLQÁXHQFHRIFHUWDLQYDULDEOHV
in the time of in-hospital delay.
Methods: It is quantitative study cross-sectional and retrospective.
Sample of 204 individuals with a medical diagnosis of acute
coronary syndrome (ACS), hospitalized in the Coronary Care Unit of
+RVSLWDO&HQWHU7RQGHOD9LVHXIURP-DQXDU\ÀUVWWR6HSWHPEHU
2010. Patients are mainly men (70.1%) with a an average age of
71.00. 63.2% are from the home, 96.1% of subjects had chest pain
and 32.4% of subjects were diagnosed STEMI. The triage time (TT)
average was 8.60 minutes and only 35.3% of individuals did the
GRRUWR(&*WLPHȰPLQXWHVDQGRIIHPDOHVHQWHUHGWKH
VVC. Data collection was based on the computer record ALERT ®
System.
Results: Individuals transported by ambulance with a doctor have
better average of in-hospitalar delay time (p < 0.05). The individuals
with chest pain have worse average of in-hospitalar delay time than
patients without chest pain, except the time between screening
and ECG (p < 0.05). Individuals with STEMI are individuals who have
better average of in-hospitalar delay time (p < 0.001). Individuals
who entered the Rapid Response Systems are individuals who show
better average of in-hospitalar delay time (p < 0.001).
Conclusions: In the EAM approach, should be a priority the reduction of delay time between the beginning of symptoms and treatment.
45
THE LIFESTYLES IN PATIENTS WITH ACUTE CORONARY
SYNDROME
Maria Amélia Lopesa, António Diasb
&DUGLRORJLD&HQWUR+RVSLWDODU7RQGHOD9LVHXb(VFROD6XSHULRUGH
6D~GHGH9LVHX3RUWXJDO
a
&RQWDFWGHWDLOV PFÁLSV#JPDLOFRP
Introduction:7KHEHQHÀWVRISURPRWLQJKHDOWK\OLIHVW\OHVLQWKH
prevention of cardiovascular disease is unequivocal, well known
by the scientific community and disseminated to the general
population. However, evidence of unhealthy lifestyles continue to
mark a trend in the populations, especially in Western societies.
Objectives: To verify that lifestyles have patients with Acute
Coronary Syndrome (ACS); determine whether sociodemographic
variables and family functioning interfere with the lifestyles of
patients with ACS.
Methods: We chose a non-experimental, quantitative, des criptive-correlational and explanatory. To assess the study variables,
the data collection instrument contains a questionnaire consisting
of questions related to sociodemographic variables, the Family
Functioning Scale and Scale of Lifestyles. The bulk sample was
analyzed for 254 patients with ACS in follow-up consultation
at Health Centers in Viseu, Portugal, with aged between 41 and
86 years (66,94 ± 11,62) (74% are men). We used the chi square in
SPSS.
Results: 50.4% of subjects had unhealthy lifestyle. The male
subjects had the worst styles of life (79.7% vs 68.3%, P = 0.038,
OR = 1.825, CI = 1.031 to 3.239); Those who showed best styles
of life: married (p = 0.623) with high literacy level (p = 0.138),
higher monthly income (p = 0.158) and highly functional family
(p = 0.003).
Conclusions: We know that changes in lifestyles, as well as an
effective control and reduction of risk factors can prevent and
delay the onset of cardiovascular origin of atherothrombotic.
SATISFACTION WITH INFORMATION ABOUT THE
MEDICATION IN PATIENTS WITH ACUTE CORONARY
SYNDROME
Ana Rita Duartea, António Diasb
&HQWUR+RVSLWDODU7RQGHOD9LVHX3RUWXJDOb&, '(766XSHULRU
+HDOWK6FKRRO3RO\WHFKQLF,QVWLWXWHRI9LVHX3RUWXJDO
a
Contact details: arita.cduarte@hotmail.com
Introduction: The ability of health professionals to establish an
empathetic relationship with the patients should be guided by an
adjustment to his condition. This ratio comprises the transmission
of information that can provide the patient with Acute Coronary
Syndrome (ACS) foundation for the treatment, particularly with
regard to the medication.
Objectives: To determine the level of satisfaction with information
about medication.
Methods: Non-experimental, quantitative, cross-sectional and
descriptive-correlational study. Sample constituted by 140 subjects
(75% male), the average age = 68,98 years (sd = 11,65). Data
collection technique socio-demographic and clinical questionnaire,
Portuguese version of the Measure of Adherence to Treatment
and Satisfaction with the information about the medication.
Participants were chosen according to their presence in the
Outpatient Cardiology Hospital Center Tondela-Viseu.
Results: The marital status, employment status, education
and income were sociodemographic variables to interfere with
the satisfaction with information about the medication. It was
concluded that the greater rates in the age, family functioning,
adherence to information, the lower the satisfaction with
information about the medication. It was found that the first
46
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
variable and only variable entering the regression model is the
LQIRUPDWLRQRQWRSHUIRUPZLWKWKHKLJKHVWFRUUHODWLRQFRHIÀFLHQW
in absolute value, deducing that the greater the information, the
healthier is the satisfaction with information on the medication.
Conclusions: This study revealed that there are still patients who
GRQRWIHHOVDWLVÀHGZLWKWKHLQIRUPDWLRQWKH\DUHJLYHQRQWKH
medication by health professionals.
QUALITY OF LIFE OF PATIENTS AFTER ACUTE CORONARY
SYNDROME
José Paulo Silvaa, António Diasb
a
'HSDUWPHQWRI(PHUJHQF\+RVSLWDO&HQWHU7RQGHOD9LVHX
Portugal. b&, '(766XSHULRU+HDOWK6FKRRO3RO\WHFKQLF,QVWLWXWH
RI9LVHX3RUWXJDO
Contact details: jose-jpas@hotmail.com
Introduction: There is an acknowledgement, and an awareness, of
the impact of Acute Coronary Syndrome (ACS) in the quality of life
of individuals. It is a cause of premature death, leading to physical
and emotional impairment in the survivors and, consequently, loss
of QOL.
Methods: This is a quantitative and cross-sectional study. Our
sample consisted of 131 individuals with a diagnosis of ACS for
at least six months We used a self-administered questionnaire
(sociodemographic, clinical and Quality of Life characterization 1HZ0DF4/0, ÀOOHGRQDQRXWSDWLHQWEDVLVE\LQGLYLGXDOVZKR
were attending outpatient consultation at the Hospital Center
Tondela-Viseu.
Results: Individuals in the sample are aged between 41 and 86 years
(mean = 67.11 ± 11.78). 74.0% are men. Males have better QOL
than females. Individuals who are aged [56-70] years (p < 0.01),
those who are employed, those who have completed intermediate
education and those who receive > 970 euros in wages also exhibit
higher levels of QOL (p < 0.05). Considering the clinical variables,
we observed that individuals with STEMI, those who present as
a first episode and those who underwent primary angioplasty
have better quality of life (p < 0.001). When evaluating physical
limitations, 53.43% of the individuals reported to be without
limitations and with better QOL (p < 0.001).
Conclusions: We found that QOL is the result of positive or negative
action of the individuals in the sample towards the disease, taking
into account their sociodemographic and clinical characteristics.
In general it was found that individuals with STEMI, those who
presented as a first event and those who were subject to rapid
treatment perceived their QOL more positively.
PREVALENCE OF CARDIOVASCULAR RISK FACTORS AMONG
PATIENTS WITH ACUTE CORONARY SYNDROME
Bruno Macedoa, António Diasb
'HSDUWPHQWRI(PHUJHQF\+RVSLWDO6RXVD0DUWLQV3RUWXJDO
&, '(766XSHULRU+HDOWK6FKRRO3RO\WHFKQLF,QVWLWXWHRI9LVHX
Portugal.
a
b
Contact details: bmaced@gmail.com
Introduction: Most cardiovascular diseases stem from an
LQDSSURSULDWHOLIHVW\OHDQGIURPPRGLÀDEOHULVNIDFWRUV 5) ZKRVH
control results in the reduction of fatal and non-fatal complications
of cardiovascular diseases.
Objectives: To determine the prevalence of cardiovascular RF:
social factors, behavioral factors and biological factors.
Material and methods: Cross-sectional study developed in a
Coronary Intensive Care Unit among 48 patients, from which 66.7%
are male. The average age was 60.02 years old and 54.2% are
aged 65 years old and above. A questionnaire was used to collect
socio-demographic data, socio-family data and RF. The chi-squared
test and binary logistic regression were used in SPSSr 20.0.
Results: As far as the prevalence of risk factors is concerned:
High blood pressure 66.7%, overweight/obesity 64.5%, hypertriglyceridemia 62.5%, hypercholesterolemia 56.3%, hyperglycemia/
diabetes 29.2%, smoking 27.1%, premature family history 22.9%.
It was found that 81.2% present two or more RF. As far as eating
habits are concerned, 41.7% present an unhealthy diet, 52.1%
present sedentary and 35.4% heavy alcohol consumption. Alcohol
consumption and smoking is heavier in men and women perceive a
better social support. It were established inter-relationships between
an unhealthy diet and high blood pressure (p = 0.035), between
hypertriglyceridemia and hypercholesterolemia (p = 0.007) and
between hypercholesterolemia and hypertriglyceridemia (p = 0.004).
Conclusions: The magnitude of the prevalence of RF suggests
that it is necessary to reinforce the promotion of health and the
cardiovascular prevention preferably pursuing a population-based
strategy. Effective secondary prevention strategies should also be
outlined.
SYMPOSIUM: HEALTH LITERACY IN PORTUGAL:
FROM A CORNERSTONE TO HEALTH
EDUCATION TO A BUILDING PROCESS
OF HEALTH PROMOTION (HLS-EU-PT)
Coordinator: Luis A. Saboga-Nunes, Escola Nacional de
Saúde Pública - Universidade Nova de Lisboa, saboga@ensp.
unl.pt
Incorporate Communications
ASSESSMENT OF HEALTH LITERACY IN THE PORTUGUESE
CONTEXT
Daniel Rodriguesa, Margarida Siopab, Telma Nogueirab
Casa de Saúde do Telhal. Portugal. b(VFROD1DFLRQDOGH6D~GH
Pública. Portugal.
a
Contact details: danyelrodrigues@gmail.com
Introduction: The impact of health literacy (HL) in the everyday
decisions of individuals needs to be studied in a way to get the
best outcomes while promoting the best decisions for health.
This research aims at identifying instruments to assess HL of the
Portuguese population. This is considered relevant to empower a
population to become healthier.
Objectives: Departing from an analysis of instruments developed to
evaluate HL in other cultural contexts, we pretend to evaluate the
feasibility of a research instrument to assess HL in Portugal.
Methods: A systematic review of the literature on instruments
for assessing health literacy in English and Portuguese was done
([1993-2013]: MEDLINE, CINAHL and PubMed). The instruments for
assessing health literacy were analyzed according to their reported
properties. After this systematic literature review and a SWOT
analysis with a focus group of Portuguese health professionals was
implemented.
Results:7HQWRROVWRPHDVXUH+/ZHUHLGHQWLÀHG)URPWKHVHD
proposition tool to measure HL includes three different instruments:
NVS, HLS and eHealth. These three instruments were translated
to Portuguese and have reported psychometric properties, clinical
feasibility and a potential good usability in the general population.
Conclusions: Instruments to assess HL present different issues
depending on the context of their use. A combination of tools to
assess HL could be useful to assess it on a population basis. The
proposed synthesis of various tools seems to be a reasonable
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
proposition to further develop research in the Portuguese context
on HL.
ASSESSING HEALTH LITERACY IN DIABETES:
WHAT ARE THE CHALLENGES?
Vera Diasa, Júlia Carvalhob, Luis Saboga Nunesc
8&&,GH/RQJD'XUDomRH0DQXWHQomRGH&HUQDFKHGR%RQMDUGLP
Portugal. bInstituto Médio de Saúde do Uíge-Angola. Angola.
c
(VFROD1DFLRQDOGH6D~GH3~EOLFD8QLYHUVLGDGH1RYDGH/LVERD
Portugal.
a
Contact details: veraruivodias@gmail.com
Introduction: Health literacy (HL) plays a key role for success in
patient treatment. HL indicates patient’s ability to understand
health professionals (HP) message, the disease particularities. This
way, HP’s communication and intervention process can be adjusted
to the patient HL level. Low HL levels in diabetes are associated
with worse control and management of the disease. This sets the
relevancy to access patient HL levels in order to implement tailored
and comprehensive interventions. Two questionnaires are found in a
systematic review: Literacy Assessment for Diabetes (LAD) and Measure
of Functional Health Literacy and Critical Communicative (MFCCHL).
Objectives: This research focus on the LAD and MFCCHL idenWLÀFDWLRQRIWUDQVODWLRQDQGYDOLGDWLRQIRUWKH3RUWXJXHVHFRQWH[W
Methods: A systematic literature review and a SWOT analysis with
a focus group of Portuguese HP were implemented.
Results: Both questionnaires are validated for diabetes in their
own cultural original settings, but none is translated and validated
to Portuguese context. The SWOT analysis showed threats like
the LAD’s needs of an interviewer, opportunities such as the
specific vocabulary on health and diabetes, weakness such as
the need to know how to read, or a strength such as the rapid
implementation. The MFCCHL have some issues that can hinder
+/PHDVXUHPHQWVXFKDVWKHHYDOXDWLRQRIWRRVSHFLÀFGLPHQVLRQV
(functional, communicative and critical HL), that may distort
patient’s responses. Some other strenghs could be referred has
both instrumentd have a good internal reliability and coherence
values (high Cronbach alpha).
Conclusions: The use of MFCCHL has advantages when compared to
use of LAD. Nevertheless both instruments need to be validated to
de Portuguese context.
HEALTH LITERACY IN CLINICAL PRACTICE: A SYSTEMATIC
REVIEW
Ana Bomberta, Marta Mourãob, Susana Amorimc, Maria Simõesa,
Vera Ricardoa
(VFROD1DFLRQDOGH6D~GH3~EOLFDbHolmes Place Portugal.
Hospital Prof. Doutor Fernando Fonseca. Portugal.
a
c
Contact details: teresa.bondesousa@gmail.com
Introduction: Health literacy (HL) is correlated with health outcomes. Since the 90s several tools have been constructed as
DZD\WRWU\WRPHDVXUH+/7KHUHLVWKHQHHGWRÀQGYDOLGDWHG
instruments for the Portuguese population.
Objectives: To review the literature on HL tools that can be used
in clinical practice, highlighting their strengths, weaknesses,
opportunities or threats.
Methods: A systematic literature review and a SWOT analysis with a
focus group of Portuguese health professionals were implemented.
Results: The Rapid Estimate of Adult Literacy in Medicine (REALM)
was elaborated, based on the premise that reading is a basic skill of
literacy and that there is a strong relationship between pronunciation
and comprehension. Its purpose would be to assess the ability of
patients to understand what they are told by their physician. It may
47
be of fast and easy application, but the fact that it is based solely on
the ability of pronunciation, which consequently leads to exclusion
RIVRPHJURXSVDQGWKHGLIÀFXOW\LQDGDSWLQJLWWRRWKHUODQJXDJHV
can be seen as limitations. Other tools were developed from REALM
in order to reduce these disadvantages like the Test of functional
health literacy in adults (TOFHLA) and the Short Assessment of
Health Literacy for Spanish-speaking Adults. Subsequently, the
TOFHLA formed the basis for the construction of Single Item Literacy
Screener. All of these tools have limitations, particularly in terms
of their validation and of what each one is intended to assess,
usually evaluating only a basic component of literacy individually.
Conclusions: A solution to measure HL may imply validating and
FRPELQLQJH[LVWLQJWRROVÀOOLQJLQWKHLULQGLYLGXDOJDSVLQVWHDGRI
creating new ones.
THE EUROPEAN HEALTH LITERACY SURVEY (HLS-EU)
AND ITS PORTUGUESE CULTURAL ADAPTATION AND
VALIDATION (HLS-PT)
Luis Saboga-Nunesa, Kristine Sorensenb
(VFROD1DFLRQDOGH6D~GH3~EOLFD8QLYHUVLGDGH1RYDGH/LVERD
Portugal. bDepartment of International Health at Maastricht
University. The Netherlands.
a
Contact details: saboga@ensp.unl.pt
Introduction: A model to measure Health literacy (HL) was
proposed in the context of the European project Health Literacy
Survey (HLS-EU), integrating medical and public health views.
A trans-cultural adaptation and validation of the HLS-EU to
portuguese (HLS-EU-PT) or (HLS-PT) immerses Portugal in the
mainstream of HL research. This will supply policy makers, experts
and health professionals with information that can promote
KHDOWKLHUFRPPXQLWLHVZKLOHÀJKWLQJKHDOWKGLVSDULWLHV
Methods: This is a quantitative and qualitative explanatory
cross-correlated study with a random sample of 7380 individuals
from eight EU countries. From the original protocol to measure HL
(HLS-EU) (HLS-EU CONSORTIUM (2012) a Portuguese validation is
undertaken (HLS-PT).
Results: For the HLS-EU survey inadequate HL (12%) and problematic
HL (35%) show that about 47% of respondents have limited HL. One
RIWKHPDQ\UHODWHGLVVXHVWR+/WKDWKDYHDGHÀQLWLYHLQÁXHQFH
on health, are health behaviors. This research shows that when
performing bivariate examination of HL with health behaviors, like
physical activity (r =î WKHUHLVDQDVVRFLDWLRQWRDKHDOWK\OLIH
style. In the validation process, the HLS-PT reviews several issues
when dealing with variables such as those considering life styles,
sociodemographics or health care use. The concept of physical
activity is such one of them, has it is the Newest Vital Sign (NVS)
test that is also used in the HLS-EU survey.
Conclusions: Results enhance the need of a Portuguese validated
HLS-EU survey, while planning public health policy strategies
from the HL standpoint based on salutogenesis. This way country
comparisons can be meaningful when indicators are culturally
DGDSWHGWRWKHHQGXVHUDQGEHQHÀFLDU\RIWKHHQGHDYRUWRWDFNOH
disparities.
EHEALTH LITERACY (ELISA) EVALUATION IN PORTUGAL
AND BEHAVIOR CHANGE
Luis Saboga-Nunes
(VFROD1DFLRQDOGH6D~GH3~EOLFD8QLYHUVLGDGH1RYDGH/LVERD
Portugal.
Contact details: saboga@ensp.unl.pt
Introduction: Web health resources may be helpful when citizens
have adequate ehealth literacy (eHL), are willing and ready to
48
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
use them. This research focus users experience with a smoking
cessation (SC) website (www.parar.net) and what may contribute
to behavior change.
Methods: Web users eHL (N = 1463) was accessed with a 20 item
VFDOH H/L6DDPRGLÀHGYHUVLRQRIH+HDOVIRUFXOWXUDOYDOLGDWLRQ
proposes). Other characteristics were also considered with a
quantitative and qualitative explanatory cross-correlated design.
A randomized sample extracted of those that decided on a day to
stop smoking (Dday) were interviewed 12 months after the Dday.
Results: Item analysis was performed on eLiSa scale, producing
DWLJKWÀWWLQJVFDOHZLWKa = .77. Principal components analysis
produced a six-factor solution (68% of variance). The exploratory
PD[LPXPOLNHOLKRRGDQDO\VLVZDVQRWÀ[HGDQGVL[IDFWRUVHPHUJHG
7KHÀUVWIDFWRUDFFRXQWHGIRU RIWKHWRWDOYDULDQFHDQGKDG
a value of 5.8. eLiSa participants score, ranged from 37 to 105,
where lower levels refer to higher literacy. The mean was 63.67,
with a SD of 15.88 and the difference between the two groups was
not statistically different. The mean for those who had stopped
smoking was 60.48 (SD 14.4) while the mean for those who had
not quit was 65.41 (SD 16.6). Among those with low literacy, 28.9%
were non-smokers, while 71.1% were smokers.
Conclusions: Results enhance the need of further research from
the salutogenic perspective as there is some evidence that having
a adequate eHL may be relevant to assist successfully a process of
SC with the use of the internet.
SYMPOSIUM: PSYCHOLOGICAL INTERVENTION
SERVICE: SPECIALIZED MODELS FOR
ADOPTION, LEARNING DISABILITIES,
INHIBITION IN ADOLESCENCE
Coordinator: Margarida Rangel Henriques, Faculdade de
Psicologia e de Ciências da Educação da Universidade do
Porto, mrangel@fpce.up.pt
Incorporate Communications
PSYCHOLOGICAL SUPPORT WITH ADOPTIVE FAMILIES
Margarida Henriques, Emilia Moreira
)DFXOGDGHGH3VLFRORJLDHGH&LrQFLDVGD(GXFDomR8QLYHUVLGDGH
do Porto. Portugal.
Contact Details: emilia.moreira@gmail.com
Introduction: Adoption is considered a powerful intervention to
promote the child’s physical and mental health recovery. However
it also brings loss and grief to children and adoptive parents. The
complexity of this process encouraged the development of an
intervention unit to support adoptive families within pre and post
adoption periods.
Aims: We aim to describe the therapeutic process of a psychological
support model with adoptive families, illustrating it with a clinical
case.
Methods: Comprising family and individual sessions (child/parents),
as well as a systemic approach to other systems of the child’s life,
this therapeutic process aims to promote the child’s appropriation
of the family structure and the narrative construction of the her
life story. Narrative externalization strategies are used to control
the fears of rejection, of both child and parents. Specific work
focused on the co-construction of narratives about the family daily
events potentiates the family experience through memory and
LQWHQVLYHVLJQLÀFDWLRQ
Results: C is an 8 year old boy who lived in an institution since
KHZDVDQGZDVDGRSWHGE\DVLQJOHPRWKHU2QWKHÀUVWIDPLO\
session, they presented themselves as companions and told their
VWRU\HPSKDVL]LQJWKHLUÀUVWPHHWLQJDQGWKHÀUVWGD\VWRJHWKHU
The fears started just then. The request was about C’s tantrums
which made them feel insecure about that family project. Along
the process, they explored each other life trajectories and underVWRRGKRZIHDUWULJJHGWKHLULQVHFXULW\EHKDYLRUVÀJKWLQJWRJHWKHU
against it.
Discussion: This process contributed to strengthen the construction
of the family identity. The externalizing language helped the family
DFWLYDWHUHVRXUFHVWRÀJKWDJDLQVWWKHSUREOHPDQGVWUHQJWKHQWKHLU
project.
PSYCHOLOGICAL SUPPORT WITH ADOPTIVE FAMILIES:
THE LIFE NARRATIVE CONSTRUCTION OF A CASE STUDY
LIFE STORY
Emilia Moreira, Margarida Henriques
)DFXOGDGHGH3VLFRORJLDHGH&LrQFLDVGD(GXFDomR
Universidade do Porto. Portugal.
Contact details: emilia.moreira@gmail.com
Introduction: Research suggests that adopted children and adults
have experienced adverse environments in infancy. Thus, exploring
and organizing their life story is demanding for psychological
support, in order to promote a healthy emotional development.
Objectives: We aim to analyze a playful approach to facilitate
the child engagement in the narrative exercise of the life story
construction. The methodology is illustrated with a clinical case.
Methods: Z. is a 5 year old child who stayed with a foster family
for four years and was adopted by a single mother. In order to
promote the communication about the child’s life story we
created a metaphor to approach that trajectory-the three houses.
To facilitate the child’s willingness to explore the life story, we
introduced a story tale in which the three houses theme appears:
the three little pigs. The tale was read aloud by the therapist, who
also questioned the child, to keep her attention to some details
RIWKHÀJXUHVDQGWKHVWRU\$WWKHHQGRIWKHVWRU\WKHWKHUDSLVW
showed three toy houses with the three little pigs and the wolf,
encouraging her to play with them.
Results: The child listened to the story on the lap of the therapist
and then wanted to play with the toys. During the pig’s leakages,
the child opened several times the house to the wolf, showing
trouble in understanding the story or some ambivalence towards
that character. This play was reproduced in the following session
and then the child’s three houses were drawn on cardboards and we
started co-constructing the life story.
Discussion: The story tale and story play promotes the child’s
symbolization and allows her to manage social representations
ZKLFKDUHYHU\FRPSOH[DQGGLIÀFXOWWRZRUNLQRWKHUZD\V
A TRIADIC MODEL FOR LEARNING DISABILITIES
Diana Alves, Mariana Sousa, Margarida Henriques,
Marina Serra de Lemos
)DFXOGDGHGH3VLFRORJLDHGH&LrQFLDVGD(GXFDomR
da Universidade do Porto. Portugal.
Contact details: dianalves@fpce.up.pt
Introduction: Learning disabilities are a common and growing
problem in developed countries. Learning disabilities are
often associated to behavior problems with a negative impact
in children academic performance, as well as in their family
dynamics and environment. Moreover, children with learning
disabilities frequently show poor peer relations which may result in
antisocial and withdrawn behaviors hampering their interpersonal
LQWHUDFWLRQ7KXVLIWKHVHGLIÀFXOWLHVDUHQRWHDUO\LGHQWLÀHGDQG
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
dealt with, they may have damaging effects in their developmental
trajectory.
Objectives: To illustrate the model of assessment and intervention
on learning disabilities developed at the Learning Disabilities Unit
(LDU) of the Service of Psychological Intervention with Children and
Adolescents of the Faculty of Psychology and Sciences of Education
of University of Porto.
Methods: A brief case presentation, analysis of the psychological
assessment strategies and description of the intervention developed
with a 8 year old girl, attending the 3rd grade. Results of the Child
Behavior Checklist, the Teacher Report Form, as well as reading and
writing measures will be presented for moment 1 (baseline) and 2
(two years after the beginning of the intervention).
Results: The intervention had positive effects both on the girl’s
academic performance (increased reading speed and verbal
fluency) and her socio-emotional adjustment (lower scores in
Problem Scales and higher scores in Competence Scale).
Conclusions: This case presentation describes two modalities of
intervention, which aims to promote not only children’s academic
skills, but also their socio-emotional development. It underlines the
potentialities of the ULD model in assessment and intervention in
learning disabilities.
SYMPOSIUM: THE DIFFERENT FACES OF
VIOLENCE IN CHILDHOOD AND ADOLESCENCE
Coordinator: Susana Cristina P. dos Santos Lucas, Instituto
Piaget de Viseu, FPCE- UC, suzanalucas@gmail.com
49
quality of social global interactions with more student involvement
in peer activities, enhance the quality of their performance in
various contexts, foment their interest in the content of the school
curriculum and participation in the proposed activities thereby
promoting their academic acquisitions. The student became more
resilient.
CHILDHOOD OBESITY: MALTREATMENT OR LOVE?
Susana Silva
,QVWLWXWR3LDJHW9LVHX3RUWXJDO
&RQWDFWGHWDLOV VXVDQDVRÀDSVLOYD#JPDLOFRP
Introduction: Obesity has been considered an epidemic in public
health (WHO, 2010). Recent research has tried to understand
this problem in childhood and several authors conceptualized
this problem as a maltreatment behavior (Fairburn, 2008). This
communication pretends to analyze childhood obesity and aims to
understand the impact of this epidemic in public health. In this
analysis we will attend specially to the parenting practices that
neglect and promote unhealthy eating behaviors contributing to
the development of this chronic disease and promoting the discuss
around the (in)adaptation of these behaviors. We will analyze
the theoretical and practical implications of parenting practices
that help to conceptualize these behaviors in order to give some
instructions to health and social professionals. In conclusions,
research is not consensual to consider obesity childhood as a
result of maltreatment behaviors, although it is consensual that
this argument should be analyzed and healthy eating habits should
integrate intervention programs with abusive parents.
Incorporate Communications
OBVIATE AND OPPOSE BULLYING AT INCLUSIVE SCHOOL:
WHEN ACTORS ARE SPECIAL EDUCATIONAL NEEDED
STUDENTS.
Paula Teixeiraa, Fátima Felicianob, Suzana Lucasc
a
(VFROD6XSHULRUGH(GXFDomR-HDQ3LDJHW9LVHXb,6(,79LVHXGR
,QVWLWXWR3LDJHW&DPSXV8QLYHUVLWiULRGH9LVHXcInstituto Piaget
GH9LVHX)3&(8&&HQWUR+RVSLWDODU7RQGHOD9LVHX3RUWXJDO
&RQWDFWGHWDLOV SDXODWHL[HLUD#JPDLOFRP
Introduction: The occurrence of bullying behaviors on students
with special educational needs (sen) is a barrier to full inclusion of
these students in the Inclusive School, directly interfering with the
quality of their social and academic performance, so it is urgent to
prevent and oppose it.
Objectives: Establish a plan of action that prevents and opposes
bullying with students with sen.
Methods: Research-action program developed according to the
methodology of case study, qualitative study based on naturalistic
observation, with narrative registration and note of frequency of
aggressive behaviors observable and semi-structured interview
based on the Olweus questionnaire on agressive behaviors to assess
the perception of the victim on the occurrence of these behaviors
and evaluate the effectiveness of the intervention, based on the
development of protective factors and the reduction of risk factors
to obviate and oppose them.
Results: The implementation of an intervention plan involving the
whole school community and based on the promotion of personal
skills contributed to the elimination of bullying behaviors, adopting
the bullies a non agressive attitude and the victims a more assertive
one.
Conclusions: The intervention, assumed and shared by all
stakeholders, by reducing agression, has contributed to improve the
BIDIRECTIONAL INTIMATE PARTNER VIOLENCE AMONG
PORTUGUESE ADOLESCENTS
Susana Lucasa, Mário Simõesb, M. Rosário Pinheirob
a
,QVWLWXWR3LDJHWGH9LVHX)3&(8&&HQWUR+RVSLWDODU
7RQGHOD9LVHX3RUWXJDObFaculdade de Psicologia e Ciências
GD(GXFDomR8QLYHUVLGDGH&RLPEUD3RUWXJDO
Contact details: suzanalucas@gmail.com
Introduction: Intimate partner violence (IPV) was recognized as a
public health problem (Hoefer, Black & Salehin, 2012), once that in
recent years there has been a growing increase of the phenomenon,
in adolescents, the repercussions reflected a serious impact
on quality of life of those who suffer this form of victimisation
(Faro, Alves & Lucas, 2012). The literature do not operationalize
WKHGHÀQLWLRQRIYLROHQFHHYHQO\+RZHYHUWKLVLVFRQVHQVXDO,39
resembles domestic violence to be a pattern of abusive behavior
used to control another person, manifests in various forms and
severity levels (Foshee et al, 2007). However, depending on certain
factors violence can be bidirectional (Tyler et al, 2009).
Objectives: The goal of the study was to describe the rates and risk
factors of bidirectional IPV among adolescents.
Methods: Sample was 1697 adolescents in dating violence, booth
gender, between 13-18 years old. Evaluation protocol composed by
3 parts: Sociodemographic Questionnaire, Questionnaire of History
of Violent Behaviors (Lucas, Simões & Pinheiro, 2008), Conflict
in Adolescent Dating Relationships Inventory (Lucas, Simões &
Pinheiro, 2008).
Results: Indicate that most couples reporting violence engage
in bidirectional. The practice of mutual violence depends of
predictors: types of violence, risk factors and characteristics of
romantic relationships. Unidirectional is more associated with the
characteristics of the gender. The occurrence of bidirectional is
associated with a risks factors and causes.
50
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Conclusions: The conclusion reached that the bidirectional violence
KDVDGLVWLQFWG\QDPLFVIURPWKHXQLGLUHFWLRQDO,397KHVHÀQGLQJV
highlight the importance of distinguishing different types of IPV,
and have important epidemiological and prevention implications.
SYMPOSIUM: MARTIAL ARTS AND COMBAT
SPORTS
Coordinator: Abel Aurélio Figueiredo, ESEV-Instituto
Politécnico de Viseu, abel.figueiredo@esev.ipv.pt
Incorporate Communications
EDUCATIONAL AND HEALTH VALUE OF MARTIAL ARTS
& COMBAT SPORTS AND ITS REPRESENTATIVENESS
IN PHYSICAL EDUCATION CURRICULA
Bruno Avelar-Rosaa, Mariana Gomesb, Víctor López-Rosc,
Abel Figueiredod
a
3RO\WHFKQLF,QVWLWXWHRI9LVHX3RUWXJDO8QLYHUVLW\RI*LURQD
Spain. bUniversity of Campinas. Brazil. University of Toulouse II.
France. cUniversity of Girona. Spain. dPolytechnic Institute
RI9LVHX3RUWXJDO
Contact details: bruno.ibe@gmail.com
Introduction: Considering Martial Arts & Combat Sports (MA&CS) as
educational and health tools, this study analyse their inclusion in
Physical Education (PE) curricula and PE degree studies, presenting
an alternative didactical approach.
State of Art: There are several studies regarding the importance
of MA&CS in PE classes (Winkle & Ozmun, 2003), psychological
EHQHÀWV 9HUWRQJKHQ 7KHHERRP .DYRUDHWDO LWV
effects on health (Woodward, 2009) and positive psychomotor
GHYHORSPHQWLQÁXHQFH 'LDPRQG /HH $OWKRXJKDFFRUGLQJ
to Robles (2008), teachers are not used to select these practices for
WKHLUFODVVHV-XVWLÀFDWLRQVVXFKDVWKHODFNRIPDWHULDOLQVFKRROV
students’ interests, violence stimulation and the lack of didactical
orientations are referred as the main reasons to its non-application.
In this way, in a curricula analysis, Theeboom & Knop (1999) shows
the differences of MA&CS disciplines practiced in some schools
in Europe, while Gomes & Avelar-Rosa (2012) demonstrates the
non-existence of an academic pattern in PE degrees.
New Perspectives: Believing in the holistic concept of PE, some
authors (Figueiredo, 1997; Avelar & Figueiredo, 2009; Gomes et al,
2010) support its integration in PE curricula, and teachers academic
formation, adopting a didactical perspective based on a transversal
treatment of this practices in order to develop a “Global Fighting
Knowledge” (Terrisse et al, 1995), that considers the tactical
intention and the combat’s dynamics, rather than the pure technique.
Conclusions: In a didactical meaning, this approach is possible and
simpler to be understood by the students and PE teachers. As a
consequence, MA&CS can be taught and learned often in schools,
LPSOLFDWLQJJDLQLQJEHQHÀWV
STEREOTYPES OF FEMALE PARTICIPATION IN KARATE:
CASE STUDY
Carla de Sousa
'HJUHHLQ6FLHQFHVRI(GXFDWLRQ0DVWHULQ3HGDJRJLFDO
Supervision and Teacher Training.
&RQWDFWGHWDLOV VRÀDGHVRXVD#JPDLOFRP
Introduction: The aim of this case study was to research the
perception that women have towards the female gender in karate.
Analyzing the conceptions related to gender stereotypes they tend
to structure the female image as not being suitable for sports that
involve violence.
State of the Art: For centuries women have been denied to
participation in sports, having progressively through struggles
and social transformations obtained the right to participate.
Participation conditioned by their social image, cultural, physical,
psychological and biological.
New perspectives: Exploring the vision of a Portuguese woman,
karate athlete, national, European and world champion in different
years, of kumite and kata, denoted that her premises before the
inferiority of women are not the same as the general gender
stereotype.
Theoretical and practical implications: Coaches and teachers
have an important role in awareness of pre concepts of gender
differences made by parents, children and other athletes. It’s
necessary to continually develop coeducation in karate trainings,
since co-educate is to educate against prejudice.
Conclusions: There is a need to promote awareness of gender
stereotypes towards the image of women in karate as positive
and egalitarian. It’s not only important to call women to practice
karate but as well to identify the conceptions what women can and
can’t do in karate, mainly to all trainers, there teaching methods
and the conceptions of the club and the society here they teach/
practice. It’s also necessary to transmit the image that this sport is
likely to be practiced by both sexes, without establishing negative
criticism or have limited value judgments and to have the clear
perception of the concepts pre laid towards the biopsychosocial
distinctions.
TEACHERS USE OF COMBAT SPORTS IN PHYSICAL
EDUCATION CLASSES
Abel Figueiredoa, Bruno Avelar-Rosaa, Miguel Limab
&HQWHUIRU6WXGLHVLQ(GXFDWLRQ7HFKQRORJLHVDQG+HDOWK
&, '(76 b6FKRRORI(GXFDWLRQ3RO\WHFKQLF,QVWLWXWHRI9LVHX
Portugal.
a
&RQWDFWGHWDLOV DEHOÀJXHLUHGR#HVHYLSYSW
Introduction: Martial arts (MA) and combat sports (CS) with
adequate pedagogical environment are enjoyable exercising
DOWHUQDWLYHVWKDWEHQHÀWELRORJLFDOFRQGLWLRQDQGSV\FKRVRFLDO
well-being of participants (Woodward, 2009). Some CS are part
of Physical Education (PE) Programs. However, in Portugal, and
according to several studies, their application in PE classes depends
RQWKHJLYHQLPSRUWDQFHE\WHDFKHUVDQGWKHVSHFLÀFNQRZOHGJH
they have.
Objectives: This study aims to 1) assess which education teachers
have on the CS and 2) realize the importance teachers give to the
CS approach in PE classes.
Methods: This descriptive and explanatory study was applied
to a non-probability convenience sample of 50 PE teachers of
Viseu municipality in Portugal. Data have been collected by
questionnaire.
Results: The large majority of teachers attributes a positive
importance to CS approach in PE classes, and approximately
two-thirds had academic education on CS. Teachers favor the
approach of wrestling, followed by CS (general) and judo. As
marked reasons for not approaching CS were the lack of technical
mastery and the fact they are not part of the annual plan of the
school plan.
Conclusions: There is not a relationship between teacher education
and the importance they attach to CS use in PE. If on one hand they
recognize CS importance in PE, on the other hand, although most
teachers have obtained academic education on CS, they assume
technical limitations that preclude their approach in PE classes
with more frequency and quality.
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
SYMPOSIUM: ADOLESCENT SMOKING
DETERMINANTS AND ITS IMPLICATIONS
FOR SMOKING PREVENTION
Coordinator: Paulo Vitória, Universidade da Beira Interior,
pvitoria@fcsaude.ubi.pt
Incorporate Communications
LONGITUDINAL EVALUATION OF A SCHOOL BASED
SMOKING PREVENTION PROGRAMME
Paulo Vitóriaa, Sílvia Silvab, Hein de Vriesc
51
These results suggest that girls and boys smoking behaviour is
LQÁXHQFHGWKURXJKGLIIHUHQWSURFHVVHVDQGE\GLIIHUHQWUHIHUHQWV
There are also important differences on self-efficacy to refuse
FLJDUHWWHVZLWKJLUOVOHVVFRQÀGHQWWKDQER\V6PRNLQJSUHYHQWLRQ
programmes should take these differences in account and targeted
girls and boys with different strategies.
This study was partially supported by a FCT grant (ref.: SFRH/
BD/34503/2006).
PARENTS AND PEERS INFLUENCE ON INTENTION
TO SMOKE AND ON SMOKING BEHAVIOUR:
A LONGITUDINAL STUDY
Paulo Vitóriaa, Fátima Salgueirob, Sílvia Silvab, Hein de Vriesc
a
Faculdade de Ciências da Saúde. Universidade da Beira Interior.
Covilhã. Portugal. b,QVWLWXWR8QLYHUVLWiULRGH/LVERD ,6&7(,8/
Business Research Unit. Lisboa. Portugal. cDepartment of Health
Promotion. University of Maastricht. The Netherlands.
Contact details: pvitoria@fcsaude.ubi.pt
School based smoking prevention programmes for adolescents have
not yet showed positive and consistent results. This paper presents
a longitudinal evaluation of one of these programmes, implemented
in Lisbon District schools and including interventions in four levels:
class, school, family and community. This was a longitudinal
quasi-experimental study, based on Community Intervention Trial,
ZLWKUDQGRPO\GHÀQHGFRQWURO && DQGLQWHUYHQWLRQFRQGLWLRQV
(IC). Four questionnaires were applied in the beginning of the 7th,
8th and 9th and in the end of the 9th grades, to 1205 adolescents
(mean age at T1 = 13.5; 57% girls and 55% in the IC). Exposure
to prevention activities, psychosocial smoking determinants and
smoking behaviour were the main variables considered. Variance
analysis and logistic regression were used to test the differences
between the two conditions. The IC obtained better results in
prevention activities exposure, in smoking determinants and in
behaviour. At the end of the project, 41.8% of IC and 53.3% of CC
participants had tried tobacco (OR = 0.62; CI 95% 0.49; 0.80), and,
respectively, 8.0% and 12.4% became regular smokers (OR = 0.59;
CI95% 0.40; 0.87). We can conclude that this programme reduced
initiation and regular smoking.
WHY MORE AND MORE GIRLS SMOKE?... DIFFERENCES
BETWEEN GIRLS AND BOYS IN SMOKING MOTIVES
Paulo Vitóriaa, Sílvia Silvab, Hein de Vriesc
a
Faculdade de Ciências da Saúde. Universidade da Beira Interior.
Covilhã. Portugal. b,QVWLWXWR8QLYHUVLWiULRGH/LVERD ,6&7(,8/
Business Research Unit. Lisboa. Portugal. cDepartment of Health
Promotion. University of Maastricht. The Netherlands.
Contact details: pvitoria@fcsaude.ubi.pt
Portuguese girls smoking prevalence is increasing while prevalence
among boys is decreasing. The objective of the current study is to
investigate differences between boys and girls in smoking motives.
Adolescents in the 7th grade (N = 3064; mean age 13.5; 50.9%
JLUOV ÀOOHGLQDTXHVWLRQQDLUH0DLQYDULDEOHVZHUHGHPRJUDSKLFV
VHOIHIÀFDF\WRUHIXVHFLJDUHWWHVEHOLHIVRQWKHDGYDQWDJHVDQG
GLVDGYDQWDJHVRIVPRNLQJVRFLDOQRUPVDQGVRFLDOLQÁXHQFHVRQ
smoking, intention to smoke in the future and smoking behaviour.
Among the participants, 5.3% of girls and 4.0% of boys smoked
weekly (p < 0.001), and 4.0% of girls and 2.9% of boys smoked daily
(p < 0.001). Overall, girls showed high values on motives to smoke.
6RPHYDULDEOHVZHUHVLJQLÀFDQWDVVRFLDWHGZLWKVPRNLQJRQO\IRU
girls: mother smokes, sibling(s) smoke(s), pressure to smoke from
IULHQGVDQGORZVHOIHIÀFDF\WRUHIXVHFLJDUHWWHVZKHQRIIHUHGE\
friends, when upset, when depressed and when doing homework.
a
Faculdade de Ciências da Saúde. Universidade da Beira Interior.
Covilhã. Portugal. b,QVWLWXWR8QLYHUVLWiULRGH/LVERD ,6&7(,8/
Business Research Unit. Lisboa. Portugal. cDepartment of Health
Promotion. University of Maastricht. The Netherlands.
Contact details: pvitoria@fcsaude.ubi.pt
There is an important debate about the determinants of smoking
behaviour, their relative impact and how impact is exerted. This
is a longitudinal study on the relations among social influence,
intention to smoke and smoking behaviour. A model combining
parents and peers with subjective and descriptive norms, resulting
in four factors, was used to assess social influence. Data were
collected at the beginning of the 7th, 8th, and 9th school years,
concerning 578 students (Mean age =DWWKHÀUVWWLPHSRLQW
Structural Equation Modeling was used to test longitudinal effects.
Variances explained by the model were high: R2intention-T2 = 0.65,
R2behaviour-T2 = 0.67 and R2behaviour-T3 = 0.76. Longitudinal
DQDO\VHVFRQÀUPHGWKHHIIHFWVRIVRFLDOLQÁXHQFHRQLQWHQWLRQDQG
on behaviour. These effects on behaviour were direct and indirect
(peers’ and parents’ descriptive norms in both cases). Descriptive
norms had a stronger effect on behaviour than subjective norms.
Peers’ effect on behaviour was stronger than parents’, but peers’
effect was exerted only through descriptive norms while parents’
was exerted through both norms. These results show direct and
LQGLUHFWHIIHFWVRIVRFLDOLQÁXHQFHRQEHKDYLRXU3HHUVDQGSDUHQWV
H[HUWLQÁXHQFHRQDGROHVFHQWV·LQWHQWLRQDQGEHKDYLRXUWKURXJK
different processes.
This study was partially supported by a FCT grant (ref.: SFRH/
BD/34503/2006).
SCHOOL BASED SMOKING PREVENTION: PROGRAMMES
“NÃO FUMAR É O QUE ESTÁ A DAR” AND “APRENDE
A CUIDAR DE TI”
José Precioso
Universidade do Minho. Portugal.
Contact details: precioso@ie.uminho.pt
Data on smoking prevalence by age show that many children and
adolescent started to smoke around 12-13 years old, suggesting
that school based smoking prevention should start before this
age, namely, around the 5th - 7th school grades, and that booster
activities should be made in the following school years. First of
all, this paper presents the “Não fumar É O Que Está a Dar”, a
LQWHQVLYHVSHFLÀFDQGWUDQVYHUVDOVPRNLQJSUHYHQWLRQSURJUDPPH
Its development was research based and its main theoretical
IUDPHZRUNZDVWKHVRFLDOLQÁXHQFHWKHRU\7KHSURJUDPLQFOXGHV
15 sessions of 60 minutes each, to be delivered in the 6th and
the 9th school grades (years where students are in higher risk of
smoking initiation). The sessions should be implemented weekly
in classes of Natural Sciences, Portuguese, Mathematics, Visual
Education and Gymnastics). The programme content includes six
52
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
main components: Informing about tobacco smoke, promoting
a non-smoking attitude, smoking in the future decision taking,
counteracting the overestimation of smoking friends, and refusal
skills training. Each of these components may be a session or a set
of sessions with the aim of counteract a risk factor to the smoking
initiation or addiction by adolescents. Secondly, this paper presents
the “Aprende a cuidar de ti” programme, a booster of the previous
programme to be implemented in the 9th school grade through
classes of Natural Sciences, Portuguese and Mathematics. Both
programmes and their sessions contents might be found at http://
webs.ie.uminho.pt/tabagismo/.
SYMPOSIUM: THE IMPACT OF PEDIATRIC
CHRONIC ILLNESS ON CHILDREN AND FAMILIES
Coordinator: Margarida Santos, Escola Superior de Tecnologia da Saúde de Lisboa, margarida.santos@estesl.ipl.pt
Incorporate Communications
FAMILY ASTHMA MANAGEMENT SYSTEM SCALE:
ASTHMA MANAGEMENT PRACTICES IN PORTUGUESE
FAMILIES
Cláudia Silvaa, Luísa Barrosb
Universidade da Beira Interior. Covilhã. Portugal. bFaculdade
de Psicologia da Universidade de Lisboa. Portugal.
a
Contact details: claudia.silva@ubi.pt
Introduction: Asthma is an inflammatory chronic condition
with large variations in symptoms severity. Effective asthma
management by the family is crucial in the treatment of childhood
asthma.
Objectives: This study assesses the reliability and validity of the
Family Asthma Management System Scale (FAMSS), a semistructured
interview, with a sample of Portuguese children with asthma and
their caregivers. Additionally, we aim to explore the associations
between FAMSS, asthma knowledge and asthma morbidity.
Methods: The FAMSS was administered to 31 children (mean
age 10 y,10 m; SD = 2.19 y; 55% were boys) and their parents
(29 mothers and 2 fathers), recruited from two pediatric allergology
outpatient hospital departments. An asthma severity measure
based on parents’ report of symptoms (SCA), the number of asthma
exacerbations in last year and an asthma knowledge questionnaire
(AKQ) were used to assess convergent validity of the FAMSS.
Results: The FAMSS demonstrated good internal consistency
(a = DQGFRQÀUPHGUHOHYDQWDVVRFLDWLRQVZLWKVHOIUHSRUW
measures (parents’ asthma knowledge and asthma morbidity),
providing support for convergent validity of the measure. Mean
scores of the majority of FAMSS subscales were at the lower middle
UDQJHRIWKHUDWLQJVFDOHUHYHDOLQJGLIÀFXOWLHVLQVRPHGRPDLQV
of asthma management, as control of exposure to environmental
triggers and child management of asthma when not with the
IDPLO\&RQWHQWDQDO\VHVRIWKHLQWHUYLHZVDOORZWKHLGHQWLÀFDWLRQ
of some important details about families’ misconceptions and
strategies.
Conclusions: Support for the validity of the FAMSS was established
for a Portuguese sample. This interview proved to be an adequate
and clinical relevant instrument to assess families’ asthma
management practices.
THE IMPACT OF CHRONIC HEALTH CONDITIONS:
LEARNING FROM OSTEOGENESIS IMPERFECTA (OI)
PATIENTS AND THEIR FAMILIES
Margarida Santosa, Luísa Barrosb
a
)DFXOGDGHGH3VLFRORJLDGD8QLYHUVLGDGHGH/LVERD(VFROD
Superior de Tecnologia da Saúde-IPL. bFaculdade de Psicologia
da Universidade de Lisboa. Portugal.
Contact details: mmsantos@fp.ul.pt
Introduction: OI is a group of rare inherited disorders related to
collagen. Although the impact is determined by the severity type,
progressive dysfunction and consequent dependency are expected,
SRVLQJOLPLWDWLRQVWRQRUPDOURXWLQHVDQGLQÁXHQFLQJVRFLDODQG
emotional development. OI patients and families face stressfull
demands that change over the disease’s time span.
Objectives: To understand the impact of OI on patients and their
families. We studied four dimensions: 1) perceived crisis moment;
2) worries; 3) needs, and 4) ways to cope and adapt.
Methods: We used depth semi-structured interviews. Seven
families participated (7 children/adolescents; 7 mothers; 6 fathers;
4 siblings). The interviews were performed individually and were
audio-taped for further content analysis.
Results:$OOIDPLO\PHPEHUVLGHQWLÀHGDVFULVLVPRPHQWV IUDFWXUHV
pain and clinical procedures; time at home after hospital discharge;
reentry school. Parents reported “dealing with clinical treatment
choices” and ”dealing with educational issues”; patients (mainly
adolescents) reported “feeling socially rejected” and “feeling
dependent”; and siblings “patient hospitalization”. All family
PHPEHUVLGHQWLÀHGGLYHUVHZRUULHVDQGQHHGVUHODWHGWRFOLQLFDO
issues, and with psychological and social quality of life. On this
matter parents reported “educational issues” and the “child
psychological vulnerability”; patients reported “the future” and
´ÀJKWLQJWREHLQGHSHQGHQWµ DQGVLEOLQJV´IHHOLQJUHVSRQVLEOHµ
'LIIHUHQWFRSLQJVWUDWHJLHVZHUHLGHQWLÀHG
Conclusions: Results highlight the dynamic an intrinsic process
of adaptation and reinforce that listening to these families can
provide information so effective interventions may be tailored to
respond to their perceived needs.
PARENTAL QUALITY OF LIFE, CONCERNS AND PERCEIVED
THERAPEUTIC NEEDS: STUDY WITH OF PARENTS
OF CHILDREN WITH SPECIAL NEED
Ana Bernardo, Margarida Santos
(VFROD6XSHULRUGH7HFQRORJLDGD6D~GH,3/)DFXOGDGH
de Psicologia UL. Portugal.
Contact details: terapeuta_carolina@hotmail.com
Introduction: Parents of children with special needs support an
extra burden, as they must deal both with the management of the
FRPPRQHGXFDWLRQDOWDVNVDQGWKHVSHFLÀFWDVNVRIFDULQJIRUD
special child, often very demanding and time consuming. To support
these families educators and health providers must work together
(and with the parents) and must understand parental needs and
concerns.
Objectives: To evaluate the quality of life, perceived therapeutic
needs and concerns of parents of children with special needs, and
determine relationships between these variables.
Methods: We used a socio-demographic questionnaire; the World
Health Organization Quality of Life (WHOQOL-bref); the Parent’s
Evaluation of Developmental Status (PPEDS); and “The subjective
experience of disease inventory”(SEDI). Thirty parents (80%
mothers; mean age 30y) participated. Children were diagnosed
with pervasive developmental disorder (50%), cerebral palsy
(20%), rare genetic chromosomal disorders (13%) autism spectrum
disorders (7%) and others (10%).
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Results: Parents showed medium/low level of quality of life; the
lowest levels were found in the “environmental domain”. Major
concerns include children’s autonomy, language and behavior,
parent’s social isolation and lack of social support. Therapeutic
QHHGVZHUHDOVRLGHQWLÀHG3DUHQWVUHSRUWHGSRVLWLYHDQGQHJDWLYH
aspects regarding parenthood of these children. Several statistically
VLJQLÀFDQWFRUUHODWLRQVZHUHIRXQGEHWZHHQSHUFHLYHGTXDOLW\RI
life, children characteristics and parent’s concerns.
Conclusions: These results highlight important issues that are
related to parental quality of life and that should be considered
in a comprehensive intervention plan for children with special
needs.
PARENTING PRACTICES OF MOTHERS WITH CHILDREN
WITH CYSTIC FIBROSIS AND DIABETES
Teresa Marques, Luísa Barros, Margarida Santos
)DFXOGDGHGH3VLFRORJLD8/(VFROD6XSHULRUGH7HFQRORJLD
da Saude IPL. Portugal.
53
Objectives: To understand the subjective experience of the disease
and of being a pediatric cancer survivor and to verify the possible
relations between these experiences.
Methods: Case study design with 11 participants (age from 13 to
27years). A depth semi-strutured interview with two dimensions:
1) the experience of disease, and 2) the experience of being a
survivor was used. Interviews were audio-taped for further content
analysis.
Results:,QZKDWUHJDUGVWRWKHH[SHULHQFHRIGLVHDVHÀYHFDWHJRULHV
emerged: 1. the sense of disturbance//being protected; 2. losing
self-image: 3. social (des)integration; living in an adult world;
4. going through treatment. In what regards to the experience
of survival four categories emerged: 1. concept and identity of
surviving; 2. becoming “normal” 3. (re)learnig about the disease
and about the experience of disease. Some categories showed to be
UHODWHG$WUDQVLWLRQDOSHULRGZLWKVSHFLÀFLVVXHVIRZOLQJWKHHQG
of treatment, emerged.
Conclusions: Results highlight the need for discussion about the
concept of survival, and of survivorship and point some clues for
the, needed, support of these youngsters.
Contact details: teresamarques@campus.ul.pt
Introduction: Pediatric chronic illness has been associated with
increased levels of parental stress and an increased number of
parental responsibilities; however its impact on parenting practices
is less clear.
Objectives: Study the parenting practices reported by mothers of
children with pediatric chronic disease, particularly mothers of
FKLOGUHQZLWKF\VWLFÀEURVLVRUGLDEHWHV
Methods: This is an exploratory and qualitative study, with a
constructivist-developmental orientation. The methodology
used for the data collection was a semi-structured interview
and for the data analysis the methodology used was a content
analysis. The sample consisted of 60 mothers of children with
FKURQLFLOOQHVV F\VWLFÀEURVLVDQGGLDEHWHV 7KHFRQGLWLRQVZHUH
chosen taking into consideration its chronic nature, but also
their differences regarding the time of diagnose, prognosis and
treatment.
Results: The results showed that different types of problems
(physical simptons; feeding; and behavior) are solved in different
ways. The issues that trigger increased levels of stress are generally
VROYHGWKURXJKOHVVÁH[LEOHDQGGLIIHUHQWLDWHGVWUDWHJLHV0RWKHUV
of children with cystic fibrosis reported using more concrete
and less differentiated strategies when compared to mothers of
children with diabetes.
Conclusions: The results enhance the need to consider the requirements and restraints imposed by the disease when studying the
parenting practices of mothers with chronically ill children.
SURVIVING CANCER: THE SUBJECTIVE EXPERIENCE
OF THE DISEASE AND OF CANCER SURVIVORSHIP
IN YOUNGSTERS
Ana Correia, Margarida Santos
)DFXOGDGHGH3VLFRORJLDGD8/(VFROD6XSHULRUGH7HFQRORJLD
da Saúde-IPL. Portugal.
Contact details: anamsc@sapo.pt
Introduction: In the last decades there is a strong evidence
of a growing number of childhood cancer survivors. Although
having survived cancer, these youngsters live with a chronic
disease, and have to deal with the squeals of their cancer
and its therapy. It is nowadays recognized that researchers
and health care providres should attend to the psychosocial
consequences of successful treatment and to the quality of life
of these cancer survivors.
SYMPOSIUM: PREGNANCY AND INFERTILITY
Coordinator: Paula Carvalho, University of Beira Interior Portugal, paula.carvalho@ubi.pt
Incorporate Communications
THE ROLE OF RELATIONAL AND INDIVIDUAL VARIABLES IN
UNDERSTANDING THE RISK OF ADOLESCENT PREGNANCY
Paula Carvalhoa,c, Raquel Piresb,c, Maria Cristina Canavarrob,c,d
a
University of Beira Interior. Portugal. bUnit of Psychological
Intervention of the Maternity Doctor Daniel de Matos of the
University of Coimbra Hospitals. Portugal cRelations,
Development and Health Research Line. Institute of Cognitive.
'HYHORSPHQWDO9RFDWLRQDODQG6RFLDO3V\FKRORJ\RIWKH
University of Coimbra. Portugal. dFaculty of Psychology and
(GXFDWLRQDO6FLHQFHVRIWKH8QLYHUVLW\RI&RLPEUD3RUWXJDO
Contact details: paula.carvalho@ubi.pt
Introduction: In the last decades a decline in the incidence of
adolescent pregnancy rates in Portugal has been reported- even
though Portugal heads the EU as the countries with the higher rates
of pregnancy in adolescence.
Objectives: This work aims to identify predictors of adolescents’
relational and individual variables consensually associated with its
occurrence.
Methods: In this cross-sectional study (N = 380) logistic regression
models were built to understand the contribution of individual and
relational variables (assessed by: Semi-structured interview; EMBU)
to predict their impact on the occurrence of pregnancy.
Results: Lower educational levels, adolescent’s age and boyfriend’s
professional status increased the risk of pregnancy in adolescence.
In turn, earlier first sexual intercourse, less contraceptive
information and mother’s age also emerged as predictors.
Conclusions: Multidisciplinary efforts should be made at individual,
family and community levels to provide information on sexuality,
but also comprehensive interventions on school attendance,
relationships and affection, given its importance predicting sexual
behaviours associated with adolescent pregnancy.
54
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
THE 3P’S: PREGNANCY WITHOUT PAIN, PLEASE!
INFERTILITY CONDITION AND TREATMENT
IN A VAGINISMUS PATIENT
Andreia Martins Soares
3K'6WXGHQW)DFXOW\RI3V\FKRORJ\DQG(GXFDWLRQDO6FLHQFHV
of the University of Coimbra. Portugal.
Contact details: andreiamsoares2@gmail.com
Introduction: It is estimated that 9%-10% of couples worldwide
experience infertility and a great amount of them will have to
undergo assisted reproductive technology to achieve parenthood.
In women with vaginismus, anticipation/fear/experience of pain
interferes with her ability to have sexual intercourse and to
allow demanding and invasive infertility treatments procedures.
The present paper aimed at describing the infertility condition
and treatment impact on woman and especially on woman with
this psychosexual dysfunction. Special attention is given to
psychological intervention in this context.
Methods: For this purpose a clinical case study is presented and
discussed in light of the recent literature (on female infertility and
VH[XDOG\VIXQFWLRQV 6SHFLÀFFOLQLFDOLPSOLFDWLRQVDUHSRLQWHGRXW
Results: Unlike more quantitative studies, this clinical case study
provides a detailed account of a 35-year-old woman’s reaction to
infertility condition and treatment after learning that its sexual
dysfunction could be diminishing her chances to conceive through
natural or assisted mechanisms. This case vividly illustrates some of
the unique psychological and interpersonal repercussions brought
about by this kind of experience-perception of loss (of control,
self-esteem, goals), negative emotions (anger, frustration, anxiety,
depressed mood), marital challenges (sexual tension vs. marital
EHQHÀWV DQGDGYHUVHVRFLDOHIIHFWV QHHGIRUVRFLDOVXSSRUWYV
VRFLDOLVRODWLRQ DQGXQGHUOLQHVWKHLPSRUWDQFHRILQIHUWLOLW\VSHFLÀF
psychological interventions in reproductive health services.
Conclusions: This approach has important contributions for clinical
practice with infertile women who also suffer from vaginismus.
EXPECTATIONS AND SATISFACTION OF PREGNANT AND
POSTPARTUM WOMEN WITH THE TYPE OF DELIVERY
Inês Medeirosa, Paula Carvalhob, M. Panaroa, José Martinez Oliveiraa
a
University of Beira Interior. Department of Medical Sciences.
Portugal. bUniversity of Beira Interior. Department of Psychology
DQG(GXFDWLRQ3RUWXJDO
different parameters, but the more positive overall satisfaction is
observed in normal or vaginal childbirth (eutocia).
Conclusions: All these factors are susceptible of influencing
the childbirth experience quality, being this way important the
reflection for the construction of a more realistic, human and
positive perception of the childbirth experience.
PSYCHOPATHOLOGICAL SYMPTOMS AND SOCIAL SUPPORT
DURING PREGNANCY AND POSTPARTUM
Ana Carolina Ferreira, Paula Saraiva Carvalho
University of Beira Interior. Department of Psychology
DQG(GXFDWLRQ3RUWXJDO
Contact details: paula.carvalho@ubi.pt
Introduction: Pregnancy has often been construed as a period of
serenity and well-being. However, the literature has shown that
the transition to parenthood is characterized by changes on the
emotional functioning. This work aims to present the factors of
vulnerability for the development of psychopathological symptoms
during pregnancy and postpartum, contributing to a greater
understanding of the factors associated with the appearance of
negative emotional states.
Methods: A sample of 80 pregnant women, with ages between
23 and 41 years old was assessed by a clinical interview and
self-reported questionnaires: Brief Symptom Inventory (BSI,
Derogatis, 1993; Canavarro, 1995), Edinburgh Postnatal Depression
Scale (EPDS, Cox, 1988; Augusto et al, 1996) and Social Support
Satisfaction Scale (ESSS, Ribeiro, 1999).
Results: The results suggest that pregnant women with lower
TXDOLÀFDWLRQVZRPHQZKRGRQ·WSODQWKHLUSUHJQDQF\DQGWKRVH
ZKRKDYHGLIÀFXOWLHVFRQFHLYLQJRUUHVRUWHGWRIHUWLOLW\WUHDWPHQWV
as well as single and unemployed women and those receiving
psychological treatment, show higher levels of psychopathology. With
regard to social support, those in which seems to be no supportive
husband, manifest higher levels of psychopathological symptoms.
Conclusions: In the context of promotion health education during
SUHJQDQF\DQGSRVWSDUWXPVKRXOGEHLGHQWLÀHGWKHULVNIDFWRUV
which promote the development of negative emotional states,
in order to prevent adverse consequences for both mother and
child. Thus, we should safeguard the importance of improvement
interventions to minimize the appearance of psychopathological
symptoms, in order to help pregnant women to better adapt to
motherhood.
Contact details: paula.carvalho@ubi.pt
Introduction:3UHJQDQF\UHÁHFWVDQH[SHULHQWLDODQGIRUPDWLYH
learning, marked by physical, cognitive, behavioral and affective
changes. This experience reaches its point at childbirth, an
irreversible and remarkable moment, usually different from the
expectations and from the way it is anticipated and imagined.
Objectives: The main aim of this study is not only measure the
expectations and women’s satisfaction degree with childbirth
H[SHULHQFHEXWDOVRSUHVHQWDFRQWULEXWLRQWRWKLVÀHOGRIVWXG\
Methods: To this purpose, two types of questionnaires were applied,
in different moments, to a sample of 101 pregnant women, user of the
outpatient consultation of the Obstetrics and Gynecology Services
at Centro Hospitalar Cova da Beira, EPE: The Sociodemographic
and Obstetrical questionnaire, applied in pre-childbirth, and The
Experience and Satisfaction with Delivery Questionnaire, applied
in postpartum, in a maximum period of 72 hours after delivery.
Results:7KHRYHUDOOUHVXOWVUHÁHFWQRWRQO\FKLOGELUWKH[SHULHQFH
different from the initial expectations, a mixed experience of
positive and negative characteristics, a precarious relaxation at
childbirth but also a not very high degree of satisfaction with the
SDLQUHÁHFWHGE\VRPHGLVVDWLVIDFWLRQZKHQWKHDFFHVVLVGHQLHGWR
epidural anesthesia. The childbirth experience is associated with
SYMPOSIUM: THE MOTOR DEVELOPMENT
OF CHILDREN EVALUATION AND THERAPEUTIC
APPROACH
Coordinator: José Ignacio Calvo, University of Salamanca,
Spain. calvoreh@usal.es
Incorporate Communications
SENSORY INTEGRATION THERAPY IN THE TREATMENT
OF CHILDREN WITH AUTISM SPECTRUM DISORDER (ASD).
CASE STUDY
Ekaine Rodríguez Armendáriz, Carmen Sánchez Sánchez,
José Ignacio Calvo Arenillas
University of Salamanca. Spain.
Contact details: ekaine@usal.es
Introduction: A large percentage of children and adults with
Autism Spectrum Disorders (ASD) show abnormal responses to
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
different sensory inputs (Tomchek & Dunn, 2007). Since therapy
IRFXVHGRQVHQVRU\LQWHJUDWLRQGHÀFLWVDUHDWWHQGLQJLQVHQVRU\
processing to regulate these responses and the overall processing
of the stimuli.
Objectives:(YDOXDWHWKHHIÀFDF\RIVHQVRU\LQWHJUDWLRQWKHUDS\
LQDFKLOGGLDJQRVHGZLWKDXWLVPSURÀOHPDWHULDOL]HGZLWKLQWKH
Autism Spectrum Disorder (ASD).
Material and methods: This is a case study in which we treat
a 3 years and 10 months old girl ASD diagnosed with sensory
integration therapy. We realized two sessions per week of
50 minutes of sensory integration in a time period of 10 months.
Pre and post evaluations were carried out with the data obtained
E\WKH6HQVRU\3URÀOHTXHVWLRQQDLUH .LHQW] 'XQQ DQGWKH
Structured Clinical Observation of Sensory Integration (Miller et al,
2005).
Results: Once the treatment with Sensory Integration finished
ZHREVHUYHGVLJQLÀFDQWLPSURYHPHQWVLQERWKWKH6HQVRU\3URÀOH
questionnaire scores as well as in a large number of items of the
Structured Clinical Observation of Sensory Integration. In general
features we observed that the girl tend to be more standardized
in the processing of the sensory inputs from her own body and the
immediate environment.
Conclusions: Our results provide support to the effectiveness of
the Sensory Integration Therapy in children with ASD (Case-Smith
& Bryan, 1999).
VOJTA’S REFLEX LOCOMOTION THERAPY
AS A PREVENTIVE TOOL IN THE DEVELOPMENT
OF CEREBRAL PALSY IN PREMATURE CHILDREN:
STUDY
Catalina Loáiciga Espeletaz, Carmen Sánchez Sánchez,
José Ignacio Calvo Arenillas
University of Salamanca. Spain.
Contact details: cloaiciga@gmail.com
Introduction: Premature newborn have increased in recent years
due to the great technological and medical advances allowing the
survival of infants born with a weight less than 1,500 grams and /
or less than 32 weeks of pregnancy, by providing better and earlier
attention. This can have brought a big risk that children show
symptoms of cerebral palsy (Vojta, 2005).
Objectives: Test the effectiveness of Vojta therapy as a preventive
tool in the development of cerebral palsy in a premature child with
possible motor risk.
Methods: In our study we treated a child with a chronological
age of 8 months and 4 days and a corrected age of 6 months
and 21 days, with a possible hypotonia due to her prematurity.
:HGLGDZHHNO\VHVVLRQDSSO\LQJWKHÀUVWDQGVHFRQGSKDVHRI
Vojta’s reflex rolling and reflex creeping original and variant
with nucal leg outside the surface plane positions (Vojta, 2007).
In addition a daily extra session was given by a family member.
Spontaneous motility was assessed by recording the supine
and prone positions, plus a monthly assessment based in the
triggering of the postural reactions and evolution of primitive
UHÁH[HV 9RMWD
Results: After four months of treatment we observed in the
supine position better axial extension of the cervical spine,
greater trunk stability, less hyperabduction of the hips and the
completion of the rolling on both sides. In the prone position we
observed a prolonged clamping head, the capacity to bring the
shoulders at 90° and less protraction thereof. We have seen that
the highest pattern found in the supine position is at 9 months
(clamp pliers).
Conclusions: Our results provide support to the effectiveness of the
Vojta Method as a therapeutic tool for preventing the occurrence of
a possible cerebral palsy.
55
CHARGE ASSOCIATION
Ana Silvia Puente González, Carmen Sánchez Sánchez,
José Ignacio Calvo Arenillas
University of Salamanca. Spain.
Contact details: silviapugo@usal.es
Introduction: CHARGE Association appointed a diagnosis for a group
RIPDOIRUPDWLRQVWKDWDUHLGHQWLÀHGZLWKWKHDFURQ\P &+$5*(
where each letter refers to one of the following abnormalities:
Coloboma (Lack of parts of the iris or retina), “Heart” heart defects
(septal defects, patent ductus arteriosus, heart murmur), choanal
atresia (postnasales duct obstruction), Delay (Delay in growth and
development and/or abnormalities in the central nervous system),
genital hypoplasia (incomplete genital development), “ear”
ear deformities (malformation of the ear, often accompanied by
VLJQLÀFDQWKHDULQJORVV =HQWQHU
Objectives: Describe the development of a child under 3 years,
3 months and 18 days diagnosed with the CHARGE association
WUHDWHGGXULQJ\HDUVZLWKWKH9RMWD·V5HÁH[/RFRPRWLRQ7KHUDS\
Materials and methods: Two control sessions per week were
realized and a daily extra session was given by a family member. We
DSSO\LQJWKHÀUVWSKDVHRI9RMWD·VUHÁH[UROOLQJDQGUHÁH[FUHHSLQJ
SRVLWLRQDDQGDIWHUPRQWKVWKHÀUVWSRVLWLRQ 9RMWD9RMWD
2007).
Results: At baseline, within 7 months old, she was diagnosed of
this association and with a developmental age of 3 months or
so, with a grave central coordination disturbance. Currently she
has a locomotion stadium according to her chronological age,
UXQQLQJUXQVMXPSVKDVJRRGÀQHPRWRUVNLOOVDQGRUDOODQJXDJH
KDVGHYHORSHGGHVSLWHKHDULQJGHÀFLW,QWHUYHQWLRQLVZDLWLQJIRU
permeabilizing nares and toxin therapy in the extrinsic muscles of
the right eye to control her strabismus.
Conclusions: Although it is necessary to study more cases, we
conclude that the Vojta therapy is effective in the treatment of
delayed motor CHARGE association.
RELIABILITY OF THE ALBERTA INFANT MOTOR SCALE
(AIMS) IN PREMATURE INFANTS BORN AT LESS THAN
1,500 G.
Ana Domínguez García, Aline Cintra Viveiro,
Carmen Sánchez Sánchez
University of Salamanca. Spain.
Contact details: anadg@usal.es
Introduction: The Alberta Infant Motor Scale (AIMS) (Piper, 1992) is
a user-friendly application, which can be applied in any setting by
a trained professional, that can identify through a normal curve the
motor development level of the child.
Objectives: Analyze the AIMS scale reliability in premature infants
born with less than 1,500 g (Dola, 2007).
Material and methods: We had assessed the development of
83 premature babies (39 girls and 44 boys) (mean gestational
age: 29.66 ± 2.94 weeks) weighing less than 1,500 g (average
weight: 1229.2 ± 243.5 grams) with the Alberta Infant Motor Scale
(AIMS) doing a monthly monitoring between birth and 13 months
(corrected age). In total, 213 evaluations have been conducted.
To measure the internal consistency of the AIMS scale we used the
Cronbach’s alpha test (Cronbach, 1951).
Results: The Cronbach’s alpha value obtained for the AIMS scale
was 0.93. For the subscales prone, supine, sitting and bidestación
0.81, 0.74, 0.79 and 0.63 respectively.
Conclusions: The AIMS scale has proven to be a reliable
measurement instrument of the motor development in premature
infants born with less than 1,500 g, both in their entirety as in the
56
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
subscales (prone, supine, sitting), except for the bidepedestación
subscale.
MOTOR DEVELOPMENT OF PREMATURE INFANTS BORN
WITH LESS THAN 1,500 G.
At the end of the 13 months the two subscales which submitted the
lowest percentage of items obtained have been prone and standing.
Conclusions: Premature infants born with less than 1,500 g.
presents a big delay in the acquisition of the postural subscales,
prone and standing, than the rest of the subscales.
Aiora Arocena Munduate, Aline Cintra Viveiro, Carmen Sánchez
Sánchez
University of Salamanca. Spain.
Contact details: aioaroz@hotmail.es
Introduction: In recent years there has been an increase in neonatal
morbidity (Sanchez, 2005) due to technological advances that has
favored the survival of increasingly premature children. This new
reality, challenge professionals involved in the health area to try
to detect as quickly as possible disturbances in the development
of these children.
Objectives: 1. Rate according to Alberta Infant Motor Scale (AIMS)
(Piper, 1992) the motor development of premature infants weighing
less than 1,500 g. 2. Identify the times considered risky for motor
development.
Material and methods: We had assessed the development of
83 premature babies (39 girls and 44 boys) (mean gestational
age: 29.66 ± 2.94 weeks) weighing less than 1,500 g (average
weight: 1229.2 ± 243.5 grams) with the Alberta Infant Motor Scale
(AIMS) doing a monthly monitoring between birth and 13 months
(corrected age). In total, 213 evaluations have been conducted.
Results: The percentile risk-risk delaying action was brought
between 3 and 10 months. The percentage of measurements in the
low percentile category-developmental delay has increased with
the age increase of children having the highest peak at 10 months
(8.5% of all measures in this age).
Conclusions: According with the development measures in the AIMS
categories during the 13 months of age, the motor development
of children born with less than 1,500 g presents a risk period
of delayed development between 3 and 10 months and after
10 months they show a marked motor delay.
POSTURAL ACQUISITIONS ACCORDING THE ALBERTA
INFANT MOTOR SCALE (AIMS) OF PRETERM INFANTS
BORN WITH LESS THAN 1500G.
Nuria Carreras Regorigo, Aline Cintra Viveiro,
Carmen Sánchez Sánchez
University of Salamanca. Spain.
SYMPOSIUM: STRATEGIES OF PREVENTION
ABOUT BULLYING AND CYBERBULLYING
Coordinator: José María Martínez, Institute of Education
Parquesol and University of Valladolid - Spain, aviles@uva.es
Incorporate Communications
STEPS IN THE CREATION OF AN ANTIBULLYING POLICY
IN THE EDUCATIONAL COMMUNITY
José María Avilés Martíneza, Suely Mascarenhasb, Maria Natividad
Alonso Elvirac
a
,QVWLWXWHRI(GXFDWLRQ3DUTXHVRO'HSDUWPHQWRI(GXFDWLRQ
8QLYHUVLW\RI9DOODGROLG6SDLQbUniversidade Federal do
Amazonas. Portugal. c&(,3)UDQFLVFR3LQR9DOODGROLG6SDLQ
Contact details: aviles@uva.es
Introduction: The paper revises the steps to elaborate an
antibullying policy.
Current State:6WLOOWKHUHDUHQRVXIÀFLHQWDQWLEXOO\LQJSROLFLHVLQ
the Spanish schools.
New perspectives: It is necessary to elaborate antibullying policies
WRÀJKWDJDLQVWWKHEXOO\LQJDQGWKHF\EHUEXOO\LQJ7KHVWHSVDUH
described to elaborate these antibullying policies in the school
contexts.
Theoretical and practical Implications: The schools (the teachers,
the students and the families) must think about his educational
conditions to improve the prevention programs. The aim is to
elaborate useful tools that help them to eradicate the bullying and
the cyberbullying.
Conclusions: The fight to eradicate the bullying and the
cyberbullying must be planned inside the school community and
we need the collaboration of all his members, families, teachers
and students.
Contact details: ncregorigo@yahoo.es
Introduction: Due to the survival of increasingly premature
children the rate of neonatal morbidity is increasing (Sánchez,
2005). This new reality, challenges the professionals involved in the
health area to try to detect as quickly as possible disturbances in
the development of these children.
Objectives: Check monthly the motor development in each
assessment posture of the AIMS (Piper, 1992) (prone, supine, sitting
and standing).
Material and methods: We had assessed the development of
83 premature babies (39 girls and 44 boys) (mean gestational
age: 29.66 ± 2.94 weeks) weighing less than 1,500 g (average
weight: 1229.2 ± 243.5 grams) with the Alberta Infant Motor Scale
(AIMS) doing a monthly monitoring between birth and 13 months
(corrected age). In total, 213 evaluations have been conducted.
Results: In the 4 scales we observed an upward curve with a time of
stagnation or decline between 9 and 10 months. The standing scale,
compared to the others, has presented a more irregular evolution,
besides the lack of evolution between 9 and 10 months, the rise
has been slower; even saw a decrease between 11 and 12 months.
KEYS FOR A MORAL EDUCATION IN THE CYBERBULLYING
José María Avilés Martíneza, Maria Natividad Alonso Elvirab
a
,QVWLWXWHRI(GXFDWLRQ3DUTXHVRO'HSDUWPHQWRI(GXFDWLRQDQG
8QLYHUVLW\RI9DOODGROLGb&(,3)UDQFLVFR3LQR9DOODGROLG6SDLQ
Contact details: aviles@uva.es
Introduction: The paper revises the processes that are given in
cyberbullying in the interpersonal, intrapersonal, group and
contextual levels.
Current State: The treatment of the cyberbullying goes towards
the prohibition and the establishment of controls on the behaviors.
New perspectives: Nevertheless, nowadays it is necessary to
analyze the most significant components in the profiles of the
participants in cyberbullying. These situations are related to the
moral values which may arise.
Theoretical and practical implications: The educational
communities must think about the moral values that the students
are managing when the cyberbullying happens.
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
Conclusions: We need to design lines of work to approach the
necessary moral education issues by educational agents to
eradicate these behaviors.
EDUCATIONAL CONDITIONS THAT IMPROVE THE
PREVENTION OF THE BULLYING AND THE CYBERBULLYING
IN THE SCHOOL CONTEXTS
José María Avilés Martíneza, Maria Natividad Alonso Elvirab
a
,QVWLWXWHRI(GXFDWLRQ3DUTXHVRO'HSDUWPHQWRI(GXFDWLRQ
8QLYHUVLW\RI9DOODGROLG6SDLQb&(,3)UDQFLVFR3LQR9DOODGROLG
Spain.
Contact details: aviles@uva.es
Introduction: The necessary educational conditions provided by
the educational community are described. This conditions are keys
to favor tasks of prevention and intervention in the bullying and
the cyberbullying.
Current State: The prevention of the bullying and the cyberbullying
demands to develop educational conditions that make the work
effective.
New perspectives: It is necessary to create educational conditions
in several levels: organization, management and planning.
Theoretical and practical Implications: We have to think about
new forms of organization, planning and management of the
bullying and the cyberbullying without damaging the rights of
the victims and seeking to compromise the aggressors in the
solution.
Conclusions: The schools must change organizational decisions.
The teachers must be involved in the management of the bullying.
They must be employed the prevention of the bullying at his
classrooms. The students must be a part of the solution. They must
not be the problem. The families must assume his educational role
to eradicate the bullying.
SYMPOSIUM: CONTEXTS AND PRETEXTS
OF REHABILITATION PRACTICE
Coordinator: Carlos Albuquerque, Health School-Polytechnic
Institute of Viseu, cmalbuquerque@gmail.com
Incorporate Communications
PSYCHOLOGICAL WELL-BEING OF PEOPLE
WITH ANKYLOSING SPONDYLITIS:
CLINICAL AND PSYCHOSOCIAL DETERMINANTS
Rita Duroa, Carlos Albuquerqueb, Rosa Martinsb,
Claudia Santosa, André Sousac
a
Coimbra Hospital University Center. bSchool of Health
9LVHX,39&, '(76cInstituto Piaget.
Contact details: anarita.duro@gmail.com
Introduction: Chronic diseases affect many dimensions of Psychological Well-Being (BEP), of quality of life as well as the physical
and social activities of individuals who carry them, with all the
consequences and adverse effects that may result. Among these
diseases are ankylosing spondylitis (AS), considered a clini cal
condition with no alternative of rapid improvements and progressive evolution.
57
Objetive: This study aimed to identify clinical variables in a
SV\FKRVRFLDOFRQWH[WWKDWLQÁXHQFHWKH3V\FKRORJLFDO:HOOEHLQJ
of the person with AS.
Methods: In a cross-sectional study, of a quantitative nature ,
we inquire a random sample of 51 subjects, with ages between
19 to 79 years (mean: 47.00, SD = 14.14) and predominantly
male (70.60%). As an measurement instrument we use a scale of
DXWRIXOÀOOPHQWRIUHQRZQHGUHOLDELOLW\DQGYDOLGLW\
Results: The results indicate that 13.70% of the subjects have a low
psychological well-being, distributing the remaining percentage by
subjects with moderate (74.50%) and high (11.80%) Psychological
well-being. The variables under study that showed significant
LQÁXHQFHRQSV\FKRORJLFDOZHOOEHLQJRIWKHSHUVRQZLWK$6DUHWKH
age of disease diagnosis, the practice of a rehabilitation program,
pain intensity, the perception of quality of life, the disease activity
DQGIXQFWLRQDOLW\RIWKHGLVHDVHUHYHDOLQJLQÁXHQFHQRWRQO\RQWKH
various dimensions of the scale but also in the total score of the
same.
Conclusions: The evidence presented here highlights the imporWDQFHRIDFULWLFDOUHÁHFWLRQZLWKWKHSHUVRQZLWK$6ZLWKVRPH
measures which, according to our results, we think it is appropriate
DQGEHQHÀFLDODLPLQJDHIIHFWLYHVXSSRUWDWWKHLUSV\FKRORJLFDO
well-being.
QUALITY OF LIFE OF THE PERSON SUFFERING
FROM ANKYLOSING SPONDYLITIS: CLINICAL
AND PSYCHOSOCIAL DETERMINANTS
Cláudia Santosa, Ana Rita Duroa, Carla Santosb,
Carlos Albuquerquec
Coimbra Hospital University Center. bCoimbra Cirurgical
Center. Portugal. c6FKRRORI+HDOWK9LVHX,39&, '(76
Portugal.
a
Contact details: claudiaraquelsantos@iol.pt
Introduction: The Ankylosing spondylitis is characterized by
being a chronic rheumatological pathology of unknown etiology,
with character evolution and progressive impairment in daily life
RISHRSOHOLYLQJZLWKLQÁXHQFLQJWKHLUTXDOLW\RIOLIH&XUUHQWO\
patients with ankylosing spondylitis already have the means for
early diagnosis and more effective treatments, however, some
challenges still remain.
Objectives: The main goald of this study was to verify if the psychosocial and clinical variables is related to the quality of life in patients
with ankylosing spondylitis.
Methods: This is a quantitative descriptive-correlational and
cross-correlated study with a non-probability convenience sample of
51 portuguese patients with Ankylosing sopndilytis, 15 were female
and 36 were male, aged between 19 and 79 years old, with an
average age of 47.00. The evaluation protocol includes the Quality
of Life short form scale SF-36, the scale of psychological well-being
influence, the scale of the Bath Ankylosing Spondylitis Disease
Activity index and the scale of Bath Ankylosing Spondylitis Functional index.
Results: We found that the psychological well-being influence
VLJQLÀFDQWO\WKHTXDOLW\RIOLIH7KHVDPHDSSOLHVWRWKH$QN\ORVLQJ
Spondylitis Disease Activity and Ankylosing Spondylitis Functional.
Also variables: age at diagnosis of the disease, the practice of a
SURJUDPRIUHKDELOLWDWLRQDQGSDLQLQWHQVLW\LQÁXHQFHWKH4XDOLW\
of life of the person Ankylosing spondylitis.
Conclusions: It was possible conclude that there are different
perceptions regarding the relation between health and psychoORJLFDOZHOOEHLQJLQÁXHQFHV$QN\ORVLQJ6SRQG\OLWLVDFWLYLW\GLVHDVH
and Ankylosing Spondylitis Functional. We can infer that the impact
of this disease on quality of life of this person closely related and
directly proportional especially to the intensity of pain felt, with
the degree of fatigue.
58
Ist World Congress of Children and Youth Health Behaviors / 4th National Congress on Health Education
QUALITY OF LIFE OF PEOPLE WITH MULTIPLE SCLEROSIS
Ana Geraldo , Carlos Albuquerque , Rosa Martins , André Sousa
a
b
b
c
Coimbra Hospital University Center. Portugal. bSchool of Health
9LVHX,39&, '(76c,QVWLWXWH3LDJHW9LVHX3RUWXJDO
a
Contact details: analuisageraldo@hotmail.com
Introduction: Multiple sclerosis (MS) is a neurological disease,
LQÁDPPDWRU\FKURQLFXQSUHGLFWDEOHSRWHQWLDOO\GLVDEOLQJYHU\
common in young adults, of unknown origin and for which is not
yet available a curative treatment. In Portugal, the estimated
prevalence rate is 5,000 patients. Consequently, studying the
quality of life of patients with MS is an important aspect in assessing
the impact of the disease on their daily lives.
Methods: In a cross-sectional study, quantitative, we inquired a
random sample of 54 MS patients, mostly female (61.1%), married
(72.2%), aged between 20 and 67 years (M = 42.11, SD = 11,728),
employed (37.0%), in which the mean age was 33 years old at a
early stage of the disease. As an instrument of measurement was
used Multiple Sclerosis Quality of Life scale (MSQoL-54).
Results:7KHYDULDEOHVWKDWVKRZHGDVWDWLVWLFDOO\VLJQLÀFDQWHIIHFW
on the quality were the employment situation and age at a early
VWDJHRIWKHGLVHDVH6SHFLÀFDOO\DUHWKRVHLQGLYLGXDOVZKRDUH
active in the labor situation that perform all types of physical
activity, including the most demanding, without limitations due to
health reasons, and the higher the age at early stage of the disease
and worse physical and sexual functioning these patients have. The
results indicate that the highest values in our sample refer to social
functioning (M = 66.82), quality of life in general (M = 62.85) and
sexual functioning (M = 61.11).
Conclusions: We believe that all who deal daily with people with
this condition need to enter this subjective world where it becomes
imperative to identify needs and issues not flagged by health
professionals, but perceived by sufferers.
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