Browsing by Author "Fernandes, Sara"
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- Measuring adherence to inhaled control medication in patients with asthma: Comparison among an asthma app, patient self‐report and physician assessmentPublication . Cachim, Afonso; Pereira, Ana Margarida; Almeida, Rute; Amaral, Rita; Correia, Magna Alves; Marques, Pedro Vieira; Loureiro, Cláudia Chaves; Ribeiro, Carmelita; Cardia, Francisca; Gomes, Joana; Vidal, Carmen; Silva, Eurico; Rocha, Sara; Rocha, Diana; Marques, Maria Luís; Páscoa, Rosália; Morais, Daniela; Cruz, Ana Margarida; Santalha, Marta; Simões, José Augusto Rodrigues; Silva, Sofia da; Silva, Diana; Gerardo, Rita; Bom, Filipa Todo; Morete, Ana; Vieira, Inês; Vieira, Pedro; Monteiro, Rosário; Raimundo, Rosário; Monteiro, Luís; Neves, Ângela; Santos, Carlos; Penas, Ana Margarida; Regadas, Rita; Marques, José Varanda; Rosendo, Inês; Aguiar, Margarida Abreu; Fernandes, Sara; Cardoso, Carlos Seiça; Pimenta, F.; Meireles, Patrícia; Gonçalves, Mariana; Fonseca, Joao A; Jácome, CristinaBackground Previous studies have demonstrated the feasibility of using an asthma app to support medication management and adherence but failed to compare with other measures currently used in clinical practice. However, in a clinical setting, any additional adherence measurement must be evaluated in the context of both the patient and physician perspectives so that it can also help improve the process of shared decision making. Thus, we aimed to compare different measures of adherence to asthma control inhalers in clinical practice, namely through an app, patient self-report and physician assessment. Methods This study is a secondary analysis of three prospective multicentre observational studies with patients (≥13 years old) with persistent asthma recruited from 61 primary and secondary care centres in Portugal. Patients were invited to use the InspirerMundi app and register their inhaled medication. Adherence was measured by the app as the number of doses taken divided by the number of doses scheduled each day and two time points were considered for analysis: 1-week and 1-month. At baseline, patients and physicians independently assessed adherence to asthma control inhalers during the previous week using a Visual Analogue Scale (VAS 0–100). Results A total of 193 patients (72% female; median [P25–P75] age 28 [19–41] years old) were included in the analysis. Adherence measured by the app was lower (1 week: 31 [0–71]%; 1 month: 18 [0–48]%) than patient self-report (80 [60–95]) and physician assessment (82 [51–94]) (p < 0.001). A negligible non-significant correlation was found between the app and subjective measurements (ρ 0.118–0.156, p > 0.05). There was a moderate correlation between patient self-report and physician assessment (ρ = 0.596, p < 0.001). Conclusions Adherence measured by the app was lower than that reported by the patient or the physician. This was expected as objective measurements are commonly lower than subjective evaluations, which tend to overestimate adherence. Nevertheless, the low adherence measured by the app may also be influenced by the use of the app itself and this needs to be considered in future studies.
- Qualidade do sono e funcionamento sexual em adultos saudáveisPublication . Pereira, Henrique; Fernandes, Sara; Aurélio, Diana dos Santos; Benquerença, João; Monteiro, Samuel; Afonso, Rosa Marina; Esgalhado, Graça; Loureiro, Manuel; Ferro, Delfina; Garcia, Nuno M.; Serrano, Juan PedroIntroduc¸ão: Não existem investigac¸ões científicas suficientes, sobretudo com populac¸ão normativa, que evidenciem a associac¸ão entre a qualidade do sono e o funcionamento sexual. Método: Participaram deste estudo 945 indivíduos saudáveis, 62% mulheres, 38% homens, média de 34,27 anos (desvio-padrão = 15,82), que preencheram um questionário sociodemográfico, a versão portuguesa do Questionário de Sono de Oviedo e a versão portuguesa do Questionário de Funcionamento Sexual do Massachusetts General Health Hospital. Resultados: Verificaram-se níveis moderados de satisfac¸ão subjetiva com o sono e níveis baixos de insónia e hipersónia. No entanto, as mulheres sofrem mais deste tipo de perturbac¸ões do sono. A satisfac¸ão subjetiva com qualidade do sono está positivamente correlacionada com o funcionamento sexual geral e todas as suas respetivas dimensões e a insónia está negativamente correlacionada com o funcionamento sexual e todas as suas respetivas dimensões. Da submissão dos itens à análise de regressão linear, testou-se o modelo de predic¸ão do funcionamento sexual geral em func¸ão das variáveis da qualidade do sono, tendo-se obtido um modelo estatisticamente significativo (p < 0,001), sendo que as variáveis em questão explicam 7% do funcionamento sexual geral, com valores ˇ para a satisfac¸ão subjetiva com o sono de 0,189 e para a insónia de -0,140. Discussão: Com base nos resultados obtidos, é possível comprovar que quanto maior a qualidade do sono, maior é o funcionamento sexual e que o mesmo é influenciado negativamente sobretudo pela insónia.