Translation to Portuguese and cultural validation of the Empowerment Assessment Rating Scale

Introduction | To assess the level of community empowerment, Laverack proposes an instrument called the Empowerment Assessment Rating Scale (EARS), which has nine assessment domains related to community empowerment. Objectives | Translate to Portuguese and culturally validate the EARS for an ACeS community, a hospital community, a business community, and a school community. A review of the Portuguese translation was developed, a review group was set up to analyze the resulting document, by consensus a new scale called the Escala de Avaliação do Empoderamento Comunitário (EAvEC) was developed, and the retroversion was developed. Same review group conducted a new evaluation of the resulting version, comparing them with the original in English. The study was carried out at a Hospital in the Azores Archipelago, three Health Centers Organizations in the North of Portugal, an Education-oriented Company in Greater Porto and a School Communityin Mozambique, where the focus group scale was applied based on a problematic chosen for intervention. Results | EVaECretained the nine evaluation domains of the original scale and its translated version did not change after its cultural adaptation. The level of community empowerment was identified in each of the communities, analyzed in the form of a radar chart, with the clustered image of all domains. Discussion / Conclusions | EVaEC is a useful tool for community intervention and is being used to assess community empowerment in the MAIEC project of theCentre for Interdisciplinary Research in Health at Universidade Católica Portuguesa.info:eu-repo/semantics/publishedVersio

Community Empowerment Assessment in a School of the North of Portugal - a qualitative study

info:eu-repo/semantics/publishedVersio

Avaliação do nível de empoderamento comunitário de um ACeS para a vigilância epidemiológica dos diagnósticos de enfermagem

Introdução e objetivos: O Modelo de Avaliação, Intervenção e Empoderamento Comunitário (MAIEC) permite integrar na decisão clínica dos enfermeiros, o empoderamento comunitário como processo e como resultado na comunidade como unidade de cuidados. Para avaliar o empderamento comunitário como resultado, Laverack em 2005 desenvolveu uma escala que avalia nove domínios que enformam o empoderamento de uma comunidade. No contexto de um projeto de investigação relacionado com a aplicação do MAIEC numa comunidade organizativa, tendo como epicentro uma Unidade deSaúde Publica (USP), pretendemos identificar o nível de empoderamento comunitário do ACeS para a vigilância epidemiológica dos diagnósticos de enfermagem. Metodologia: Desenvolvemos a tradução para português da Empowerment Assessment Rated Scale desenvolvida por Laverack em 2005 e através de uma sessão de grupo focal com todos os enfermeiros responsáveis das diferentes unidades funcionais do ACeS, assim como a Direção de Enfermagem, a coordenação da USP e o Diretor Executivo do ACeS, promovemos a validação cultural da escala para um ACeS e avaliamos o nível de empoderamento comunitário para a promoção da vigilância epidemiológica de diagnósticos de enfermagem relacionados com o Diagnóstico Local de Saúde desenvolvido pela USP. Resultados e Discussão:identificamos um baixo nível de empoderamento comunitário na participação comunitária e estruturas organizativas, permitindo graficamente entender as metas a estabelecer num processo colaborativo com a comunidade, para o seu desenvolvimento, através da aplicação do MAIEC. Conclusões: A versão portuguesa da Empowerment Assessment Rated Scale, adaptada para uma comunidade ACeS, que designamos de Escala de Avaliação do Empoderamento Comunitário, versão ACeS (EAvEC-ACeS) é uma ferramenta importante para avaliar o empoderamento como resultado da intervenção do enfermeiro, com a aplicação do MAIEC.info:eu-repo/semantics/publishedVersio

Implementation of a Brazilian Cardioprotective Nutritional (BALANCE) Program for improvement on quality of diet and secondary prevention of cardiovascular events: A randomized, multicenter trial

Background: Appropriate dietary recommendations represent a key part of secondary prevention in cardiovascular disease (CVD). We evaluated the effectiveness of the implementation of a nutritional program on quality of diet, cardiovascular events, and death in patients with established CVD. Methods: In this open-label, multicenter trial conducted in 35 sites in Brazil, we randomly assigned (1:1) patients aged 45 years or older to receive either the BALANCE Program (experimental group) or conventional nutrition advice (control group). The BALANCE Program included a unique nutritional education strategy to implement recommendations from guidelines, adapted to the use of affordable and regional foods. Adherence to diet was evaluated by the modified Alternative Healthy Eating Index. The primary end point was a composite of all-cause mortality, cardiovascular death, cardiac arrest, myocardial infarction, stroke, myocardial revascularization, amputation, or hospitalization for unstable angina. Secondary end points included biochemical and anthropometric data, and blood pressure levels. Results: From March 5, 2013, to Abril 7, 2015, a total of 2534 eligible patients were randomly assigned to either the BALANCE Program group (n = 1,266) or the control group (n = 1,268) and were followed up for a median of 3.5 years. In total, 235 (9.3%) participants had been lost to follow-up. After 3 years of follow-up, mean modified Alternative Healthy Eating Index (scale 0-70) was only slightly higher in the BALANCE group versus the control group (26.2 ± 8.4 vs 24.7 ± 8.6, P <.01), mainly due to a 0.5-serving/d greater intake of fruits and of vegetables in the BALANCE group. Primary end point events occurred in 236 participants (18.8%) in the BALANCE group and in 207 participants (16.4%) in the control group (hazard ratio, 1.15; 95% CI 0.95-1.38; P =.15). Secondary end points did not differ between groups after follow-up. Conclusions: The BALANCE Program only slightly improved adherence to a healthy diet in patients with established CVD and had no significant effect on the incidence of cardiovascular events or death. © 2019 The Author