Outcomes of Pulmonary Rehabilitation valued by patients with COPD – patients’ perspectives

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Pulmonary rehabilitation is successful in mild Chronic Obstructive Pulmonary Disease

Pulmonary rehabilitation (PR) is effective in improving healthrelated quality of life of patients with moderate-to-very-severe COPD. However, the effects of PR in patients with mild COPD have been scarcely explored. The overall findings show that PR improves exercise tolerance, dyspnea, muscle strength, physical activity and health-related quality of life in patients with mild COPD, and that most of these benefits last for at least 6 months. This study is a relevant step towards the integration of PR as part of the first-line management of patients with mild COPDpublishe

Characterization of the institutionalized elderly population to guide physical therapy practice

No abstract available.publishe

Pulmonary rehabilitation is successful in mild Chronic Obstructive Pulmonary Disease

Pulmonary rehabilitation (PR) is effective in improving healthrelated quality of life of patients with moderate-to-very-severe COPD. However, the effects of PR in patients with mild COPD have been scarcely explored. The overall findings show that PR improves exercise tolerance, dyspnea, muscle strength, physical activity and health-related quality of life in patients with mild COPD, and that most of these benefits last for at least 6 months. This study is a relevant step towards the integration of PR as part of the first-line management of patients with mild COPDpublishe

Are in person and telephone interviews equivalent modes of administrating the CAT, the FACIT-FS and the SGRQ in people with COPD?

Background: The COVID-19 pandemic brought numerous challenges, namely in routine assessment of people with chronic obstructive pulmonary disease (COPD). The COPD Assessment Test (CAT), the Functional Assessment of Chronic Illness-Fatigue-Subscale (FACIT-FS) and the St. George's respiratory questionnaire (SGRQ) are important patient-reported outcome measures used to assess people with COPD, but its face-to-face application has been compromised. The telephone interview offers a simple and effective alternative, yet uncertainty regarding its equivalence remains. This study aimed to establish the reliability and validity of the CAT, the FACIT-FS and the SGRQ administered by telephone interview in people with COPD. Methods: Data from an observational prospective study including people with COPD were analyzed. Participants answered to the CAT, FACIT-FS and SGRQ questionnaires in person and by telephone, with a maximum interval of 48-h. Participants were randomly selected to answer first to the in-person questionnaire followed by telephone or vice versa. Reliability measures included internal consistency with Cronbach's alpha, test-retest reliability with the intraclass correlation coefficient (ICC2,1), test-retest measurement error with the standard error of measurement (SEM) and agreement with the Bland and Altman 95% limits of agreement. Validity was assessed with the Spearman correlation (rho). Results: Fifty-five people with COPD (44 men; 68.1 ± 7.9 years; FEV1: 59.1 ± 20.3% predicted) were included. Similar internal consistency was observed between in person vs. telephone interview for the CAT (0.82 vs. 0.84), the FACIT-FS (0.83 vs. 0.84) and the SGRQ (0.92 vs. 0.93). Test-retest reliability was excellent, with an ICC2,1 of 0.77 (95% CI: 0.65; 0.86), 0.86 (95% CI: 0.77; 0.92) and 0.94 (95% CI: 0.90; 0.96) for the CAT, FACIT-FS and SGRQ total scores, respectively. The SEM showed a low level of associated measurement error and the Bland and Altman plots illustrated a good level of agreement between both modes of administration, with no evidence of systematic bias. Robust positive correlations (rho 0.87–0.94, p < 0.001) were found for the CAT, FACIT-FS and SGRQ total scores applied by both methods. Conclusion: The telephonic administration of the CAT, the FACIT-FS and the SGRQ are a valid and reliable alternative approach to in person interviews for monitoring symptoms and health-related quality of life in people with COPD. The telephone might be an important add-on for personalized assessment and management of COPD thru remote monitoring.publishe

Characterization of parent-adolescent communication: a study of socio-demographic variables

Parent-adolescent communication seems to depend largely of some socio-demographic characteristics. The main goal of this research is the analysis of parent-adolescent perception about their communication considering some socio-demographic variables: sex, residence, socioeconomic status, education and family composition. A quantitative cross-sectional design was used to analyze the perception of 336 parents and 268 children about the quality of communication using the Perception Scale of Parenting Communication.: It was revealed that: boys tend to share their problems mostly with fathers; mothers have better perception of communication; there weren't statistical differences on communicational conflict in the sex variable; members of high socioeconomic classes and urban contexts have better perception about communication; and adolescents of post-divorce families tend to share their problems mostly with mothers than adolescents of intact nuclear families. Considering the influence of some socio-demographic variables on parent-adolescent communication, it is possible design concrete clinical interventions. It suggests the need to pay attention to particular contexts (rural places and low socioeconomic classes). These results demystify the belief that post-divorce families have more difficulties than nuclear intact families.A comunicação estabelecida entre progenitores e filhos adolescentes parece depender, em grande medida, de algumas características sociodemográficas. Objetivo: Análise da comunicação em famílias com filhos adolescentes, considerando as variáveis: sexo, área de residência, nível socioeconómico, escolaridade e estrutura familiar. Método: Através de um desenho quantitativo/transversal, aplicou-se a Escala de Avaliação da Comunicação na Parentalidade a 336 pais e 268 adolescentes. Resultados: Verifica-se que: os rapazes tendem a partilhar os seus problemas com os progenitores do sexo masculino; as mães destacam-se na perceção de maior expressão do afeto/apoio emocional; não se registram diferenças significativas ao nível do sexo no conflito comunicacional; membros de classes socioeconómicas altas e de contextos urbanos percepcionam melhor comunicação; e filhos de famílias pós-divórcio revelam partilhar mais os seus problemas com as mães do que filhos de agregados monoparentais. Conclusões: A influência de algumas variáveis sociodemográficas sobre a comunicação permite o desenho de intervenções clínicas concretas, sugerindo a necessidade de se prestar maior atenção a contextos particulares (classes rurais e socioeconómicas baixas). Estes resultados desmistificam a crença de que as famílias pós-divórcio têm mais dificuldades do que famílias nucleares intactas

Parent–child communicational characteristics: a comparison study between subjects from post-divorce and intact nuclear families

The occurrence of divorce seems to have impact on parent– child communication, with subsequent implications on the children well-being and development. The present study aims to analyze the influence that divorce has on parent–child communication comparing 102 participants from post divorced families and 100 participants from intact nuclear families. Measures consisted of a sociodemographic question naire and Perception Scale of Parenting Communication. Despite literature indicators, the main findings reveal the absence of significant statistical differences between both family structures, concerning to parent–child communication. Overall, it was registered some statistically significant differ ences concerning to specific divorce variables. These findings demystifying the idea that post-divorce families establish less positive communication patterns when compared with intact nuclear families.info:eu-repo/semantics/publishedVersio

Predicting the risk of falls in patients with COPD: Does age matter?

Introduction: The extrapulmonary manifestations of COPD have been associated with deficits in mobility and balance, which potentiate the risk of falls. This is more evident in advanced COPD. However, research in the risk of falling in this population is scarce. Furthermore, as deterioration of balance increases with age, it is important to understand how age influences the fall risk in these patients.publishe

Validity and reliability of adventitious computerised respiratory sounds in COPD

Computerised adventitious respiratory sounds have been indicated as a promising outcome measure to monitor small changes in lung function of patients with chronic obstructive pulmonary disease (COPD). Nevertheless, before a measure can be used in clinical practice its measurement properties (e.g., reliability and validity) should be tested. Results showed that adventitious respiratory sounds, specially number of crackles, when recorded in the inspiratory phase have excellent reliability and moderate validity to assess lung function in patients with COPD. Thus, crackles might be a promising measure to monitor lung function in patients with COPD.publishe

Correlations between balance and ffunctionality, gait speed, physical activity and quality of life in community-dwelling older people

Sem resumo disponível.publishe