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- Validação : Escala de Alterações Funcionais pelo Uso Problemático da Internet (AFUPI) para jovens portuguesesPublication . Patrao, Ivone; Pimenta, Filipa; Água, Joana; Leal, Isabel Pereira
- Does spirituality really matter?: A study on the potential of spirituality for older adult’s adjustment to agingPublication . von Humboldt, Sofia; Leal, I.; Pimenta, FilipaThis study intended to analyze the indicators of adjustment to aging (AtA) and to investigate the latent constructs that can work as major determinants in spirituality for a cross-national older community-dwelling population. Questionnaires were completed to assess the participants’ background information. Interviews were performed, addressing one core area: indicators of AtA. Complete data were available for 154 older adults from two nationalities (German and Portuguese), aged between 75 and 103 years (M = 86.6; SD = 6.98). The data were subjected to content analysis. Representations of the associations and latent constructs were analyzed using a multiple correspondence analysis (MCA). The most prevalent response of the interviewed participants for indicators of AtA was spirituality (43.2%). Spiritual activities was the most reported response regarding spirituality (20.0%). A significant moderate association was found between spiritual activities and nationality (V = .365; p < .001). Spirituality for older adults was explained by a three-dimensional overall model: spiritual and existential meaning, limit-related awareness and community embeddedness. The findings presented in this paper emphasized the need to explore the potential of spirituality for AtA and the need for improving the spiritual dimension of health care for the older cross-national population.
- Menopausal symptoms: Do life events predict severity of symptoms in peri- and post-menopause?Publication . Pimenta, Filipa; Leal, I.; Marôco, J. P.; Ramos, CatarinaObjective: Hormonal changes during menopausal transition are linked to physical and psychological symptoms’ emergence. This study aims to explore if life events predict menopausal symptoms. Methods: This cross-sectional research encompasses a community sample of 992 women who answered to socio-demographic, health, menopause-related and lifestyle questionnaires; menopausal symptoms and life events were assessed with validated instruments. Structural equation modeling was used to build a causal model. Results: Menopausal status predicted only three symptoms: skin/facial hair changes (B = .136; p = .020), sexual (B = .157; p = .004) and, marginally, vasomotor symptoms (B = .094; p = .054). Life events predicted depressive mood (B = −.391; p = .002), anxiety (B = −.271; p = .003), perceived cognitive impairment (B = −.295; p = .003), body shape changes (B = −.136; p = .031), aches/pain (B = −.212; p = .007), skin/facial hair changes (B = −.171; p = .021), numbness (B = −.169; p = .015), perceived loss of control (B = −.234; p = .008), mouth, nails and hair changes (B = −.290; p = .004), vasomotor (B = −.113; p = .044) and sexual symptoms (B = −.208; p = .009). Conclusions: Although women in peri- and post-menopausal manifested higher symptoms’ severity than their pre-menopausal counterparts, only three of the menopausal symptoms assessed were predicted by menopausal status. Since the vast majority of menopausal symptoms’ severity was significantly influenced by the way women perceived their recent life events, it is concluded that the symptomatology exacerbation, in peri- and post-menopausal women, might be due to life conditions and events, rather than hormonal changes (nonetheless, the inverse influence should be investigated in future studies). Therefore, these should be accounted for in menopause-related clinical and research settings.
- Validation of the 10-item Cervantes Scale in middle-aged Portuguese womenPublication . Pimenta, Filipa; Albergaria, Rita; Maroco, João Paulo; Leal, Isabel Pereira; Chedraui, Peter; Pérez-López, Faustino R.The aim of the study was to validate the Portuguese language version of the 10-item Cervantes Scale (CS-10), a self-reporting instrument that assesses menopausal symptoms, and to compare the results (both symptom severity and multigroup invariance) of middle-aged women who completed the questionnaire in paper-and-pencil format (PPF) or in the online format (OF).
- Dança para parkinson: Uma revisão de literaturaPublication . Galvão, Constança Moniz; Pimenta, FilipaInexistente.
- Estadios e sintomas de menopausa, e idade : associação com função sexual femininaPublication . Leal, Ana Borgas; Pimenta, Filipa; Albergaria, Rita; Maroco, João; Leal, Isabel Pereira
- Menopause Symptoms’ Severity Inventory (MSSI-38): Assessing the frequency and intensity of symptomsPublication . Pimenta, Filipa; Leal, I.; Ramos, CatarinaObjectives Menopausal instruments usually assess the frequency or intensity of symptoms. The present study develops and validates an inventory to assess the severity of menopausal symptoms through the measurement of their frequency and intensity, and explores the differences between women with different menopausal status. Methods A community sample of 992 Portuguese women in pre-, peri- and postmenopause completed the proposed inventory with 47 items. Factor exploratory and confi rmatory analyses, and comparative statistics for paired and independent samples, were applied using PASW Statistics v.19 and AMOS v.18 software. Results The fi nal structure with 38 items organized in 12 factors showed overall good psychometric properties (in terms of factor analysis, convergent, discriminant and criterion validity, as well as regarding reliability, sensitivity, and measure invariance in two different and independent samples). The Wilcoxon test confi rmed signifi cant differences between frequency and intensity of symptoms. Moreover, peri- and postmenopausal women in this community sample presented low symptom severity (ranging from 0.4 to 1.4 in a scale from 0 to 4). Although postmenopausal participants presented higher levels (when compared with their perimenopausal counterparts), the two groups only diverged signifi cantly in some physical symptoms (namely, aches and pain, vasomotor symptoms, numbness, skin and facial hair changes, urinary and sexual symptoms). Conclusion This research emphasizes that severity measurement of symptoms should account for both frequency and intensity. Moreover, it contributes a fully validated 12-dimenson inventory for menopausal symptoms, the Menopause Symptoms ’ Severity Inventory-38. Regarding differences between peri- and postmenopausal women, the increment in symptoms only happens in physical symptoms, although the severity levels are not exacerbated.
- FOODLIT-tool: Development and validation of the adaptable food literacy tool towards global sustainability within food systemsPublication . Rosas, Raquel; Pimenta, Filipa; Leal, I.; Schwarzer, RalfFacing multiple anthropogenic challenges and considering the current global pandemic, food sustainability is stated as threatened by major intergovernmental agencies. Given the heterogeneity of food systems, the need to enhance food-related behaviours by promoting the acquisition of knowledge and competencies, and the demand to involve stakeholder's diversity, this study aims to develop and validate an instrument that measures food literacy (FL), its determinants and its influential factors in an adult sample. Based on the Food Literacy Wheel (FLW) framework and integrated within the FOODLIT-PRO - Food Literacy Project, this study has three phases and a total of 2406 participants: (1) item development and content validity, (2) instrument development entailing item reduction strategies, factor extraction methodologies (exploratory and confirmatory analyses) and sensitivity testing, with two samples of a total of 1447 adults, and (3) instrument validation encompassing tests of dimensionality (confirmatory factor analysis), reliability (composite reliability) and validity (convergent and discriminant validity), and measure invariance testing, with 959 adults. Concerning statistical and psychometric properties, (1) a pool of 40 items (26 for FL; single items: five for determinants and nine for influential factors) was developed with inductive and deductive methodologies and reflected the FLW, (2) a 5-factor structure was explored, demonstrated acceptable model fit, and good sensitivity indices, and (3) a 5-dimensional reliable structure with 24 items was validated, configural invariance was achieved, and convergent and discriminant validity were significant in most dimensions. The FOODLIT-Tool contributes with an innovative measure of FL in adults that allows for a tailored assessment when approaching food-related issues within global food systems, providing a multidisciplinary tool that can be cross-widely applied to promote food-related behaviour change.
- FOODLIT-trial: protocol of a randomised controlled digital intervention to promote food literacy and sustainability Behaviours in Adults Using the Health Action Process Approach and the behaviour change techniques taxonomy during the COVID-19 pandemicPublication . Rosas, Raquel; Pimenta, Filipa; Leal, Isabel Maria Pereira; Schwarzer, RalfDietary quality and sustainability are central matters to the international community, emphasised by the burden of the COVID-19 pandemic. To promote healthier and more sustainable food-related practices, the protocol of a web-based intervention to enhance adults’ food literacy is presented. The FOODLIT-Trial is a two-arm, parallel, experimental, and single-blinded randomised controlled trial delivered over 11 weeks. Based on the Food Literacy Wheel framework and supported by the Health Action Process Approach (HAPA) and the Behaviour Change Techniques Taxonomy, weekly content with customised behaviour change techniques (experimental group) is hypothesised to be more effective to promote food behaviour change when compared to a single-time and non-customised delivery of food-related international guidelines, with no theoretically informed approaches (comparison group). Primary outcome is food literacy, including food-related knowledge, skills, and behaviours, assessed with the FOODLIT-Tool; a secondary outcome includes psychological mechanisms that efficaciously predict change in participants’ food literacy, measured with HAPA-driven items. Enlisted through online sources, participants will be assessed across five time points (baseline, post-intervention, and 3-, 6-, and 9-month follow-ups, i.e., T0–T4). A randomisation check will be conducted, analyses will follow an intention-to-treat approach, and linear two-level models within- (T0–T4) and between-level (nested in participants) will be computed, together with a longitudinal mediation analysis. If effective, the FOODLIT-Trial will provide for a multidimensional and cost-effective intervention to enable healthier and more sustainable food practices over the long term.
- Are prayer-based Interventions effective pain management options? A systematic review and meta-analysis of randomized controlled trialsPublication . Jarego, Margarida; Ferreira-Valente, Maria Alexandra; Queiroz-Garcia, Inês; Day, Melissa A.; Pais-Ribeiro, José; Costa, Rui M.; Pimenta, Filipa; Jensen, MarkThis review examined the efects of private and communal participatory prayer on pain. Nine databases were searched. Six randomized controlled trials were included. For private prayer, medium to large efects emerged for 67% to 69% of betweengroup comparisons; participants in the prayer condition reported lower pain intensity (0.59