Barriers to and facilitators of older adult’s adherence to health recommendations: Towards an EngAging two-way health communication

Non-adherence to health recommendations (e.g. medical prescriptions) presents potential costs for healthcare, which could be prevented or mitigated. This is often attributed to a person’s rational choice, to not adhere. However, this may also be determined by individual and contextual factors implied in the recommendations communication process. In accordance, this chapter focuses specifically on barriers to and facilitators of adherence to recommendations and engagement with the healthcare process, particularly concerning the communication between health professionals and patients. For this, the authors present examples of engagement increment through different degrees of participation, from a one-way/directive towards a two-way/engaging communication process. This focuses specifically on a vulnerable population group with increasing healthcare needs: older adults. Future possibilities for two-way engaging communications are discussed, aimed at promoting increased adherence to health recommendations and people’s self-regulation of their own health.

Engagement e interferência trabalho-família em cônjuges trabalhadores e não trabalhadores na mesma organização

Baseada na literatura sobre a interferência trabalho-família e o engagement, esta investigação estudou diferenças nestas variáveis em indivíduos com cônjuge trabalhador na mesma organização vs. cônjuge não trabalhador na mesma organização. Foram aplicados dois questionários a uma amostra de 91 participantes, que permitiram concluir que o primeiro grupo apresenta níveis superiores em todas as dimensões de ambas as variáveis, sobretudo na dedicação. Foram ainda estudadas diferenças em variáveis sócio-demográficas, assim como foi demonstrado a correlação significativa entre as dimensões do engagement, e entre o vigor e a interferência trabalho­família negativa. São discutidas implicações teóricas e práticas, assim como limitações do estudo e direcções futuras. /ABSTRACT: Based on the literature about work-home interference and engagement, this investigation studied differences on those variables in individuals with their spouses working on the same organization vs. spouses don't working on the same organization. Two questionnaires were applied to a 91 sample, that allowed us to conclude that the first group presents higher levels in every dimension of both variables, especially on dedication. Differences in socio-demographics variables were also studied, and it was demonstrated significant correlation between engagement dimensions, and between vigour and negative work-home interference. Theoretical and practical implications are discussed, as well study limitations and future directions.