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.

Representações de doença, espriritualidade e adesão ao tratramentos em pacientes com diagnóstico de esquizofrenia

Esta investigação tem como objetivo estudar as representações de doença em pacientes com o diagnóstico de esquizofrenia e a forma como estas são varáveis preditoras da adesão ao tratamento. Este estudo teve como base o modelo de auto­regulação de Leventhal, que tem sido largamente aplicado à doença física e começa a dar os primeiros passos em trabalhos a nível da saúde mental. A investigação empírica deste trabalho foi assim conduzida tendo em conta o papel ativo que os sujeitos possuem na elaboração das suas próprias doenças. O estudo consistiu na aplicação de questionários de perceção de doença (IPQS), Crenças sobre os medicamentos (BMQ) adesão ao tratamento (RAM) e espiritualidade. Os resultados demonstram que algumas representações de doença são preditoras significativas da adesão ao tratamento. Também as crenças acerca dos medicamentos possuem um efeito preditor ainda que de uma forma menos acentuada. A interação entre representações de doença e crenças espirituais também possuem efeitos preditores na adesão ao tratamento. /ABSTRACT: This study has the objective of make an approach about the illness perceptions of patients with the diagnosis of schizophrenia and the way by witch this variable are predictors of treatment adherence. Using the model of self-regulation of Leventhal, that has been largely applied to physical disease and starts now to develop investigations in the area of mental health problems. The empirical investigation has been conducted having in mind the active role that subjects have in elaborating their own diseases. The present study was made by means of application of the disease illness perception questionnaire (IPQS), beliefs about medicines (BMQ), treatment adherence (RAM) and spirituality. Our results show that some illness cognitions are significative predictors of treatment adherence, as well as the beliefs about medicines have a predictive effect but in a less strong way. Also the interactions between illness representations and spiritual beliefs have predicted the treatment adherence.

Estratégias e práticas familiares de apoio à aprendizagem

Esta investigação visa averiguar quais as práticas educativas dos pais para apoiar a aprendizagem dos seus filhos. A investigação é enquadrada pelo marco sociocognitivo da auto-regulação da aprendizagem (Bandura, 1997; Rosário, 2004; Schunk, 2001; Zimmerman, 2000). A amostra foi constituída por 30 encarregados de educação com filhos a frequentar o 4°ano de escolaridade do ensino básico, numa escola pública localizada no distrito de Lisboa. Os dados foram obtidos através de questionários de resposta aberta, tendo sido utilizados procedimentos qualitativos e quantitativos na sua análise e tratamento. Os resultados revelam que os pais consideram maioritariamente que aprender e estudar são algo que se diferencia. Os factores determinantes sobre quem dá suporte e apoio ao aprender da criança prendem-se sobretudo com a disponibilidade e com o conhecimento por parte do progenitor em causa. Os pais criam condições físicas e ambientais para o apoio ao estudo o qual é sobretudo feito através da realização dos TPC e acreditam que o apoio por si prestado é vantajoso. As estratégias mais utilizadas pelos pais são as de ensaio e monitorização. /ABSTRACT: This investigation's purpose is to inquire what strategies are being used by parents in learning support. The investigation is of quality kind, and it's based on the sociocognitive theory (Bandura, 1997; Rosário, 2004; Schunk, 2001; Zimmerman, 2000) of self-regulated learning. ln this study participated 30 parents whose children are forth grade students, in a public school located in the district of Lisbon. Ali the data was obtained through an open­answer questionnaire and qualitative and quantitative procedures were used in its study and analysis. The results attained reveal that parents consider studying to be something different from learning. The determinant factors on who provides children's learning support are mostly related with the availability and the knowledge of the ancestor in cause. Parents create physical and ambient conditions for study support which over all is made through the accomplishment of homework and believe that the support given from themselves has advantageous. The strategies most commonly used by parents are of rehearsal and monitoring.

Contributos das percepções de auto-eficácia e de instrumentalidade para a promoção da aprendizagem auto-regulada no ensino profissional

Assumindo a teoria sociocognitiva de Bandura como marco teórico, o presente estudo aborda as percepções de auto-eficácia e de instrumentalidade enquanto preditoras da auto-regulação da aprendizagem e as influências que as variáveis sexo, idade, habilitações escolares e profissão do pai e da mãe, ano de escolaridade, curso profissional, quantidade de módulos em atraso e quantidade de horas de estudo semanais poderão ter. A amostra é constituída por 521 formandos de ambos os sexos de uma escola profissional privada. Os instrumentos utilizados foram a Ficha de Dados Pessoais e Escolares, o Questionário de Auto-Eficácia da Auto-Regulação da Aprendizagem e o Questionário de lnstrumentalidade da Auto-Regulação da Aprendizagem. Os resultados corroboram a literatura ao verificar-se que as raparigas são mais auto-reguladas na sua aprendizagem, estudam mais tempo e têm menos módulos em atraso do que os rapazes. Verificou-se também a influência do curso profissional sobre as percepções de auto-eficácia e instrumentalidade percebidas. /ABSTRACT: Assuming Bandura’s social-cognitive theory as our framework, the present study refers to the perspectives of self-efficacy and instrumentality as predictors of self­regulated learning and the influence that the variables sex, age, parents school degree and profession, grade and vocational course, the number of modules in which the students weren't successful at and the amount of study hours per week might have on them. The sample is formed by 521 students of both genders from a private vocational school. The instruments used were the FDPE (Sociodemographic data file), QSEsrl (Questionnaire of Self-Efficacy of Self-Regulated Learning) and and Qlsrl (Questionnaire of lnstrumentality of Self-Regulated Learning). The results corroborate previous studies and reveal that female students have higher perceptions of self-efficacy and instrumentality, possess fewer non-successful modules and study more time than the male students. There are significant differences throughout the vocational courses for the perceived self-efficacy and instrumentality.

Cognitive Assessment System (CAS): Psychometric studies with Portuguese children from 7 to 15 years.

The Cognitive Assessment System (CAS) is a new measure of cognitive abilities based on the Planning, Attention, Simultaneous and Successive (PASS) Theory. This theory is derived from research in neuropsychological and cognitive Psychology with particular emphasis on the work of Luria (1973). According to Naglieri (1999) and Naglieri and Das (1997), the PASS cognitive processes are the basic building blocks of human intellectual functioning. Planning processes provide cognitive control, utilization of processes and knowledge, intentionality, and self-regulation to achieve a desired goal; Attention processes provide focused, selective cognitive activity and resistance to distraction; and, Simultaneous and Successive processes are the two forms of operating on information. The PASS theory has had a strong empirical base prior to the publication of the CAS (see Das, Naglieri & Kirby, 1994), and its research foundation remains strong (see Naglieri, 1999; Naglieri & Das, 1997). The four basic psychological processes can be used to (1) gain an understanding of how well a child thinks; (2) discover the child’s strengths and needs, which can then be used for effective differential diagnosis; (3) conduct fair assessment; and (4) select or design appropriate interventions. Compared to the traditional intelligence tests, including IQ tests, the Cognitive Assessment System (CAS) has the great advantage of relying on a modern theory of cognitive functioning, linking theory with practice.