ESS - CIR - Comunicações em eventos científicos
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- Formar profissionais de saúde de excelência: A importância da comunicação clínicaPublication . Dores, Artemisa; Ramião, Eduarda; Freitas, Maria João; Peixoto, Miguel; Cardoso, Joana; Sousa, Zita; Dores, Artemisa; de Faria Távora Moreira Peixoto, MiguelA comunicação clínica é fundamental para garantir um cuidado centrado no paciente, promovendo melhores resultados em saúde, fortalecendo a relação terapêutica e apoiando a tomada de decisões informadas. Este trabalho tem como objetivo apresentar as práticas pedagógicas adotadas nas unidades curriculares de Psicologia da Comunicação, da responsabilidade da Área Técnico-Científica de Ciências Sociais e Humanas, lecionadas a diferentes cursos técnicos superiores profissionais e a licenciaturas de tecnologias da saúde, na Escola Superior de Saúde do Politécnico do Porto. São abordadas temáticas como: comunicação verbal e não-verbal, estilos de comunicação, resolução de conflitos, trabalho em equipa, comunicação em exames complementares de diagnóstico, atitudes comunicacionais, microcompetências e lidar com emoções fortes. A investigação na área e a reflexão crítica em torno da prática, com estudantes e docentes, suportada na atualização constante, suportam os métodos e técnicas pedagógicas adotadas, como as dinâmicas de grupo, o role-play e a simulação em vídeo. As práticas adotadas, com uma forte integração teórico-prática, potenciam o desenvolvimento de competências (conhecimentos, habilidades e atitudes) de comunicação clínica, fundamentais ao exercício profissional na área da saúde. Esta área enfrenta desafios novos e crescentes, como o acelerado desenvolvimento tecnológico e digital. Importa preparar os futuros profissionais de saúde para conciliarem tecnologia e relação, como dimensões indissociáveis da prestação de serviços de saúde de qualidade no séc. XXI.
- Clinical presentation competencies: A systematic literature reviewPublication . Dores, Artemisa; Freitas, Maria João; Ramião, Eduarda; Dores, ArtemisaClinical communication skills are essential for building trust between healthcare professionals and patients. Clear and empathetic communication fosters shared decision-making, enhances therapeutic adherence, and improves outcomes. This is particularly significant for professionals such as physicians, nurses, and allied health professionals (e.g., physiotherapists), who work closely with individuals requiring personalized feedback and interaction. This systematic review followed PRISMA guidelines to expand the existing knowledge and aimed to answer the question: What is the importance of clinical communication in healthcare interventions? Academic databases (EBSCO, Scopus, Web of Science, and PubMed) were searched for peerreviewed articles published within the last decade, examining the role and components of clinical communication in healthcare interventions. Studies included diagnoses, as mental and neurocognitive conditions, and COVID-related care, while excluding those focused on physical illnesses, pharmacology, or interventions targeting only patients’ empathy/cognition. Forty-two studies were qualitatively analyzed and grouped by communication strategies, settings, populations, and key competencies. The findings underscore empathy as a core competency, consistently linked to enhanced professional effectiveness and stronger therapeutic relationships. Several studies emphasized how patient-centred communication improved satisfaction, adherence to treatment, and collaboration. Additionally, integrating emerging technologies, such as telehealth platforms and digital communication tools, was identified as a growing area of interest, bringing both new opportunities and challenges to clinical practice. Based on the findings, we recommend that communication training be embedded in healthcare curricula through simulations, reflective practice, and interdisciplinary education. Preparing future professionals in this field is crucial to ensuring quality clinical care.
- Imersão digital no ensino de dados em saúde: SAP Analytics Cloud e Realidade Virtual na formação em Saúde DigitalPublication . Sá, Vítor J.; Gomes, Paulo Veloso; Donga, João; Babo, Rosalina; Marques, António; Pereira da Silva Marques, António José; Machado Veloso Gomes, Paulo Sérgio; Rucha das Dores da Costa Donga, João PauloA disciplina de Análise e Visualização de Dados em Saúde, integrada na Licenciatura em Saúde Digital do Politécnico do Porto, explora novas abordagens pedagógicas centradas na tecnologia. Propõe-se a utilização do SAP Analytics Cloud como plataforma de apoio ao ensino de análise de dados em saúde, permitindo aos estudantes desenvolver competências práticas em Business Intelligence, visualização interativa e previsão de tendências (p. ex., epidemiológicas). Para potenciar a imersão e a aprendizagem ativa, será integrada a utilização de óculos como os Meta Quest 3, permitindo experiências de Realidade Virtual e Realidade Aumentada. Os estudantes poderão explorar dashboards 3D, mapas de propagação (p. ex., de doenças) e cenários de planeamento hospitalar em ambientes imersivos. Esta abordagem inovadora visa fomentar o pensamento crítico, a literacia de dados e a preparação dos futuros profissionais de saúde para os desafios digitais emergentes, alinhando o ensino com as tendências internacionais de transformação tecnológica na educação superior.
- Ferramentas digitais de ensino a distância em saúde: Um curso de formação para docentes do ensino superiorPublication . Almeida, Raquel Simões de; Trigueiro, Maria João; Simões de Almeida, Raquel; Trigueiro, Maria JoãoA utilização de métodos de ensino à distância, de forma exclusiva ou integrada num modelo híbrido, tem vindo a ganhar mais destaque, nomeadamente nas ciências da saúde. Contudo, nem todos os docentes sabem utilizar ferramentas para a conceção e implementação de cursos a distância. Este trabalho apresenta o desenvolvimento e implementação do microcurso "Ferramentas Digitais de Ensino a Distância em Saúde", voltado para a capacitação de docentes do ensino superior. O curso estruturouse em cinco módulos, combinando atividades síncronas e assíncronas ao longo de um mês. Entre os temas abordados, destacam-se: educação digital e modelos pedagógicos virtuais, ferramentas digitais para comunicação e colaboração, desenvolvimento de experiências de aprendizagem interativas, avaliação em ambientes digitais e inovações na educação a distância. O objetivo foi capacitar docentes para integrar eficazmente tecnologias digitais no ensino em saúde, promovendo a literacia digital e contribuindo para a democratização do acesso a uma educação de qualidade.
- The role of interoceptive processing in prenatal depression and anxietyPublication . Praça, Maiara Silva; Braga, Patrícia Vilela; Marshall, Amanda; Lamela, Diogo; Jongenelen, Inês; Rocha, Nuno Barbosa; Costa, Raquel; Schütz-Bosbach, Simone; Pinto, Tiago Miguel; Feldman, Ruth; Campos, Carlos; Rocha, NunoPregnancy is a complex biological phenomenon that can modify several interoception domains (ability to perceive and subjectively experience inner bodily states). These changes in interoceptive processing may also play a role in the emergence of prenatal psychopathology, namely anxiety and depression. To examine the association between interoceptive processing and psychopathology (depression and anxiety) in first-time pregnant women (3rd trimester). 17 first-time expectant mothers (mean age = 32.71 years) completed data collection at 28-32 gestational age. Interoception was evaluated using self-report measures (Interoceptive Accuracy and Attention Scales), a performance-based interoceptive accuracy task (Heartbeat Tapping Task; participants are required to tap a key whenever they feel a heartbeat), and neural markers of infant-specific interoceptive processing (heartbeat-evoked potentials - HEP - during the Infant Face Repetition-Suppression Task). A cluster mass permutation test was employed to identify the electrodes and time-windows where HEP amplitude was effectively modulated (right frontal-central; 308 - 600 ms). The Edinburgh Postnatal Depression Scale was used to evaluate depressive symptoms, while the State Anxiety Inventory (STAI-S) measured current anxiety levels. Significant positive correlations were found between interoceptive attention and anxiety (r =.645; p = .017), as well as between interoceptive attention and depression (r = .749; p = .003). Interoceptive accuracy was neither correlated with anxiety nor depression. A large (albeit non-significant) negative correlation (r = -.301, p = .368) was found between depressive scores and HEP emotional modulation in the infant condition, suggesting that infant-specific emotional modulation of HEP may be reduced in prenatal depression. These preliminary findings suggest that interoceptive processing is associated with prenatal psychopathology across several levels. Self-perceived beliefs about interoceptive attention were positively associated with both anxiety and depression. Furthermore, infant-specific neural markers of interoceptive processing may also play an important role in prenatal depressive symptomatology.
- Neurophysiological markers of cardiac interoceptive processing in first-time expectant mothersPublication . Braga, Patrícia Vilela; Marshall, Amanda; Lamela, Diogo; Jongenelen, Inês; Rocha, Nuno Barbosa; Costa, Raquel; Pasion, Rita; Schütz-Bosbach, Simone; Pinto, Tiago Miguel; Feldman, Ruth; Campos, Carlos; Campos, Carlos; Rocha, NunoPregnancy is a complex biological phenomenon where two distinct pathways may produce changes in interoception (ability to perceive and subjectively experience inner bodily states). First, pregnancy modifies the parental caregiving brain network, which includes key regions for interoceptive processing, particularly the insula. Second, pregnancy also changes the strength, frequency, and/or nature of interoceptive signals across different modalities (e.g., cardiac, respiratory, gastric). This study investigates pregnancy-related changes in neural markers of cortical interoceptive processing, specifically heartbeat-evoked potentials (HEP), by comparing first-time expectant mothers with non-pregnant, age-matched females. Data were collected from first-time expectant mothers (n = 13; Mage = 32.15 years) and matched controls (n = 8; mean age = 30.88 years) at 28–32 weeks of gestation. EEG recordings, time-locked to R-peaks (ECG), were obtained while participants completed the Infant Face Repetition Suppression Task. This paradigm was designed to induce an emotion (sad vs. neutral) and age-specific (infant vs. adult) modulation of HEP amplitude. A cluster mass permutation test was employed to identify the electrodes and time-windows where HEP amplitude was effectively modulated (right frontal-central; 308 - 600 ms). Repetition-suppression effects on HEP amplitude were observed for adult stimuli (p = .049, d = 0.499), while no modulation was observed in the infant condition (p = .471, d = 0.174). Pregnant participants displayed significantly lower HEP amplitude in adult trials in comparison to non-pregnant controls (p = .046, g = 0.997). Despite significant differences only emerging in the adult trials, pregnant women displayed lower HEP amplitude across all conditions. These findings suggest that pregnancy modifies cardiac interoceptive processing, leading to an overall decrease in HEP amplitude. Contrary to our hypothesis, expectant mothers did not exhibit infant- or emotion-specific changes in neural markers of cardiac interoception.
- Does attention to cardiac sensations modulate heartbeat-evoked potentials even after controlling for cognitive demands?Publication . Braga, Patrícia Vilela; Vieira, Beatriz; Carina, Fernandes; Barbosa, Fernando; Santos, Fernando Ferreira; Pereira, Mariana R.; Rocha, Nuno Barbosa; Mazer, Prune; Pasion, Rita; Schütz-Bosbach, Simone; Paiva, Tiago Oliveira; Campos, Carlos; Campos, Carlos; Rocha, Nuno; Mazer, PruneHeartbeat-evoked potentials (HEP) have been shown to be modulated by attentional focus (cardiac vs. exteroceptive attention), suggesting that HEP are a neural correlate of interoceptive prediction errors. However, this effect has not been consistently replicated, and differences in cognitive effort when contrasting interoceptive vs. exteroceptive attention may be a confounding factor. We devised a modified Heartbeat Attention Task to examine whether cardiac attention can modulate HEP amplitude even when cognitive demands are matched across interoceptive and exteroceptive conditions. In exteroceptive blocks, subjects were required to count subtle bursts of volume increase embedded within a continuous white noise. The bursts’ volume was individually tailored for each participant (near absolute threshold) and were presented in a rhythmic pattern replicating a typical heart rate. In interoceptive blocks, participants were asked to count their heartbeats, whilst the white noise was still presented, ensuring that the neural effects were driven by the attention shift rather than sensory changes. The task was first completed by 50 participants (25F; 28.44y) during a 9-electrode EEG recording: frontal, central and parietal sites. No significant differences were found regarding counted heartbeats (M=122.00) vs white noise bursts (M=118.86) as well as on perceived attentional efforts (heart M=65.00 vs bursts M=67.00), indicating similar task demands across conditions. No significant differences between conditions were found on HEP amplitude across all electrodes (p > .137 for all), suggesting no attentional modulation of HEP amplitude after accounting for cognitive demands. Due to the reduced number of electrodes, a follow-up sample of 26 participants (13F; 21.73y) completed the task using a new EEG geodesic 64-channel sensor net. This dataset is currently under processing and will allow for a more comprehensive data-driven analytic approach (cluster-based permutation test) to ensure whether the attentional modulation of HEP amplitude is indeed absent when accounting for cognitive demands.
- Satisfação de adultos mais velhos com prótese de joelho com um programa de exercícios em grupoPublication . Silva, Alexandre; Lopes, Sofia; Lopes, SofiaA artroplastia do joelho é a cirurgia mais realizada no membro inferior em adultos mais velhos. A funcionalidade, a qualidade de vida, a segurança, são as principais causas de satisfação relacionadas com a execução de um programa de exercício. Objetivo: Avaliar a satisfação de adultos mais velhos com prótese de joelho relativamente à execução de um programa de exercício em grupo. Metodologia: Estudo observacional descritivo, com 36 adultos mais velhos que realizaram um programa de exercício em grupo, 3 vezes por semana, com duração de 30 minutos, supervisionado por um fisioterapeuta, com um total de 15 sessões. Excluiu-se indivíduos que realizaram o programa em meio aquático. Foi aplicado um questionário de caraterização com questões relacionadas com a satisfação quanto ao programa. Resultados: Verificou-se uma distribuição homogénea entre sexos, com uma média (desvio padrão) de 70.3 (5.3) anos, sendo que 34 (94%) encontram-se reformados e 12 (33%) consideram ter uma saúde boa. A amostra considera que o programa de exercício promove funcionalidade e segurança nas atividades da vida diária, a maioria considera que melhora a qualidade de vida (97.2%), apenas 25% considera que o tempo da sessão é adequado. Todos os indivíduos encontram-se satisfeitos com o programa. Discussão e Conclusão: Os resultados permitem documentar a satisfação e alinhar os serviços com as expectativas dos utilizadores. A experiência do utente constitui, um indicador de qualidade. Conclui-se que o programa revela satisfação dos adultos mais velhos, quanto à funcionalidade, segurança e qualidade de vida, contudo, a sua duração não parece mostrar satisfação.
- Scapular muscle dynamic stiffness of asymptomatic subjects and subjects with chronic shoulder pain, at rest and isometric contraction conditionsPublication . Melo, Ana S. C.; Pinheiro de Sousa, Andreia Sofia; Montóia, Bárbara; Cruz, Eduardo B.; Vilas-Boas, J. Paulo; Sousa, Andreia S. P.Muscle stiffness had a crucial role in joint stability, particularly, at the shoulder complex. Although changes in upper trapezius muscle stiffness have been described for shoulder pain, contradictory findings have been obtained. Also, existing data regarding scapular muscles are, majorly, about trapezius. Myotonometry is a method used to assess stiffness; however, the reliability values of scapular muscle stiffness through this method have not been assessed in shoulder pain conditions. The present study aims to compare scapular muscles’ stiffness (trapezius, serratus anterior, and levator scapulae) between subjects with and without chronic shoulder pain and to evaluate the related test-retest reliability. Twenty-two symptomatic and twenty-two asymptomatic subjects participated in a cross-sectional study. The dynamic muscular stiffness of scapular muscles, at rest and during an isometric contraction, was measured bilaterally with myotonometry, in two moments. The differences in bilateral averaged values between symptomatic and asymptomatic subjects and the effect of the group (group presenting pain in the dominant or non-dominant side, and asymptomatic group) and of the limb (unilateral painful or asymptomatic limb, and bilateral asymptomatic limbs) were investigated. Test-retest intra-rater reliability was determined. An effect of the group was observed at rest, for middle trapezius stiffness, and during contraction, for middle and lower trapezius stiffness. For middle trapezius, increased values were observed in the group presenting pain in non-dominant side comparing to both groups or to group presenting pain in dominant side. The intraclass correlation coefficient, majorly, ranged between 0.775 and 0.989. Participants with pain in the non-dominant side presented an increased middle trapezius’ stiffness. Globally, high reliability was observed for scapular muscles dynamic stiffness.
- Extended reality tools for medical training and educationPublication . Magalhães, Renato; Veloso, Rita; Magalhães, Renato; da Silva Veloso, Rita SofiaThe integration of extended reality (XR) in medical education represents a cutting-edge approach to simulation-based training. This study critically assesses XR software for medical teaching, with a focus on compatibility, medical specialization, and licensing requirements. The findings highlight the significant use in anatomy (44%) and surgical applications (26%). Virtual and mixed reality are the dominant technologies in this field, with the U.S. accounting for 62% of the companies involved. Specifically, HoloAnatomy, tested on HoloLens 2 and evaluated by seven healthcare professionals using NASA-TLX, was deemed intuitive and effective, though high device costs limit broader adoption. In conclusion, XR technologies hold substantial potential for advancing medical education, but the cost barriers must be overcome to enable wider implementation.