S1 Health literacy and health education in adolescence Catarina Cardoso Tomás S2 The effect of a walking program on the quality of life and well-being of people with schizophrenia Emanuel Oliveira, D. Sousa, M. Uba-Chupel, G. Furtado, C. Rocha, A. Teixeira, P. Ferreira S3 Diagnosis and innovative treatments - the way to a better medical practice Celeste Alves S4 Simulation-based learning and how it is a high contribution Stefan Gisin S5 Formative research about acceptability, utilization and promotion of a home fortification programme with micronutrient powders (MNP) in the Autonomous Region of Príncipe, São Tomé and Príncipe Elisabete Catarino, Nelma Carvalho, Tiago Coucelo, Luís Bonfim, Carina Silva S6 Safety culture of the patient: a reflexion about the therapeutic approach on the patient with vocal pathology Débora Franco S7 About wine, fortune cookies and patient experience Jesús Alcoba González O1 The psychological impact on the emergency crews after the disaster event on February 20, 2010 Helena G. Jardim, Rita Silva O2 Musculoskeletal disorders in midwives Cristina L. Baixinho, Mª Helena Presado, Mª Fátima Marques, Mário E. Cardoso O3 Negative childhood experiences and fears of compassion: Implications for psychological difficulties in adolescence Marina Cunha, Joana Mendes, Ana Xavier, Ana Galhardo, Margarida Couto O4 Optimal age to give the first dose of measles vaccine in Portugal João G. Frade, Carla Nunes, João R. Mesquita, Maria S. Nascimento, Guilherme Gonçalves O5 Functional assessment of elderly in primary care Conceição Castro, Alice Mártires, Mª João Monteiro, Conceição Rainho O6 Smoking and coronary events in a population of Spanish health-care centre: An observational study Francisco P. Caballero, Fatima M. Monago, Jose T. Guerrero, Rocio M. Monago, Africa P. Trigo, Milagros L. Gutierrez, Gemma M. Milanés, Mercedes G. Reina, Ana G. Villanueva, Ana S. Piñero, Isabel R. Aliseda, Francisco B. Ramirez O7 Prevalence of musculoskeletal injuries in Portuguese musicians Andrea Ribeiro, Ana Quelhas, Conceição Manso O8 Hip fractures, psychotropic drug consumption and comorbidity in patients of a primary care practice in Spain Francisco P. Caballero, Jose T. Guerrero, Fatima M. Monago, Rafael B. Santos, Nuria R. Jimenez, Cristina G. Nuñez, Inmaculada R. Gomez, Mª Jose L. Fernandez, Laura A. Marquez, Ana L. Moreno, Mª Jesus Tena Huertas, Francisco B. Ramirez O9 The role of self-criticism and shame in social anxiety in a clinical SAD sample Daniel Seabra, Mª Céu Salvador O10 Obstruction and infiltration: a proposal of a quality indicator Luciene Braga, Pedro Parreira, Anabela Salgueiro-Oliveira, Cristina Arreguy-Sena, Bibiana F. Oliveira, Mª Adriana Henriques O11 Balance and anxiety and depression symptoms in old age people Joana Santos, Sara Lebre, Alda Marques O12 Prevalence of postural changes and risk factors in school children and adolescents in a northern region (Porto) Clarinda Festas, Sandra Rodrigues, Andrea Ribeiro, José Lumini O13 Ischemic stroke vs. haemorrhagic stroke survival rate Ana G. Figueiredo O14 Chronobiological factors as responsible for the appearance of locomotor pathology in adolescents Francisco J. Hernandez-Martinez, Liliana Campi, Mª Pino Quintana-Montesdeoca, Juan F. Jimenez-Diaz, Bienvenida C. Rodriguez-De-Vera O15 Risk of malnutrition in the elderly of Bragança Alexandra Parente, Mª Augusta Mata, Ana Mª Pereira, Adília Fernandes, Manuel Brás O16 A Lifestyle Educational Programme for primary care diabetic patients: the design of a complex nursing intervention Mª Rosário Pinto, Pedro Parreira, Marta L. Basto, Ana C. Rei, Lisete M. Mónico O17 Medication adherence in elderly people Gilberta Sousa, Clementina Morna, Otília Freitas, Gregório Freitas, Ana Jardim, Rita Vasconcelos O18 Hospitalization for cervical cancer of residents in the metropolitan region of Porto Alegre, Southern Brazil, 2012 to 2014 Lina G. Horta, Roger S. Rosa, Luís F. Kranz, Rita C. Nugem, Mariana S. Siqueira, Ronaldo Bordin O19 Oncologic assistance of high complexity: evaluation of regulating accesses Rosiane Kniess, Josimari T. Lacerda O20 Perceived barriers for using health care services by the older population as seen by the social sector: findings from the Vila Nova de Gaia Gerontological Plan Joana Guedes, Idalina Machado, Sidalina Almeida, Adriano Zilhão, Helder Alves, Óscar Ribeiro O21 Sleep difficulties and depressive symptoms in college students Ana P. Amaral, Ana Santos, Joana Monteiro, Mª Clara Rocha, Rui Cruz O22 Psychopathological symptoms and medication use in higher education Ana P. Amaral, Marina Lourenço, Mª Clara Rocha, Rui Cruz O23 Sexually transmitted diseases in higher education institutions Sandra Antunes, Verónica Mendonça, Isabel Andrade, Nádia Osório, Ana Valado, Armando Caseiro, António Gabriel, Anabela C. Martins, Fernando Mendes O24 Alcohol consumption and suicide ideation in higher education students Lídia Cabral, Manuela Ferreira, Amadeu Gonçalves O25 Quality of life in university students Tatiana D. Luz, Leonardo Luz, Raul Martins O26 Male and female adolescent antisocial behaviour: characterizing vulnerabilities in a Portuguese sample Alice Morgado, Maria L. Vale-Dias O27 Risk factors for mental health in higher education students of health sciences Rui Porta-Nova O28 International classification of functioning disability and health as reflexive reasoning in primary attention in health Tânia C. Fleig, Éboni M. Reuter, Miriam B. Froemming, Sabrina L. Guerreiro, Lisiane L. Carvalho O29 Risk factors and cardiovascular disease in Portalegre Daniel Guedelha, P....

Parenthood is a period of stress and great demand for parents. Taking care of a baby requires parental adjustment and behavioural development in order to satisfy child’s needs. Infant massage is an important parental support strategy which enhances parent-child relationship and promotes baby’s development [ 1 Porreca A , Parolin M , Bozza G , et al. Infant massage and quality of early mother-infant interactions: are there associations with maternal psychological wellbeing, marital quality, and social support? Front Psychol. 2016;7:20491-14. [Web of Science ®] , [Google Scholar] ]. This is a widely and effective technique used in preterm and term infants. In recent years, many studies showed several benefits, such as improved weight gain; pain reduction; relaxation; increased alertness and learning; decreased stress, depression and anxiety levels; promoted deep sleep and improved immune system [ 2–4 Abdallah B , Badr L , Hawwari M. The efficacy of massage on short and long term outcomes in preterm infants. Infant Behav Dev. 2013;36(4):662–669. Field T. Massage therapy research review. Complement Ther Clin Pract. 2014;20(4):224–229. Juneau A , Aita M , Héon M. Review and critical analysis of massage studies for term and preterm infants. Neonatal Netw. 2015;34(3):165–177. ]. However, when evaluating term massage programs, it is noticed that there are no similar methodologies between studies. The purpose of this study is to review massage programs for newborn babies. This is a systematic review study. A literature search was conducted via three databases: PubMed, PEDro and Scielo using the search terms “Massage therapy”; “Infant massage”; “Baby massage”; “Full term”; “term babies”; “neonates”, “newborn” and “Maternal support” or “Mother support”. The inclusion criteria were: Studies published in English, Spanish or Portuguese; RCT studies; Quasi-experimental studies; Studies with massage program; Studies with term babies’ samples; Studies published between 2009 and 2019. The exclusion criteria were studies with term “babies with congenital disease”. A total of 62 papers were found and analysed by both authors. Fourteen met the criteria, 5 RCT’s and 9 quasi experimental studies. Studies described 6 programs of infant massage to newborn babies. Ten studies described mothers applying term massage program, 3 applied by health professionals and 1 divided between health professionals when in hospital and by their mothers when babies were discharged. The most representative direction of massage was from head to feet. Majority of the studies used group strategy for teaching infant massage to mothers. Programs varied from 1–3 days twice a day for 15 mn to once a week between 30–60 mn during 4–8 weeks. Studies were scored by PEDro’s scale and ranged from 2 to 7. Half of the studies obtained score 5. We can conclude that 6 massage programs are described in literature; the majority is performed by babies’ mothers and there is a wide variety concerning program duration and frequency. Studies outcomes showed effects both on newborn babies and mother–baby relationship. Infant massage programs seem to be an important group teaching strategy for new parents. However, more studies should be done in order to understand if newborn massage works, regardless of the program type.

Introduction: Aquatic Physical therapy plays an important role in the treatment of several clinical conditions. A therapy programme associated with water properties enhances the progress and recovery of body functions and structures, activities and participation, and quality of life [ 1 Saccheli T , Accacio L , Radl A. Fisioterapia Aquática. São Paulo: Manole; 2007. [Google Scholar] , 2 Aquatic Therapy Association of Chartered Physiotherapists Guidance on Good Practice in Hydrotherapy. Chartered Society of Physiotherapy: London; 2006. [Google Scholar] ]. Outcomes assessment is fundamental for the construction of an evidence-based practice. WOTA 1 and 2 are two important aquatic instruments that were developed to assess the mental adaptation of the swimmer and his function in the water based on the principles of the Halliwick method. WOTA 1 was developed to evaluate children with difficulties in following or understanding instructions. WOTA 2 was developed to assess children with higher functional abilities or that are able to follow instructions [ 3 Tirosh R . Halliwick-based Aquatic Assessments: Reliability and Validity. JAPT. 2011;19(1):11–18. [Google Scholar] ]. The purpose of this study was to adapt and cultural validate WOTA 1 and 2 to portuguese language and to assess its psychometric properties. Materials and methods: This is a methodological study of adaptation and cultural validation of an instrument in a foreign language. The different steps recommended in the literature were carried out. The cross cultural equivalence was done through Delphi technique by the expert committee, composed by five aquatic physical therapists experts. One round was enough because agreement between experts was 80% or more on the items. The pretest was done by a small sample of physical therapists (PT) in order to assess if the translated instrument was understandable and the language was clear. No problems were pointed by the pretest PT to the Portuguese version so the process of cross validation continued with the assessment of psychometric properties of the instrument. A convenience sample of forty children divided into two groups participated on the study. In WOTA 1 twenty participants (80% male and 20% female; mean ± SD age, 8.3 ± 2.8 years) and in WOTA 2 twenty participants (70% male and 30% female; mean ± SD age, 13.6 ± 2.8 years). Two physical therapists evaluated the children in the beginning and one month later. All subjects’ guardians signed informed consent. Results: WOTA 1 and WOTA 2 both showed good psychometrics values. WOTA 1 showed very good values of internal consistency (Cronbach α= 0.91) and test-retest reliability (ICC= 0.94; 95%CI). The WOTA 2 also showed high internal consistency (Cronbach α= 0.89) and good test-retest reliability (ICC= 0.99 (95%CI)). The instrument is divided into two sub-scales (mental adaptation (MA) and functional performance (FP)). Both sub-scales scored with good values of consistency and test-retest reliability (MA Cronbach α= 0.68; ICC= 0.95 (95%CI); FP Cronbach α= 0.90; ICC= 0.99 (95%CI)). Discussion and conclusion: WOTA-P 1 and WOTA-P 2 are a valid and reliable instrument to portuguese language and its results are comparable with the english version.

This study assessed satisfaction with physiotherapy care for individuals with cystic fibrosis across face-to-face, online, and blended formats at the National Association for Cystic Fibrosis. Forty participants, including patients and legal representatives, reported high satisfaction overall. Key strengths included respectful communication, involvement in decision-making, scheduling flexibility, and therapist support. Face-to-face care received the highest ratings, though privacy, understanding, and engagement were consistently strong across all modalities. The results highlight the importance of patient-centred approaches and suggest that high-quality care can be delivered effectively across different treatment formats, reinforcing satisfaction as a key indicator of healthcare quality and effectiveness.

Physiotherapists play a key role in today’s healthcare and are recognised as the professionals in charge of rehabilitation, prevention and risk reduction [ 1 Jensen GM , Hack LM , Nordstrom T , et al. National study of excellence and innovation in physical therapist education: part 2 – a call to reform. Physical Therapy. 2017;97(9):875–888. [Crossref], [PubMed], [Web of Science ®] , [Google Scholar] ]. Professionalism is interconnected and inherent with the profession; physiotherapists have the duty to act in an ethically correct way and for this must be governed by certain ethical principles [ 2 Bialocerkowski A , Johnson A , Allan T , et al. Development of physiotherapy inherent requirement statements – an Australian experience. BMC Med Educ. 2013;13(54):1–13. [PubMed] , [Google Scholar] ]. The evaluation of professionalism is difficult to achieve because of various qualities that should be present, and also because it is needed to use several measurement methods, particularly in complex real world contexts [ 3 Hodges BD , Ginsburg S , Cruess R , et al. Assessment of professionalism: recommendations from the Ottawa 2010 Conference. Med Teach. 2011;33(5):354–363. [Taylor & Francis Online] , [Google Scholar] ]. The linguistic adaptation of an instrument is carried out using the Delphi Method, which brings a group of experts where a series of rounds is conducted until consensus of the translation is reached [ 4 Green AR. The Delphi technique in educational research. SAGE Open. 2014;4(2):215824401452977–215824401452978. [Crossref] , [Google Scholar] ]. The aim of the study is the translation of the instrument Professionalism in Physical Therapy: Core Values, of the American Physical Therapy Association (APTA), with the intention to be used by physiotherapists in Portugal. The translation/back-translation was made by the Delphi Method with three rounds which were performed until de adaptation of the instrument to the Portuguese culture was achieved. A group of five experts, all with master and PhD academic degree, all with more than 25 years as Physiotherapist and Portuguese as their first language were selected. In order to reach consensus on the translation of the instrument, 3 rounds were carried out using the Delphi method, thus allowing linguistic equivalence to be obtained. In the 1st round of the process regarding the physical therapist's part, a 92 questions questionnaire was sent to the experts. In the 2nd round 42 questions were held and in the 3rd and final round, 5 questions were translated. Regarding the patient's part of the questionnaire, in the 1st round 18 questions were sent and in the 2nd round the number decreased to 9 questions. Consensus was achieved at 2nd round. The level of minimum agreement in each item was set to 80%, ensuring good translation and adaptation for Portuguese culture. The aim of the study was achieved, and the linguistic translation was completed. As next step, it is needed to conduct validation of the instrument for Portuguese culture by performing a pre-test. The results of this content validation by experts will be useful to improve the standard of care, teaching and research in physiotherapy, based on a standardised instrument which allow to measure Portuguese Physiotherapists professionalism, and perform international benchmark as well.