Browsing by Author "Xavier, Maria Raul"
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- Consumo de álcool durante a gravidez: perceção de mulheres grávidas relativamente à informação disponível: estudo exploratório qualitativoPublication . Hoffmeister, Kerstin; Xavier, Maria RaulDiversos trabalhos revelam que existe um número considerável de mulheres grávidas que mantêm o consumo de álcool durante a gravidez (CADG), apesar das indicações em contrário por parte da OMS. Estudos internacionais documentam um conjunto de distúrbios associados a diferentes tipos de exposição, inclusivamente a baixas quantidades. A informação que as grávidas possuem relativamente ao CADG pode contribuir para uma tomada de decisão mais informada acerca do tema. Perante a ausência de dados nacionais, este estudo exploratório pretendeu investigar qual a acessibilidade e qualidade da informação disponível às mulheres grávidas. O grupo de participantes consistiu em 13 grávidas, recrutadas por estratégias mistas de escolha (baseada em critérios e bola de neve). Com base num guião previamente organizado foram realizadas entrevistas semiestruturadas (após consentimento informado), posteriormente transcritas e submetidas a análise semi-indutiva do conteúdo. O discurso das participantes revelou desconhecimento sobre consequências específicas do CADG, assim como existência de informação de conteúdo pró-consumo, anti-consumo, ou incerteza/dúvida. A internet e os cuidados de saúde foram as fontes privilegiadas de informação acerca do tema. Todas as entrevistadas desconhecem as linhas orientadoras nacionais no âmbito do CADG que aconselham a abstinência total. Este estudo revela existirem limitações quanto à disponibilidade e qualidade da informação acerca do CADG. Realça-se a importância dos diferentes profissionais de saúde envolvidos no acompanhamento da grávida como veículo de informação respeitante a recomendações quanto ao CADG, sendo este um desafio para o desenvolvimento de estratégias de prevenção (universal, seletiva, indicada e ambiental) adaptadas às especificidades e necessidades desta população.
- Dialogues with parents: a parental support and empowerment program based on the Touchpoints ModelPublication . Brito, Ana Teresa; Xavier, Maria Raul; Azevedo, Nair; Fareleira, Filipa; Espirito Santo, Joana; Teixeira, Lina; Tinoco, Joana; Singer, Jayne“Dialogues with Parents-welcoming, listening, and empowering” aimed to understand the impact of an innovative approach supporting parents with identified social/emotional vulnerabilities. Program goals included the promotion of positive parenting, the expansion of parents' knowledge and skills, and the enhancement of parent–child interactions. Based on the Brazelton Touchpoints Developmental-Relational Frameworks, the program applied strength-based assumptions and relationship-based practices to underpin empathic and collaborative relationships with families, seeking to strengthen their confidence in parenting. Two modalities were offered with a modular structure from prenatal–newborn to 6 years. Both included 10 modules, one in which the same group of parents carried out the complete sequence of sessions (Continuous Group) and a second in which parents selected one Touchpoint according to their needs and “drop in” to the session(s) of their choice (Touchpoints 1 by 1 Group). Data were gathered through satisfaction questionnaires at the end of each encounter. A focus group was also held with parents from the Continuous Group. The difference between applications (248) and total participation (99) indicates that parent's interest in participating is high but only a third managed to join the groups. Nevertheless, the results were very positive, highlighting the quality of the Touchpoints approach and program implementation, namely its impact on improving parents' understanding of children's development and of their own role in parenting. Parents particularly valued the opportunity to actively participate in the encounters and, in the Continuous Group, the usefulness of the encounters for themselves as a person and as parents.
- Grupo de intervisão em psicologia na PMA(GIPPMA): estratégia de intervenção psicológica multicêntricaPublication . Reis, Salomé; Xavier, Maria Raul; Lopes, Emanuela; Barros, Sara; Santos, Sandra; Malta, Zélia; Pinto, Anita; Catarino, Vania; Pinho, Mariana
- La consommation d’alcool durant la grossessePublication . Fruscione, Margaux; Franco, Renata da Rocha Campos; Xavier, Maria RaulObjectif: Comprendre les attitudes, les pensées et les sentiments qui empêchent ou favorisent la consommation d’alcool avant et pendant la grossesse. Méthode: recherche descriptive qualitative avec vingt femmes enceintes, non diagnostiquées comme dépendantes à l’alcool. Procédure: application du questionnaire AUDIT avec une description des caractéristiques de la consommation avant et pendant la grossesse et un guide d’entretien semi-structuré divisé qui couvre les thèmes suivants: la consommation d’alcool et ses circonstances, informations et connaissances sur les conséquences de la consommation d’alcool pendant la grossesse, dépistage et prévention. Résultats: Les boissons les plus consommées sont principalement le vin, la bière et le champagne. Le risque de conséquences néfastes pour le bébé est la première raison de la décision d’arrêter de boire pendant la grossesse, et l’on note surtout une hésitation par rapport aux conséquences de la consommation d’alcool au cours de cette période.
- Psicologia e procriação medicamente assistida: o GIPPMA como abordagemPublication . Xavier, Maria Raul; Lopes, Emanuela; Santos, Joana; Teixeira, Sara; Reis, Salomé
- Sociodemographic characteristics, (in)fertility and psychological impact on women and men undergoing fertility treatmentsPublication . Xavier, Maria Raul; Reis, Salomé; Lopes, Emanuela; Capela, Inês; Caldas, Joana; Mendonça, Rita; Pinho, Mariana
- 'Space to talk': a Portuguese focus group study of parents' experiences, needs and preferences in parenting support during prenatal and well-child carePublication . Fareleira, Filipa; Xavier, Maria Raul; Lima, Filipa Tavares de; Reis, Helena Sampaio; Velte, Julia; Martins, CarlosOBJECTIVE: To explore the experiences, needs and preferences of a group of parents regarding the parenting support received during prenatal and well-child care in the Portuguese National Health Service. DESIGN AND SETTING: We undertook descriptive-interpretive qualitative research running multiple focus groups in Porto, Northern Portugal. PARTICIPANTS, DATA COLLECTION AND ANALYSIS: Purposive sampling was used between April and November 2018. Focus groups were conducted with 11 parents of a 0-3 years old with well-child visits done in primary care units. Thematic analysis was performed in a broadly inductive coding strategy and findings are reported in accordance with Consolidated Criteria for Reporting Qualitative Research guidelines. RESULTS: Three main themes were identified to describe parents' experience when participating in their children's healthcare: (1) logistics/delivery matter, including accessibility, organisation and provision of healthcare activities, unit setting and available equipment; (2) prenatal and well-child care: a relational place to communicate, with parents valuing a tripartite space for the baby, the family and the parent himself, where an available and caring health provider plays a major role and (3) parenting is challenging and looks for support, based on key points for providers to watch for and ask about, carefully explained and consensual among health providers. CONCLUSION: This study provides insight into parents' needs and healthcare practices that affect the parenting experience. To meet parents' preferences, sensitive health providers should guarantee a relational place to communicate and person-centredness, accounting for the whole family system to support healthy parenting collaboratively. Future studies are warranted to further strengthen the knowledge in the field of a population-based approach for parenting support.
- Working group and intervision in psychology in medically assisted procreation - GIPPMAPublication . Lopes, Emanuela; Xavier, Maria Raul; Pinto, Anita Mendes; Reis, Salomé; Santos, Sandra; Barros, Sara; Catarino, Vânia Jorge; Malta, ZéliaWith a view to improving provision of care in the field of Psychology in the context of Medically Assisted Procreation (PMA), the GIPPMA - Working Group and Intervision in Psychology at PMA was created in 2019. This informal group includes Psychologists who carry out their work activities in a hospital of the SNS (North Zone) and a professor/researcher. The GIPPMA emerged on the personal initiative of these professionals with the central assumption of creating a shared practical approach, overcoming some of the difficulties present in clinical practice. The group's objectives are: to build standardized psychological protocols in the field of PMA (pre-treatment evaluation, treatment and post-treatment protocols), as well as to develop, evaluate and propose work initiatives aimed at disseminating solutions and good practices in this area. GIPPMA has been emphasizing joint scientific research, seeking to contribute to knowledge on the subject, crucial as a basis for intervention. Similar to other areas of Psychology, which are undergoing rapid development and change, requiring professionals to be constantly updated/trained, this group also includes Clinical Intervision. Taking advantage of the geographical proximity and formal relations between institutions and following what the Portuguese Psychologists Association has been highlighting, GIPPMA considers this area of its activity as relevant in promoting well-being and self-care of professionals, in facilitating training and continuous development, as well as a safe and quality professional practice.
- Working group and intervision in psychology in medically assisted procreation – GIPPMAPublication . Lopes, Emanuela; Malta, Zélia; Pinto, Anita Mendes; Reis, Salomé; Santos, Sandra; Barros, Sara; Catarino, Vânia; Xavier, Maria RaulWith a view to improving the provision of care in the field of Psychology in the context of Medically Assisted Reproduction (MAR), the GIPPMA - Working Group and Intervision in Psychology at MAR was created in 2019. This informal group includes Psychologists who carry out their work activities in hospitals of the Portuguese National Health Service (North Zone), a faculty professor/researcher, and master students doing their curricular internships. The GIPPMA was a personal initiative of a group of professionals with the central assumption of creating a shared practical approach, to overcoming some of the difficulties in clinical practice.