Percorrer por autor "Mendes, Romeu"
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- Perspectives of people living with Type 2 diabetes about physical activity promotion: can community pharmacies be part of the solution?Publication . Viegas, Ruben; Moura, Izabela; Cavaco, Afonso; Ramos, Filipa Duarte; Mendes, Romeu; Costa, Filipa Alves daRationale: People living with type 2 diabetes (T2D) benefit from regular physical activity (PA) to reduce cardiovascular risk and better manage comorbidities. Pharmacists can provide support to increase physical activity by leveraging the regular interactions on their daily community pharmacy practice. Aims and Objectives: This study aimed to explore the perspectives of people living T2D about their engagement in PA using pharmacies as the subject of interest to collect this information. Methods: This study followed a focus group technique using a semi‐structured guide. People living with T2D were recruited in community pharmacies resorting to typical case sampling. Five in person focus group interviews with 23 patients living with T2D were conducted by the research team. Interviews were recorded following consent, transcribed verbatim, coded independently by two researchers and analysed using the socio‐ecologic model. Results: A total of 23 people living with T2D were interviewed. Aspects determining PA engagement ranged from individual aspects such as physical limitations; interpersonal aspects such as having a reference pharmacist; organisational aspects such as activities done through the pharmacy; community aspects such as the cost of exercise activities and policy aspects such as information registry. Conclusions: This study suggests that community pharmacies are currently not considered by people living with diabetes as a source for behaviour change linked to PA but explores possible ways on how this could become a reality in the future.
- Physical activity promotion in the community pharmacy: an opportunity for an expanded role?Publication . Viegas, Ruben; Silva, Filipa; Nørgaard, Lotte Stig; Duarte-Ramos, Filipa; Mendes, Romeu; Alves da Costa, FilipaBackground: Physical inactivity is a major risk factor for the development of chronic diseases, and it is increasingly prevalent in the Portuguese population. Pharmacists' role in promoting physical activity (PA) is still not well established, although health promotion is foreseen by law in Portugal. Competing tasks and location where the pharmacy is embedded can hinder this promotion in their daily practice. Objective: The aim of this study was to identify the main barriers and facilitators of physical activity promotion (PAP) in Portuguese community pharmacies and explore possible pathways for future implementation of physical activity promotion. Methods: In-depth, semi-structured interviews were conducted with purposively enrolled community pharmacists. Participant recruitment was aligned with data saturation. Data analysis comprised a mixed model of a deductive theme mapping strategy using the Theoretical Domains Framework (TDF) for the behaviour of promoting physical activity and an inductive approach for any other relevant themes and which might influence PA promotion. Results: Data saturation was reached at eleven interviews. Barriers and facilitators for the behaviour of promoting PA were identified from 11 out of the 14 TDF domains. Following an inductive approach, other emerging codes were clustered in additional seven major themes. Highlighted barriers focused on domains #1 - Knowledge, #10 - Memory, Attention and Decision Processes and #13 - Environmental Context and Resources. Community mapping, establishment of remuneration models and the use of digital technologies were suggested as additional potential contributors to scale up PAP. Conclusion: Community pharmacists are well placed inside their communities to serve as a focal point for signposting, engagement with other healthcare professionals and community resources and activities organized by the pharmacy itself. Pharmacists should be supported in being knowledgeable, aware, and available when promoting PA in their daily counseling.
