Exploring Determinants of Health-Related Quality of Life in Emerging Adults with Type 1 Diabetes Mellitus: A Cross-Sectional Analysis.

(1) Background: Emerging adulthood, from the age of 18 to 29 years, is a crucial phase for individuals with Type 1 Diabetes Mellitus, as it affects their Health-Related Quality of Life. (2) Methods: This cross-sectional study analyzes the influence of the Mediterranean diet, Diabetes duration, Hemoglobin A1c, and sleep disorders on Health-Relate Quality of Life in Type 1 Diabetes Mellitus. In this study, conducted in Andalusia, Spain, 362 emerging adults with Type 1 Diabetes Mellitus completed the Oviedo Sleep Questionnaire, the Adaptation of Mediterranean Diet Adherence Screener, and the Vida con Diabetes Tipo 1 (ViDa1) Health-Related Quality of Life questionnaire between October 2021 and July 2022. Pearson correlation coefficients and a multiple regression analysis were conducted for each Health-Related Quality of Life in Type 1 Diabetes Mellitus dimension (Interference with Life, Well-being, Self-care, and Concern about the Condition) for overall sample and separately for males and females. (3) Results: Different and significant correlations are found among factors such as Age, Body Mass Index, Currently being a student, Hemoglobin A1c, Sleep satisfaction, Insomnia, Hypersomnolence, and Adherence to Mediterranean diet. Notably, Insomnia is a main predictor for Interference with Life, Well-being, and Concern about the Condition, especially for females. (4) Conclusions: Insomnia is the main predictor of Health-Related Quality of Life in Type 1 Diabetes Mellitus among Andalusian emerging adults with this condition. Consequently, a regular assessment of sleep and Health-Related Quality of Life from a gender perspective in this age group is crucial.

Lifestyle in Emerging Adults with Type 1 Diabetes Mellitus: A Qualitative Systematic Review.

Emerging adulthood is a transitional stage with significant lifestyle changes, making it especially challenging for those living with type 1 diabetes mellitus. This systematic review synthesizes qualitative research to explore how emerging adulthood (18-29 years) influences lifestyle behaviors in individuals with type 1 diabetes mellitus. CINAHL, Cochrane Library, Global Health, Nursing & Allied Health Premium, PsycINFO, PubMed, Scopus, and WOS were searched for original qualitative studies addressing the lifestyle of 18-31-year-olds with type 1 diabetes mellitus, published between January 2010 and March 2021 following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. Thirty-five studies met the inclusion criteria and their findings were categorized into eight topics (emotions and feelings, nutrition, perceptions, risky behaviors, self-care, sleep, social relationships, and stigma) using meta-aggregation, as outlined in the Joanna Briggs Institute Manual for Evidence Synthesis. The spontaneity characteristic of emerging adulthood can undermine self-care. This is because new environments, schedules, and relationships encountered during this life stage often lead to the neglect of diabetes management, owing to the various social, academic, and occupational demands. This review highlights the necessity of creating health promotion strategies tailored to the unique lifestyle aspects of emerging adults with type 1 diabetes mellitus.

Efetividade de um programa de formação na gestão emocional dos enfermeiros perante a morte do doente / Effectiveness of a training program for nurses' emotional management of patient death / Eficacia de un programa de formación en la gestión emocional de los enfermeros ante la muerte de un paciente

Enquadramento: A morte é uma realidade frequente, em contexto hospitalar, exigindo aos enfermeiros a apropriação de estratégias eficazes de gestão das emoções. Objetivos: Avaliar a efetividade de um programa de formação (PF) na gestão emocional em enfermeiros perante a morte do doente. Metodologia: Estudo pré-experimental de grupo único com avaliação pré e pós intervenção, realizado numa amostra de 20 enfermeiros de serviços de internamentos de oncologia. O instrumento de colheita de dados foi o questionário. Este integrava Escala de Avaliação do Perfil de Atitudes acerca da Morte (EAPAM), Escala de Coping com a Morte (ECM) e Escala de Avaliação de Implementação de Programas (EAIP), aplicado em três momentos distintos. Resultados: O PF levou a mudanças das atitudes nas dimensões: medo e neutralidade (EAPAM) e verificaram-se diferenças significativas no coping com a própria morte e com a morte dos outros (ECM), revelando uma capacitação nesta área. O PF foi classificado como muito bom (EAIP). Conclusão: A implementação do programa evidencia ser uma estratégia interventiva de empoderamento nestes enfermeiros, na autogestão emocional perante a morte.

Background: Death is a common reality in hospital settings, requiring nurses to adopt effective strategies for managing their emotions. Objectives: To assess the effectiveness of a training program for nurses' emotional management of patient death. Methodology: A one-group pretest-posttest pre-experimental study was conducted in a sample of 20 nurses working in oncology inpatient units. Data were collected using a questionnaire consisting of the Portuguese versions of the Revised Death Attitude Profile (Escala de Avaliação do Perfil de Atitudes acerca da Morte - EAPAM) and the Coping with Death Scale (ECM), and the Program Implementation Assessment Scale (EAIP), applied at three different periods. Results: The training program changed nurses' attitudes in the dimensions of fear of death and neutral-acceptance (EAPAM). Significant differences were found in coping with one's own death and the death of others (ECM), revealing improved skills in this area. The training program was rated as very good (EAIP). Conclusion: The implementation of the training program proves to be an effective strategy for improving nurses' emotional management of death.

Marco contextual: La muerte es una realidad frecuente en un entorno hospitalario y requiere que los enfermeros se apropien de estrategias eficaces de gestión emocional. Objetivos: Evaluar la efectividad de un programa de formación (PF) en la gestión emocional de los enfermeros ante la muerte de un paciente. Metodología: Estudio preexperimental de un solo grupo con evaluación previa y posterior a la intervención, realizado en una muestra de 20 enfermeros de pacientes oncológicos hospitalizados. El instrumento de recogida de datos fue el cuestionario. Este incluyó la Escala de Evaluación del Perfil de Actitudes ante la Muerte (Escala de Avaliação do Perfil de Atitudes acerca da Morte - EAPAM), la Escala de Coping con la Muerte (ECM) y la Escala de Evaluación de la Implementación de Programas (EAIP), aplicado en tres momentos diferentes. Resultados: El PF provocó cambios de actitud en las dimensiones: miedo y neutralidad (EAPAM) y hubo diferencias significativas en el afrontamiento (coping) de la muerte propia y de la de los demás (ECM), lo que reveló una capacitación en esta área. El PF fue clasificado como muy bueno (EAIP). Conclusión: La implementación del programa resulta ser una estrategia de intervención de empoderamiento en estos enfermeros en la autogestión emocional ante la muerte.

Escala de Detección de Sexismo en Adolescentes: tradução e validação para o contexto português / Escala de Detección de Sexismo en Adolescentes: translation and validation for the Portuguese population / Escala de Detección de Sexismo en Adolescentes: traducción y validación al contexto portugués

Enquadramento: O sexismo, definido como crenças, atitudes, comportamentos e práticas que refletem avaliações negativas sustentadas no género, reforça a desigualdade entre mulheres e homens, devendo haver intervenção precoce para a diminuir. Objetivo: Validar a versão espanhola da Escala de Detección de Sexismo en Adolescentes (DSA) para o contexto português. Metodologia: A validação compreendeu a tradução, adaptação cultural do instrumento e validade do constructo, na qual participaram 259 adolescentes (13-19 anos), provenientes de escolas do ensino básico e secundário. Resultados: Pela análise fatorial exploratória, verificou-se que o sexismo hostil (SH; 16 itens), e o sexismo benévolo (SB; 10 itens) são responsáveis por 38,34% e 10,25% da variância total, respetivamente. Conclusão: A escala DSA possui boas propriedades psicométricas, mantendo os itens da versão original. O SH apresenta valores superiores em indivíduos do sexo masculino, enquanto que o SB é mais evidente em indivíduos do sexo feminino. O SH aumenta com a idade dos adolescentes. A DSA revelou-se um instrumento válido para medir o sexismo em adolescentes portugueses.

Background: Sexism is defined as individuals' beliefs, attitudes, behaviors, and practices that reflect negative evaluations based on gender and reinforce gender inequality. Early interventions should be implemented to reduce it. Objective: To validate the Escala de Detección de Sexismo en Adolescentes (DSA) for the Portuguese population. Methodology: Validation included translation, cultural adaptation, and construct validity procedures, in a sample of 259 adolescents (aged 13 to 19 years) attending basic and secondary education schools. Results: The exploratory factor analysis showed that hostile sexism (HS; 16 items) and benevolent sexism (BS; 10 items) account for 38.34% and 10.25% of total variance, respectively. Conclusion: The DSA scale has good psychometric properties and kept the items of the original version. HS is higher in male adolescents and BS is higher in female adolescents. HS increases with age. The DSA scale proved to be a valid tool for measuring sexism in Portuguese adolescents.

Marco contextual: El sexismo, definido como las creencias, las actitudes, los comportamientos y las prácticas que reflejan evaluaciones negativas sostenidas en el género refuerza la desigualdad entre mujeres y hombres, por lo que se necesita una intervención temprana para reducirlo. Objetivo: Validar la versión española de la Escala de Detección de Sexismo en Adolescentes (DSA) para el contexto portugués. Metodología: La validación incluyó la traducción, la adaptación cultural del instrumento y la validez de constructo, y participaron 259 adolescentes (de 13 a 19 años) de escuelas primarias y secundarias. Resultados: Mediante el análisis factorial exploratorio, se verificó que el sexismo hostil (SH; 16 ítems) y el sexismo benévolo (SB; 10 ítems) son responsables del 38,34% y del 10,25% de la varianza total, respectivamente. Conclusión: La escala DSA tiene buenas propiedades psicométricas y mantiene los ítems de la versión original. El SH presenta valores superiores en individuos del sexo masculino, mientras que el SB es más evidente en individuos del sexo femenino. El SH aumenta con la edad de los adolescentes. La DSA ha demostrado que es un instrumento válido para medir el sexismo en los adolescentes portugueses.

[Translation, adaptation and validation of the Fantastic Lifestyle Assessment questionnaire with students in higher education]. / Tradução, adaptação e validação do questionário Fantastic Lifestyle Assessment em estudantes do ensino superior.

The scope of this study was to make the translation, cultural adaptation and validation of the Fantastic Lifestyle Assessment questionnaire in a group of students in higher education in Portugal. The process of translation and validation consisted of translation, back translation, expert committee review, pre-testing and testing of the psychometric properties. The final version adapted with 30 questions was applied to a sample of 707 university students. The results showed that the instrument demonstrated good overall internal consistency for an instrument used to measure a latent variable. When the items were grouped into domains, it was found that they all contributed equally to the stability of the instrument. The reproducibility assessed by intraclass correlation was high. Construct validity tested by the classification capacity of the instrument in four, three and two categories was 67.6%, 67.6% and 100%, with a Kappa index of 0.55, 0.55 and 1.00, respectively. The concurrent validity was also evaluated by correlating it with "My Lifestyle," namely another instrument measuring the same construct. The conclusion was that the Fantastic Lifestyle Assessment, is a reliable and valid instrument for lifestyle assessment in young adults.

Tradução, adaptação e validação do questionário Fantastic Lifestyle Assessment em estudantes do ensino superior / Translation, adaptation and validation of the Fantastic Lifestyle Assessment questionnaire with students in higher education

O presente estudo teve como objectivo realizar a tradução, adaptação transcultural e validação do questionário Fantastic Lifestyle Assessment num grupo de jovens estudantes do ensino superior em Portugal. O processo de tradução e validação constituiu-se de: tradução, retrotradução, revisão por comitê de especialistas, pré-teste e verificação das propriedades psicométricas. A versão final adaptada com 30 questões foi aplicada a uma amostra de 707 estudantes do ensino superior. Os resultados mostraram que o instrumento apresentou boa consistência interna global para um instrumento que é usado para medir uma variável latente. Quando agrupados os itens em domínios, verificou-se que todos contribuem de maneira semelhante para a estabilidade do instrumento. A reprodutibilidade, avaliada pela correlação intraclasse, foi alta. A validade de construto testada pela capacidade classificatória do instrumento em quatro, três e duas categorias foi de 67,6%, 67,6% e 100%, com um índice de Kappa de 0.55, 0.55 e 1.00, respetivamente. Foi ainda avaliada a validade concorrente através da correlação com Inventário "O Meu Estilo de Vida", outro instrumento que mede o mesmo construto. Conclui-se que este Fantastic Lifestyle Assessment é fiável e válido, para a avaliação do estilo de vida em jovens adultos.

The scope of this study was to make the translation, cultural adaptation and validation of the Fantastic Lifestyle Assessment questionnaire in a group of students in higher education in Portugal. The process of translation and validation consisted of translation, back translation, expert committee review, pre-testing and testing of the psychometric properties. The final version adapted with 30 questions was applied to a sample of 707 university students. The results showed that the instrument demonstrated good overall internal consistency for an instrument used to measure a latent variable. When the items were grouped into domains, it was found that they all contributed equally to the stability of the instrument. The reproducibility assessed by intraclass correlation was high. Construct validity tested by the classification capacity of the instrument in four, three and two categories was 67.6%, 67.6% and 100%, with a Kappa index of 0.55, 0.55 and 1.00, respectively. The concurrent validity was also evaluated by correlating it with "My Lifestyle," namely another instrument measuring the same construct. The conclusion was that the Fantastic Lifestyle Assessment, is a reliable and valid instrument for lifestyle assessment in young adults.