Banca de DEFESA: SARAH JOYSI ALMEIDA LEITE

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : SARAH JOYSI ALMEIDA LEITE
DATE: 27/04/2026
TIME: 14:30
LOCAL: REMOTO
TITLE:

 Self-Efficacy in the Management of People with Chronic Respiratory Conditions and Post-COVID-19 Syndrome

 

KEY WORDS:

Home Care Services; Self efficacy; Respiratory Tract Diseases; Post-acute COVID-19 syndrome; Validation study; Psychometrics

PAGES: 185
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Objective: To evaluate the effectiveness of home healthcare compared to hospital care in individuals with chronic respiratory diseases (CRD) and post-COVID-19 syndrome, as well as to translate, cross-culturally adapt, and assess the measurement properties of an instrument designed to evaluate self-efficacy in managing daily activities in individuals with chronic conditions. Methods: This research comprised two main studies organized in an article-based format. Study 1 consisted of a systematic review with meta-analysis, preceded by the publication of a protocol and conducted in accordance with the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. It evaluated the effectiveness of home healthcare compared to hospital care in adults with CRD and post-COVID-19 syndrome. A total of 22 studies involving 2,613 participants were included, assessing outcomes such as mortality, length of hospital stay, quality of life, functional capacity, readmissions, and adverse events. Study 2 involved the translation and cross-cultural adaptation of the PROMIS® Self-Efficacy for Managing Daily Activities item bank into Brazilian and European Portuguese, followed by the evaluation of its measurement properties in individuals with chronic conditions. Analyses included internal consistency, construct validity (convergent and discriminant), internal structure through confirmatory factor analysis, and temporal stability. Results: The systematic review showed that home healthcare yielded outcomes comparable to hospital care for most evaluated endpoints, with no statistically significant differences, although a lower frequency of adverse events was observed in the home setting. The certainty of evidence ranged from low to very low. The cross-cultural adaptation process resulted in linguistically and culturally equivalent versions of the instrument for both Brazilian and European Portuguese contexts. Psychometric evaluation demonstrated acceptable internal consistency and evidence of construct validity, with a moderate correlation with general self-efficacy and a weak correlation with fatigue. Confirmatory factor analysis indicated inadequate fit for the unidimensional model, suggesting a more complex structure of the construct. Temporal stability could not be robustly assessed due to the limited number of clinically stable participants. Conclusion: Home healthcare appears to be a viable alternative to hospital care for individuals with CRD and post-COVID-19 syndrome, although the overall quality of evidence remains limited. The adapted PROMIS® instrument demonstrated initial evidence of validity for use in Portuguese-speaking populations, representing a promising tool for assessing self-efficacy in chronic conditions. These findings contribute to improving clinical practice and supporting patient-centered care strategies, with applicability extending beyond the Brazilian context.

COMMITTEE MEMBERS:
Externa à Instituição - ANA TEREZA DO NASCIMENTO SALES FIGUEIREDO FERNANDES - UEPB
Presidente - 2291421 - KARLA MORGANNA PEREIRA PINTO DE MENDONCA
Interna - 4374835 - KARYNA MYRELLY OLIVEIRA BEZERRA DE FIGUEIREDO RIBEIRO
Interno - 350637 - RICARDO OLIVEIRA GUERRA
Externo à Instituição - TACITO ZAILDO DE MORAIS SANTOS - UFDPar