{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,10,11]],"date-time":"2025-10-11T00:44:10Z","timestamp":1760143450242,"version":"build-2065373602"},"reference-count":27,"publisher":"MDPI AG","issue":"1","license":[{"start":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:00:00Z","timestamp":1707177600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Nursing Reports"],"abstract":"<jats:p>The northern region of Portugal has the largest number of companies manufacturing granite and stone products, which has become the region\u2019s trademark. In the municipalities of Marco de Canaveses and Penafiel, the economic activity of this area is important. However, the lack of attractiveness of this activity, combined with the high prevalence of silicosis and tuberculosis in this population, has led to a growing shortage of labor. In order for this project to be the result of collaborative, integral work centered on the people who are the target of health promotion, we used the Participatory Health Research (PHR) approach, based on the PRECEDE-PROCEED model, to implement a mixed-methods study, including participant observation, interviews and document analysis. These data were used to co-create a study design. In 2021, a total of 102 interviews were carried out and self-completion surveys were distributed: the Fantastic Lifestyle Questionnaire (FLQ) and the EQ-5D-3L. Within the scope of occupational health nursing and in the field of action of public health nurses, with the interviews and self-completed surveys carried out, we identified potential focuses for occupational health nursing intervention to promote the health of stone industry workers: adherence to protective measures, energy balance deficit, tobacco and alcohol consumption and access to health services. Data analysis made it possible to assess the prevalence of risk behaviors by order and to involve managers and workers in the co-creation of a health promotion program. The accurate identification of the focuses for nursing intervention not only improves the effectiveness of occupational health services, allowing for targeted interventions adapted to workers\u2019 needs, but also contributes considerably to health promotion in the workplace, resulting in safer working environments, a reduction in occupational diseases and, consequently, a healthier and more productive workforce. This protocol of this study was not registered.<\/jats:p>","DOI":"10.3390\/nursrep14010030","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T08:28:16Z","timestamp":1707294496000},"page":"390-399","update-policy":"https:\/\/doi.org\/10.3390\/mdpi_crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Community-Based Action Research Intervention to Promote Occupational Health Nursing of Portuguese Quarry Workers"],"prefix":"10.3390","volume":"14","author":[{"given":"Catarina Magalh\u00e3es","family":"Alves","sequence":"first","affiliation":[{"name":"Institute of Biomedical Sciences Abel Salazar (ICBAS), University of Porto, 4050 Porto, Portugal"},{"name":"ISAVE\u2014Superior Institute of Health, 4720 Braga, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8995-9012","authenticated-orcid":false,"given":"Carminda","family":"Morais","sequence":"additional","affiliation":[{"name":"School of Health, Polytechnic Institute of Viana do Castelo, 4900 Viana Do Castelo, Portugal"},{"name":"Nursing School of Coimbra & UICISA:E, 3045 Coimbra, Portugal"}]},{"given":"Filipe","family":"Alves","sequence":"additional","affiliation":[{"name":"Public Health Unit, T\u00e2mega and Sousa Local Health Unit, 4630 Marco de Canaveses, Portugal"}]},{"given":"Diogo","family":"Magalh\u00e3es","sequence":"additional","affiliation":[{"name":"Matosinhos Local Health Unit, 4450 Matosinhos, Portugal"}]},{"given":"Guilherme","family":"Gon\u00e7alves","sequence":"additional","affiliation":[{"name":"Local Health Unit of M\u00e9dio Ave, 4765 Famalic\u00e3o, Portugal"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-8825-4923","authenticated-orcid":false,"given":"Irma","family":"Brito","sequence":"additional","affiliation":[{"name":"Nursing School of Coimbra & UICISA:E, 3045 Coimbra, Portugal"},{"name":"Executive Committee of International Collaboration for Participatory Health Research (ICPHR), 3045 Coimbra, Portugal"}]}],"member":"1968","published-online":{"date-parts":[[2024,2,6]]},"reference":[{"key":"ref_1","doi-asserted-by":"crossref","first-page":"175","DOI":"10.12961\/aprl.2021.24.02.08","article-title":"Una enfermer\u00eda del trabajo con perspectiva hol\u00edstica","volume":"24","year":"2021","journal-title":"Arch. Prev. Riesgos Labor."},{"key":"ref_2","unstructured":"DGS (2023, October 13). Programa Nacional de Sa\u00fade Ocupacional (PNSOC) Extens\u00e3o 2018\u20132020. Lisboa. Available online: www.dgs.pt."},{"key":"ref_3","unstructured":"Programa Nacional para a Tuberculose (2022). Relat\u00f3rio de Vigil\u00e2ncia e Monitoriza\u00e7\u00e3o da Tuberculose em Portugal dados Definitivos 2020, DGS."},{"key":"ref_4","first-page":"v292","article-title":"Tuberculosis: Where and how fast are stone quarry workers infected?","volume":"30","author":"Santos","year":"2020","journal-title":"Eur. J. Public Health"},{"key":"ref_5","unstructured":"MTSSS (2023, January 26). DL no 71\/2018 de 31 de Dezembro. Di\u00e1rio da Rep\u00fablica, 1.a S\u00e9rie\u2014N.o 59\u201425 de Mar\u00e7o de 2019 Portugal. Available online: https:\/\/files.dre.pt\/1s\/2019\/03\/05900\/0169901700.pdf."},{"key":"ref_6","unstructured":"WHO (2023, December 11). Health Promotion. Available online: https:\/\/www.who.int\/health-topics\/health-promotion#tab=tab_1."},{"key":"ref_7","unstructured":"Brito, I. (2018). Pesquisa-A\u00e7\u00e3o Participativa na co-Cria\u00e7\u00e3o de Institui\u00e7\u00f5es de Ensino Superior Promotoras de Sa\u00fade, Palimage. Cole\u00e7\u00e3o Conscientizar."},{"key":"ref_8","unstructured":"MTSSS (2022). Seguran\u00e7a e Sa\u00fade, Ministry of Labor, Solidarity and Social Security."},{"key":"ref_9","doi-asserted-by":"crossref","unstructured":"Green, L.W., Carlson Gielen, A., Ottoson, J.M., Peterson, D.V., and Kreuter, M.W. (2022). Health Program Planning, Implementation, and Evaluation: Creating Behavioral, Environmental, and Policy Change, JHU Press.","DOI":"10.1353\/book.100161"},{"key":"ref_10","doi-asserted-by":"crossref","first-page":"34","DOI":"10.1177\/10901981740020S106","article-title":"Toward Cost-Benefit Evaluations of Health Education: Some Concepts, Methods, and Examples","volume":"2","author":"Green","year":"1974","journal-title":"Health Educ. Monogr."},{"key":"ref_11","doi-asserted-by":"crossref","first-page":"213","DOI":"10.1186\/s13643-022-02092-2","article-title":"Effect of the PRECEDE-PROCEED model on health programs: A systematic review and meta-analysis","volume":"11","author":"Kim","year":"2022","journal-title":"Syst. Rev."},{"key":"ref_12","unstructured":"Instituto Nacional de Estat\u00edstica (2023, October 13). Objetivos de Desenvolvimento Sustent\u00e1vel\u2014Agenda 2030. Indicadores para Portugal: 2015\u20132021, Available online: https:\/\/www.ine.pt\/xurl\/pub\/31592402."},{"key":"ref_13","unstructured":"ICPHR (2013). O que \u00e9 a Pesquisa-A\u00e7\u00e3o Participativa em Sa\u00fade (ICPHR Position Paper 1), International Collaboration for Participatory Health Research."},{"key":"ref_14","doi-asserted-by":"crossref","first-page":"1901","DOI":"10.1590\/1413-81232014196.04822013","article-title":"Tradu\u00e7\u00e3o, adapta\u00e7\u00e3o e valida\u00e7\u00e3o do question\u00e1rio Fantastic Lifestyle Assessment em estudantes do ensino superior","volume":"19","author":"Silva","year":"2014","journal-title":"Ci\u00eancia Sa\u00fade Coletiva"},{"key":"ref_15","unstructured":"Ferreira, P.L., Ferreira, L.N., and Pereira, L.N. (2022, June 04). Contributos para a Valida\u00e7\u00e3o da Vers\u00e3o Portuguesa do EQ-5D Contribution for the Validation of the Portuguese Version of EQ-5D. Available online: www.actamedicaportuguesa.com."},{"key":"ref_16","unstructured":"Bardin, L. (1977). An\u00e1lise de Conte\u00fado, Presses Universitaires de France. [70th ed.]."},{"key":"ref_17","unstructured":"WHO (2023, October 13). International Classification of Diseases 11th Revision. Available online: https:\/\/icd.who.int\/en."},{"key":"ref_18","unstructured":"WHO (2023, October 13). Obesity and Overweight. Available online: https:\/\/www.who.int\/news-room\/fact-sheets\/detail\/obesity-and-overweight."},{"key":"ref_19","first-page":"259","article-title":"Literacia em sa\u00fade, dos dados \u00e0 a\u00e7\u00e3o: Tradu\u00e7\u00e3o, valida\u00e7\u00e3o e aplica\u00e7\u00e3o do European Health Literacy Survey em Portugal","volume":"34","author":"Pedro","year":"2016","journal-title":"Rev. Port. Saude Publica"},{"key":"ref_20","doi-asserted-by":"crossref","first-page":"102536","DOI":"10.1016\/j.resourpol.2021.102536","article-title":"Health costs of environmental pollution faced by underground coal miners: Evidence from Balochistan, Pakistan","volume":"76","author":"Ayaz","year":"2022","journal-title":"Resour. Policy"},{"key":"ref_21","unstructured":"Glenview, I. (2023, May 07). Silicosis: Ominous Resurgence of an Occupational Lung Condition Reported. Available online: https:\/\/www.elsevier.com\/about\/press-releases\/research-and-journals\/silicosis-ominous-resurgence-of-an-occupational-lung-condition-reported."},{"key":"ref_22","unstructured":"OCDE\/Observat\u00f3rio Europeu dos Sistemas e Pol\u00edticas de Sa\u00fade (2021). Estado da Sa\u00fade na UE Portugal: Perfil de Sa\u00fade do Pa\u00eds, OCDE."},{"key":"ref_23","unstructured":"Tokgozoglu, L., Hekimsoy, V., Costabile, G., Calabrese, I., and Riccardi, G. (2020). Prevention and Treatment of Atherosclerosis: Improving State-of-the-Art Management and Search for Novel Targets, Springer."},{"key":"ref_24","unstructured":"DGS (2023, January 25). Portugal-The Nation\u2019s Health 1990\u20132016. Available online: https:\/\/comum.rcaap.pt\/bitstream\/10400.26\/22502\/1\/Portugal-The%20Nation%27s%20Health%201990-2016.pdf."},{"key":"ref_25","first-page":"459","article-title":"Cochrane review finds stopping smoking is linked to improved mental health","volume":"42","author":"Taylor","year":"2021","journal-title":"Saudi Med. J."},{"key":"ref_26","unstructured":"Correia, A.M., Antunes, D., Ramos, E., Nogueira, J.R., Castro, L., Azevedo, M., Frutuoso, M.A., and Neto, M. (2005). Relat\u00f3rio Sa\u00fade na Regi\u00e3o Norte Medir para Mudar, Centro Regional de Sa\u00fade P\u00fablica do Norte. 245536\/06."},{"key":"ref_27","unstructured":"GEP\/MTSSS (2022). Seguran\u00e7a e Sa\u00fade no Trabalho, Gabinete de Estrat\u00e9gia e Planeamento."}],"container-title":["Nursing Reports"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/1\/30\/pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2025,10,10]],"date-time":"2025-10-10T13:55:59Z","timestamp":1760104559000},"score":1,"resource":{"primary":{"URL":"https:\/\/www.mdpi.com\/2039-4403\/14\/1\/30"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2024,2,6]]},"references-count":27,"journal-issue":{"issue":"1","published-online":{"date-parts":[[2024,3]]}},"alternative-id":["nursrep14010030"],"URL":"https:\/\/doi.org\/10.3390\/nursrep14010030","relation":{},"ISSN":["2039-4403"],"issn-type":[{"type":"electronic","value":"2039-4403"}],"subject":[],"published":{"date-parts":[[2024,2,6]]}}}