MEETING ABSTRACTS Open Access Proceedings of the 3rd IPLeiria’ s International Health Congress Leiria, Portugal. 6-7 May 2016 Published: 6 July 2016 Session 1: Citizenship in health S1 Health literacy and health education in adolescence Catarina Cardoso Tomás Health Sciences Research Unit: Nursing, Collegue of College of Health Technology of Coimbra, Coimbra, Portugal BMC Health Services Research 2016, 16(Suppl 3):S1 Health literacy, a more complex concept than knowledge, is a re- quired capacity to obtain, understand, integrate and act on health in- formation [1], in order to enhance individual and community health, which is defined by different levels, according to the autonomy and personal capacitation in decision making [2]. Medium levels of Health literacy in an adolescent population were found in a study conducted in 2013/2014, being higher in sexual and reproductive health and lower in substance use. It was also no- ticed that the higher levels of health literacy were in the area ado- lescents refer to have receipt more health information. The health literacy competence with higher scores was communication skills, and the lower scores were in the capacity to analyze factors that in- fluence health. Higher levels were also found in younger teenagers, but in a higher school level, confirming the importance of health education in these age and development stage. Adolescents seek more information in health professionals and parents, being friends more valued as a source information in older adolescents, which enhance the importance of peer education mainly in older adoles- cents [3]. As a set of competences based on knowledge, health literacy should be developed through education interventions, encom- passing the cultural and social context of individuals, since the society, culture and education system where the individual is inserted can define the way the development and enforcement of the health literacy competences [4]. The valued sources of infor- mation should be taken into account, as well as needs of informa- tion in some topics referred by adolescents in an efficient health education. References 1. Borzekowski D. Considering Children and Health Literacy: A Theoretical Approach. Pediatrics. 2009; 124: S282-S288. 2. Nutbeam D. The evolving concept of health literacy. Soc Sci Med. 2008; 67: 2072-2078. 3. Tomás C. Literacia em Saúde na Adolescência [Doctoral Thesis]. OPorto: Abel Salazar Institute of Biomedical Sciences of Oporto University; 2014. 4. Committee on Health Literacy. Health Literacy: A Prescription To End Confusion. Washington, D. C.: The National Academies Press, 2004. Session 2: Evaluation & intervention in health S2 The effect of a walking program on the quality of life and well- being of people with schizophrenia Emanuel Oliveira 1,2 , D. Sousa 1 , M. Uba-Chupel 2 , G. Furtado 2 , C. Rocha 3 , A. Teixeira 2 , P. Ferreira 2 1 Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal; 2 Research Unit for Sport and Physical Activity, Faculty of Sport Sciences and Physical Education, University of Coimbra, Coimbra, Portugal; 3 Complementary Sciences- INESCC, Coimbra, Portugal Correspondence: Emanuel Oliveira – Sisters Hospitallers of the Sacred Heart of Jesus, Casa de Saúde Rainha Santa Isabel, Coimbra, Portugal BMC Health Services Research 2016, 16(Suppl 3):S2 Schizophrenia is a serious and chronic mental illness which has a pro- found effect on the health and well-being related with the well-known nature of psychotic symptoms. The exercise has the potential to im- prove the life of people with schizophrenia improving physical health and alleviating psychiatric symptoms. However, most people with schizophrenia remains sedentary and lack of access to exercise pro- grams are barriers to achieve health benefits. The aim of this study is to evaluate the effect of exercise on I) the type of intervention in mental health, II) in salivary levels of alpha-amylase and cortisol and serum levels of S100B and BDNF, and on III) the quality of life and self- perception of the physical domain of people with schizophrenia. The sample consisted of 31 females in long-term institutions in the Casa de Saúde Rainha Santa Isabel, with age between 25 and 63, and with diag- nosis of schizophrenia according to the Diagnostic and Statistical Man- ual of Mental Disorders (DSM-IV-TR). Physical fitness was assessed by the six-minute walk distance test (6MWD). Biological variables were determined by ELISA (Enzyme-Linked Immunosorbent Assay). Psy- chological variables were assessed using SF-36, PSPP-SCV, RSES and SWLS tests. Walking exercise has a positive impact on physical fitness (6MWD – p = 0.001) and physical components of the psychological tests ([SF-36] physical functioning p < 0.05; [PSPP-SCV] functionality p < 0.05 and SWLS p < 0.05 of people with schizophrenia. The walking pro- gram enhances the quality of life and self-perception of the physical domain and physical fitness of people with schizophrenia. S3 Diagnosis and innovative treatments - the way to a better medical practice Celeste Alves 1,2 1 CUF Hospitals, Lisbon, Portugal; 2 Breast Unit, Champalimaud Clinical Center, Lisbon, Portugal BMC Health Services Research 2016, 16(Suppl 3):S3 BMC Health Services Research 2016, Volume 16 Suppl 3 DOI 10.1186/s12913-016-1423-5 © 2016 The Author(s). 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