Ribeiro-Cunha, Maria https://orcid.org/0000-0003-3706-7316
Rodrigues, Margarida https://orcid.org/0000-0001-5725-8035
Catz, Amiram https://orcid.org/0000-0002-7879-2015
Roberto, Maria Teresa
Vieira, Sandra I.
Funding for this research was provided by:
Ministry of Education and Science | Fundação para a Ciência e a Tecnologia (UID 4501)
Ministry of Education and Science | Fundação para a Ciência e a Tecnologia (UID 4501)
Clinical Academic Center — Egas Moniz Health Alliance
Article History
Received: 23 October 2025
Revised: 30 March 2026
Accepted: 8 April 2026
First Online: 23 April 2026
Competing interests
: The authors declare no competing interests.
: This study was part of the ’ProTMedula’ study, approved by the hospital Ethics Committee (Nr. 246-2019-2; Clinical Trials Registration Nr. NCT07383077), which encompasses the ´SCIMBIONT´ study (Clinical Trials Registration Nr. NCT06892106). Written informed consent was obtained from all the participants in accordance with the Declaration of Helsinki. The original-scale author granted permission to translate the SCIM-IV into the EU-PT.