Capacitação aos profissionais da Atenção Primária à Saúde por meio da AMPI-AB para fortalecimento da Saúde da Pessoa Idosa: estudo quase-experimental.

Abstract

Introduction: Multidimensional assessment of older adults (MDA) is an interdisciplinary process that contributes to health promotion. The Multidimensional Assessment of Older Adults in Primary Care (AMPI-AB) instrument allows for the identification of the functional stratification of older adults based on vulnerabilities, thus enabling the development of a longitudinal care plan. Although MDA is integrated into the Primary Health Care (PHC) level, its application is still limited. The qualification of professionals and the management of the work process are improved through continuing education strategies. Objective: To evaluate the level of knowledge of Primary Health Care professionals about AMPI-AB before and after a continuing education intervention and the recording of MDA results in ESUS-AB. Methodology: A quasi-experimental, single-group study was conducted before and after the intervention, developed in the PHC of a municipality in the interior of the state of São Paulo from August to December 2025. Health professionals were invited to participate in MDA and AMPI-AB training. Different professionals from family health and multidisciplinary teams who agreed to participate in the study were included, excluding non-permanent professionals and those who did not participate in the training. A knowledge level assessment questionnaire with four questions was applied at two time points (pre- and post-intervention), and a questionnaire evaluating the implementation and use of AMPI-AB was conducted in a 2-month follow-up after the training, with fourteen questions. The intervention consisted of theoretical-practical training and a simulated case study. Quantitative data were presented using descriptive statistics and compared using the Wilcoxon test for paired samples. Qualitative data were analyzed using content analysis. Results: 125 professionals participated in the training, 92.6% female, 61.6% Community Health Agents (CHAs), with an average of 7 years of experience in primary health care. The level of knowledge about AMPI-AB after training showed a significant increase in the median (2.00, 25%-75% pre vs. 4.00, 25%-75% post). During the subsequent months, 457 AMD records were made. Regarding the professionals' perception, most agreed that the training influenced changes in conduct and care support, recognizing the importance of AMPI-AB for the quality of care. The main barrier reported was lack of time, while facilitators included the receptiveness of older people. The sustainability of maintaining the use of the assessment during care was affirmative. Conclusion: The training highlighted the potential of continuing education as a strategy to qualify professionals, who came to recognize AMPI-AB as an accessible screening tool in the work process, in addition to contributing to care practices focused on longitudinal, comprehensive care centered on the needs of older people and assisting management in organizing the health network for older people from primary health care. Key words: Primary Health Care; Continuing Education; Evaluation of Processes in Health Care; Elderly Health.