Occupational Therapy and Sexual and Reproductive Health Promotion in Adolescence: A Case Study
Corresponding Author
Daniela Tavares Gontijo
Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Brazil
Posgraduate in Child and Adolescent Health, Universidade Federal de Pernambuco – UFPE, Brazil
Correspondence: Daniela Tavares Gontijo, Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Av. Prof. Moraes Rego, 1235-Cidade Universitária, Recife, PE, CEP: 50670-901, Brazil.
Email: [email protected]
Search for more papers by this authorAnna Carolina de Sena e Vasconcelos
Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorRosana Juliet Silva Monteiro
Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorVera Lúcia Dutra Facundes
Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorMaria de Fátima Cordeiro Trajano
Posgraduate in Child and Adolescent Health, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorLuciane Soares de Lima
Posgraduate in Child and Adolescent Health, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorCorresponding Author
Daniela Tavares Gontijo
Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Brazil
Posgraduate in Child and Adolescent Health, Universidade Federal de Pernambuco – UFPE, Brazil
Correspondence: Daniela Tavares Gontijo, Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Av. Prof. Moraes Rego, 1235-Cidade Universitária, Recife, PE, CEP: 50670-901, Brazil.
Email: [email protected]
Search for more papers by this authorAnna Carolina de Sena e Vasconcelos
Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorRosana Juliet Silva Monteiro
Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorVera Lúcia Dutra Facundes
Occupational Therapy Program Department, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorMaria de Fátima Cordeiro Trajano
Posgraduate in Child and Adolescent Health, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorLuciane Soares de Lima
Posgraduate in Child and Adolescent Health, Universidade Federal de Pernambuco – UFPE, Brazil
Search for more papers by this authorAbstract
Occupational therapy can contribute to sexual and reproductive health through health education. The purpose of this study was to describe an occupational therapy intervention aimed at sexual and reproductive health promotion in adolescents. Fifty-eight adolescents were involved in the study, before, during and after the interventions. Educative activities such as puzzles, storytelling, mime and board games were used, which occupational therapy faculty and students had constructed. The games were employed as mediators for gaining knowledge in sexual and reproductive health. Outcome was measured using a questionnaire, audio recordings and field diaries. The data were analysed by descriptive statistics and thematic content analysis. The results showed the adolescents' increased knowledge of sexual and reproductive health information immediately after the intervention. The thematic analysis was grouped into three categories: the adolescents' initial expectations regarding the project, reflections on the process experienced during the interventions and use of educational games by occupational therapists. The importance of rapport and dialogue was highlighted in the construction of interventions based on participatory methods. The absence of a longitudinal follow-up is a limitation in this study. Further research is important to systematically assess sexual health promotion strategies in adolescence. Copyright © 2015 John Wiley & Sons, Ltd.
References
- American Occupational Therapy Association (AOTA) (2008a). Occupational therapy practice. Framework: domain & process. 2nd. The American Journal Occupational Therapy 63: 625–683.
-
American Occupational Therapy Association (AOTA) (2008b). Occupational therapy services in the promotion of health and the prevention of disease and disability. The American Journal of Occupational Therapy 62: 694–703.
10.5014/ajot.62.6.694 Google Scholar
- Barbosa S, Dias FLA, Pinheiro AKBP, Pinheiro PNC, Vieira N (2010). Jogo educativo como estratégia de educação em saúde para adolescentes na prevenção às DST/AIDS (Educational game as a strategy for health education for adolescents in the prevention of STD/AIDS). Revista Eletrônica de Enfermagem 12: 337–341. DOI:10.5216/ree.v12i2.6710.
10.5216/ree.v12i2.6710 Google Scholar
- Bassi BGC, Malfitano APS, Bianchi PC (2012). O Terapeuta Ocupacional na Atenção Básica em Saúde: a representatividade em revistas e nos congressos brasileiros da área (The occupational therapist in primary health care: representation in journals and Brazilian congresses). Cad. Ter. Ocup. UFSCar 20: 443–454. DOI:10.4322/cto.2012.044.
10.4322/cto.2012.044 Google Scholar
- Bazyk S, Bazyk J (2009). The meaning of occupation-based groups for low-income urban youths attending after-school care. American Journal of Occupational Therapy 63: 69–80.
- Bechara AMD, Gontijo DT, Medeiros M, Facundes VLD (2013). Na brincadeira a gente foi aprendendo: promoção de saúde sexual e reprodutiva com homens adolescentes (“We learned from playing”: promoting sexual and reproductive health among adolescent men). Rev. Eletr. Enf. [Internet] 15: 25–33. DOI:10.5216/ree.v15i1.19046.
10.5216/ree.v15i1.19046 Google Scholar
- Brasil. Ministério da Saúde (2006). Marco teórico e referencial: saúde sexual e saúde reprodutiva de adolescentes e jovens (Theoretical and Reference Framework: Sexual and Reproductive Health of Adolescents and Youth). Brasília (DF): Editora do Ministério da Saúde.
- Brasil. Ministério da Saúde (2010). Diretrizes Nacionais para a Atenção Integral à Saúde de Adolescentes e Jovens na Promoção, Proteção e Recuperação da Saúde (National Guidelines for Comprehensive Healthcare for Adolescents and Youth in Promotion, Protection and Recovery of Health). Brasilia: Editora do Ministério da Saúde.
- Brêtas JRS, Ohara CVS, Jardim DP, Aguiar JW, Oliveira JR (2011). Aspectos da sexualidade na adolescência (Aspects of sexuality in adolescence). Ciência & Saúde Coletiva 16: 3221–3228. DOI:10.1590/S1413-81232011000800021.
- Coscrato G, Pina JC, Mello DF (2010). Use of recreational activities in health education: integrative literature review. Acta Paul Enferm. 23: 257–263.
- Cunha APG, Gontijo DT (2013). Queixas relacionadas ao desempenho ocupacional de adolescentes que vivem com HIV: subsídios para ação da Terapia Ocupacional (Complaints related to occupational performance of adolescents who live HIV: subsidies for action of the occupational therapy). Rev Ter Ocup Univ São Paulo 24: 57–66.
10.11606/issn.2238-6149.v24i1p57-66 Google Scholar
- Creswell JW, Clark VLP (2011). Designing and Conducting Mixed Methods Research ( 2nd edn., ). London: Sage Publication.
- De Vitta A, De Vitta FCF, Gatti MA, Simeão SFAP (2012). Educative games and expositive lesson: comparison of educational techniques on sitting posture. J. Hum. Growth Dev 22: 47–52.
- De Vitta A, Silva DT, De Vitta FC, Conti MHS, Vieira LM, Marta SN, Gatti MAN, Simeão SFAP (2013). Knowledge about smoking among schoolchildren. J. Hum. Growth Dev 23: 18–23.
- Freire P (2005). Pedagogy of the Oppressed. London: The Continuum International Publishing Group Ltda.
- Freire P (2011a). Pedagogia da Autonomia: saberes necessários à prática educativa (Pedagogy of Autonomy: Knowledge Necessary for Educational Practice). São Paulo: Paz e Terra.
- Freire P (2011b). Extensão ou Comunicação? (Extension or Communication?). Rio de Janeiro: Paz e Terra.
- Gontijo DT, Facundes VLD, Vasconcelos ACS, Monteiro RJ (2014). Promoção de saúde sexual e reprodutiva com adolescentes: reflexões sobre o potencial das ações extensionistas para o processo de formação dos profissonais de saúde (Sexual and Reproductive Health Promotion Involving Adolescents: Reflections on the Potential of Community Service Actions for the Education Process of Health Professionals). Cadernos de Extensão. Recife: Editora UFPE.
- Gibbs G (2008). Analysing Qualitative Data. London: Sage Publication.
- Lopes RE, Borba PLO, Trajber NKA, Silva CR, Cuel BT (2011). Oficinas de atividades com jovens da escola pública:tecnologias sociais entre educação e terapia ocupacional (Activities workshops with public school youngsters: social technologies between education and occupational therapy). Interface – comunicação saúde educação 15: 277–288. DOI:10.1590/S1414-32832011000100021.
10.1590/S1414-32832011000100021 Google Scholar
- Malta DC, Silva MAI, Mello FCM, Monteiro RA, Porto DL, Sardinha LMV, Freitas PC (2011). Saúde sexual dos adolescentes segundo a Pesquisa Nacional de Saúde dos Escolares (Sexual health of adolescents according to the National Survey of School Health). Revista Brasileira de Epidemiologia 14: 147–156.
- Mariano MR, Pinheiro AKB, Aquino PS, Ximenes LB, Pagliuca LMF (2013). Jogo educativo na promoção da saúde de adolescentes: revisão integrativa (Educational games to promote adolescent health: an integrative review). Rev. Eletr. Enf. [Internet] 15: 265–273. DOI:10.5216/ree.v15i1.17814.
10.5216/ree.v15i1.17814 Google Scholar
- Nogueira MJ, Barbosa S, Barros H, Schall VT (2011). Criação compartilhada de um jogo: um instrumento para o diálogo sobre sexualidade desenvolvido com adolescentes (Shared creation of a game: a tool for dialogue about sexuality developed with adolescents). Ciência & Educação 17: 941–956.
10.1590/S1516-73132011000400011 Google Scholar
- Pizzi MA, Reitz SM (2010). Promoting sexual health: an occupational perspective. In: ME Scaffa, SM Reitz, MA Pizzi (eds). Occupational Therapy in the Promotion of Health and Wellness (pp. 307–328). Philadelphia: DavisPlus. Section III.
- Preslei AKA, Lima TMS, Martins RG, Souza CSM, Moyses RPC, Lima RTS (2012). Tecnologia social e prática educativa sobre osteoporose para um grupo de agentes promotores de saúde segundo a abordagem dialógica (Social and educational technology practice on osteoporosis for a group of agents according to the health promoters dialogical approach). Sau. & Transf. Soc 3: 25–30.
- Quirino GS, Rocha JBT (2012). Educação sexual em uma escola pública de Juazeiro do Norte/CE: percepção dos adolescentes. (Sex education in a public school of Juazeiro do Norte-CE: adolescent's perception). Acta Scientiae 14: 115–131.
- Reis F, Gomes ML, Aoki M (2012). Terapia ocupacional na Atenção Primária à Saúde: reflexões sobre as populações atendidas (Occupational therapy in primary health care: reflections on the populations assisted). Cad. Ter. Ocup. UFSCar 20: 341–350. DOI:10.4322/cto.2012.034.
10.4322/cto.2012.034 Google Scholar
- Salci MA, Maceno P, Rozza SG, Silva DMGV, Boehs AE, Heidemann ITSB (2013). Health education and its theoretical perspectives: a few reflections. Text Context Nursing 22: 224–230.
10.1590/S0104-07072013000100027 Google Scholar
- Silva BO, Ribeiro PRC (2011). Sexualidade na sala de aula: tecendo aprendizagens a partir de um artefato pedagógico (Sexuality in the classroom: weaving learning experiences from a pedagogical artifact). Estudos Feministas 19: 521–533.
10.1590/S0104-026X2011000200014 Google Scholar
- Silva CMC, Meneghim MC, Pereira AC, Miahlhe FL (2010). Educação em Saúde: uma reflexão histórica de suas práticas (Health education: a historical reflection of its practices). Ciência e Saúde Coletiva 15: 2539–2550. DOI:10.1590/S1413-81232010000500028.
- Wilcock AA (2006). An occupational perspective of health. 2ª ed. Slack Incorporated.
- Wood R, Fortune T, McKinstry C (2013). Perspectives of occupational therapists working in primary health promotion. Australian Occupational Therapy Journal 60: 161–170.