Approach to Sexuality From Occupational Therapy in People With Acquired Brain Injury in Subacute Stage

NCT03911752 | Completed Results

• 1 other identifier: 2017/587
• Study Type: observational
• Target: 12
• Locations: 1 country
• Sites: 1

Brief Summary

Objectives: To analyse if people with acquired brain injury in sub-acute situation, as well as their relatives, and/or partners, consider relevant the approach to sexuality during their Occupational Therapy intervention. Methodology: This study presents a qualitative design with a phenomenological approach. Twelve participants were interviewed: eight people with acquired brain injury, two relatives and two partners who agreed to participate. The information has been collected through interviews.

Conditions

Occupational Therapy; Sexuality; Acquired Brain Injury

Keywords

Occupational Therapy; Sexuality; Acquired Bain Injury; Subacute Stage; Qualitative Study

Outcome Measures

Primary Outcomes (4)

• Number of Participants Who Felt The Approach to Sexuality During Occupational Therapy is Relevant

  12 semi-structured interviews Qualitative data analysis - Theoretical concept saturation and thematic analyses.

  2 months

• Number of Participants That Identified Having Occupational Priorities

  The semi-structured interview Canadian Measure of Occupational Performance (CMOP) was used. The COPM measures performance and satisfaction in self-care, productivity and leisure from the client's perspective Areas of everyday living explored during the interview include self-care, productivity or leisure and the occupational performance problems experienced in everyday living are identified. In step two, the client is asked to rate the importance of each of the occupations to his/her life using a 10-point rating scale. In the third step, the client chooses up to five of the most important problems identified in step two. In step four, the client is asked to use a 10 point scale to rate their own level of performance and satisfaction with performance for each of the five problems. These typically range between 1 and 10, where 1 indicates poor performance and low satisfaction, respectively, while 10 indicates very good performance and high satisfaction.

  2 months

• Number of Participants With Problems in Performance in His/Her Daily Life

  The semi-structured interview Canadian Measure of Occupational Performance (CMOP) was used. The client chooses up to five of the most important problems identified in his/her daily life, and he/she is asked to use a 10 point scale to rate their own level of performance. These typically range between 1 and 10, where 1 indicates poor performance while 10 indicates very good performance.

  2 months

• Number of Participants Who Are Satisfied With Performance in Areas of Everyday Living.

  The semi-structured interview Canadian Measure of Occupational Performance (CMOP) was used. The client is asked to use a 10 point scale to rate their own satisfaction during the performance of activities of daily life. Satisfaction refers to the self-perception of the results derived from doing any activity of daily life. These typically range between 1 and 10, where 1 indicates low satisfaction, respectively, while 10 indicates high satisfaction.

  2 months

Study Arms (3)

People with Acquired Brain Injury

People with Acquired Brain Injury in a subacute stage who go to occupational therapy (N=8).

Other: Semi-structured interviews; Other: Canadian Occupational Performance Measure

Partners of people with Acquired Brain Injury

Partners of people with Acquired Brain Injury in a subacute stage who go to occupational therapy (N=2).

Other: Semi-structured interviews

Relatives of people with Acquired Brain Injury

Relatives of people with Acquired Brain Injury in a subacute stage who go to occupational therapy (N=2).

Other: Semi-structured interviews

Interventions

Semi-structured interviews OTHER

Semi-structured interviews were used to obtain the main data in this study.

Partners of people with Acquired Brain Injury; People with Acquired Brain Injury; Relatives of people with Acquired Brain Injury

Canadian Occupational Performance Measure OTHER

The Canadian Occupational Performance Measure was used with the group of people with Acquired Brain Injury to know their occupational priorities.

Also known as: COPM

People with Acquired Brain Injury

Eligibility Criteria

• Age: 18 Years+
• Sex: all
• Healthy Volunteers: Yes
• Age Groups: Adult (18-64), Older Adult (65+)
• Sampling Method: Non-Probability Sample

Study Population

People who go to Maritime Hospital of Oza (University Hospital Complex of A Coruña) because it is a person with Acquired Brain Injury or a relative or partner of a person with these characteristics

You may qualify if:

• Being over 18 years.
• Have a diagnosis framed within the concept of Acquired Brain Injury.
• To be in the sub-acute stage after the Acquired Brain Injury.
• Take Occupational Therapy to the Neurology Service of the Rehabilitation Unit of the Maritime Hospital of Oza (CHUAC) for a minimum of two months.

You may not qualify if:

• Do not accept to participate in the study.
• Present a decrease in the level of consciousness.
• Present alterations at the cognitive level that suppose a score of less than 20 on the Mini-mental State Examination (MMSE).
• Present disinhibition after acquired brain damage.
• Present sensory aphasia.
• Partners and relatives of people with Acquired Brain Injury
• Being over 18 years.
• Being partner or relative of a person who has a diagnosis framed within the concept of Acquired Brain Injury.
• Being partner or relative of a person who is in the sub-acute stage after the Acquired Brain Injury.
• Being partner or relative of a person who takes Occupational Therapy to the Neurology Service of the Rehabilitation Unit of the Maritime Hospital of Oza (CHUAC) for a minimum of two months.
• Do not accept to participate in the study.
• Present a decrease in the level of consciousness.
• Present alterations at the cognitive level that suppose a score of less than 20 on the Mini-mental State Examination (MMSE).

Sponsors & Collaborators

• Universidade da Coruña: lead
• University Hospital A Coruña: collaborator

Study Sites (1)

Faculty of Health Sciences. University of A Coruña

A Coruña, Galicia, 15006, Spain

Location

Related Publications (7)

• Haag HL, Caringal M, Sokoloff S, Kontos P, Yoshida K, Colantonio A. Being a Woman With Acquired Brain Injury: Challenges and Implications for Practice. Arch Phys Med Rehabil. 2016 Feb;97(2 Suppl):S64-70. doi: 10.1016/j.apmr.2014.12.018. Epub 2015 Feb 7.

  PMID: 25666783 BACKGROUND

• Schmitz MA, Finkelstein M. Perspectives on poststroke sexual issues and rehabilitation needs. Top Stroke Rehabil. 2010 May-Jun;17(3):204-13. doi: 10.1310/tsr1703-204.

  PMID: 20797965 BACKGROUND

• Moreno JA, Arango Lasprilla JC, Gan C, McKerral M. Sexuality after traumatic brain injury: a critical review. NeuroRehabilitation. 2013;32(1):69-85. doi: 10.3233/NRE-130824.

  PMID: 23422460 BACKGROUND

• Brunsden C, Kiemle G, Mullin S. Male partner experiences of females with an acquired brain injury: An interpretative phenomenological analysis. Neuropsychol Rehabil. 2017 Sep;27(6):937-958. doi: 10.1080/09602011.2015.1109525. Epub 2015 Nov 26.

  PMID: 26610187 BACKGROUND

• Townsend E, Wilcock AA. Occupational justice and client-centred practice: a dialogue in progress. Can J Occup Ther. 2004 Apr;71(2):75-87. doi: 10.1177/000841740407100203.

  PMID: 15152723 BACKGROUND

• McGrath M, Lynch E. Occupational therapists' perspectives on addressing sexual concerns of older adults in the context of rehabilitation. Disabil Rehabil. 2014;36(8):651-7. doi: 10.3109/09638288.2013.805823. Epub 2013 Jun 26.

  PMID: 23802139 BACKGROUND

• Hyland A, Mc Grath M. Sexuality and occupational therapy in Ireland--a case of ambivalence? Disabil Rehabil. 2013 Jan;35(1):73-80. doi: 10.3109/09638288.2012.688920. Epub 2012 Jun 2.

  PMID: 22657159 BACKGROUND

Related Links

• World Health Organization (WHO). Defining sexual health \[Internet\]. WHO. World Health Organization; 2018
• Sakellariou D, Simó Algado S. Sexuality and Disability: a Case of Occupational Injustice. Br J Occup Ther. 2006;69(2):69-76.
• Ministerio de Sanidad, Política Social e Igualdad. Estrategia Nacional de Salud Sexual y Reproductiva. \[Internet\]. 2011. p. 178.
• Jones B. S, Duarte B. T, Astorga U. N, Pardo M, Sepúlveda R. Aproximación a la experiencia de cuerpo y sexualidad de un grupo de mujeres chilenas con discapacidad física congénita. Rev chil ter ocup. 2015;15(1):19-32.
• Federación Española de Daño Cerebral. Talleres y Cuadernos FEDACE sobre Daño Cerebral Adquirido. 1.a ed. de la Cruz Martín-Romo C, Rubio Arribas N, editores. Madrid: FEDACE; 2010. 1-170 p.
• Cortes Generales del Reino de España. Ley Orgánica 2/2010, de 3 de marzo, de salud sexual y reproductiva y de la interrupción voluntaria del embarazo. Boletín Of del Estado. 2010;55(3514):21001-14.
• Pollard N, Sakellariou D. Sex and Occupational Therapy: Contradictions or Contraindications ? Br J Occup Ther. 2007;70(June 2016):361-5.
• Moruno P, Agudo P. Análisis teórico de los conceptos privación, alienación y justicia ocupacional. Rev Ter Ocup Galicia \[Internet\]. 2012;9:44-68.
• Asociación Española de Medicamentos y Productos Sanitarios. Normas de buena práctica clínica. Guía de buena práctica clínica España; 2002 p. 1-57.
• Jefatura del Estado. Ley Orgánica 15/1999, de 13 de diciembre, de Protección de Datos de Carácter Personal. BOE España; 1999 p. 43088-99.
• Ministerio de Educación, Cultura y Deporte. Orden SSI/81/2017, de 19 de enero, por la que se publica el Acuerdo de la Comisión de Recursos Humanos del Sistema Nacional de Salud. España: Boletín Oficial Del Estado; 2017.
• Salgado A.C. Investigación cualitativa: diseños, evaluación del rigor metodológico y retos. Liberabit. 2007;13(2006):3-10.
• Sáez S. El hombre "en" la discapacidad física. En: Martínez Sola F, editor. La erótica del encuentro. 1.a ed. Gijón, Spain: COCEMFE ASTURIAS; 2003. p. 33-48.
• Cantero Garlito PA, Emeric Méaulle D, Zango Martín I, Domínguez Vega E. Ocupaciones de Mujer(es), ocupaciones de hombre(s): la influencia del sexo sobre la ocupación y sobre la profesión de la terapia ocupacional en España. Rev TOG. 2012;9:96-124.
• Sociedad Española de Geriatría y Gerontología. El 89% de los cuidadores en España son mujeres y en el 47% de los casos, el cuidador principal es un familiar. \[Internet\]. Sociedad Española de Geriatría y Gerontología. 2016. p. 1
• Pizarro Pedraza A. Tabú y eufemismo en la ciudad de Madrid. Estudio sociolíngüístico-cognitivo de los conceptos sexuales. Universidad Complutense de Madrid; 2014.
• Varela Salgado M, Paz Esqueje J. Resultados de una encuesta sobre educación sexual y hábitos sexuales de los gallegos. Rev Int Androl. 2007;5(2):161-6.
• Shildrick M. Contested pleasures: The sociopolitical economy of disability and sexuality. Sex Res Soc Policy. 2007;4(1):53-66.

MeSH Terms

Conditions

Sexuality; Brain Injuries

Condition Hierarchy (Ancestors)

Sexual Behavior; Behavior; Brain Diseases; Central Nervous System Diseases; Nervous System Diseases; Craniocerebral Trauma; Trauma, Nervous System; Wounds and Injuries

Results Point of Contact

• Title: Thais Pousada García
• Organization: University of A Coruña

thais.pousada.garcia@udc.es

+34 981 167 000

Study Officials

• Thais Pousada García

  PhD Health Science. Occupational Therapist.

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: observational
• Observational Model: OTHER
• Time Perspective: OTHER
• Sponsor Type: OTHER
• Responsible Party: PRINCIPAL INVESTIGATOR
• PI Title: PhD Health Science. Occupational Therapist

Study Record Dates

• First Submitted: April 9, 2019
• First Posted: April 11, 2019
• Study Start: September 25, 2017
• Primary Completion: April 10, 2018
• Study Completion: June 11, 2018
• Last Updated: November 6, 2019
• Results First Posted: November 6, 2019

Record last verified: 2019-10

Data Sharing

• IPD Sharing: Will not share

Locations

ES (1)