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

Study Overview
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Brief Summary
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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.

Official Title
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Approach to Sexuality From Occupational Therapy in People With Acquired Bran Injury in Subacute Stage

Conditions
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Occupational Therapy, Sexuality, Acquired Brain Injury

Intervention / Treatment
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* Other: Semi-structured interviews
* Other: Canadian Occupational Performance Measure


Participation Criteria
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Eligibility Criteria
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People with Acquired Brain Injury Inclusion Criteria: 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. Exclusion Criteria: 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 Inclusion Criteria: 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. Exclusion Criteria: 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).

Ages Eligible for Study
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Minimum Age: 18 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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Accepts Healthy Volunteers

Study Plan
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How is the study designed?
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Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| People with Acquired Brain Injury<br>People with Acquired Brain Injury in a subacute stage who go to occupational therapy (N=8). | Other: Semi-structured interviews<br>* Semi-structured interviews were used to obtain the main data in this study.<br>Other: Canadian Occupational Performance Measure<br>* The Canadian Occupational Performance Measure was used with the group of people with Acquired Brain Injury to know their occupational priorities.<br>* Other names: COPM;|
| Partners of people with Acquired Brain Injury<br>Partners of people with Acquired Brain Injury in a subacute stage who go to occupational therapy (N=2). | Other: Semi-structured interviews<br>* Semi-structured interviews were used to obtain the main data in this study.<br>|
| Relatives of people with Acquired Brain Injury<br>Relatives of people with Acquired Brain Injury in a subacute stage who go to occupational therapy (N=2). | Other: Semi-structured interviews<br>* Semi-structured interviews were used to obtain the main data in this study.<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| 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 | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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Occupational Therapy, Sexuality, Acquired Bain Injury, Subacute Stage, Qualitative Study