Acquired Brain Injury, Occupational Therapy, Sexuality
Conditions
Keywords
Occupational Therapy, Sexuality, Acquired Bain Injury, Subacute Stage, Qualitative Study
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.
Interventions
OTHERSemi-structured interviews
Semi-structured interviews were used to obtain the main data in this study.
The Canadian Occupational Performance Measure was used with the group of people with Acquired Brain Injury to know their occupational priorities.
Sponsors
University Hospital A Coruña
Universidade da Coruña
Study design
Observational model
OTHER
Time perspective
OTHER
Eligibility
Sex/Gender
ALL
Age
18 Years to No maximum
Healthy volunteers
Yes
Inclusion criteria
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.
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Number of Participants Who Felt The Approach to Sexuality During Occupational Therapy is Relevant | 2 months | 12 semi-structured interviews Qualitative data analysis - Theoretical concept saturation and thematic analyses. |
| Number of Participants That Identified Having Occupational Priorities | 2 months | 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. |
| Number of Participants With Problems in Performance in His/Her Daily Life | 2 months | 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. |
| Number of Participants Who Are Satisfied With Performance in Areas of Everyday Living. | 2 months | 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. |
Countries
Spain
Participant flow
Participants by arm
| Arm | Count |
|---|---|
| People With Acquired Brain Injury People with Acquired Brain Injury in a subacute stage who go to occupational therapy (N=8). | 8 |
| 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). | 2 |
| 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). | 2 |
| Total | 12 |
Baseline characteristics
| Characteristic | People With Acquired Brain Injury | Partners of People With Acquired Brain Injury | Relatives of People With Acquired Brain Injury | Total |
|---|---|---|---|---|
| Age, Categorical <=18 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical >=65 years | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Age, Categorical Between 18 and 65 years | 8 Participants | 2 Participants | 2 Participants | 12 Participants |
| Ethnicity (NIH/OMB) Hispanic or Latino | 8 Participants | 2 Participants | 2 Participants | 12 Participants |
| Ethnicity (NIH/OMB) Not Hispanic or Latino | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Ethnicity (NIH/OMB) Unknown or Not Reported | 0 Participants | 0 Participants | 0 Participants | 0 Participants |
| Region of Enrollment Spain | 8 participants | 2 participants | 2 participants | 12 participants |
| Sex: Female, Male Female | 3 Participants | 2 Participants | 1 Participants | 6 Participants |
| Sex: Female, Male Male | 5 Participants | 0 Participants | 1 Participants | 6 Participants |
Adverse events
| Event type | EG000 affected / at risk | EG001 affected / at risk | EG002 affected / at risk |
|---|---|---|---|
| deaths Total, all-cause mortality | 0 / 0 | 0 / 0 | 0 / 0 |
| other Total, other adverse events | 0 / 0 | 0 / 0 | 0 / 0 |
| serious Total, serious adverse events | 0 / 0 | 0 / 0 | 0 / 0 |
Outcome results
Primary
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.
Time frame: 2 months
Population: Interviews
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| People With Acquired Brain Injury | Number of Participants That Identified Having Occupational Priorities | Work and productivity | 5 Participants |
| People With Acquired Brain Injury | Number of Participants That Identified Having Occupational Priorities | Activities of Daily Living | 8 Participants |
| People With Acquired Brain Injury | Number of Participants That Identified Having Occupational Priorities | Leisure | 7 Participants |
| Partners of People With Acquired Brain Injury | Number of Participants That Identified Having Occupational Priorities | Work and productivity | 1 Participants |
| Partners of People With Acquired Brain Injury | Number of Participants That Identified Having Occupational Priorities | Activities of Daily Living | 2 Participants |
| Partners of People With Acquired Brain Injury | Number of Participants That Identified Having Occupational Priorities | Leisure | 2 Participants |
| Relatives of People With Acquired Brain Injury | Number of Participants That Identified Having Occupational Priorities | Activities of Daily Living | 2 Participants |
| Relatives of People With Acquired Brain Injury | Number of Participants That Identified Having Occupational Priorities | Leisure | 1 Participants |
| Relatives of People With Acquired Brain Injury | Number of Participants That Identified Having Occupational Priorities | Work and productivity | 1 Participants |
Primary
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.
Time frame: 2 months
Population: Interviews. Data were not collected for Partners and Relatives because they had not any consequences in their performance due to an Acquired Brain Injury.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| People With Acquired Brain Injury | Number of Participants Who Are Satisfied With Performance in Areas of Everyday Living. | Activities of Daily Living | 4 Participants |
| People With Acquired Brain Injury | Number of Participants Who Are Satisfied With Performance in Areas of Everyday Living. | Work and productivity | 5 Participants |
| People With Acquired Brain Injury | Number of Participants Who Are Satisfied With Performance in Areas of Everyday Living. | Leisure | 3 Participants |
Primary
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.
Time frame: 2 months
Population: Transcription, listening and categorizing the speaking of participants from their answers to the interviews.
| Arm | Measure | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|
| People With Acquired Brain Injury | Number of Participants Who Felt The Approach to Sexuality During Occupational Therapy is Relevant | 8 Participants |
| Partners of People With Acquired Brain Injury | Number of Participants Who Felt The Approach to Sexuality During Occupational Therapy is Relevant | 2 Participants |
| Relatives of People With Acquired Brain Injury | Number of Participants Who Felt The Approach to Sexuality During Occupational Therapy is Relevant | 2 Participants |
Primary
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.
Time frame: 2 months
Population: Interviews. Data were not collected for Partners and Relatives because they had not any consequences in their performance due to an Acquired Brain Injury.
| Arm | Measure | Group | Value (COUNT_OF_PARTICIPANTS) |
|---|---|---|---|
| People With Acquired Brain Injury | Number of Participants With Problems in Performance in His/Her Daily Life | Activities of Daily Living | 8 Participants |
| People With Acquired Brain Injury | Number of Participants With Problems in Performance in His/Her Daily Life | Work and productivity | 4 Participants |
| People With Acquired Brain Injury | Number of Participants With Problems in Performance in His/Her Daily Life | Leisure | 5 Participants |