- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03911752
Approach to Sexuality From Occupational Therapy in People With Acquired Brain Injury in Subacute Stage
Approach to Sexuality From Occupational Therapy in People With Acquired Bran Injury in Subacute Stage
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.
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Contacts and Locations
Study Locations
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Galicia
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A Coruña, Galicia, Spain, 15006
- Faculty of Health Sciences. University of A Coruña
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Sampling Method
Study Population
Description
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).
Study Plan
How is the study designed?
Design Details
- Observational Models: Other
- Time Perspectives: Other
Cohorts and Interventions
Group / Cohort |
Intervention / Treatment |
|---|---|
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People with Acquired Brain Injury
People with Acquired Brain Injury in a subacute stage who go to occupational therapy (N=8).
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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.
Other Names:
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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).
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Semi-structured interviews were used to obtain the main data in this study.
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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).
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Semi-structured interviews were used to obtain the main data in this study.
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
|---|---|---|
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Number of Participants Who Felt The Approach to Sexuality During Occupational Therapy is Relevant
Time Frame: 2 months
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12 semi-structured interviews Qualitative data analysis - Theoretical concept saturation and thematic analyses.
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2 months
|
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Number of Participants That Identified Having Occupational Priorities
Time Frame: 2 months
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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
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Number of Participants With Problems in Performance in His/Her Daily Life
Time Frame: 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. |
2 months
|
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Number of Participants Who Are Satisfied With Performance in Areas of Everyday Living.
Time Frame: 2 months
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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
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Collaborators and Investigators
Sponsor
Collaborators
Investigators
- Principal Investigator: Thais Pousada García, PhD Health Science. Occupational Therapist.
Publications and helpful links
General Publications
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
- 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.
Helpful Links
- World Health Organization (WHO). Defining sexual health [Internet]. WHO. World Health Organization; 2018
- Vera-Gamboa L. Historia de la Sexualidad. Rev Biomed. 1998;9(2):116-21.
- 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.
- American Occupational Therapy Association. Occupational Therapy Practice Framework: Domain and Process (3rd Edition). Am J Occup Ther. 2014;68(Supplement_1):S1-48.
- 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.
- World Medical Asociation (AMM). Declaración de Helsinki de la AMM - Principios éticos para las investigaciones médicas en seres humanos. World Medical Association, Inc 2013 p. 1-8.
- Salgado A.C. Investigación cualitativa: diseños, evaluación del rigor metodológico y retos. Liberabit. 2007;13(2006):3-10.
- Fouche L. An occupational therapist's perspective on sexuality and psychosocial sexual rehabilitation. Occup Ther psychiatry Ment Heal. 2014;(2010):212-26.
- 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.
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017/587
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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