Banca de DEFESA: ISABELLY CRISTINA RODRIGUES REGALADO MOURA

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
STUDENT : ISABELLY CRISTINA RODRIGUES REGALADO MOURA
DATE: 07/05/2021
TIME: 08:30
LOCAL: REMOTO
TITLE:

IMPLEMENTATION OF THE DOMAIN PARTICIPATION OF THE INTERNATIONAL CLASSIFICATION OF FUNCTIONALITY, DISABILITY AND HEALTH IN THE CLINICAL PRACTICE OF PHYSIOTHERAPEUTISTS SPECIALIZED IN CHILD HEALTH: an approach based on Knowledge Translation

KEY WORDS:

Knowledge Translation; Readiness to Change; International Classification of Functioning; Disability and Health; Participation; Child Rehabilitation; Children with Disabilities.

PAGES: 192
BIG AREA: Ciências da Saúde
AREA: Fisioterapia e Terapia Ocupacional
SUMMARY:

Introduction: The ICF Participation domain is defined as involvement in life situations and is considered a human right. It involves elements related to the frequency or diversity of children's participation, involvement, and preferences. These elements work as critical quality of life indicators for children with disabilities but are little used in the clinical practice of rehabilitation professionals. Thinking about expanding the look at aspects related to participation, there is a need to identify barriers and facilitators for implementation, then develop an intervention strategy through Knowledge Translation (KT) to train rehabilitation professionals. Justification: The implementation of the ICF Participation domain will provide the identification of barriers and facilitators for the implementation and the level of propensity to change rehabilitation professionals, stimulating changes in the therapeutic dynamics of professionals and better care for families and children with motor disabilities. Methodology: During this study with a mixed methods approach, 27 physical therapists and occupational therapists participated in six learning sessions facilitated by a knowledge broker. Before the intervention, the professionals were interviewed through focus groups and by the Organizational Functioning and Readness for Change (ORC) tool to analyze the level of propensity for change. After the intervention, the professionals were interviewed again through focus groups, to assess the possible change in practice. Two researchers independently carried out thematic analysis of the data. The study design combines elements of a pragmatic essay and mixed-methods model. Results: Through the focus groups and quantitative analysis of the ORC tool, it was possible to identify the barriers and individual and organizational facilitators for the implementation and the level of propensity to change after training with KT strategies. Before the training, the professionals demonstrated to have a good knowledge of the ICF but had low rates of use of the classification in clinical practice. Among the individual and organizational barriers that could hinder the implementation of the participation domain, the negative beliefs of the family and context, difficulty in expanding the view, and service barriers were identified. As facilitators for the implementation, the standardization of actions, teamwork and encouragement of the use of the ICF by other categories were mentioned. After the training, the professionals showed an increase in the levels of propensity to change, and satisfaction with the training, inserting the ICF participation domain in clinical practice. During the implementation, professionals faced barriers of time, routine and work overload; and facilitators related to good team training and personal enhancement. Conclusion: This strategy was effective in redirecting the gaze of physical therapists and occupational therapists to the notion of participation in leisure activities for children with disabilities and to establish readiness for change. This change can potentially facilitate new participation-based implementations.

BANKING MEMBERS:
Externo à Instituição - HÉRCULES RIBEIRO LEITE - UFMG
Externa à Instituição - ANA CAROLINA DE CAMPOS - UFSCAR
Presidente - 2179208 - ANA RAQUEL RODRIGUES LINDQUIST
Externo à Instituição - DENISE KEIKO SHIKAKO THOMAS - MCGILL
Externa ao Programa - 2218795 - EGMAR LONGO HULL