Efeitos do programa de capacitação para o desempenho ocupacional (opc) com crianças brasileiras com transtorno do espectro autista (tea) e suas famílias: estudo de viabilidade
Notice bibliographique
Résumé
Autism or Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder in which the most common and evident signs are characterized by a singular triad: deficits in communication (verbal and non-verbal), social interaction and restricted and repetitive behaviors. The autistic child may have different and/or delayed development compared to children of the same age without the disorder. Difficulties in the course of development unfold in different crossings not only in the daily life of the child, but also of their families, especially the primary caregivers. When considering that parents/caregivers are responsible for their children and have a great influence on their daily lives and performance, they are critical figures for the good development and rehabilitation of these children. In this sense, the "Occupational Performance Coaching" (OPC), translated into Brazilian Portuguese as "Capacity for Occupational Performance", appears as a proposal of Occupational Therapy that aims to improve occupational performance in the areas identified as goals and increase the capacity of caregivers to manage future challenges in occupational performance. This study aimed to investigate the feasibility of using OPC in the Brazilian population. Initially, the proposal was to study the effects of the program in groups carried out in person, however, with the establishment of the pandemic caused by the new Coronavirus (COVID-19) at the beginning of the study, it was necessary to reformulate the project design and adapt to the remote format, with individual assistance. Thus, online and individual meetings were held, which took place a time a week lasting sixty minutes or more, depending on the demands of each family/child. Convenience sampling was used, and 36 children were initially selected on the waiting list of the Sensory Integration Laboratory (LAIS) of the Federal University of Minas Gerais (UFMG). After analyzing the inclusion criteria, 6 families were selected, but one abandoned the program after the 3rd session and another stated, after starting the program, that the diagnosis of ASD was not yet closed, therefore it did not meet an essential inclusion criteria for participation in the research and received therapeutic assistance parallel to the program. The 4 families of autistic children aged between 3 and 5 years and 6 months were evaluated with the instruments Autism Classification System of Functioning: Social Communication (ACSF: SC), Parental Sense of Competence Scale - PSOC and Canadian Occupational Performance Measure - COPM, all were answered by the parents. After evaluation through online forms, each family participated in up to 10 intervention sessions using the OPC protocol. The sense of parental competence scale resulted in a decrease in the final score of 2 families, maintenance of the final score of 1 family and an increase in the final score of 1 family. The average performance and final satisfaction showed a minimum of 4.25 and a maximum of 6.33 for performance, and a minimum of 2.5 and a maximum of 7 for satisfaction. Hypotheses were raised to justify the decrease in the sense of parental competence after the intervention. The results indicate that the OPC is viable for use in the Brazilian population, achieving significant clinical improvement in performance and satisfaction of intervention goals, in addition to providing the development of transfer and/or generalization skills.
Récupéré en direct depuis OpenAlex et désinversé. Les résumés ne sont pas conservés dans cette base de données : les index inversés représentent 8,6 Go des 9,3 Go de texte de la base, et le serveur dispose de 13 Go libres.
Comment cette classification a été obtenuedéplier
Prédiction machine sur la base complète
Imitation des enseignantsNi prévalence calibrée, ni vérité terrain. Validation humaine à venir. Le volet Gemma est une étiquette directe du modèle pour chaque travail de la base, lue sur la notice réduite au titre. Le volet Codex est un classifieur appris des 10 348 étiquettes directes de Codex et calibré sur les taux pondérés de l'échantillon; les champs sans appui suffisant ne portent aucun appel Codex. Le mode candidate est l'union des deux volets; le consensus est leur intersection. Ces sorties portent le statut machine_predicted_unvalidated et ne sont pas des étiquettes humaines.
Scores du classifieur distillé par catégorie (deux têtes)
| Catégorie | Codex | Gemma |
|---|---|---|
| Métarecherche | 0,001 | 0,009 |
| Méta-épidémiologie (sens strict) | 0,000 | 0,000 |
| Méta-épidémiologie (sens large) | 0,001 | 0,001 |
| Bibliométrie | 0,001 | 0,001 |
| Études des sciences et des technologies | 0,001 | 0,001 |
| Communication savante | 0,001 | 0,000 |
| Science ouverte | 0,001 | 0,001 |
| Intégrité de la recherche | 0,001 | 0,001 |
| Charge utile insuffisante (le modèle a refusé de juger) | 0,002 | 0,000 |
Scores machine (provisoires)
Les deux têtes enseignantes du modèle étudiant, lues sur ce travail. Un score ordonne la base pour la relecture; il n'affirme jamais une catégorie, et le statut de validation accompagne chaque rangée tel quel.
Scores de référence d'un modèle non mature (critères de maturité non atteints, 7 itérations). Un score ordonne; il n'affirme jamais une catégorie.
score_only:v0-immature-baseline · tel quel depuis la passe de notation : score_only signifie que le nombre peut ordonner les travaux, et qu'aucune étiquette de catégorie n'en découleClassification
machine, non validéePrédiction automatique; un appel candidat d’une seule source (Gemma direct ou Codex distillé), pas un consensus.
Le détail, modèle par modèle et score par score, se trouve en fin de page sous « Comment cette classification a été obtenue ».