Revista de Terapia Ocupacional da Universidade de São Paulo
Interdisciplinary publication address to Occupational Therapy field in its interface with health, psychosocial rehabilitation, education and other similar areas.
Universidade de São Paulo. Faculdade de Medicina
Copyright (c) 2026 https://creativecommons.org/licenses/by-nc-sa/4.0
Everyday life experiences, memories and imaginaries: perspectives of children undergoing oncology treatment
Childhood cancer treatment is marked by invasive and unpleasant procedures within a prolonged treatment routine involving numerous hospitalizations, which significantly affect the child’s family, school, and social life. The aim of this study was to understand what it means to be a child undergoing cancer treatment, based on their own experiences. This is a qualitative, descriptive, and participatory study conducted with five children aged 8 to 12 years who were receiving treatment in a pediatric oncology service in the city of São Paulo. A play interview technique was used, combining photo-elicitation with a board game designed for this purpose. The meetings were recorded, transcribed, and analyzed thematically. The narratives produced during the game expressed their experiences related to: activities they enjoyed; affections and relationships; experiences of having cancer, undergoing treatment, and being hospitalized; and limitations imposed by the illness. This study made it possible to understand the everyday experiences, memories, and imaginations of hospitalized children undergoing cancer treatment, in relation to what it means to be a child with cancer. Their narratives were permeated by the subtleties of lived experience and child perception, revealing their ways of feeling, thinking, imagining, and sharing their lives within the context of cancer treatment.
Copyright (c) 2026 Mariana de Paiva Franco, Sandra Maria Galheigo https://creativecommons.org/licenses/by-nc-sa/4.0
Assessment in autism spectrum disorder: the convergence of knowledge and experience between parents and professionals
This study aims to compare the assessments made by Early Childhood Intervention professionals and the families of children with ASD, aged between 3 and 6, in the dimensions of “Social Communication”, “Repetitive Behavior and Reduced Interests” and “Sensory Processing”. The instrument used was the “Assessment Scale for Children with Autism Spectrum Disorder” by Reis, Pereira and Almeida, in a sample of 77 children with ASD, in mainland Portugal, aged between 3 and 6 years. A descriptive and inferential analysis was carried out using SPSS version 28.0. The results obtained reflect the discrepancies in the assessments given by professionals and families. Parents seem to have a more positive perception of their children's “Social Communication”. The “educational” and “professional” level of the parents had no influence on the evaluations given to the children, as did the “professional category” of the professionals. The “age” of the child was found to have no influence on the assessments made by parents and professionals in the three dimensions under study. The “gender” variable had an influence on the results of the evaluations, and it was found that both the professionals and the parents evaluated female children with ASD more positively.
Copyright (c) 2026 Helena Filipa Lima Gonçalves, Helena Isabel Silva Reis, Ana Paula Silva Pereira https://creativecommons.org/licenses/by-nc-sa/4.0
Portrait of mobile device use proficiency among older adults: a comparative study
Digital literacy represents a challenge for older adults’ access and connectivity. In this context, occupational therapists intervene in educational processes to promote the empowerment of older adults for the safe, critical, and reliable use of technologies. This study analyzed whether occupational therapy interventions in digital literacy aimed at older adults impact their level of proficiency in using digital mobile devices and identified factors associated with learning. Forty older adults from the cities of Rio de Janeiro and Curitiba participated. The participants were followed for 10 to 12 weeks and completed the Brazilian version of the Mobile Device Proficiency Questionnaire to assess their knowledge in using digital mobile devices (smartphones). The results indicated a significant increase in digital proficiency in both cities, with greater improvement among participants from Curitiba. The study showed that factors such as education and income significantly facilitate the development of digital skills. In turn, other factors, such as support and a methodology centered on the needs of older adults, may also favor the learning process in the use of new technologies. Digital literacy is a fundamental path to promoting autonomy, inclusion, and a sense of self-efficacy among older adults in the current technological context.
Copyright (c) 2026 Maria Clara de Moraes Giri, Roberta Pereira Niquini, Taiuani Marquine Raymundo, Lilian Dias Bernardo https://creativecommons.org/licenses/by-nc-sa/4.0
Kinship, resistance, and the futures we make: a conversation with Pamela Block
This conversation brings together critical reflections on disability, care, kinship, and intersectionality through a transnational lens, featuring Pamela Block and interlocutors Lilian Magalhães and Sandra Galheigo. Drawing from both personal and academic experiences, Pamela Block discusses how family structures, institutional expectations, and systemic inequities shape the lives of disabled individuals and their siblings and explores how they co-create futures in contexts often marked by exclusion. The dialogue also addresses the uneven distribution of care responsibilities, particularly in Canada and Brazil, highlighting the ways in which race, class, gender, and immigration status intersect with disability. Attention is given to the social construction of "non-disabled" siblings as default caregivers and the emotional and structural consequences this carries. As Lilian and Sandra draw parallels with Brazilian realities, the conversation underscores the global relevance of these issues while emphasizing the need to resist reductive approaches—whether based solely on class or medical categories. This exchange invites readers to think critically about care, agency, and justice in everyday life, and contributes meaningfully to the broader project of decolonizing disability studies and occupational therapy.
Copyright (c) 2025 Lilian Magalhães, Sandra Maria Galheigo, Pamela Block https://creativecommons.org/licenses/by-nc-sa/4.0
Unveiling the Ambience Device in CAPS III: what is it and what is it for?
The environment is a guideline of the National Humanization Policy that should be practiced in health services in general. In the context of Psychosocial Care Centers (CAPS), there is a lack of studies regarding its understanding and functioning. This study aimed to understand the definition and function of the environment from the perspective of professionals and managers working in CAPS III in the municipality of Campinas-SP. This is an exploratory, descriptive study with a qualitative approach, carried out in five CAPS III. Five managers and nine professionals with higher education participated in the research. For data collection, Participant and Service Characterization Forms and Semi-structured Interview Guides directed at professionals and managers were used. The data from the Forms were subjected to descriptive analysis and the interviews to thematic analysis. The results revealed different conceptions of environment, understood as a device that involves relationships, welcoming, and the organization of care, directly influencing the quality of care provided to users. It is considered that a broader understanding of environment contributes to strengthening practices in CAPS (Psychosocial Care Centers) and to consolidating care models aligned with the principles of Psychosocial Care.
Copyright (c) 2026 Erick Gonçalves dos Santos, Giovana Garcia Morato https://creativecommons.org/licenses/by-nc-sa/4.0
Social contractuality in Brazilian psychosocial care: a scoping review
National studies have addressed social contracting in different dimensions, and although some reveal promising results, others highlight the need for advancements in its conception and practice. This research aimed to map and analyze the national scientific literature on the theme of social contracting in Psychosocial Care. Specifically, it aimed to identify theoretical and practical articulations of social contracting in the field of Psychosocial Care, based on the theoretical framework of deinstitutionalization, Psychosocial Rehabilitation, and Psychosocial Care. This is a scoping review that adopted the Joanna Briggs Institute approach for scoping reviews as its methodological framework. As a result, 21 studies were included and analyzed descriptively and qualitatively. A concentration of production was observed in the period from 2016 to 2022, highlighting productions from the Southeast region, predominantly in Nursing journals. From the qualitative analysis, three categories of analysis were organized: The importance of financial resources for the realization of social contractualism; Conceptions and practical strategies for promoting social contractualism; The importance of the Habitat setting for the construction of social contractualism. It is considered that social contractualism seems to cut across the studies found and the field of Psychosocial Care itself, deserving emphasis for its role in Psychosocial Rehabilitation processes and the restoration of citizenship.
Copyright (c) 2026 Giovana Garcia Morato, Martha Morais Minatel, Carlos Henrique Ercolin Olivato https://creativecommons.org/licenses/by-nc-sa/4.0
Erratum: Technology and early intervention: video production to support family- centered practices in Brazil
Copyright (c) 2025 Equipe Editorial Rev. Ter. Ocup. Univ. Sao Paulo https://creativecommons.org/licenses/by-nc-sa/4.0
Insisting on revolutions: problematization as a “theoretical weapon” for social therapeutic-occupational practice
In the face of daily life, marked by alienation, which consumes the possibilities of a life with more freedom, it is important for occupational therapists to understand the forces of capitalism that have been devouring the natural, cultural, political and social bases - in the various dimensions, macro-microsocial, of life. Therefore, a revolutionary perspective is needed that has problematization as a "theoretical weapon" to develop an anti-oppressive therapeutic-occupational practice and that has the creation of "zones of freedom" as an intentionality. In order to substantiate this assertion, we discuss two aspects in this essay: the idealistic overcoming that occupational therapy is essentially good and innocent, thus dealing with its potential, already demonstrated by history, to produce violence, so that it is possible to assume a counter-hegemonic technical-political commitment; and, under these parameters, the proposition of occupational therapists as agents of problematization, in actions that contribute to making daily life happen better. It is a matter of understanding History as a possibility, which does not mean denying its cultural, social, political and economic conditioning, but recognizing them as non-determinant, affirming the ethical responsibility of being in and with the world and, thus, insisting on the guideline of transforming it collectively.
Copyright (c) 2025 Magno Nunes Farias, Roseli Esquerdo Lopes https://creativecommons.org/licenses/by-nc-sa/4.0
Life narratives and psychological illness in Primary Health Care
Introduction: Mental illness is a complex experience, shaped by social and health determinants that interconnect uniquely in each individual. Life narratives emerge as powerful tools to reveal the nuances of this reality, offering insights into the meanings attributed to suffering and the paths taken in search of care. Objective: To understand how people in psychological distress recognize their illness experiences, construct their explanatory models, seek treatments, and perceive the impacts on their life trajectories. Methodological procedures: A qualitative exploratory research conducted with seven users of mental health groups in Primary Health Care (PHC) in a municipality in São Paulo. The McGill Illness Narrative Interview (MINI) was used, and the analysis was based on Vygotsky's Cultural-Historical Approach, structuring the results into nuclei of significance. Results: The analysis revealed an intrinsic relationship between suffering and contexts of vulnerability, such as bereavement and caregiving burden. Participants reframe their illness through retrospectives of their family and social history, building explanatory models that often transcend the biomedical paradigm, including spiritual dimensions. Therapeutic itineraries show a search for integral care that combines pharmacological treatment in PHC with religious support, listening groups, and physical activities. Conclusion: The results reinforce the need for integral and humanized care models that value the patient's narrative and combat social stigma. Attention to social determinants and the provision of a diverse support network are crucial to promote resilience and recovery for individuals experiencing mental distress.
Copyright (c) 2026 Thiago Henrique Guimarães Elias, Guilherme Correa Barbosa, Carolina Siqueira Mendonça, Tatiane Carolina Martins Machado, Gabriela Min Ji Kim, Tiago Rocha Pinto https://creativecommons.org/licenses/by-nc-sa/4.0
Chronic pain and occupational therapy: an experience report of a group intervention
Introduction: Chronic pain in rheumatic diseases compromises quality of life, causing physical, emotional, and social consequences and altering performance, repertoire, and occupational engagement, highlighting the importance of occupational therapy interventions. Objective: To describe a group intervention on daily life, chronic pain, engagement, and occupational repertoire in patients with rheumatic diseases. Methodological procedures: A qualitative descriptive study, of the experience report type, based on field diary records of an intern in an occupational therapy outpatient service. The data were analyzed considering the proposal, therapeutic objectives, and patient participation. Results: Six patients participated in five biweekly meetings. The activities addressed health management, recognition of occupational demands, (re)experimentation and engagement in leisure occupations, and social participation. Discussion: Participants showed commitment mainly in leisure activities and social participation. The intervention favored engagement in meaningful activities, promoting autonomy, body awareness, pain modulation, and expansion of the occupational repertoire. Final considerations: The biopsychosocial group intervention, through occupational engagement, proved effective in reframing daily life and promoting pain coping strategies. Limitations related to the sample and context require caution in generalizing the results.
Copyright (c) 2026 Carolina Pestana de Oliveira, Flavia Arantes Táparo, Priscila Blasquez da Costa Leite https://creativecommons.org/licenses/by-nc-sa/4.0
raditional chinese medicine: intervention with families in the field of child juvenile mental health
Traditional Chinese Medicine resources have been the most widely used integrative and complementary practice in public health services, proving effective in addressing the comprehensiveness of care demands and reducing the use of pharmaceuticals. This study aims to present the group process with families served at a CAPSij (Psychosocial Care Center for Children and Adolescents) based on the principles of Traditional Chinese Medicine. It is a qualitative research study with an intervention method aimed at involving families in the analysis of their own reality and in sparking reflections that help them manage the problems experienced in their daily lives. The research instruments were a field diary and group discussions. Six family members participated, in a total of eight meetings held between October and December 2019. The analysis of the group process showed that the meetings enhanced the participants' willingness to take charge of their health care, including changing habits, redefining their role in family relationships, and self-care, essential factors for managing the stressful situations so frequent in daily life. Future studies are expected to strengthen the importance of Integrative Practices in the field of child and adolescent mental health.
Copyright (c) 2026 Antonio José Vasconcelos Araújo, Andrea Perosa Saigh Jurdi https://creativecommons.org/licenses/by-nc-sa/4.0
Reading the Reality with Children: Health and Its Social Determinants.
Introduction: The Social Determinants of Health (SDH) emphasize that health and human development are shaped by the environment and experiences that significantly influence quality of life. This study is grounded in the perspective of SDH, highlighting the need for actions that link them with health promotion to foster a greater understanding and address inequalities. Objective: To understand children's knowledge of SDH, exploring their perceptions, with the goal of understanding the relationships children establish between health and its social determinants. Method: A qualitative study inspired by the thematic investigation proposed by Paulo Freire, focusing on the reading of reality of children, conducted in a Non-Governmental Organization in João Pessoa/PB. Data were collected through activity groups and participant observation. The meetings were recorded, transcribed, and analyzed using the spiral analysis proposed by Creswell. Results: The research findings highlight challenges related to children's understanding of SDH, limiting their ability to comprehend how SDH impact their health and well-being. Conclusion: These initiatives are crucial for developing effective strategies that help children, empowering them to make more informed decisions about their health and seek support when necessary.
Copyright (c) 2025 Victória Beatriz Santos da Silva, Maria Natália Santos Calheiros https://creativecommons.org/licenses/by-nc-sa/4.0
Occupational Therapy and Assistive Technology in Primary Health Care: possibilities and challenges
INTRODUCTION: People with disabilities, especially in low-and middle-income countries, face difficulties in accessing Assistive Technology (AT), because there are some difficulties understanding AT as a health resource with impacts on the possibilities of participation, rather as a technological product. There is a strong tradition about AT restricting it to specialized health services or to experimental projects within universities, with a lack of production in the context of Primary Health Care (PHC). This article seeks to discuss the action of occupational therapy with AT in PHC services. METHODOLOGY: This qualitative exploratory analytical research had as primary source the Laboratory of Studies in Rehabilitation and Assistive Technologie of São Paulo University’s database, produced between 2008 and 2023. The content analysis method was used. RESULTS AND DISCUSSION: Actions of Occupational Therapy with AT in PHC enables access to healthcare for people with disabilities, with interprofessional teamwork and matrix support as main tool. The demands for AT in PHC can be met through Brazilian Health System and constructed by occupational therapists of low-cost resources in the users' home and coordinated with the community. CONCLUSION: Occupational Therapy needs to debate its actions in the PHC context, to offer comprehensive and resolutive services for everyone.
Camila Cristina Bortolozzo Ximenes de Souza
Copyright (c) 2025 Camila Cristina Bortolozzo Ximenes Souza, Eucenir Fredini Rocha https://creativecommons.org/licenses/by-nc-sa/4.0
Assessment tools in pediatric palliative care in the hospital setting: an integrative literature review
INTRODUCTION: Pediatric Palliative Care (PPC) refers to the care provided by a multidisciplinary team, aimed at improving the quality of life of children and adolescents, as well as their families, in the face of life-threatening illnesses. In this context, the Occupational Therapist plays a fundamental role, promoting independence and autonomy in daily activities that are affected by the illness and/or treatment. The growing recognition of the importance of palliative care in pediatrics highlights the need for effective tools to assess and guide Occupational Therapy interventions. OBJECTIVE: To map the standardized assessment tools used in the context of hospital PPC. METHODOLOGICAL PROCEDURES: Integrative literature review in the Virtual Health Library (VHL) and PubMed databases, in English and Portuguese, from 2012 to 2024. RESULTS: Fifteen studies were identified, indicating 23 standardized assessment tools. These tools were analyzed according to two thematic units: (1) domains of the tools and (2) who answers the tool. CONCLUSION: This review contributed to expanding knowledge about the standardized assessment tools used in PPC, discussing how the domains covered by the tools support occupational therapeutic reasoning.
Copyright (c) 2025 Maria Clara Salgado Ramos, Brunna Mainar de Lima, Carolina Becker Bueno Lopes https://creativecommons.org/licenses/by-nc-sa/4.0
Occupational therapy and palliative care in spinal muscular atrophy type 1: case study
Spinal Muscular Atrophy (SMA) type 1 is a genetic disease that causes severe motor and respiratory impairments, and starts around 6 months of age. This study aimed to analyze occupational therapy (OT) interventions with a child with SMA, from the perspective of palliative care, and to understand the mother's perception of care in OT. This is a single case study of a child with SMA type 1, who experienced seven years of hospitalization and was assisted by the OT. The information was collected from the child's medical record and through an interview with the mother, and qualitatively analyzed. The OT practices were associated with the palliative care approach as they worked on physical, socio/family, emotional and spiritual issues of the child and his/her family. The assistance provided joint experiences (mother and child) of activities that favor the child's development and that are not commonly experienced by hospitalized children with SMA. The study indicated that OT contributed to the well-being of the child and the family during the hospitalization process.
Copyright (c) 2025 Débora da Silva Firino Felismino, Ângela Cristina Dornelas da Silva https://creativecommons.org/licenses/by-nc-sa/4.0
Caring for teaching and teaching how to care: body practices in the context of Occupational Therapy training
The teaching of body practices has proven to be an important tool in resistance practices against the biomedical model and fostering the invention of new ways of thinking and producing body practices in healthcare, through the development of dialogical teaching methodologies and postures. Objective: To analyze the meaning of learning body practices for students during their undergraduate training in Occupational Therapy. Method: This is a qualitative, descriptive-exploratory documentary study, using as its primary data source the written records developed by sixth-semester students of the MFT0718 – Occupational Therapy and the body practices II, taught from 2020 to 2024, stored on the Moodle platform, with access restricted to the professor, tutor, and students. Results: The course included theoretical sessions and discussions of body practices; workshops on body work and body journaling; and workshops focused on caring for others and sharing experiences. A total of 152 documents were analyzed. Various benefits in physical, emotional, and well-being aspects were evidenced by the body practices experienced by students and others. Conclusion: The discipline, through dialogic teaching methodologies, encouraged the active participation of students, the embodiment of theoretical-practical knowledge, which transcended the classroom, approaching preparation for professional practice.
Camila Cristina Bortolozzo Ximenes Souza
Copyright (c) 2025 Camila Cristina Bortolozzo Ximenes Souza, Isadora Romagnoli Ribeiro, Rosé Colom Toldrá https://creativecommons.org/licenses/by-nc-sa/4.0
Challenges in Teaching Work in Occupational Therapy Courses in the State of São Paulo
Teaching work is essential for professional training and research, promoting critical reflection and the subjective development of the teacher. However, studies highlight challenges in this work that affect both health and work processes. Objective: To identify the challenges of teaching in Occupational Therapy programs at public universities in the state of São Paulo and their impact on educators' health and work quality. Methodology: A descriptive and exploratory study with a qualitative approach, conducted through semi-structured interviews with Occupational Therapy faculty members at public universities in São Paulo, followed by thematic data analysis. Results and Discussion: Work overload due to a lack of human resources affects health, personal time, work performance, and interpersonal relationships among educators. Nevertheless, the interviewees value the pleasure and social impact of their work. Precarization and the current management model in universities are relevant factors in the challenges mentioned during the interviews, affecting educators' quality of life and work, as well as relationships within the university. Conclusion: The challenges highlighted indicate the need for adjustments in financial and human resources at public universities.
Copyright (c) 2025 Juliana Ayra Yoshimura, Selma Lancman https://creativecommons.org/licenses/by-nc-sa/4.0
Wheelchair and dispositives of Assistive Technology: challenges in acquisition and user perception among Wheelchair Baske
Introduction: Wheelchair Basketball is a parasport practiced by people with physical disabilities, and for sports practice, athletes use specific wheelchairs and may employ dispositives of assistive technology to enhance their sports performance. However, the high cost of these devices leads many athletes to seek support in public policies and sponsorships. Objectives: Verify the methods and challenges of equipment acquisition, and identify the athlete’s perceptions of using assistive devices. Methods: A qualitative-quantitative study was conducted using an online questionnaire. Data analysis was performed through descriptive statistics, Bardin's Content Analysis, and Spearman's Correlation. Results: There were 37 participants, the majority with an income of up to three minimum wages, 11 athletes receive state or federal grants, and only 6 acquired wheelchairs through public programs. Many participants reported that the lack of proper fit and the obsolescence of assistive equipment negatively affect sports performance. Additionally, financial conditions and bureaucracy were the main challenges in obtaining the equipment. Conclusions: The study identified weaknesses in the provision of assistive devices and financial incentives through public policies, which may contribute to the disengagement of athletes from sports activities.
Copyright (c) 2025 Joyce Kelly França Domingues, Leticia Gabriela Rodrigues de Souza, Aline Ferrari Fabri, Iranise Moro Pereira Jorge, Ana Carolina Passos de Oliveira https://creativecommons.org/licenses/by-nc-sa/4.0
Inclusion of rehabilitative technology in the intervention processes of Brazilian occupational therapists
There is evidence of the benefits of rehabilitative technologies in different age groups and health conditions, demonstrating significant improvements in the occupational performance of individuals. However, it is still unknown how Brazilian occupational therapists have included them in their care processes. The objective of this study is to identify which technologies are being adopted in occupational therapy intervention processes and to understand the main facilitators and barriers to their effective incorporation. This is an epidemiological, descriptive, cross-sectional study done with occupational therapists with at least one year of experience and active registration with the occupational therapy council. Data collection was performed through a structured online form, covering questions about sociodemographic data, professional training and use of technologies. 25 professionals participated, of which 15 use technologies. The main technologies used were computers, tablets, applications and software (100%) and virtual reality (26.7%). 60% of professionals use technology to facilitate the process of acquiring skills and occupational performance, and technology often facilitates the achievement of patients' goals/objectives (73.3%, p≤0.005). Thus, the use of technologies in the intervention processes of occupational therapists in Brazil has shown itself to be a growing and promising practice, with significant potential for improving patients' occupational performance.
Copyright (c) 2026 Thácio Luiz Mercês Silva, Raquel Pereira de Santana, Felipe Douglas Silva Barbosa https://creativecommons.org/licenses/by-nc-sa/4.0
Notes on Occupational Therapy research from Northeast Brazil
Introduction: In Brazil, formal research groups play a central role in the production and dissemination of academic-scientific knowledge, being essential for strengthening, advancement, and consolidation of the field. Objective: To characterize Occupational Therapy research groups in higher education institutions in the Northeast region of Brazil and reflect on knowledge production in Occupational Therapy from this region. Method: This descriptive study used qualitative and quantitative approaches, relying on public data from the Lattes Platform. The Directory of Research Groups (DPG) was searched using the term “occupational therapy”, and the Lattes CVs of the researchers in these groups were consulted. Analyses included content analysis of textual material (group and research line names) and numerical analysis of distribution, quantity, and timeframes. Results: Seven research groups were identified in the Northeast. Most (five) included “fundamentals of occupational therapy” in their group or line titles; three were based in Paraíba, and five were certified. Only two leaders and one vice-leader completed doctoral training in the Northeast, and only one leader had a doctorate in Occupational Therapy. Conclusion: Regional asymmetries in Occupational Therapy research in the Northeast reflect historical national inequalities. Researchers should strengthen groups and coordinate efforts to shape the scientific future of the field.
Copyright (c) 2025 Marina Batista Chaves Azevedo Souza, Andrezza Marques Duque https://creativecommons.org/licenses/by-nc-sa/4.0
Materials, tools and difficulties encountered by occupational therapists in the production of low-cost Assistive Technology
Introduction: Occupational therapists are qualified to assess, prescribe, adapt, and produce Assistive Technology (AT) resources and, given the specificities and barriers of the market, produce low-cost adaptations. Objectives: To identify the materials and tools used and the difficulties encountered in the production of low-cost AT resources. Methodological procedures: Cross-sectional, quantitative, and descriptive study. The sample consisted of occupational therapists registered with CREFITO 1, working in the state of Alagoas. Data collection included questions that characterized the sample, production, materials and tools used, and difficulties encountered in the production of low-cost AT. The data were analyzed using Jamovi software. Results: Most occupational therapists worked in the health field with children and used to produce low-cost, considering the effectiveness of the resource. Production in the area of food stands out. Among the materials, Velcro stands out, and among the tools, scissors, utility knives, and rulers. The main difficulty is the lack of time to produce the resources. Conclusions: In addition to the lack of time to make the resources, which limits customization and user adherence, the limitations were aggravated by the lack of updated publications.
Lara Leticia Bezerra Miranda Vasconcelos Correia
Copyright (c) 2025 Esmeralda da Silva dos Santos, Lara Leticia Bezerra Miranda Vasconcelos Correia, Monique Carla da Silva Reis https://creativecommons.org/licenses/by-nc-sa/4.0
Home participation and contextual factors in childhood disabilities: a cross sectional study during COVID-19 pandemic
Children’s functioning manifests in their participation and is highly influenced by personal factors (as mediators) and environmental factors (as barriers or facilitators), which can either hinder or support their participation. The COVID-19 pandemic presents a unique circumstance to explore those influences. We investigated whether (i)child’s factors, (ii)home-family environment and (iii) frequency at home participation are associated with involvement in home participation of children with developmental disabilities (DD) during COVID-19 pandemic. Cross-sectional-exploratory study. Ninety parents of children with DD (7.00±3.78 years) answered a standardized questionnaire and the home section of PEM-CY. Multivariate linear regression was run with involvement as a dependent outcome. The frequency at home participation was the first variable to enter the model, representing 48.5% of the involvement. The next variable to enter the model was the child’s motor impairment, representing 56.2% of the involvement together with frequency. The last variable that entered was caregivers that did not work, together representing 58.7% of the involvement. A higher frequency of participation at home, children with motor impairments (instead of intellectual or behavioral impairments) and mothers that are not employed were strongly associated with greater involvement in participation at home during the COVID-19 pandemic. Our findings are a small contribution to better understand the relationship between contextual factors that define participation at home during the COVID-19 pandemic
Copyright (c) 2025 Beatriz Helena Brugnaro, Isabelle Gansella Rocha da Costa , Gesica Fernandes, Olaf Kraus de Camargo, Silvia Letícia Pavão, Nelci Adriana Cicuto Ferreira Rocha https://creativecommons.org/licenses/by-nc-sa/4.0
Playing in the hospital and the possibilities of family participation: a review of brazilian literature
Introduction: playing is widely addressed in Occupational Therapy. In the case of hospitalized children, it will play a central role in the occupational therapist’s interventions. The child and their family must be considered as a unit of care, considering the centrality of the parents to the child’s well-being. Objective: to identify in Brazilian scientific literature what has been discussed about occupational therapist practices related to playing in the hospital context and considerations regarding family participation. Methodological procedures: mapping review in the SciELO library - Scientific Electronic Library Online and in Brazilian journals in the area, in an open period. Results: 31 articles were included and the content analysis of the material resulted in five thematic axes: (1) Playing as an end in itself; (2) Playing as a resource or strategy; (3) Limitations in the hospitalized child’s play; (4) The assisted family; (5) The family as an active participant. Conclusions: the small number of works that discuss family involvement, more specifically, in occupational therapist practice, when the teme is playing during hospitalization, challenges occupational therapists in the hospital context to rethink their practices, in order to contemplate the family as a care unit.
Copyright (c) 2025 Mariana Oliveira Leite Silva, Maria Paula Panúncio Pinto https://creativecommons.org/licenses/by-nc-sa/4.0
The production of the common as a guiding framework for child and adolescent mental health policies.
Public policies on children’s mental health within Brazil’s Unified Health System are a recent phenomenon in the country’s history. In parallel, the concept of the production of the common has emerged as a political principle critical of neoliberal forms of organizing life, fostering debates in the field of collective health. Through a documentary analysis methodology, this article aims to identify possible dialogues between the production of the common and the main documents that establish child and adolescent mental health policies in Brazil between 1990-2024. Data were collected and qualitatively analyzed in light of Bardin’s Content Analysis. The results were organized into two axes: (1) discourses potentially fostering the common, highlighting themes such as network-based work, territory, horizontality, and autonomy; and (2) discourses potentially suppressing the common, such as the pathologization of childhoods and segmented care. It is concluded that the analyzed documents express tensions between emancipatory and normative models of care, with the production of the common emerging as a critical category capable of guiding collectivized practices committed to freedom and the singularity of subjects. Furthermore, it is possible to trace theoretical and practical connections between the common and the field of Occupational Therapy as the Production of Life.
Copyright (c) 2025 Laura Sanches Rocha, Sabrina Helena Ferigato https://creativecommons.org/licenses/by-nc-sa/4.0
Self-reported physical activity and mobility of amputees before and duringsocial isolation caused by the COVID-19 pandemic
The COVID-19 pandemic claimed 14.9 million lives worldwide between 2020 and 2021. Among the high-risk groups were individuals who had undergone amputations due to illness. Amputations impact daily activities, requiring rehabilitation. This study aimed to assess the self-reported physical activity and compare mobility of individuals with lower limb amputations (LLA) before and during social isolation. It is an observational, cross-sectional, retrospective study using data from a non-validated questionnaire developed and administered during the pandemic by the Reabilitação Multidisciplinar em Amputados extension project at the Universidade do Estado de Santa Catarina.. Descriptive statistics were presented as absolute and relative frequencies for categorical variables and as mean and standard deviation for numerical variables. The McNemar-Bowker test was used to compare proportions of categorical variables between samples. The study included 56 individuals with LLA, with a mean age of 48.74 years. There was no significant difference in mobility levels before and during isolation (p=0.607). However, regarding physical activity, there was an 11% increase in sedentary behavior during isolation compared to the previous period, suggesting that lower limb amputation may interfere with an individual’s daily routine. It is also suggested that studies involving the functional mobility and physical activity of people with amputations be conducted on a larger scale, so that the results may bring greater benefits to this population.
Copyright (c) 2026 Lenise Silva de Souza, Soraia Cristina Tonon da Luz, Amanda de Aguiar Piazza, Deyse Borges Machado, Gesilani Júlia da Silva Honório https://creativecommons.org/licenses/by-nc-sa/4.0
Feminist Political-Performative Practices in Occupational Therapy: expressions of resistance against violence against women
Occupational Therapy has demonstrated remarkable adaptability in the context of contemporary transformations, particularly in its dialogue with the arts when addressing complex social issues. This article presents a segment of a qualitative master’s research project focused on analyzing political-performative practices developed by occupational therapists from Brazil and Chile in contexts of violence against women. Based on open interviews and audiovisual materials, the analysis was organized into three participant groups. This article aims to present the general findings of the research and to deepen the analysis of Group 2, describing and discussing political-performative practices articulated with feminist and Occupational Therapy reflections, emphasizing their meanings in the creative process, professional practice, and political engagement of the participants. The thematic categories of violence and resistance permeate the narratives, expressed through the body as a collective act of denunciation and symbolic elaboration of suffering. These practices have proven to be powerful tools for Occupational Therapy by promoting the re-signification of experiences of violence, the construction of care networks, and the strengthening of sociopolitical actions that are sensitive to inequality and human rights violations.
Copyright (c) 2025 Nathalia Ahumada Goity, Denise Dias Barros https://creativecommons.org/licenses/by-nc-sa/4.0
Occupational Therapy and Telehealth: a narrative review of the literature
Introduction: Changes in lifestyle resulting from the use of information and communication technology have repercussions on occupational therapy practices, notably accelerated by the COVID-19 pandemic. The pandemic mobilized some occupational therapists to develop new strategies to ensure care for their target audience in a non-face-to-face manner. Thus, occupational therapists began to adopt the telehealth strategy, understood as a technique for developing actions, through telecommunications technologies, used to care for users, interact with professionals and network services. Objective: To understand and highlight the professional practices of occupational therapists developed in Brazil using the telehealth strategy. Methodology: This is a narrative review of the literature on the national experience of professionals, based on research in Brazilian Occupational Therapy journals, carried out in January 2024 without a time filter. Conclusion: The study allowed us to characterize the use of telehealth by occupational therapists in terms of the diversity of the target audience, the contexts of application, the resources used, as well as the challenges and potential of the telehealth strategy, especially for providing care to the population.
Copyright (c) 2024 Priscila de Souza Lepre, Rosé Colom Toldrá https://creativecommons.org/licenses/by-nc-sa/4.0
Experiences of occupational therapists in the management of socio-sanitary and community care in primary health care
Introduction: The need for care falls on families with limited state assistance and reflects deep gender inequality. Objectives: To analyze the experiences of occupational therapists (OT) in the provision of social health care and community care for dependency in primary health care in a town in Santiago de Chile. Methodological Procedures: This is a qualitative case study (exploratory and descriptive) based on a discussion group among professionals. Results: Six occupational therapists from local health services participated. The analysis of the discussion groups identified the following thematic categories: Interdisciplinary and inter-sectoral work in health: challenges of continuity of care and support in Primary Health Care; Health Promotion: potentials in horizontality and dialogical relationships in care; Care, gender, and human rights: comprehensiveness in access and exercise of rights; Strengthening and community care: territorial historicity and social participation; Mental Health and Caregivers: creation of collective spaces. Conclusions: Community participation is established as a space for strengthening support networks with a promotional and preventive role. Spaces such as health programs and social organizations are central to building community care networks.
Copyright (c) 2025 Lilian Araya Ortíz, Fátima Corrêa Oliver https://creativecommons.org/licenses/by-nc-sa/4.0
Academic and professional profile of graduates of the Occupational Therapy course at the University of Brasília
ABSTRACT: Introduction: The process of evaluating the profile of graduated students has been an institutional concern, however there is a gap in relation to the paths taken by graduates. Objective: To outline the academic and professional profile of occupational therapists graduating from the undergraduate course in Occupational Therapy at the University of Brasília. Method: Cross-sectional, descriptive study, with a quantitative approach, which involved 83 graduates of the Occupational Therapy course at the University of Brasília, who responded to an online questionnaire about socioeconomic aspects, training and professional experience. Results and discussion: The majority of the sample is made up of cisgender women (n=67; 80.72%), with professional remuneration between 2 and 10 minimum wages (n=70; 84.34%), who took open courses (n =61; 41.50%), with recent training. Such results reinforce the predominance of women in the profession and suggest that the level of training and length of professional experience can influence remuneration. The majority of the sample works in informal work categories (PJ, service provider and self-employed), in clinics/offices, with children aged 0 to 12, which involves issues of labor rights and reveals a professional profile. Final considerations: Understanding the reality of graduates of the Occupational Therapy course can contribute to reflections on theoretical and practical training aspects of the profession.
Copyright (c) 2024 Sarah Raquel Almeida Lins, Camila de Oliveira Ribamar, Daniela da Silva Rodrigues https://creativecommons.org/licenses/by-nc-sa/4.0