Made available in DSpace on 2015-05-07T15:08:19Z (GMT). No. of bitstreams: 1 arquivototal.pdf: 1138001 bytes, checksum: 8551beff090e267432cb7e57ea9a4fcf (MD5) Previous issue date: 2011-10-05 / Coordenação de Aperfeiçoamento de Pessoal de Nível Superior / This study provides an exercise in analysis of official documents of the Literate Brazil Programme (2003-2010) and discusses the results of research, by means of assumptions of This History and technique of the focus group conducted with the teachers ' homes that operate in the program, identifying your requirements for performance and what the reality presented in Paraíba, with the purpose of responding to four research questions: 1-How the program Literate Brazil comes operationalising their pedagogical political proposal in the State of Paraíba? 2-What are its limits and possibilities to meet the objectives set out in official documents? 3-What kind of perception the ' homes have in relation to the actions of the program? 4-What are their contributions to adult literacy in Paraíba? Having aim General, describing the history of the deployment and operationalization of the Literate Brazil Programme in the State of Paraíba, noting its limits and possibilities of acting. From the analysis of documents and of the focal group, we found that in the operationalization of the PBA in Paraíba, there is a weakness in compliance with the necessary guidelines for its operation. The focal group interview revealed the limits of acting to the detriment of the inadequacy of monitoring, evaluation and learning materials, withdrawal of students, number of registered students exceeds the number of daily frequency, expressive number of alfabetizandos that are not absolute illiterates, detected in cognitive test results 2010 cycle input. Along the route investigative, noticed that one of the possibilities of the programme concerns the obligation of loved performers in forward literate learners for classes of EJA, aiming at continuity of schooling. / Este estudo realiza um exercício de análise dos documentos oficiais do Programa Brasil Alfabetizado (2003-2010) e discute os resultados de investigação, por meio dos pressupostos da História Presente e da técnica do Grupo Focal realizado com os alfabetizadores que atuam no Programa, identificando suas exigências para atuação e qual a realidade apresentada na Paraíba, com a finalidade de responder a quatro questões de pesquisa: 1-Como o Programa Brasil Alfabetizado vem operacionalizando a sua proposta político pedagógica no Estado da Paraíba? 2-Quais os seus limites e possibilidades para atender aos objetivos previstos nos documentos oficiais? 3- Que tipo de percepção os alfabetizadores têm em relação à atuação do Programa? 4-Quais as suas contribuições para alfabetização de pessoas adultas na Paraíba? Tendo como objetivo geral, descrever a história da implantação e operacionalização do Programa Brasil Alfabetizado no Estado da Paraíba, observando seus limites e possibilidades de atuação. A partir das análises dos documentos e do grupo focal, concluímos que na operacionalização do PBA na Paraíba, há uma fragilidade no cumprimento das orientações necessárias para o seu funcionamento. A entrevista do grupo focal revelou os limites de atuação em detrimento da insuficiência do acompanhamento, avaliação e de materiais didáticos, desistência de alunos, número de alunos cadastrados superior ao número de frequência diária, número expressivo de alfabetizandos que não são analfabetos absolutos, detectado nos resultados dos testes cognitivos de entrada do ciclo 2010. Ao longo do percurso investigativo, observamos que uma das possibilidades do Programa, diz respeito à obrigatoriedade dos entes executores em encaminhar os educandos alfabetizados para turmas da EJA, visando à continuidade da escolarização.

(in English) This diploma thesis focuses on the Intergenerational Center Julie, that combines kindergarten and day care center for the elderly and adults. The facility works with clients, both children and adults, with communication disorders. The aim of the thesis is to describe educational activities with both groups of clients and especially those activities that take place, when both groups are together and that can be defined as the intergenerational learning. The thesis is of theoretical and empirical nature. The theoretical part briefly describes individual pedagogical fields applied in the Intergenerational Center Julie, which are preschool pedagogy, special pedagogy (speech therapy), gerontagogy and social pedagogy. Last but not least, I will outline the issue of the intergenerational learning and I will introduce several types of organizations that work with multiple generations and that implement intergenerational programs. I will also mention already existing literature and researches on this topic. The empirical part consists of qualitative research of case study design in the Intergenerational Center Julie. The data was collected using the methodology of observation in the institution and semi-structured interviews with twelve chosen clients and employees of the facility.

This thesis discusses current insights into the applications of deep transcranial magnetic stimulation (dTMS) in older adults with treatment-resistant depression (TRD). / Objectives: To examine current evidence of clinical efficacy and applications of deep transcranial magnetic stimulation (dTMS) among older adults with treatment-resistant depression (TRD). Methods: In Study 1, we conducted a systematic review of existing literature on the clinical efficacy of dTMS across psychiatric and cognitive disorders. Studies eligible for inclusion were clinical trials which were required to have a sham/control condition to mitigate confounding variables and to strengthen our assessment of efficacy. This dissertation specifically aimed to discuss these findings in the context of older adults with depression, as a means to investigate whether available evidence supporting the clinical efficacy of dTMS for depression is generalizable to older populations. In Study 2, we analyzed recruitment data from a pilot study investigating the effects of dTMS in older adults with TRD. Specifically, we aimed to evaluate the effectiveness of various recruitment strategies by using an enrollment-cost analysis, as well as comparing enrollment rates (i.e., enrolled participants/referrals received) for each recruitment method. Moreover, we identified potential facilitators and barriers to recruitment following a verbal thematic analysis of qualitative interview data. Results: In Study 1, most substantial evidence (n = 6 studies) within the literature supports the clinical efficacy of the dTMS H1-coil for the treatment of depressive episodes in patients with bipolar disorder (BD) or major depressive disorder (MDD). Only one randomized controlled trial was conducted in older adults with TRD. This trial reported higher remission rates in the active dTMS arm compared to the sham dTMS arm following treatment with the H1-coil. In study 2, we found (1) health provider outreach within the affiliated inpatient and outpatient mental health clinics and (2) Facebook, to be the most effective recruitment strategies. Lastly, social support from research staff (n = 15; 88.24%) and the time-intensiveness aspect of dTMS treatments (n = 6; 35.29%) were the most frequently identified facilitators and barriers to recruitment, respectively. Conclusions: While there is notable evidence supporting the clinical efficacy of the dTMS H1-coil for the treatment of depressive episodes, the majority of such evidence is based on findings from younger-to-middle aged groups. Thus, the generalizability of dTMS treatment efficacy to older adults remains less understood. Further sham-controlled studies are needed to determine the clinical efficacy of dTMS in older adults and to improve evidence-based care in the field of geriatric psychiatry. Importantly, we aimed to address this underrepresentation of older adults in clinical research by analyzing recruitment strategies and examining facilitators and barriers to recruitment. Future research is warranted to examine facilitators and barriers to recruitment in older adults with depression, particularly the importance of social support, which may offer valuable insights on how to overcome the issue of underrepresentation. / Thesis / Master of Science (MSc) / Brain stimulation therapies, such as deep transcranial magnetic stimulation (dTMS), show promising results for treatment-resistant depression (TRD). However, the applications of dTMS remain overlooked in geriatric populations with TRD, limiting the generalizability of such treatments to older adults. This dissertation aimed to examine current evidence supporting the use of dTMS in older adults with depression. In Study 1, we conducted a systematic review of available evidence on the clinical efficacy of dTMS across psychiatric and cognitive disorders. We found most evidence supporting the clinical efficacy of dTMS for the treatment of depressive episodes. However, the underrepresentation of older adults in such research was highly prevalent, with only one study being focused on older adults. In Study 2, we explored the effectiveness of diverse recruitment methods used in an ongoing dTMS trial for older adults with depression. Additionally, we identified potential facilitators and barriers to recruitment. Overall, the most effective recruitment strategies were (1) health provider outreach within the affiliated inpatient and outpatient mental health clinics and (2) Facebook advertising. Furthermore, social support from research staff and high time commitment of dTMS treatments were identified as facilitators and barriers to recruitment, respectively. These findings highlight the importance of conducting dTMS research in older adults to address the issue of underrepresentation and to improve evidence-based care in this special population.