Made available in DSpace on 2014-12-17T15:43:52Z (GMT). No. of bitstreams: 1 MarciaCVL_DISSERT.pdf: 1430431 bytes, checksum: 3dc9c2d06abee984002608d86f65f3da (MD5) Previous issue date: 2013-06-25 / Community-based interventions have been presented as a proposal of operationalization of the concept of vulnerability to STD/Aids prevention. This study aimed to analyze the Community intervention developed through the project Strengthening of Community action networks for STD/Aids prevention: know and intervenein, at M?e Luiza neighborhood, in the city of Natal, State of Rio Grande do Norte, Brazil. The study was conducted in the same location where intervention occurs and took as time reference the first 30 months of construction and deployment process, from April 2010 until December 2012. This is research with qualitative approach, participatory character, developed from the immersion of the researcher in the field, being this community intervention itself. In this perspective, the study approximates to the Cartographic method in which the researcher-researched is engendered in the acts and effects research. The data-generating sources were the memories of the researcher from the field notes, written narratives of subjects involved in the intervention and documents pertaining to the project. In the methodological path of cartography, the image of the rhizome by Deleuze and Guattari (1995) has accompanied the immersion in the field given the nature of research-intervention which approach to the concept of object-Rhizome. The presentation of results was composed for the attempted rhizomatic and a hypertext representation, based on the descriptive narrative taken from the documentary analysis and the multi-faceted narratives with the voices, the looks and the affections narrated by the subject involved, respectively. On the path taken, three lanes were drawn as synthesis of learning produced by experience-that can contribute to understanding the process under study, in his singular character, and reflections on other experiences of community intervention: track 1- Community intervention as active-reflective space and a cause; track 2 Inclusion as power and challenge of community involvement; track 3 Sustainability as A challenge of Community intervention. The study indicates that community intervention is presented as a potential producer of health as also produces practical and creative skills, subjects and inventive in the daily life of the community with a view to reinventing knowledge and practices for the prevention of STD/HIV/Aids / As interven??es de base comunit?ria t?m sido apresentadas como proposta de operacionaliza??o do conceito de vulnerabilidade para a preven??o das DST/Aids. Esta pesquisa teve por objetivo analisar a interven??o comunit?ria desenvolvida atrav?s do projeto Fortalecimento de redes de a??o comunit?ria para a preven??o em DSt/Aids: conhecer e intervir, no bairro de M?es Luiza, na cidade de Natal, estado do Rio Grande do Norte, Brasil. O estudo foi realizado no mesmo local onde ocorre a interven??o e tomou como refer?ncia temporal os primeiros 30 meses do processo de sua constru??o e implanta??o, desde abril de 2010 at? dezembro de 2012. Trata-se de pesquisa com abordagem qualitativa, de car?ter participativo, desenvolvida a partir da imers?o da pesquisadora em campo, sendo este a pr?pria interven??o comunit?ria. Nessa perspectiva, o estudo aproxima-se ao m?todo cartogr?fico no qual a rela??o pesquisador-pesquisado ? engendrada nos atos e efeitos da investiga??o. As fontes geradoras de dados foram o registro de mem?rias da pesquisadora a partir das anota??es de campo, narrativas escritas de sujeitos implicados na interven??o e documentos referentes ao projeto. No caminho metodol?gico da cartografia, a imagem do rizoma apresentada por Deleuze e Guattari (1995) tem acompanhado a imers?o em campo dada ? natureza de pesquisa-interven??o a qual aproximamos ? no??o de objeto-rizoma. A apresenta??o de resultados foi composta por tentativa de representa??o rizom?tica e um hipertexto, tomando como base a narrativa descritiva extra?da da an?lise documental e as narrativas multifacetadas com as vozes, os olhares e os afetos narrados pelos sujeitos implicados, respectivamente. No caminho percorrido, tr?s pistas foram tra?adas como s?ntese do aprendizado produzido pela experi?ncia-interven??o, que podem contribuir para compreender o processo em estudo, em seu car?ter singular, e orientar reflex?es sobre outras experi?ncias de interven??o comunit?ria: pista 1 A interven??o comunit?ria como espa?o ativo-reflexivo e um modo de fazer com; pista 2 A inclus?o como pot?ncia e desafio da interven??o comunit?ria; pista 3 A sustentabilidade como desafio da interven??o comunit?ria. O estudo indica que a interven??o comunit?ria se apresenta como potencial produtora de sa?de ? medida que tamb?m produz pr?ticas e sujeitos, potencializando capacidades criativa e inventiva presentes no cotidiano da comunidade numa perspectiva de reinventar saberes e pr?ticas para preven??o das DST/HIV/Aids

As every person has the right to participate in leisure, recreational and sports activities, children with disabilities have the same right to freely participate in the activities of their preference without restrictions. Community-based interventions aim to promote this right by modifying the whole environment or enhance the already existing onewith appropriate equipment. However, there is a lack of community-based interventions to promote participation in leisure activities for children and youth with neurodevelopmental disorders and physical disabilities. As a consequence, this systematic literature review aims to identify those community-based interventions and point out their characteristics that are described as effective concerning children’s and youth’s attendance, involvement and activity competence. Furthermore, it is crucial to specify whether those activities are based on children’s preferences. After a scholarly search, both quantitative and qualitative studies were evaluated. Six intervention studies were characterized as appropriate to be included in the review providing important information for those interventions approaches. A narrative analysis of the results was based on the Family Participation Related Construct (fPRC) theoretical framework. Results showed that interventions were based on the children’s and youth’s preferences and intervention referred to the environment rather than to the participants themselves. Furthermore, availability, accessibility, adaptability, acceptability and affordability were all considered in the intervention process while the modification or identification of appropriate environment played a vital role in the interventions’ implementation. However, despite the fact that studies aimed to increase participation, some of the used measurements focused on activity competence rather than participation. All the above were critically discussed, giving the incentive for further research implications in the emerged results. / Καθώς κάθε άτομο έχει το δικαίωμα να συμμετέχει σε δραστηριότητες αναψυχής, ψυχαγωγίας και αθλητισμού, τα παιδιά με αναπηρία έχουν το ίδιο δικαίωμα να συμμετέχουν ελεύθερα στις δραστηριότητες της προτίμησής τους χωρίς περιορισμούς. Οι κοινοτικές παρεμβάσεις στοχεύουν στην προώθηση αυτού του δικαιώματος τροποποιώντας ολόκληρο το περιβάλλον ή ενισχύοντας το ήδη υπάρχον με κατάλληλο εξοπλισμό. Ωστόσο, υπάρχει έλλειψη κοινοτικών παρεμβάσεων για την προώθηση της συμμετοχής σε δραστηριότητες αναψυχής για παιδιά και νέους με νευροαναπτυξιακές διαταραχές και σωματικές αναπηρίες. Κατά συνέπεια, αυτή η συστηματική βιβλιογραφική ανασκόπηση στοχεύει στον εντοπισμό αυτών των παρεμβάσεων που βασίζονται στην κοινότητα και επισημαίνει τα χαρακτηριστικά τους που περιγράφονται ως αποτελεσματικά όσον αφορά την παρουσία, τη συμμετοχή και τη δραστηριότητα των παιδιών και των νέων. Επιπλέον, είναι ζωτικής σημασίας να προσδιοριστεί εάν αυτές οι δραστηριότητες βασίζονται στις προτιμήσεις των παιδιών. Μετά από μια επιστημονική αναζήτηση, αξιολογήθηκαν τόσο ποσοτικές όσο και ποιοτικές μελέτες. Έξι μελέτες παρέμβασης χαρακτηρίστηκαν κατάλληλες για να συμπεριληφθούν στην ανασκόπηση παρέχοντας σημαντικές πληροφορίες για αυτές τις προσεγγίσεις παρεμβάσεων. Μια αφηγηματική ανάλυση των αποτελεσμάτων βασίστηκε στο θεωρητικό πλαίσιο Οικογενειακής Συμμετοχής Σχεδιασμού (fPRC). Τα αποτελέσματα έδειξαν ότι οι παρεμβάσεις βασίστηκαν στις προτιμήσεις των παιδιών και των νέων και η παρέμβαση αναφέρεται στο περιβάλλον και όχι στους ίδιους τους συμμετέχοντες. Επιπλέον, η διαθεσιμότητα, η προσβασιμότητα, η προσαρμοστικότητα, η αποδοχή και η προσιτή τιμή εξετάστηκαν στη διαδικασία παρέμβασης, ενώ η τροποποίηση ή ο προσδιορισμός του κατάλληλου περιβάλλοντος έπαιξε ζωτικό ρόλο στην υλοποίηση των παρεμβάσεων. Ωστόσο, παρά το γεγονός ότι οι μελέτες αποσκοπούσαν στην αύξηση της συμμετοχής, ορισμένες από τις μετρήσεις που χρησιμοποιήθηκαν επικεντρώθηκαν στην ικανότητα δραστηριότητας παρά στη συμμετοχή. Όλα τα παραπάνω συζητήθηκαν κριτικά, δίνοντας το κίνητρο για περαιτέρω ερευνητικές επιπτώσεις στα αποτελέσματα που προέκυψαν.