Orientador: Tânia Moron saes Braga / Banca: Raul Aragão Martins / Banca: Alessandra Turini Bolsoni Silva / Resumo: O tabagismo define-se como uma doença epidêmica, pediátrica, crônica e contagiosa, relacionando-se a uma das maiores causas mundiais de morbi-mortalidade. O contexto escolar apresenta-se como principal local para o desenvolvimento de medidas preventivas de caráter primário, tendo como alvo a população pré-adolescente. O treino de habilidades sociais pertinentes à exposição tabágica, bem como o uso da instrução verbal na aquisição de conhecimentos relativos aos malefícios do cigarro parecem indicar fatores de proteção à iniciação ao tabagismo. Esta dissertação caracteriza pré-adolescentes da 5ª série de duas escolas públicas e seus familiares quanto aos conhecimentos prévios sobre tabagismo, perfil sócio-econômico e história tabagística, e avalia, por meio de delineamento de pesquisa quase-experimental, a eficiência de uma intervenção educativa de prevenção primária ao tabagismo nas escolas participantes, sendo uma caracterizada como grupo Experimental (n=27) e a outra, grupo Controle (n=34). Foram realizadas avaliações com os pré-adolescentes distribuídos por sexo, antes e após a intervenção por meio de um Instrumento de Avaliação de Conhecimento e pela medida de auto-relato do Inventário Multimídia de Habilidades Sociais para Crianças (IMHSC-Del-Prette). A intervenção educativa constituiu-se de 8 sessões, com duas horas de duração cada, às quais ocorreram com freqüência de duas vezes por semana. As sessões foram intercaladas quanto ao conteúdo abordado, sendo as sessões ímpares de caráter informativo (utilização da técnica da instrução verbal) e, as pares, de caráter vivencial (realização do treino de desempenhos sociais adequados para lidar com exposição tabágica). Os resultados obtidos indicam diferença estatisticamente significativa entre os grupos Controle e Experimental nas fases... (Resumo completo, clicar acesso eletrônico abaixo) / Abstract: Smoking is defined as an epidemic, pediatric, chronic and contagious disease, relating to one of the major worldwide causes of morbi-mortality. The school context is presented as the main place for the development of preventive measures that are primary, targeting the preadolescent population. The social skills training relevant to tobacco exposure and the use of verbal instruction in the acquisition of knowledge concerning the harm caused by cigarette seem to prevent smoking initiation. This dissertation characterize preadolescents in the 5th grade of two public schools and their families as to previous knowledge about smoking, social-economic profile and smoking history, and evaluates, through design of quasi-experimental research, the efficiency of an educational intervention for primary prevention of smoking among the participating schools, being characterized as Experimental group (n = 27) and the other, Control group (n = 34). Evaluations were conducted with preadolescents distributed by sex, before and after an intervention through a Knowledge Assessment Instrument and through the self-report measure of Multimedia Social Skills Inventory for Children (MUSSIC - Del-Prette). The educational intervention consisted of 8 sessions, with the duration of two hours each, which occurred twice a week. The sessions were interspersed according to the discussed subject, the odd sessions had an informative character (using the verbal instruction technique) and, the even ones, living character (realization of social performance training appropriate to dealing with smoking exposure). The results show a statistically significant difference between the Experimental and Control groups in pre and pos-intervention stages of the Knowledge Assessment measures, but did not show significant difference between these groups in the self-report of social behavior frequency of MUSSIC in the different studied... (Complete abstract click electronic access below) / Mestre

Este estudo teve como objetivo apresentar uma estratégia para redução do burnout entre enfermeiros hospitalares em dois hospitais na cidade de São Paulo, Brasil, antes e após a aplicação de um treinamento cognitivo-comportamental, utilizando a técnica de inoculação de stress. Trata-se de um estudo descritivo, correlacional com abordagem quantitativa. Na coleta de dados foram utilizados: Maslach Burnout Inventory (MIB), instrumento de percepção e sinais e sintomas de stress, caracterização sócio-demográfica dos participantes e convite para participação no treinamento. Dos 145 questionários entregues 114 (78,62%) foram devolvidos; destes 111 (97,36%) enfermeiros indicaram interesse em participar do treinamento, entretanto somente 32 (28,82%) participaram. O treinamento foi ministrado com carga horária total de 12 horas abordando conceitos de stress, burnout, coping e comunicação interpessoal nas próprias instituições e dentro dos horários de trabalho dos enfermeiros. A análise dos resultados permitiu concluir que o nível de burnout foi considerado entre baixo / moderado para a amostra total (n=111). Para grupo não participante do treinamento (n=79) o maior número de associações positivas e significantes foram nos domínios desgaste emocional e despersonalização. Os níveis de burnout pré e pós-treinamento não sofreram alteração significativa para o grupo treinamento (n=32) e as associações foram positivas e significantes para o domínio incompetência profissional. A maioria dos participantes (21 65,80%) avaliou o treinamento como ótimo; ser aplicável na vida pessoal, no ambiente de trabalho, na interação com clientes, pacientes e na interação com demais profissionais e colegas. A justificativa de não participação dos demais enfermeiros foi a ausência de substituto nos horários dos treinamentos. Conclui-se que a estratégia foi eficiente na sensibilização dos enfermeiros para a problemática e demonstrou ser mais eficaz para redução de escores nos domínios despersonalização e incompetência profissional para esta amostra / Stress and burnout was recognized at an occupational risk by cause many health and mental problems besides to raise the absenteeism, turnover, and intent to leave among nurse staff around in the world. Burnout is a psychological syndrome with three component conceptualization: emotional exhaustion, depersonalize and diminished personal accomplishment. The burnout reduces the job performances due to job dissatisfaction and forecast of future nurse shortage; in Brazil the problem is the same. The purpose of this study is present the results of a stress management intervention and analyze this impact in a hospital nurse staff. Objectives: To describe a stress intervention using inoculation stress program to reduce the stress and burnout among nurse staff in two hospitals in Brazil and analyze their results. Design: This exploratory descriptive, of quantitative boarding study was developed in two hospitals in São Paulo, Brazil during 2007-2008. A hundred and ten nurses (n=111) participated of the collect data but only 32 nurses concluded the intervention. The data were collected by MIB (Maslach Inventory Burnout), a perceived stress questionnaire (before and pos intervention) and assessment instruments (after intervention) design by the author. At the end of the course an instrument to justified not participation was applied to nurses. The intervention was applied to all groups (four) during job time for six weeks with two hours weekly and the effect size was estimated by Reliable Change Index (RCI). Results: The majority nurses was a low / moderate burnout at the pre and post test; was a positive correlation between perceived stress, depression, anger, smoke compulsion and interesting to participated of the course and diminished personal accomplishment (odds-ratio 2,463). The association between diminished personal accomplishment and sex was positive for male (odd-ratio 5,051). The RCI was positive to 9,4%, for emotional exhaustion, 21,9% for depersonalization and 15,6% for diminished personal accomplishment. Conclusion: The low and moderate degree of burnout found confirm the results of others studies, however the results of RCI and the nurses opinion about the intervention had demonstrated the importance to conduce researches to investigated the reasons why some nurses are burned out while others working at the same environments are not. The educational intervention demonstrated is useful to alert the nurses about the syndrome and offer some strategies to cope with job stressors

Este estudo teve como objetivo apresentar uma estratégia para redução do burnout entre enfermeiros hospitalares em dois hospitais na cidade de São Paulo, Brasil, antes e após a aplicação de um treinamento cognitivo-comportamental, utilizando a técnica de inoculação de stress. Trata-se de um estudo descritivo, correlacional com abordagem quantitativa. Na coleta de dados foram utilizados: Maslach Burnout Inventory (MIB), instrumento de percepção e sinais e sintomas de stress, caracterização sócio-demográfica dos participantes e convite para participação no treinamento. Dos 145 questionários entregues 114 (78,62%) foram devolvidos; destes 111 (97,36%) enfermeiros indicaram interesse em participar do treinamento, entretanto somente 32 (28,82%) participaram. O treinamento foi ministrado com carga horária total de 12 horas abordando conceitos de stress, burnout, coping e comunicação interpessoal nas próprias instituições e dentro dos horários de trabalho dos enfermeiros. A análise dos resultados permitiu concluir que o nível de burnout foi considerado entre baixo / moderado para a amostra total (n=111). Para grupo não participante do treinamento (n=79) o maior número de associações positivas e significantes foram nos domínios desgaste emocional e despersonalização. Os níveis de burnout pré e pós-treinamento não sofreram alteração significativa para o grupo treinamento (n=32) e as associações foram positivas e significantes para o domínio incompetência profissional. A maioria dos participantes (21 65,80%) avaliou o treinamento como ótimo; ser aplicável na vida pessoal, no ambiente de trabalho, na interação com clientes, pacientes e na interação com demais profissionais e colegas. A justificativa de não participação dos demais enfermeiros foi a ausência de substituto nos horários dos treinamentos. Conclui-se que a estratégia foi eficiente na sensibilização dos enfermeiros para a problemática e demonstrou ser mais eficaz para redução de escores nos domínios despersonalização e incompetência profissional para esta amostra / Stress and burnout was recognized at an occupational risk by cause many health and mental problems besides to raise the absenteeism, turnover, and intent to leave among nurse staff around in the world. Burnout is a psychological syndrome with three component conceptualization: emotional exhaustion, depersonalize and diminished personal accomplishment. The burnout reduces the job performances due to job dissatisfaction and forecast of future nurse shortage; in Brazil the problem is the same. The purpose of this study is present the results of a stress management intervention and analyze this impact in a hospital nurse staff. Objectives: To describe a stress intervention using inoculation stress program to reduce the stress and burnout among nurse staff in two hospitals in Brazil and analyze their results. Design: This exploratory descriptive, of quantitative boarding study was developed in two hospitals in São Paulo, Brazil during 2007-2008. A hundred and ten nurses (n=111) participated of the collect data but only 32 nurses concluded the intervention. The data were collected by MIB (Maslach Inventory Burnout), a perceived stress questionnaire (before and pos intervention) and assessment instruments (after intervention) design by the author. At the end of the course an instrument to justified not participation was applied to nurses. The intervention was applied to all groups (four) during job time for six weeks with two hours weekly and the effect size was estimated by Reliable Change Index (RCI). Results: The majority nurses was a low / moderate burnout at the pre and post test; was a positive correlation between perceived stress, depression, anger, smoke compulsion and interesting to participated of the course and diminished personal accomplishment (odds-ratio 2,463). The association between diminished personal accomplishment and sex was positive for male (odd-ratio 5,051). The RCI was positive to 9,4%, for emotional exhaustion, 21,9% for depersonalization and 15,6% for diminished personal accomplishment. Conclusion: The low and moderate degree of burnout found confirm the results of others studies, however the results of RCI and the nurses opinion about the intervention had demonstrated the importance to conduce researches to investigated the reasons why some nurses are burned out while others working at the same environments are not. The educational intervention demonstrated is useful to alert the nurses about the syndrome and offer some strategies to cope with job stressors

1.- L'enquadrament d'aquest treball de recerca s'ha fet en i des de la praxis. EI que interessa és descobrir i proposar instruments pedagògics d'ajuda, assequibles i contextualitzats, especialment en el terreny de la comunicació i la interacció Educador-Educand.La metodologia que s'ha fet servir és de caire qualitatiu, etnogràfic, en un enfocament basat en la investigació-acció. La visió de la persona és volgudament holística; els sentiments, els significats, I' orientació personal, I' autodirecció. esdevenen elements centrals. La hipòtesi de treball, en la qual es fonamenta la recerca, podria formular-se així: 'En la pràctica, els Educadors, d'una forma més o menys reflexiva, perceben i interpreten el procés d'aprendre dels Educands; hi intervenen, el mediatitzen; n'avaluen la direcció i l'encert". A partir d'aquest supòsit, l'investigador veu convenient donar resposta a tres qüestions centrals: A) Com comprenem i interpretem els Educadors el procés d'aprendre dels Educands?; B) Quin tipus d'intervenció resultarà adient per promoure i/o facilitar l'aprendre?; C) Amb quins instruments i estratègies comptem per ajudar pedagògicament? 2.- Per llegir l'aprendre, l'investigador fa ús d'un model mental, indispensable per ordenar les dades de l'experiència. Convé, per tant, explicitar-lo, fer-ne ciència, coneixement compartit. En aquesta direcció de treball se li plantegen dos tipus d'interrogants: A) Quins són els elements comuns a qualsevol experiència d'aprenentatge?; Quina mena d'activitat o experiència personal desenvolupen tots els Educands; i B) Com es manifesta aquesta experiència? Amb quins indicadors? Quina mena de "text" llegeix l'Educador per orientar la seva intervenció d'ajuda? 3.- L'aprenentatge. en aquest treball, és considerat per l'investigador com la resultant de tres processos personals: el posicionament, l'estratègia i l'avaluació. Quan l'Educador vol compartir amb l'Educand el seu procés idiosincràtic d'aprendre, procura reconstruir amb ell aquestes tres accions bàsiques: A) Com es posiciona: què tem o desitja, què creu, què espera, quines expectatives viu, com es motiva?B) Quines són les seves pautes d'actuació: com treballa, com memoritza, com recupera la informació que té a la memòria, què fa davant d'un problema... ? C) Què busca; què és important per a ella; què pretén... ? 4.- Davant la complexitat dels missatges emesos per l'Educand l'investigador opta per llegir tres tipus de "textos": els productes i els resultats; les conductes; i els missatges parlats. Entre tots tres, pensa, podrà trobar elements i indicadors adequats per fonamentar, sempre hipotèticament, la seva actuació pedagògica. 5.- Procura sobretot detectar i fer existir els èxits, aquells productes i/o resultats que l'Educand troba valuosos, per tal d'ajudar-lo a prendre consciència dels seu repertori personal d'estratègies i capacitats. En aquest àmbit es proposen tres actituds o enfocaments del treball d'ajuda: A) El primer fa referència a la presa de consciència de l'estratègia personal, que s'amaga darrera el producte valorat. B) El segon apunta cap al respecte per l'estratègia que cadascú executa i, per tant, li és familiar. L'Educand la necessita. Es la seva. Es troba en la seva experiència, encara que no necessàriament existeixi en la seva construcció conscient.C) El tercer ,el duu a valorar l'estratègia d'acord amb les finalitats de l'Educand. La seva adequació es legitima pel que es proposa. Partim del supòsit que tota conducta es troba dirigida per un propòsit a vegades difícil de copsar i no sempre recomanable per a l'Educand. 6.- La conducta percebuda de l'Educand és entesa com un missatge, un conjunt d'indicadors de la seva activitat contextualitzada, interna i externa; missatge que, en relació amb altres, com els productes i les verbalitzacions, manifesta fragments dels seus significats, projectes, estratègies, valors. Es fa un èmfasi especial en les conductes "internes", els gestos mentals, l'acció interior, tramesa per mitja de microcomportaments sovint no conscient, i certificada per mitjà de la verbalització del viscut.7.- Parlar amb l'Educand suposa dues menes d'accions: escoltar i emetre. Escoltem per comprendre; emetem per perfilar la comprensió i també per ajudar. En l'emissió, el missatge pedagògic té dues funcions: a) rellançar i orientar el pensament i l'autoexploració de l'Educand; i b) influir per tal que desenvolupi amb èxit el seu projecte d'aprendre. Interessa d'una manera especial ajudar a integrar en la consciència de l'Educand aquests elements de la seva experiència que poden facilitar-li l'adquisició del coneixement. I entenem que, en aquesta empresa, la paraula i la interacció verbal poden tenir-hi un joc important. Per aquesta raó s'ha considerat necessari oferir un model d'anàlisi de la interacció i els missatges verbals. 8.- "Les persones aprenen sempre, amb recursos, processos i sistemes de valoració idiosincràtics, per fa qual cosa la seva orientació en el context esdevé un referent central en el disseny de l'ajuda pedagògica i en la seva avaluació". Aquesta és la hipòtesi de sortida per dissenyar la intervenció pedagògica. Tothom aprèn, inevitablement; la qüestió és quina cosa està aprenent i de quina manera els seus resultats d'ara són mediatitzats per l'experiència passada i, alhora, condicionen el seu aprendre futur. L'aprenent es posiciona, anticipa el procés d' aprendre, valora la seva. capacitat per desenvolupar-lo amb èxit, es motiva en una determinada direcció, d'acord amb la seva experiència, els seus aprenentatges anteriors. Executa estratègies, mostra un tipus d'intel·ligència, una forma personal de processar la informació. Pretén quelcom. És un sistema obert en relació amb el medi: hi ha uns valors que dirigeixen la seva presa de decisions. Utilitza uns criteris propis, una gamma personal d'opcions conscients. Avalua el que fa, el resultat que obté i la seva capacitat personal. 9.- L'ajuda pedagògica que I' autor proposa s'encamina sobretot a facilitar en l'Educand la descoberta dels seus propis recursos. Es tracta de portar-lo cap a la consideració atenta de la seva pròpia experiència, per amplificar-la i fer-la existir com a recurs conscient .Ha dibuixat i experimentat tres conjunts d'intervenció cadascun enfocat vers un àmbit de l'experiència d'aprendre, el qual col·loca com a prioritari, sense oblidar qualsevol dels altres que pugui ser rellevant, per comprendre o ajudar. A) Intervenció sobre el posicionament.En aquest àmbit enfoca l'estil de motivació que executa l'Educand, mira de corregir-lo, si cal, a partir de l'anàlisi i la comprensió de les seves formes de motivar-se quan ell viu l'èxit. Treballa proposant objectius paradoxals de fracàs gairebé impossible, buscant l'assoliment de petits èxits, potser aparentment insignificants, però estratègics; prescriu l'automatisme, per modificar-lo si l'Educand ho desitja; comprova el procés d'anticipació de I' experiència que l'aprenent es construeix per orientar-se; l'ajuda a contextualitzar anticipació i a fer ús dels seus Ilenguatges interns més eficaços i còmodes;...B) Intervenció sobre les estratègies i processos. En un segon enfocament, no necessàriament posterior al descrit, considera les estratègies de I'Educand, també a partir dels seus encerts i èxits. Mira de portar-lo cap a fa descripció i presa de consciència de les seves maneres de fer mes còmodes i segures, les que lliguen amb les seves preferències cerebrals. Quan viu dificultats, el convida a explorar les excepcions, els moments en els quals les seves realitzacions són satisfactòries. Pretén sobretot modificar les seves creences limitants, posant-lo en conflicte amb els fets de l'experiència. A vegades, caldrà facilitar l'adquisició d'estratègies i procediments nous que l'Educand considera plausibles. Es tracta específicament de fer existir opcions noves d'actuació per tal d'assolir allò que vol i/o necessita.C) Intervenció sobre el sistema de valors de l'Educand. L'Educand viu uns valors, els quals expliquen el seu món intern les conductes que realitza i els resultats que obté. Aquest àmbit és col·locat, en el model, al centre del procés d'aprendre. Hom actua amb propòsits determinats, no necessariament conscients. L'obertura de la persona a l'experiència d'aprendre es dirigeix segons criteris i valors irrenunciables. 10.- L 'Educador procura compartir els objectius de l'Educand i els seus projectes per assolir-los; vol tanmateix que se'n faci coneixedor i director responsable. Per a això li convé preguntar-se per quina mena d'experiència està desenvolupant i quin sentit ecològic te per a ell.L'Educador, el seu model del món, la seva persona, està compromès en el procés d'ajuda. No és només un tècnic que aplica recursos objectius. El seu model de comunicació, el seu pensament, les seves expectatives i anticipacions, tenen un pes considerable en el tipus d'intervenció pedagògica que durà a terme i, d'escreix, en el tipus d' aprenentatge que facilita. En la intervenció, l'Educador parteix d'una avaluació intencionadament positiva, centrada en els recursos i les solucions, en la metacognició i l'autoregulació dels processos, a partir de premisses que pressuposen l'èxit personal. / In this thesis, the author tries to build and assess a conceptual pattern in order to interpret the learning process and to orientate the design and execution of pedagogical help strategies. Attention is called upon the following kind of questions: How do people learn?; What kind of actions and processes are developed in our learning projects?; How does context influence us?; What kind of messages from others make progress and acquisition easier?; In which situations do we need help and/or orientation?; What kind of help?; By what kind of means..?The pattern is based on the conception of the learning process as a personal experience where meanings, emotions, values and interests are interlaced ; and action mostly directed by the learner and anchored in his/her own mental reconstruction of the environment and of himself/herself in the environment. The author identifies three types of indicators or "texts" by means of which the kind of personal management that people make in their own learning process are often manifested in an analogical or metaphorical way: products and results: the different behaviours or chains of actions, internal or external; and the verbalisation by means of which they communicate and communicate each other their experience. Each of these indicator groups asks the educator an specific kind of reading and punctuation. That is why the author offers a discussion about their semantics and their syntax so that the educator can "read them" and establish strategic and set in a context intervention hypothesis. The qualitative analysis of the types of indicators obliges the educator to regard learning as a consequence of an idiosyncratic experience which carries a lot of personal meanings, an action focused on the environment from the person point of view. To understand the results and behaviours of an experience, we need to question personal elements such as the learner's beliefs, values, his/her experience stored in his/her memory, his/her mental habits, .In an attempt to arrange the complexity of the learning experience and to be able to understand it, the author pays attention to the consideration of three types of action categories: A.- In any proposal or personal learning initiative, learners adopt an attitude, anticipate to the action. The value of the projected experience, their capacity for success; they motivate themselves with idiosyncratic languages... This first stage is not always conscious and planned. It becomes a determining factor in the learning management. What the pupil learns can be even the opposite of what it is being taught. B.- The learner makes a personal strategy in order to face the project, his/her way of answering, habitual, often independent and not always conscious; that is to say, when memorising, solving a problem, writing a text, creating an image, understanding a theory, etc. ... the learner develops a chain of actions, the suitability of which determines the kind of result he/she will have. C.- The learner assesses his/her own results according to his/her own personal values network, and he/she draws out personal and inner conclusions which will influence, from his/her memory, future attitudes. He/she observes and perceives selectively, which is important not to forget, so that he/she tends to emphasise the experience data that certify his/her presuppositions more than those that can be questioned. These three groups of actions are not necessarily developed in a consecutive way. In the attitude, assessment is prospective; the personal strategy can be unnoticed in the eyes of the learner, as if it did not exist; the kind of assessment will also condition the attitude; ... They are interdependent actions. An alteration in one of them will facilitate changes in the whole process. All together points out a definition of a pattern, a way of looking at the learning process and make a comprehension of it more or less adequate and efficient, not a "reality". The author regards the educator as an assistance professional, a collaborator on the learning and developing processes of the learner. In this collaboration work, the educator carries out different tasks: He/She reads and evaluates the experience data and makes out his/her orientated hypothesis; he/she designs the kind of educational intervention and he/she carries it out; he/she also assesses its success and efficiency. In order to orientate the educational task, the author looks for support and suggestions in the confluence of two knowledge ambits: on one hand he collects scientific concepts and theories from witch he makes out his starting hypothesis; on the other band, be contrasts his theoretical pattern with his own experience, his data, observations and hypothesis. This thesis owes a lot to the Humanist Psychology contributions, mixed bag of a lot of ideas and projects in the fields of Philosophy, Psychology, Communication, Organisation.; in the second place, it owes a lot to the conception of living as personal creation, as what Viktor FRANKL thinks about values, meanings, ... as in the modem theory of communication, mental maps, right brain languages ... ; in the third place, it also owes to an outstanding emphasis towards the comprehension process of the other person, as an active individual building ideas and values, guidelines and representations, in the line of Carl ROGERS and, although from another point of view, of Paul WATZLAWIC, Gregory BATESON, ... and not forgetting the contribution of experts such as Salvador MINUCHIN, Mara SELVINl, Virginia SATIR and others from the view of family advisers. In the design of the helping strategy, any resort or intervention framework adapted to the context and the project of the learner is used: conceptual resorts based on the Systemic thoughts, the Transactional Analysis, the orientation focused on the person. the GestaIt, the Cognitive approach, the Neurolinguistics Programme (PNL), the Mental Management. In conclusion, each educator is unique. The author thinks we will look in vain for a pedagogy valid for all, technologically applicable. We would waste time wondering "what should be like" or "what has to do" the educator. He thinks it is better to understand "what he/she does" and "how can he/she do it even better" from his/her personal orientation and his/her theoretical pattern. That is why be believes it is useful to have patterns working in the routine. And this routine is specific, set in context, linked to the phenomena complexity. He is interested in this concretion, although it means an important limitation in the capacity to make ideas general. Besides, routine is articulated according to spontaneous patterns, integrated in the educator "being". A pattern that is "carried out" and "comes out" in each one of the actions the educator carries out. Real and experienced contexts give us enough time for a quiet reasoning, and a conscious and a thought-out answer.

La situació problemàtica de la qual partim en aquesta tesi és la constatació de l'existència d'unes dinàmiques escolars negatives -expressades amb males notes reiterades- difícils de modificar, que determinats infants inicien i desenvolupen al llarg de la seva escolarització i que els condueix a una situació de fracàs escolar. Les males notes són el senyal que alerta pares i educadors de la presència de problemes escolars en els alumnes i constitueixen la causa explícita que motiva la cerca de solucions. Sovint es busquen solucions fora de l'escola, la qual cosa suggereix que, malgrat els esforços realitzats, l'escola i el sistema educatiu han tingut dificultats per a ajudar els infants a millorar globalment els seus resultats escolars. D'una banda, l'escola troba dificultats per a identificar el mes aviat possible quins infants seran mes susceptibles de desenvolupar unes dinàmiques escolars negatives que els puguin conduir a una situació de fracàs escolar. D'altra banda, també hi ha dificultats per trobar i aplicar estratègies preventives d'intervenció educativa a l'aula, que resultin adequades per a prevenir el desenvolupament de dinàmiques escolars negatives en alguns infants. Partint de la situació problemàtica descrita, la finalitat de la tesi es obtenir informació teòrica , empírica sobre algunes variables que puguin resultar rellevants per a articular, des de l'aula escolar, intervencions educatives destinades a prevenir el desenvolupament de les dinàmiques escolars negatives. Des de la perspectiva de la prevenció, la rellevància de les variables hauria d'establir-se en funció de la seva utilitat per a: A) Identificar des de l'aula escolar situacions de més perill -de més risc- de desenvolupar aquestes dinàmiques negatives i, consegüentment, arribar a la situació de fracàs escolar . Això implica, per tant, que les variables han de permetre la identificació abans que la situació de fracàs escolar es produeixi . B) Intervenir educativament des de l'escola; per tant, cal que siguin variables sobre les quals l'escola pugui incidir. La modificabilitat de les variables ha de permetre que es puguin emprendre accions educatives, des de la mateixa aula escolar. Variables que resultin suficientment importants de cara a disminuir el perill o evitar el desenvolupament de dinàmiques negatives. Es a dir, que la seva modificació contribueixi a evitar que els infants arribin a la situació de fracàs escolar. Per assolir aquesta finalitat es realitzen un segut de passes en funció de les quals s'ha estructurat la tesi en dues parts: Un marc teòric i un estudi de casos. EI Marc teòric té dos objectius: 1. Definir la situació problemàtica. En el capítol primer del marc teòric de la tesi, s'exposen les dimensions d'aquesta situació problemàtica. La revisió bibliogràfica entorn del tema del fracàs escolar ens ajuda a emmarcar la qüestió de les dinàmiques escolars en el fenomen complex del fracàs i l'èxit escolar, i del rendiment. Aquestes aportacions teòriques juntament amb les aportacions de la recerca educativa en relació a l'estabilitat del rendiment al llarg dels cursos són la base per a definir la situació problemàtica. 2. Delimitar, des d'un punt de vista teòric, algunes variables rellevants per a la prevenció del desenvolupament de dinàmiques escolars negatives, conduents a la situació de fracàs escolar. La primera passa per a dur a terme aquesta delimitació teòrica, que es presenta al segon capítol, ha estat revisar les aportacions de les investigacions sobre variables que incideixen en el rendiment escolar, les quals s'han analitzat en funció de la seva rellevància per a la prevenció. Aquesta revisió ha permès constatar un seguit de problemes de caire terminològic, metodològic i sobre la repercussió d'aquesta recerca en la practica educativa que afecten directament la utilitat de les aportacions d'aquestes investigacions de cara a identificar variables rellevants per a la prevenció. De l'anàlisi dels resultats d'aquestes recerques es desprèn que: a) Hi ha moltes variables associades al rendiment escolar, algunes difícilment modificables mitjançant la intervenció educativa escolar. b) EI fet que una variable estigui associada al rendiment no implica que sigui rellevant per a la prevenció c) S'obté poca informació sobre variables que contribueixin a disminuir la probabilitat de fracàs escolar. En base a aquests resultats es constata que cal buscar una perspectiva d'anàlisi de les variables mes adequades a l'enfocament preventiu, perspectiva que ha d'orientar-se a l'estudi del risc de fracàs escolar. La segona passa que es duu a terme per arribar a una delimitació teòrica de les variables rellevants es l'estudi del concepte de risc i d'altres conceptes relacionats: signe de risc, marcador de risc, factor de risc, factor protector, població en risc, infant en situació de risc, així com la revisió d'estudis i recerques que s'han plantejat en aquesta línia. Aquest treball ha permès: a) Clarificar aquests conceptes i aplicar-los en l'àmbit educatiu, en referència al problema del fracàs escolar, estructurant un marc teòric en funció del qual plantejar una anàlisi de les variables associades al rendiment escolar. b) Concretar un model per a l'anàlisi, des de l'aula escolar, de les variables que incideixen en el risc de fracàs escolar. Aquest model, que es situa en la perspectiva de l'aula escolar i que pren en consideració el paper actiu que els estudiants tenen respecte al seu aprenentatge, consta de tres components: unes variables, les seves relacions i la funció que exerceixen en relació al risc de fracàs escolar. La conclusió a la qual s'arriba es que, des d'un punt de vista teòric, una variable serà rellevant per a articular intervencions educatives preventives des de l'escola si constitueix o bé un factor de risc, o be un factor protector o compensador del risc. La delimitació empírica de variables rellevants per a la prevenció del fracàs escolar -que constitueix l'objectiu de la segona part de la tesi- es duu a terme mitjançant un estudi de casos que es deriva del plantejament teòric elaborat. L'objectiu d'aquest estudi es identificar variables que han pogut constituir factors protectors en joves que es troben en situació de risc per circumstàncies sociofamiliars. Se seleccionen tres noies i dos nois que, malgrat trobar-se en situació de risc, han assolit un cert nivell d'èxit escolar. Basant-nos en el model s'ha recollit informació sobre característiques actitudinals dels estudiants, del seu procés d'autoaprenentatge i de l'ambient d'aprenentatge. S'utilitza un disseny qualitatiu d'estudi de casos, utilitzant entrevistes amb profunditat per a recollir informació, la qual s'analitza mitjançant tècniques d'anàlisi de continguts. L'estudi de cada un dels cinc casos i la seva posterior comparació ha permès identificar algunes variables que poden haver constituït factors protectors del risc de fracàs escolar. Entre elles podem citar 1. La consciència de la pròpia situació complexa i desfavorable que han viscut o estan vivint. 2. Tenir un projecte vital a mig o llarg termini, en el qual els estudis són concebuts com a una via per assolir-lo. 3. Ser autoresponsables dels aprenentatges.4. Haver identificat models a seguir en altres persones.Del treball realitzat tant des d'una perspectiva teòrica com empírica i les conclusions a les quals s'ha arribat se'n desprenen implicacions per a la practica educativa, per a la recerca i per a la formació professional dels educadors i educadores socials. Pel que fa a les implicacions per a la practica educativa, es proposa el model com a base per a la identificació de situacions de risc i per al disseny d'intervencions educatives amb l'objectiu de prevenir el fracàs escolar. En aquest sentit, i en funció dels resultats obtinguts a l'estudi de casos, es proposen unes línies d'intervenció preventiva en casos de risc similars als que han estat objecte d'estudi, línies que poden prendre en consideració tant els/les mestres com els educadors/es. Pel que fa a les implicacions per a la investigació educativa, es deriven quatre línies de recerca: investigació sobre factors de risc, investigació sobre factors protectors, investigació sobre el potencial preventiu d'intervencions educatives dissenyades en base a factors de risc i factors protectors, l'investigació sobre com potenciar des de diferents àmbits (escola i vida quotidiana) els fadors protectors. Quant a les implicacions per a la formació professional dels educadors/es socials, els resultats de l'estudi de casos com a possibles aspectes a treballar per part dels educadors/es impliquen un treball en el qual aquests professionals han d'haver rebut formació sobre: 1. La relació educativa com a recurs per a la intervenció educativa professional. 2. La necessitat d'un treball coordinat interdisciplinari com a estratègia de treball professional. 3. EI coneixement de programes coherents i estratègies d'intervenció sobre factors protectors. 4. L'elaboració de programes educatius, de manera que els educadors/es puguin adaptar les intervencions a les necessitats educatives dels subjectes. 5. La intervenció educativa en famílies. / The present dissertation states the necessity of approaching the theme of the school failure and the school success from a preventive perspective. The reason is the confirming that, on one hand, there exists negative school dynamics that certain children show and develop alongside their schooling ¬dynamics hard to modify and expressed by repeated bad marks- and that, on the other, the school is in trouble when it tries to modify these dynamics. The aim of this dissertation is to obtain theoretical and empirical information about some variables that could be outstanding in order to articulate, from the classroom, educative interventions, intending to prevent the development of negative school dynamics. From the point of view of prevention, the significance of variables should be established by means of their usefulness in relation to: A) Identifying, from the classroom, the most dangerous situations- the situations with more risk- that could lead to develop those negative dynamics and, consequently, to the school failure. So, this implies that variables have to facilitate the identification of the school failure before this failure takes place. B) Intervening educatively from the school; so, it is necessary that the school be able to operate with and on theses variables. The modifiable nature of them has to provide elements to take on educative actions from the classroom. C) Decreasing the danger or avoiding the development of negative dynamics. That is to say that their modification could contribute to avoid children reaching the school failure situation. The dissertation contains two parts: a theoretical frame and a case study. The former one deals with the revision of researches already done about variables that influence school profit and it analyze them depending on the significance to the prevention. That revision had allowed us to confirm that there are methodological and terminological problems that have an effect to the usefulness of these researches to identify significant variables to prevention. It is seen the need of looking for a perspective of the analysis of variables more appropriate to the preventive focusing. The study of the concept of risk and some related concepts: sign of risk, risk factor, protective factor, at risk population, child in a risky situation and, also, the revision of studies and researches provide us this perspective. This study has allowed us to make concrete a model for the analysis of variables that concern in the school failure. This model consists of three components: some variables, their relationship with themselves and the role that they play in relation to the risk of school failure. It is reached the conclusion that, from a theoretical point of view, a variable will be outstanding to articulate educative interventions from the school if it is a risk factor or else a protective factor for the risk. The second part of the present dissertation consists of the empirical delimitation of significant variables for preventing school failure and it is done by means of a case study with the aim of indentifying variables that may have been protective factors in young people that are in a risky situation because of the sociofamiliar circumstances. We are based on the model in order to pick up information about five cases. The information has to do with students' attitudinal characteristics, their self-learning process and the learning environment. We used a quality design of case study with interview in depth for picking up information which is analyzed by means of a method of content analysis. The study of each case and the later comparison allow us to identify some variables that may have been protective factors of the risk of school failure. Among them, we enumerate: 1. The conscientiousness of the own situation complex and unfavorable that the teenagers have lived or are living. 2. To have a long-term living project or mid-tern1 project and the schooling is considered as a way to reach this project. 3. To be self-responsible for their own training. 4. To have identified some patterns to follow in other people. From the job done, not only from a theoretical perspective but also form empirical one, and from the conclusion we have reached, it follows implications for educational practice, for educational research and for the training of social educator professionals.

Thèse numérisée par la Division de la gestion de documents et des archives de l'Université de Montréal

Depuis les travaux de l’Organisation Mondiale de la santé (1946) sur la promotion de la santé, en référence à la Charte d’Ottawa (1986), la notion de compétences psychosociales, définies comme « les capacités d’une personne à répondre avec efficacité aux exigences et aux épreuves de la vie quotidienne», apparaît comme essentielle dans toute démarche éducative liée à la santé. En plus de 30 ans, le champ de la promotion de la santé s’est doté de stratégies, de référentiels, d’outils et de ressources d’intervention visant, notamment, le développement des compétences psychosociales des individus et des groupes. Aujourd’hui, en France, les décideurs de la politique de prévention et d’éducation pour la santé inscrivent l’objectif du développement des compétences psychosociales dans nombre de leurs appels à projets. Mais alors que les réseaux de professionnels en santé se sont emparés de cet objectif pour l’ériger en fer de lance de leurs programmes d’action, la recherche en la matière est peu développée et l’efficacité n’apparaît pas plus confirmée. L’objectif principal de la thèse est d’explorer, par une approche sociologique compréhensive et pragmatique, le sens de l’intervention pour le développement des compétences psychosociales en promotion de la santé. Cette recherche se fonde sur l’analyse des discours portés par les acteurs de la promotion de la santé et sur l’analyse des usages avancés par les intervenants de terrain relevant du champ de l’éducation au sens plus large. Elle vise à mettre au jour les « visions du monde » des différents acteurs. La recherche porte d’abord sur l’étude de l’idéal-type de la promotion de la santé pour en délimiter les périmètres et identifier ceux qui s’y intéressent plus particulièrement. Elle est interrogée dans ses fondements théoriques et ses dimensions éthiques et socio-politiques afin de situer le développement des compétences psychosociales et d’en rendre compréhensibles les finalités. La promotion de la santé est une « cité » (Boltanski) considérée à la fois comme un concept récent et comme un espace de pratiques sociales en construction. Ensuite, ces travaux visent à établir en quoi le développement des compétences psychosociales est une composante de l’approche salutogénique de la « santé pour le développement humain ». En s’appuyant sur l’examen d’autres champs (travail, entreprise, éducation et formation) qui se sont intéressés largement à la problématique de développement des compétences personnelles, sont posées les questions 1/ de la construction conceptuelle de la notion de compétences psychosociales et de leur développement et 2/ du mouvement de politisation qui s’opère au travers de l’acte d’intervenir pour le développement des compétences psychosociales dans les actions de promotion de la santé. L’intervention pour le développement des compétences psychosociales est une action politique (Boltanski) qui engage notre étude au cœur des questions éducatives et des politiques sociales. La construction du concept de compétences psychosociales dans les discours théoriques propres à la promotion de la santé, nourris par les apports des autres champs sociaux, induit des processus de politisation des acteurs (responsabilisation et adaptabilité). La finalité de l’intervention pour le développement des compétences psychosociales en promotion de la santé est assurément le développement humain dans ses dimensions psychologiques (autonomie) et sociales (citoyenneté) mais les exigences impliquent et engagent l’individu dans une conformité admise et acceptée d’autocontrôle de soi (empowerment individuel). Le sens de l’intervention pour le développement des compétences psychosociales est situé dans un intervalle où s’affirme un changement éthique de paradigme au bénéfice d’un mieux-être individuel et social, et dans un espace où la réalisation de soi s’oriente, dans une certaine mesure, vers un bonheur marchandisé dans la sphère économique libérale / Since the work of World Health Organization (1946) on health promotion, summarized into the Ottawa International Charter (1986), the concept of life skills, defined as "person’s abilities to respond effectively to the requirements and tests of everyday life" appears essential part in any educational practice related to health. In over 30 years, the field of health promotion has provided any educational approach with strategies, methods and intervention tools designed, in particular, to help people develop or improve life skills. Nowadays, in France, in numerous calls of proposals, the development of life skills is a usual aim for funders of prevention and health education programs. But although often considered essential by health education professionals in their actions, the development of life skills is not yet a real object of scientific research, and its effectiveness remains rather unconfirmed. The main objective of this thesis work is to explore through a comprehensive sociological and pragmatic approach, the meaning of the intervention aimed for the development of life skills. This research is based on a discourse analysis, especially on two axes: 1) individual skills acquisition, carried by health promotion practitioners, and 2) daily use of the development of life skills, by field workers within education area in its broader sense. This analysis is supposed to help to understand worldviews transmitted by different actors through their action. The research first focuses on the study of health promotion field as ideal type to delineate its area and to identify people interested in this topic. Its theoretical basis and its ethical and socio-historical dimensions are questioned to find out the development of life skills object and to understand its goals. According to Boltansky, health promotion is a "city", considered both as a new concept and as anunder construction space of social practices. Then, these works aim to determine whether the development of life skills is a component of the new approach of the so-called "global health" as an issue for population health management. Based on other area findings (i.e. occupation, business, education and training), all of which directly and widely concerned by development of life skills, the questions they asked can by divided in two categories: 1) how was built the life skill concept– and its development-, and 2) the politicization movement which undergoes the use of development of life skills in health promotion actions. The intervention for development of life skills is a political action that engages our study at the heart of educational issues and social policies. The construction of life skills concept in the own theoretical discourse on health promotion, fed by contributions coming from other social area, induces actors’ politicization process (accountability and adaptability). The purpose of the intervention for the development of life skills in health promotion is certainly human development in its psychological (autonomy) and social (citizenship) dimensions, but the requirements involve and engage the individual in a recognized and accepted self-monitoring mechanism (individual empowerment). The meaning of development of life skills can be found in an interval where an ethic paradigm shift – to the benefit of a better individual and societies’ well being - is raising, and in an area where, to some extent, personal self-realization turns to a mercantile happiness in the liberal economic sphere

O presente estudo teve como objetivo investigar as contribuições de uma intervenção psico-educativa para as estratégias de enfrentamento e a qualidade de vida de gestantes portadoras de HIV/Aids. Participaram 20 gestantes, entre 20 e 40 anos (M=29,9; DP=5,7), com 24 semanas ou mais de gestação e que engravidaram sabendo-se portadoras de HIV/Aids. Utilizou-se um delineamento quase experimental, com pré e pós-teste, e as contribuições da intervenção foram avaliadas por uma escala de estratégias de enfrentamento, outra sobre qualidade de vida, além de uma entrevista de avaliação da intervenção. A intervenção consistiu em cinco encontros individuais de aconselhamento, envolvendo diversos temas sobre gestação, parto, puerpério, desenvolvimento inicial do bebê, apoio social e o tratamento para HIV/Aids da gestante e do bebê. Quanto às estratégias de enfrentamento, os resultados corroboraram a hipótese inicial, ao revelar aumento significativo nos fatores Foco no Problema e Busca de Apoio Social e diminuição no fator Foco na Emoção. Análise de covariância revelou uma interação entre o tempo de diagnóstico e as diferenças entre as médias do fator Foco no Problema e uma interação entre a escolaridade e o Foco na Emoção, indicando que, quanto maior o tempo de diagnóstico e menor a escolaridade, maior foi o efeito da intervenção. Quanto à qualidade de vida, os resultados apoiaram parcialmente a hipótese inicial, ao revelarem um aumento significativo nos domínios Psicológico, Ambiente e Qualidade de Vida Geral, porém não houve o aumento esperado no domínio Relações Sociais. Análise de covariância revelou uma interação entre tempo de diagnóstico e o efeito da intervenção para o Domínio Ambiente indicando que quanto menor o tempo de diagnóstico maior foi o efeito da intervenção. Análise de conteúdo qualitativa das respostas à entrevista de avaliação da intervenção, com estrutura de categorias definida a partir das escalas utilizadas, também endossaram a importância da intervenção para as estratégias de enfrentamento e a qualidade de vida das gestantes. Juntos, os resultados indicam que, de modo geral, a intervenção apresentou contribuições importantes para as gestantes, embora o tempo de diagnóstico e uma maior ênfase em aspectos de relações sociais e apoio social devam ser considerados em futuras intervenções. / The aim of the study was to investigate the contributions of a psycho-educational intervention to coping strategies and quality of life among pregnant women living with HIV/Aids. Twenty pregnant women, aged between 20 and 40 years (M=29,9; SD=5,7), participated in the study. They were at least with 24 weeks of pregnancy, and got pregnant after knowing about their own seropositivity. We conducted a quasi-experimental study, with pre and post-test, investigating the contributions of the intervention through a coping strategies scale, a quality of life scale, and an interview on intervention evaluation. The intervention was composed by five counseling sessions on pregnancy, delivery, post-partum situations, early development of the baby, social support and treatment of pregnant women and babies. Considering coping strategies, findings confirmed the initial hypothesis, showing significant increasing in scores of Focus on Problem and Search for Social Support, and decreasing of Focus on Emotion. Covariance analysis showed interaction between time since diagnostics and the differences between means of Focus on Problem, and between school level and Focus on Emotion, indicating that the higher was time since diagnosis among pregnant women, and the lower was the school level, the better was the effect of intervention. Considering the quality of life, findings partially confirmed the initial hypothesis, showing significant increasing in scores of the domains: Psychological, Environmental, and General Quality of Life, without showing the expected increasing on Social Relations Domain. Covariance analysis showed interaction between time since diagnostics and the effect for Environmental Domain, indicating that the lower was time since diagnosis, the better was the effect of the intervention. Qualitative Contend Analysis of the answers to the interview evaluation used a structure of categories based on the scales, and also highlighted the importance of the intervention to coping strategies and to quality of life for pregnant women. Together, these findings show that the intervention represented an important contribution to pregnant women, although time since diagnosis, social relations and social support should be considered in future investigations.

Made available in DSpace on 2014-06-11T19:25:16Z (GMT). No. of bitstreams: 0 Previous issue date: 2008-12-09Bitstream added on 2014-06-13T20:32:37Z : No. of bitstreams: 1 freitas_fl_me_mar.pdf: 707800 bytes, checksum: e0dd7ed9cb2d8ae5f16f653e1ef879f0 (MD5) / O tabagismo define-se como uma doença epidêmica, pediátrica, crônica e contagiosa, relacionando-se a uma das maiores causas mundiais de morbi-mortalidade. O contexto escolar apresenta-se como principal local para o desenvolvimento de medidas preventivas de caráter primário, tendo como alvo a população pré-adolescente. O treino de habilidades sociais pertinentes à exposição tabágica, bem como o uso da instrução verbal na aquisição de conhecimentos relativos aos malefícios do cigarro parecem indicar fatores de proteção à iniciação ao tabagismo. Esta dissertação caracteriza pré-adolescentes da 5ª série de duas escolas públicas e seus familiares quanto aos conhecimentos prévios sobre tabagismo, perfil sócio-econômico e história tabagística, e avalia, por meio de delineamento de pesquisa quase-experimental, a eficiência de uma intervenção educativa de prevenção primária ao tabagismo nas escolas participantes, sendo uma caracterizada como grupo Experimental (n=27) e a outra, grupo Controle (n=34). Foram realizadas avaliações com os pré-adolescentes distribuídos por sexo, antes e após a intervenção por meio de um Instrumento de Avaliação de Conhecimento e pela medida de auto-relato do Inventário Multimídia de Habilidades Sociais para Crianças (IMHSC-Del-Prette). A intervenção educativa constituiu-se de 8 sessões, com duas horas de duração cada, às quais ocorreram com freqüência de duas vezes por semana. As sessões foram intercaladas quanto ao conteúdo abordado, sendo as sessões ímpares de caráter informativo (utilização da técnica da instrução verbal) e, as pares, de caráter vivencial (realização do treino de desempenhos sociais adequados para lidar com exposição tabágica). Os resultados obtidos indicam diferença estatisticamente significativa entre os grupos Controle e Experimental nas fases... / Smoking is defined as an epidemic, pediatric, chronic and contagious disease, relating to one of the major worldwide causes of morbi-mortality. The school context is presented as the main place for the development of preventive measures that are primary, targeting the preadolescent population. The social skills training relevant to tobacco exposure and the use of verbal instruction in the acquisition of knowledge concerning the harm caused by cigarette seem to prevent smoking initiation. This dissertation characterize preadolescents in the 5th grade of two public schools and their families as to previous knowledge about smoking, social-economic profile and smoking history, and evaluates, through design of quasi-experimental research, the efficiency of an educational intervention for primary prevention of smoking among the participating schools, being characterized as Experimental group (n = 27) and the other, Control group (n = 34). Evaluations were conducted with preadolescents distributed by sex, before and after an intervention through a Knowledge Assessment Instrument and through the self-report measure of Multimedia Social Skills Inventory for Children (MUSSIC – Del-Prette). The educational intervention consisted of 8 sessions, with the duration of two hours each, which occurred twice a week. The sessions were interspersed according to the discussed subject, the odd sessions had an informative character (using the verbal instruction technique) and, the even ones, living character (realization of social performance training appropriate to dealing with smoking exposure). The results show a statistically significant difference between the Experimental and Control groups in pre and pos-intervention stages of the Knowledge Assessment measures, but did not show significant difference between these groups in the self-report of social behavior frequency of MUSSIC in the different studied... (Complete abstract click electronic access below)

Made available in DSpace on 2016-06-02T20:30:49Z (GMT). No. of bitstreams: 1 2969.pdf: 1760258 bytes, checksum: df7162f01bd13f6099ff31a6651415ec (MD5) Previous issue date: 2010-02-26 / Financiadora de Estudos e Projetos / The ageing of the Brazilian population comes accompanied by a growing number of cases of dementia, especially cases involving Alzheimer&#8223;s disease, as the incidence of neurodegenerative diseases is directly related to age. Given that the majority of the Brazilian elderly are community-dwelling, but that there are few services for elderly people with dementia or for their caregivers, these families must discover, with or without adequate information, how to care for this person. This study focuses on the development and evaluation of an in-home intervention program, which aimed to improve the caregivers&#8223; capacity to act as therapeutic agents, increasing their abilities to maintain their own wellbeing and to promote the cognitive wellbeing of their relative with dementia, emphasizing the preparation of the caregivers to conduct cognitively stimulating activities. Five pairs of older people with dementia and their caregivers participated in this quasi-experimental study. To evaluate the impacts of the intervention program on the caregivers, data were collected before the beginning and after the conclusion of the program, using the following instruments: Zarit s Caregiver Burden Inventory, the Social Skills Inventory (Brazilian version), a qualitative evaluation of selected social skills, Lipp s Adult Stress Symptoms Inventory, knowledge acquisition tests (to evaluate the retention of new concepts at the end of each module), and a complementary questionnaire (to identify behaviors presented by the elderly relative that the caregiver considered to be problematic, how they managed these behaviors, and what they did to keep their relative active). Although cognitive stimulation can retard the progress of dementia, it cannot stop the advance of these diseases. A decrease in the elderly people&#8223;s abilities during the intervention period would have a negative impact on indicators of the caregivers&#8223; wellbeing, interfering with the evaluation of the program. As such, the elderly people were also evaluated using the Mini Mental State Exam (MMSE) and the Pfeffer Examination for Functional Activities (PEFA). Results concerning the impacts of the intervention program for the caregivers indicated statistically significant differences for: (a) a reduction in stress levels, t(4) = 4.47, p = 0,011, (b) an improvement in the caregivers&#8223; average scores on the knowledge acquisition tests, t(4) = 23.91, p < 0,001, (c) a trend indicating improvement in the Social Skills Inventory scores (Brazilian version), t(4) = 2,36, p = 0,77, and (d) according to the results gained via the complementary questionnaire, a 57% improvement in the use of strategies to manage the elderly relative&#8223;s problematic behaviors, as well as a 100% improvement in the caregivers&#8223; abilities to conduct cognitively stimulating activities with their elderly relative. However, the caregivers no longer engaged in these activities at the time of the follow-up evaluations. As such, the intervention program helped the caregivers acquire new knowledge as well as to improve their abilities to conduct cognitively stimulating activities and to manage stressful situations involving their elderly relative. However, we still need to identify supports that could help sustain the caregivers&#8223; use of cognitively stimulating activities with their elderly relative, following the conclusion of an intervention program like the one described in this study. / O envelhecimento da população brasileira vem acompanhado do aparecimento de um número crescente de casos de demência, principalmente envolvendo a doença de Alzheimer, uma vez que a incidência de doenças neurodegenerativas está diretamente correlacionada com a idade. Considerando que a maioria dos idosos brasileiros reside na comunidade, mas que há poucos serviços que auxiliam o idoso com demência e seu cuidador, a família tem que descobrir, com ou sem informações adequadas, como cuidar deste idoso. O foco deste estudo foi desenvolver e avaliar um programa de intervenção domiciliar, visando melhorar a capacidade do cuidador familiar para ser um agente terapêutico, aumentando suas habilidades para manter seu próprio bem-estar e de promover o bem-estar cognitivo do seu parente com demência, com ênfase no preparo do cuidador para realizar atividades de estimulação cognitiva. Participaram deste estudo quase-experimental cinco pares de cuidadores e seus parentes idosos com demência. Antes e ao final do programa de intervenção, usou-se os seguintes instrumentos para avaliar os impactos da intervenção sobre as cuidadoras: Inventário de Sobrecarga do Cuidador, Inventário de Habilidades Sociais, uma avaliação qualitativa de algumas habilidades sociais selecionadas, Inventário de Sintomas de Stress para Adultos de Lipp, testes de aprendizagem (para avaliar a aquisição de conceitos novos ao final de cada módulo de treinamento) e um questionário complementar (para identificar comportamentos dos idosos considerados como problemáticos pelas cuidadoras, como elas os manejavam, e o que estas faziam para manter os idosos ativos). Embora a estimulação cognitiva deva retardar o progresso da demência, ela não impede seu avanço. Uma piora nas habilidades dos idosos durante o período da intervenção afetaria negativamente os indicadores de bem-estar das cuidadoras, interferindo na avaliação do programa. Assim, para acompanhar eventuais alterações no desempenho cognitivo e a funcionalidade dos idosos, foram aplicados o Mini-Exame do Estado Mental (MEEM), e a Escala de Pfeffer. Os resultados envolvendo os impactos do programa de intervenção para as cuidadoras indicam diferenças estatisticamente significativas para: (a) uma redução nos níveis de estresse, t(4) = 4,47, com p = 0,011, (b) uma melhora no desempenho médio das cuidadoras nos testes de aprendizagem, t(4) = 23,91, com p < 0,001, (c) uma tendência de melhora nos escores obtidos no IHS-Del-Prette, t(4) = 2,36, com p = 0,77, e (d) com base nos resultados do questionário complementar, pode-se observar que a intervenção apresentou uma eficácia de 57% em melhorar as estratégias sendo usadas pelas cuidadoras para lidar com os comportamentos difíceis dos idosos, e de 100% em relação ao objetivo de tornar as cuidadoras capazes de fazer atividades de estimulação cognitiva com os idosos. As cuidadoras não mantiveram estas atividades no período do follow-up. Desta forma, a intervenção contribuiu para que as cuidadoras adquirissem novos conhecimentos e melhorassem suas habilidades para realizar atividades de estimulação cognitiva e para enfrentar e gerenciar situações estressantes envolvendo seus parentes idosos. No entanto, ainda é preciso identificar apoios que possam contribuir para a manutenção das atividades de estimulação cognitiva por parte de cuidadores familiares de idosos com demência, após a conclusão de intervenções como a descrita neste estudo.