Analysis of a nutrition reeducation group process at university hospital / Promoção da saúde : análise do processo de um grupo de reeducação alimentar em um hospital universitário

AUTOR(ES)

Letícia Gaspar Tunala Mendonça

DATA DE PUBLICAÇÃO

2005

RESUMO

Several changes at the Brazilian social, cultural, political and economical scope have influenced the way health services have been organized in order to attend the present demand. Health psychology has contributed for health promotion initiatives and the dialogue between these areas seems promising. The objective of this study was to critically examine the group counseling process for nutrition reeducation held in the Center of Health Promotion of the General Clinic Service of Medicine School of the University of São Paulo, regarding its aims and the progress as seen by its participants. This qualitative study began with a structured interview at the beginning of the group activities, followed by the observation of all group sessions, a semi-structured interview at the end, and a focus group ten months after the groups were finished. The analysis used the categorization of data collected on the field journal, the reports and the transcription of group sessions and interviews, organized through content analysis. The frameworks for critical analysis of the implementation of the proposed model were the notion of vulnerability (individual, programmatic and social) linked to a psychosocial emancipatory approach, inspired by the use of scenes as a data collection and intervention procedure, as in the field of HIV/aids prevention. The results sessions described: the participants’ profile; the motivations and the definitions of health and health promotion, and how they perceive the HC; the setting establishment and the coordination; the language and the interaction dynamic; the sharing and the relevance of significant others; adherence and non- adherence scenes and the socio-cultural context. The present study concluded with suggestions for the reorganization of the program, for the ongoing training of professionals involved in health promotion, and for new studies aiming similar interventions.

ASSUNTO(S)

feeding practices health promotion vulnerabilidade groups psychosocialization comportamento alimentar psicossocialização promoção da saúde grupos vulnerability

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