Family and community guidance in adolescence: assessment in the family health strategy<sup/>

Rosimara Oliveira Queiroz Corresponding author: Rosimara Oliveira Queiroz E-mail: rosi.mdc@hotmail.com

Universidade Estadual de Maringá, Maringá, PR, Brazil.

Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

Márcia Moroskoski

Universidade Estadual de Maringá, Maringá, PR, Brazil.

Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

Bianca Machado Cruz Shibukawa

Universidade Estadual de Maringá, Maringá, PR, Brazil.

Scholarship holder at the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES), Brazil.

Roberta Tognollo Borotta Uema

Universidade Estadual de Maringá, Maringá, PR, Brazil.

Rosana Rosseto de Oliveira

Universidade Estadual de Maringá, Maringá, PR, Brazil.

Ieda Harumi Higarashi

Universidade Estadual de Maringá, Maringá, PR, Brazil.

*
Paper extracted from master’s thesis “Evaluation of adolescent health actions developed by the family health strategy team”, presented to Universidade Estadual de Maringá, Maringá, PR, Brazil. This study was financed in part by the Coordenação de Aperfeiçoamento de Pessoal de Nível Superior (CAPES) – Finance Code 001, Brazil.

Authors’ contribution:

Study concept and design: Rosimara Oliveira Queiroz, Ieda Harumi Higarashi. Obtaining data: Rosimara Oliveira Queiroz. Data analysis and interpretation: Rosimara Oliveira Queiroz, Rosana Rosseto de Oliveira. Statistical analysis: Rosimara Oliveira Queiroz, Rosana Rosseto de Oliveira. Drafting the manuscript: Rosimara Oliveira Queiroz, Márcia Moroskoski, Bianca Machado Cruz Shibukawa, Ieda Harumi Higarashi. Critical review of the manuscript as to its relevant intellectual content: Rosimara Oliveira Queiroz, Márcia Moroskoski, Bianca Machado Cruz Shibukawa, Roberta Tognollo Borotta Uema, Rosana Rosseto de Oliveira, Ieda Harumi Higarashi.

Conflict of interest: the authors have declared that there is no conflict of interest.

Answers	Adolescent					Professional
Answers	Yes		No		Total	Yes		No		Total
Questions	N	%	N	%	N	N	%	N	%	N
I1^* * I1 = Does your doctor/nurse ask you about your ideas or opinions about your treatment?; /G1^† † G1 = Do you ask the patients what their ideas and opinions are when planning the treatment and care of the patient or family member?;	24	17.14	116	82.86	140	50	71.43	20	28.57	70
I2^‡ ‡ I2 = Has your doctor/nurse asked you about diseases or problems in your family?; /G2^§ § G2 = Do you ask about diseases and health problems that may occur in the adolescents' families?;	49	35.00	91	65.00	140	69	98.57	1	1.43	70
I3^\|\| \|\| I3 = Your doctor/nurse would meet with other members of your family if you felt it necessary; /G3^¶ ¶ G3 = Are you willing and able to assist family members of adolescents to discuss a health or family problem?	70	50.00	70	50.00	140	69	98.57	1	1.43	70

Answers	Adolescent					Professional
Answers	Yes		No		Total	Yes		No		Total
Questions	N	%	N	%	N	N	%	N	%	N
J1^* * J1 = Does someone from the health service/or doctor/nurse make home visits?; /H1^† † H1 = Do you or someone in your health service make home visits?;	73	52.14	67	47.86	140	68	97.14	2	2.86	70
J2^‡ ‡ J2 = Do health professionals know the important health problems in your neighborhood?; /H2^§ § H2 = Do you believe that your health service has adequate knowledge of the health problems of the community it serves?;	69	49.29	71	50.71	140	61	87.14	9	12.86	70
J3^\|\| \|\| J3 = Does any health professional does research to identify health problems that they should know about?; /H5^{^¶ ¶ H5 = Does he do research in the community to identify health problems that he should know about?;}	30	21.43	110	78.57	140	34	48.57	36	51.43	70
J4^ J4 = Some health professional invites family members to participate in the Local Health Council (Management Council/User Council); /H6^†† †† H6 = Presence of users on the Local Health Council (Management Council/Users Council)	29	20.71	111	79.29	140	50	71.43	20	28.57	70
H3^‡‡ ‡‡ H3 = Does your health service hear community opinions and ideas on how to improve the health services?;	-	-	-	-	-	63	90.00	7	10.00	70
H4^§§ §§ H4 = Do you do patient research to see if the services are satisfying (meeting) people's needs?	-	-	-	-	-	39	55.71	31	44.29	70

	Degree of freedom	Sum of squares	Mean sum of squares	F value	p-value (>F)^* * p-value(>F) = Significance level;
Guidance (Fam^† † Fam = Family members ; /Com^‡ ‡ Com = Community; )	1	0.41	0.41	0.080	0.7775
Group (Prof^§ § Prof = Professionals ; /Ado^\|\| \|\| Ado = Adolescent )	1	1,480.83	1,480.83	2,861,904	<2.2e- 16
Guidance: Group	1	36.65	36.65	70,832	<0.0081
Residuals	416	2,152.50	5.17	-	-

Variables	^‡ ‡ Difference of means	CI^§ § IC = Confidence Interval;	p-value^\|\| \|\| p-value = Significance level
F.G.^* * F.G. = Family guidance; /C.G.^† † C.G. = Community Guidance;	0.0628	0.37-0.50	0.7775
Professional/Adolescent	3.9832	3.52-4.45	<0.001
F.G.^* * F.G. = Family guidance; Adolescent/C.G.^† † C.G. = Community Guidance; Adolescent	0.3550	1.06-0.35	0.5598
F.G.^* * F.G. = Family guidance; Professional/C.G.^† † C.G. = Community Guidance; Adolescent	4.2549	3.40-5.11	<0.001
C.G. Professional/C.G.^† † C.G. = Community Guidance; Adolescent	3.3566	2.50-4.22	<0.001
F.G.^* * F.G. = Family guidance; Professional/F.G.^* * F.G. = Family guidance; Adolescent	4.6099	3.75-5.47	<0.001
C.G. Professional/F.G.^* * F.G. = Family guidance; Adolescent	3.7116	2.85-4.58	<0.001
F.G.^* * F.G. = Family guidance; Professional/C.G. Professional	0.8983	0.09-1.89	0.0916

Brasil