The Jo Benetton’s theoretical-methodological framework in occupational therapy with children: a scoping review

Cestari, Leila Maria Quiles; Lopes, Kezia Pereira; Bertolozzi, Renata Cristina Domingues; Marcolino, Taís Quevedo

doi:10.1590/2526-8910.ctoAO270835322

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Original Article • Cad. Bras. Ter. Ocup. 32 • 2024 • https://doi.org/10.1590/2526-8910.ctoAO270835322 copy

The Jo Benetton’s theoretical-methodological framework in occupational therapy with children: a scoping review

Authorship SCIMAGO INSTITUTIONS RANKINGS

Abstract

Introduction

The Brazilian theoretical-methodological framework constructed by Jô Benetton, now called the Dynamic Occupational Therapy Method, supports the practice of occupational therapy with different populations, including children. There is a vast production of articles that require systematization to understand their scope.

Objective

Summarize and describe productions that use this framework with children and identify gaps in the literature.

Methodology

Scope review, with selection of studies in libraries and digital databases (VHL; CAPES Periodical Portal, SciELO), websites (Google Scholar) and search tools for national journals in the area; manual search in CETO Magazine, and complementary strategies. Peer-reviewed articles, gray literature, without deadline, in Portuguese or English were included. Descriptive data were analyzed using simple statistics and qualitative data received thematic analysis.

Results

2,152 studies were identified, 106 selected after reading the title/abstract, 56 of which were duplicates. Of the 50 studies read in full, 26 were for final analysis. The majority were characterized by experience reports published in Revista CETO, in the 2000s, in Portuguese. The five identified themes explain the studies' adherence to the Occupational Therapy Paradigm, analyzing the needs of children situationally, with free and dynamic interventions centered on the triadic relationship, including relevant people from the children's daily lives, and with the still timid use of activity analysis by the children.

Conclusion

This study contributes to giving visibility to a body of theoretical-practical knowledge built in the Brazilian reality, congruent with the main evidence that aims to increase the engagement and participation of children with different problems in everyday activities.

Keywords:
Occupational Therapy; Childhood; Childcare; Professional Practice; Social Participation

Search strategies	Number of studies identified	Number of studies for final analysis
CAPES Periodical Portal	307	1
BVS	958	1
Academic Google	590	2^* * Identification of gray literature. Source: Elaborated by the authors.
Scielo Brasil	64	0
Revista de Terapia Ocupacional da Universidade de São Paulo	62	0
Cadernos de Terapia Ocupacional da UFSCar/Cadernos Brasileiros de Terapia Ocupacional	62	3
Revista Interinstitucional Brasileira de Terapia Ocupacional	85	1
Revista CETO	14	11
Request made to the CETO	5	5*
Authors’ CV	5	2
TOTAL	2.152	26

Author/Year	Type of study	Participants and location of the intervention
Benetton (1993)Benetton, J. (1993). O silêncio. Cadernos de Terapia Ocupacional da UFSCar, 4(1-2), 63-67.	Experience report	Two children (no ages specified) with a medical diagnosis of Autism³ 3 The medical diagnosis is described according to the publication, understanding that there are other current classifications. , without specification of the place of care
Almeida (1995)Almeida, M. I. N. (1995). A importância do ato terapêutico na recepção. Revista CETO, 1, 33-34.	Experience report	A group of children (no number specified), in a public Children’s Psychiatric Day Hospital, in São Paulo, SP.
Montanari (1995)Montanari, A. P. M. (1995). Atendimento à criança especial. Revista CETO, 1, 56.	Experience report	Individual care for “[…] hyperactive children with learning disorders, behavioral disorders and mental disabilities” (Montanari, 1995, pMontanari, A. P. M. (1995). Atendimento à criança especial. Revista CETO, 1, 56.. 56), in a private practice, in Belo Horizonte, MG. It does not specify the number of children and ages.
Matsukura (1997)Matsukura, T. S. (1997). A aplicabilidade da terapia ocupacional no tratamento do autismo infantil. Cadernos de Terapia Ocupacional da UFSCar, 6(1), 25-47.	Case study	An eight-year-old child, medically diagnosed with Autism, attended at the Physiotherapy and Occupational Therapy Service of the Federal University of São Carlos, SP.
Amaro et al. (1998)Amaro, D. G., Ambrosio, M. A. F., Moldan, P., & Sibinel, S. R. (1998). A construção de um caminho na clínica com crianças no processo de terapia ocupacional. Revista CETO, 3, 27-32.	Experience report	A seven-year-old child, born prematurely, attended at a public educational institution in Mauá, SP.
Matsukura (2001)Matsukura, T. S. (2001). Terapia ocupacional em psiquiatria infantil. Revista CETO, 6, 25-27.	Case study	Five-year-old child, medically diagnosed with Autism, without specifying place of care.
Takatori et al. (2001)Takatori, M., Bomtempo, E., & Benetton, M. J. (2001). O brincar e a criança com deficiência física: a construção inicial de uma história em terapia ocupacional. Cadernos Brasileiros de Terapia Ocupacional, 9(2), 91-105.	Case study	A six-year-old child, medically diagnosed with Hoffmann Syndrome, attended at a public rehabilitation unit in São Paulo, SP.
Benetton et al. (2000)Benetton, M. J., Ferrari, S., & Tedesco, S. (2000). Terapia ocupacional: função terapêutica e sua ação educativa. O Mundo da Saúde, 5(3), 1-7.	Theoretical-practical study	11-year-old child without specified medical diagnosis monitored at CETO, in São Paulo, SP.
Takatori et al. (2004)Takatori, M., Oshiro, M., & Otashima, C. (2004). O hospital e a assistência em terapia ocupacional com a população infantil. In M. M. R. P. Carlo & M. C. M. Luzo (Eds.), Terapia ocupacional: reabilitação física e contextos hospitalares (pp. 256-275). São Paulo: Editora Roca.	Theoretical-practical study	Hospitalized children, without specifying age, monitored in different hospital contexts.
Pellegrini (2007)Pellegrini, A. C. (2007). As relações entre o brincar na Terapia Ocupacional Dinâmica e no Modelo Lúdico: subsídios para a clínica na saúde mental infantil. Revista CETO, 10, 40-47.	Theoretical-practical study	Three children of different ages (five, eight, ten-years-old), with children and adolescent mental health problems, without specifying the location of care.
Pellegrini (2008)Pellegrini, A. C. (2008). Brincar é atividade? Revista CETO, 11, 41-46.	Theoretical-practical study	Two six-year-old children, without specifying medical diagnosis or location of interventions.
Takatori & Oshiro (2009)Takatori, M., & Oshiro, M. (2009). Playing to create new ways of playing: a child with Prader-Willi Syndrome. Journal of Developmental and Physical Disabilities, 21(2), 139-152.	Case study	Five-year-old child, medically diagnosed with Prader-Willi Syndrome, monitored in home care, in São Paulo, SP.
Hernandes (2010)Hernandes, R. S. (2010). Um indivíduo com Síndrome de Asperger: estudo de caso a partir de análise das produções de atividades expressivas pelas trilhas associativas (Dissertação de mestrado). Universidade Presbiteriana Mackenzie, São Paulo.	Case study	An 11-year-old child, medically diagnosed with Asperger’s Syndrome, monitored in home care, in Marília, SP.
Takatori (2010a)Takatori, M. (2010a). O uso do brincar na terapia ocupacional: uma compreensão de experiência criativa e facilitação da participação social. Revista CETO, 12, 45-52.	Theoretical-practical study	Children with physical disabilities of different ages (four, six and eight years-old), attended at a clinic linked to a public educational institution, in São Paulo, SP.
Takatori (2010b)Takatori, M. (2010b). Vamos brincar? Do ingresso da criança com deficiência física na terapia ocupacional à facilitação da participação social (Tese de doutorado). Universidade de São Paulo, São Paulo.	Multiple case study	Four children:
		1. Child aged three years and seven months, medically diagnosed with Cerebral Palsy (CP)
		2. Eight-year-old child, medically diagnosed with spastic hemiparesis resulting from a stroke.
		3. Six-year-old child, medically diagnosed with CP.
		4. Seven-year-old child, medically diagnosed with Duchenne Progressive Muscular Dystrophy.
		All attended at a teaching clinic at a public higher education institution.
Martini (2010)Martini, G. (2010). O brincar na clínica da terapia ocupacional com crianças com deficiência física: relato de um caso. Revista CETO, 12, 27-31.	Experience report	Four-year-old child without specified medical diagnosis, using a wheelchair and with motor difficulties, attended at a public institution. No city reference.
Sousa (2010)Sousa, C. P. (2010). Enquanto o futuro não vem… Transtornos mentais precoces e a assistência em terapia ocupacional. Revista CETO, 12, 40-44.	Theoretical-practical study	Child aged two years and four months, without specifying medical diagnosis.
Coelho (2012)Coelho, M. C. (2012). Brincar é coisa séria. Revista CETO, 13, 49-56.	Experience report	Five-year-old child medically diagnosed with CP, receiving home care, in São Paulo, SP.
Santarosa (2012)Santarosa, C. C. (2012). Erros, acertos e consertos em um atendimento infantil. Revista CETO, 13, 41-48.	Experience report	Two-year-old child, medically diagnosed with CP, in a public rehabilitation institution, without specifying city.
Takatori (2012)Takatori, M. (2012). O brincar na terapia ocupacional: um enfoque na criança com lesões neurológicas. São Paulo: Zagodoni.	Multiple case study	Four children:
		1. Child aged three years and seven months, medically diagnosed with CP.
		2. Eight-year-old child, medically diagnosed with spastic hemiparesis resulting from a stroke.
		3. Six-year-old child, medically diagnosed with CP.
		4. Seven-year-old child, medically diagnosed with Duchenne Progressive Muscular Dystrophy.
		All attended at a teaching clinic at a public higher education institution.
Varela & Martins (2015)Varela, R. C. B., & Martins, B. (2015). Atuação da terapia ocupacional na paralisia cerebral. In C. B. M. Monteiro, L. C. Abreu & V. E. Valenti (Eds.), Paralisia cerebral: teoria e prática (pp. 449-461). São Paulo: Plêiade.	Experience report	Eight-year-old child, medically diagnosed with CP, without specifying place of care.
Varela et al. (2019)Varela, R. C. B., Sant’Anna, M. M. M., & Souza, V. L. V. (2019). Comunicação Suplementar e Alternativa: intervenção de terapia ocupacional no contexto clínico. In M. G. Manzini & C. M. S. Martinez (Eds.), Terapia ocupacional e comunicação alternativa em contextos de desenvolvimento humano (pp. 121-143). São Carlos: EdUFSCar.	Experience report	Five-year-old child, medically diagnosed with Rett Syndrome, with complex communication needs, without specifying location of care.
Varela et al. (2020)Varela, R. C. B., Pelosi, M. B., & Rocha, A. N. D. C. (2020). Intervenção da Terapia Ocupacional na Infância utilizando a Comunicação Suplementar e/ou Alternativa. In M. M. M. Sant’Anna & L. I. Pfeifer (Eds.), Terapia ocupacional na infância: procedimentos na prática clínica (pp. 283-297). São Paulo: Mennon.	Experience report	Four-year-old child, medically diagnosed with Precocious Epileptic Encephalopathy, with complex communication needs, cared for at home and in a private office.
Cestari et al. (2022)Cestari, L. M., Abreu, V. H., Constantino, R. A. P., & Marcolino, T. Q. (2022). O que importa para a criança com Transtorno do Espectro do Autismo? Narrativas sobre a construção de sentidos em terapia ocupacional. In Anais do Congresso Aprender Criança 2022. Ribeirão Preto: ABENEPI.	Experience report	Six-year-old child, medically diagnosed with ASD, seen in a private office in Matão, SP.
Mastropietro et al. (2022)Mastropietro, A. P., Cestari, L. M. Q., & Marcolino, T. Q. (2022). Você se ocupa das suas coisas hoje, que eu faço as minhas atividades! O método terapia ocupacional dinâmica com crianças. Revista Interinstitucional Brasileira de Terapia Ocupacional, 6(3), 1231-1236.	Experience report	Seven-year-old child, without specifying a medical diagnosis, also monitored in psychiatry and psychology, seen in a private office, in Ribeirão Preto, SP.
Varela et al. (2022)Varela, R. C. B., Schaik, E. V., Barone, B. M., & Benetton, J. (2022). Sobre a terapia ocupacional e o uso da tecnologia assistiva no transtorno do espectro autista. In D. Souza (Ed.), Terapia ocupacional e sua representatividade no transtorno do espectro autismo: teoria e prática (pp. 247-265). São Paulo: Book Toy.	Experience report	Eight-year-old child, medically diagnosed with ASD, seen in a private office.

Universidade Federal de São Carlos, Departamento de Terapia Ocupacional Rodovia Washington Luis, Km 235, Caixa Postal 676, CEP: , 13565-905, São Carlos, SP - Brasil, Tel.: 55-16-3361-8749 - São Carlos - SP - Brazil
E-mail: cadto@ufscar.br

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[1] Leila Maria Quiles Cestari e-mail: lemariacestari@gmail.com