title: Friere's dialogic concept enables family health program teams to incorporate health promotion.
abstract: ABSTRACT Objective: The study analyzes the possibility of incorporating health promotion measures into the work processes of Family Health Program teams at a primary health care clinic in Brazil.
  
  
  METHODS
  We used the participatory research concept developed in 1968 by Freire. The study sample comprised the end-users of the health care system, together with 3 multidisciplinary teams. A total of 77 health care users and 55 health professionals participated in the study.
  
  
  METHODS
  Culture circles composed of health care professionals, and users from different areas investigated generative topics, encoded/decoded topics, and engaged in critical probing for clarification. Topics affecting quality of life and health were heuristically evaluated.
  
  
  RESULTS
  Although most topics were related to changing the focus of health care facilities, some were related to subsidizing community-based interventions, improving environmental strategies, individual skills, and public policies. Incorporating the novel health promotion measures and creating an expanded full-treatment clinic are important steps toward that goal.
  
  
  CONCLUSIONS
  Topics that can stimulate dialogue among the members of the culture circles include creating an environment of closer cultural contact, with repercussions for work processes, family health models, and general health models, as well as the inclusion of social aspects in the decision-making processes related to health issues that affect the living conditions of the population.
authors: Department of Nursing, Federal University of Santa Catarina-NFR-UFSC, Florianópolis, Santa Catarina, Brazil. heideman@uol.com.br
authors: Ivonete T S B
authors: IT
authors: Heidemann
authors: Maria C P
authors: MC
authors: Almeida
mesh_terms: D001938:Brazil; D003142:Communication; D055812:Community-Based Participatory Research / Q000379:methods* / Q000458:organization & administration; D005190:Family; D005192:Family Health; D006293:Health Promotion / Q000379:methods* / Q000458:organization & administration; D054624:Health Status Disparities; D006801:Humans; D011320:Primary Health Care / Q000379:methods; D016730:Program Development; D015397:Program Evaluation; D011634:Public Health; D011788:Quality of Life; D040241:Social Marketing