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Alves GS, Botura C, Bernardi ACS, Ribas LP. Phonological Assessment Instrument: evidence of reliability. Codas 2023; 36:e20220303. [PMID: 37970894 PMCID: PMC10715575 DOI: 10.1590/2317-1782/20232022303en] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/16/2022] [Accepted: 06/21/2023] [Indexed: 07/26/2024] Open
Abstract
PURPOSE To present evidence of intra- and inter-rater reliability and internal consistency of the Phonological Assessment Instrument scores, so that it can be considered reliable and valid for use in clinical practice. METHODS 179 audio recordings of the instrument's speech samples were analyzed. The collection was carried out from its application in the period of 5 months in children aged from five to eight years and 11 months. Three expert judges transcribed the speech production of each child into the software, which generated performance reports. The speech data of each child were compared between these evaluators, who were trained and experienced in phonetic transcription, to verify the agreement of the instrument scores. For the reliability analysis, the internal consistency was verified using Cronbach's Alpha and the intra and inter-rater reliability using the Intraclass Correlation Coefficient. RESULTS The Phonological Assessment Instrument showed evidence of high internal consistency, with scores indicating excellent reliability for the assessment of Brazilian Portuguese phonemes, as well as adequate agreement among the judges regarding the instrument scores. CONCLUSION The instrument presented robust evidence of reliability, being a reliable and safe option to be used in Brazilian research and clinical practice to evaluate the phonological system of Brazilian children.
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Affiliation(s)
- Giovana Sopezack Alves
- Curso de Fonoaudiologia, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.
| | - Camila Botura
- Curso de Fonoaudiologia, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.
| | - Ana Carolina Sartori Bernardi
- Curso de Fonoaudiologia, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.
| | - Letícia Pacheco Ribas
- Departamento de Fonoaudiologia, Universidade Federal de Ciências da Saúde de Porto Alegre - UFCSPA - Porto Alegre (RS), Brasil.
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Rios NVDF, Fernandes LDC, de Andrade CLO, Santiago AC, Alves CDAD. Phonological productive processes in full-term schoolchildren and small for gestational age: a case-control study. Codas 2021; 34:e20200340. [PMID: 34932658 PMCID: PMC9851191 DOI: 10.1590/2317-1782/20212020340] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/20/2020] [Accepted: 04/07/2021] [Indexed: 02/03/2023] Open
Abstract
PURPOSE To characterize the use of phonological productive processes in a group of full-term children and small for gestational age and compare it with children appropriate for gestational age. METHODS Observational, analytical, case-control and non-paired study, nested in a cohort with the outcome of phonological disorder. We assessed 36 children according to the predetermined sample calculation, 24 (66.7%) without phonological disorders and 12 (33.3%) with phonological disorders. Of these, 24 (66.7%) children were classified as small for gestational age (SGA) and 12 (33%) as appropriate for gestational age (AGA). Phonological aspects of oral language were assessed by the ABFW children's language test (2004). The results were subjected to descriptive analysis and, in order to assess the existence of an association among categorical variables, we used Fisher's exact test for association. RESULTS The SGA group revealed a significantly higher number of phonological processes that change the syllable structure when compared to the AGA group. We noted that the phonological processes present and unexpected for age in the SGA population were: fricative plosivation, liquid simplification, palatal posteriorization and frontalization, plosive and fricative deafening, in addition to simplifying the consonant cluster and simplifying the final consonant, which were the most frequent in both groups. CONCLUSION Although no association was found between phonological disorders and SGA children, we have noted a greater use of productive phonological processes in this group.
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Affiliation(s)
- Noemi Vieira de Freitas Rios
- Curso de Fonoaudiologia, Departamento Ciências da Vida, Universidade Estadual da Bahia – UNEB - Salvador (BA), Brasil.,Programa de Pós-graduação Processos Interativos dos Órgãos e Sistemas, Universidade Federal da Bahia – UFBA - Salvador (BA), Brasil.
| | | | | | - Ana Cecília Santiago
- Departamento de Pediatria, Universidade Federal da Bahia – UFBA - Salvador (BA), Brasil.
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Ceron MI, Gubiani MB, Oliveira CRD, Keske-Soares M. Phonological Assessment Instrument (INFONO): A pilot study. Codas 2020; 32:e20190105. [PMID: 32756856 DOI: 10.1590/2317-1782/20202019105] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/08/2019] [Accepted: 09/10/2019] [Indexed: 11/22/2022] Open
Abstract
PURPOSE To analyze the recognizability and effectiveness of items in the Phonological Assessment Tool (Instrumento de Avaliação Fonológica - INFONO) at eliciting target words, as well as to evaluate the internal consistency of the instrument and compare performance between genders, school types and typical vs. atypical phonological development. METHOD Participants were 48 children (n=26 with typical phonological development and n=22 with atypical development) categorized by age (6 age groups ranging from 3 years and 8 years 11 months), type of school (public vs. private) and gender (male vs. female). Data were collected by the spontaneous naming task of the INFONO. Recognition rates, scores, recognition difficulties and internal consistency were examined in 116 items. Performance in a final set of 84 items was also compared between genders, school types and typical/atypical phonological development. RESULTS Most target words achieved high recognition rates were considered suitable for use in the INFONO. Some images had to be redesigned to facilitate the spontaneous production of target words, while other items were excluded from the instrument altogether. The instrument demonstrated excellent internal consistency. There were no statistically significant differences between genders and school types, though differences were observed between typically and atypically developing children. CONCLUSION The images in the INFONO were successfully recognized by participants and were effective at eliciting the target words. The final set of items contained the minimum number of target words which would allow for an assessment of all phonemes in Brazilian Portuguese in different word and syllable positions, and these items presented excellent internal consistency.
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Affiliation(s)
| | | | | | - Márcia Keske-Soares
- Departamento de Fonoaudiologia, Universidade Federal de Santa Maria - UFSM, Santa Maria, RS, Brasil
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Ilha Ceron M, Barichello Gubiani M, Rosa de Oliveira C, Keske-Soares M. Normative Features of Phoneme Acquisition in Brazilian Portuguese. Folia Phoniatr Logop 2019; 72:228-241. [PMID: 31185467 DOI: 10.1159/000499690] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/04/2018] [Accepted: 03/18/2019] [Indexed: 11/19/2022] Open
Abstract
PURPOSE To analyze the influence of gender, age, and types of school (public or private) on phoneme production, and provide normative data on phonological acquisition in Brazilian Portuguese (BP). PATIENTS AND METHODS The sample consisted of 733 children (ages 3 years to 8 years and 11 months), all monolingual speakers of BP with typical phonological development. Participants were evaluated using the spontaneous naming task from the Phonological Assessment Tool (Instrumento de Avaliação Fonológica - INFONO). The children's speech production was audio-recorded, transcribed, and submitted to phonological analysis. RESULTS The effect of age was significant for all phonemes and syllable structures, especially when analyzed in combination with types of school and gender. Overall, phoneme production accuracy increased with age and varied depending on the types of school attended by the children, but did not differ between genders. CONCLUSION Age had a greater impact on phoneme production. The normative data on phonological acquisition highlighted the differences between the ages of mastery for different phonemes, with elements such as the /r/ sound and complex onsets being acquired much later in development than some of the other phonemes analyzed.
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Ceron MI, Gubiani MB, Oliveira CRD, Gubiani MB, Keske-Soares M. Prevalence of phonological disorders and phonological processes in typical and atypical phonological development. Codas 2017; 29:e20150306. [PMID: 28492716 DOI: 10.1590/2317-1782/20172015306] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/02/2016] [Accepted: 08/30/2016] [Indexed: 11/21/2022] Open
Abstract
PURPOSE To determine the occurrence of phonological disorders by age, gender and school type, and analyze the phonological processes observed in typical and atypical phonological development across different age groups. METHODS The sample consisted of 866 children aged between 3:0 and 8:11 years, recruited from public and private schools in the city of Santa Maria/RS. A phonological evaluation was performed to analyze the operative phonological processes. RESULTS 15.26% (n = 132) of the sample presented atypical phonological acquisition (phonological disorders). Phonological impairments were more frequent in public school students across all age groups. Phonological alterations were most frequent between ages 4 -to 6, and more prevalent in males than females in all but the youngest age group. The most common phonological processes in typical phonological acquisition were: cluster reduction; nonlateral liquid deletion in coda; nonlateral liquid substitution in onset; semivocalization of lateral liquids in coda; and unstressed syllable deletion. In children with phonological disorders, the most common phonological processes were: lateral and nonlateral liquid substitution in onset position; nonlateral liquid deletion; fronting of fricatives in onset position; unstressed syllable deletion; semivocalization of nonlateral liquid in coda; and nonlateral liquid deletion in coda position. CONCLUSION Phonological processes were highly prevalent in the present sample, and occurred more often in boys than in girls. Information regarding the type and frequency of phonological processes in both typical phonological acquisition and phonological disorders may contribute to early diagnosis and increase the efficiency of treatment planning.
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Ceron MI, Gubiani MB, de Oliveira CR, Keske-Soares M. Factors Influencing Consonant Acquisition in Brazilian Portuguese-Speaking Children. JOURNAL OF SPEECH, LANGUAGE, AND HEARING RESEARCH : JSLHR 2017; 60:759-771. [PMID: 28306754 DOI: 10.1044/2016_jslhr-s-15-0208] [Citation(s) in RCA: 14] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 06/08/2015] [Accepted: 06/23/2016] [Indexed: 06/06/2023]
Abstract
PURPOSE We sought to provide valid and reliable data on the acquisition of consonant sounds in speakers of Brazilian Portuguese. METHOD The sample comprised 733 typically developing monolingual speakers of Brazilian Portuguese (ages 3;0-8;11 [years;months]). The presence of surface speech error patterns, the revised percentage consonants correct, and the age of sound acquisition were evaluated using phonological assessment software. The normative values for these variables were reported using means and standard deviations. RESULTS Age had a significant impact on phoneme production. Increasing age was generally associated with an increase in correct phoneme production, a reduction in error patterns, and an increase in scores on revised percentage consonants correct. Phonological error patterns persisted for a longer time in consonants and consonant clusters acquired later in development. The 2 youngest age groups differed from the remainder of the sample on the frequency of the following phonological patterns: cluster reduction, liquid gliding, fricative deletion-coda, and weak-syllable deletion. Performance was similar between groups starting at 5;0 years old. CONCLUSION This study confirmed that nasal and stop consonants are acquired first, followed by fricatives and, finally, liquids. We suggest that future studies replicate our investigation in larger samples and younger age groups.
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Prathanee B, Seepuaham C, Pumnum T. Original article. Articulation disorders and patterns in children with a cleft. ASIAN BIOMED 2017. [DOI: 10.5372/1905-7415.0806.347] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
Abstract
Background: Compensatory articulation disorders (CAD) are the most common speech defects in patients with a cleft. Early prevention programs are needed to avoid CAD.
Objectives: To examine articulation disorders, patterns, and related speech outcomes in children with a cleft palate with or without lip defects.
Methods: Articulation test record forms and clinical records of 42 children were accessed retrospectively to provide the data of speech outcomes related to cleft palate. Double data entries and incorrect completion type errors were corrected.
Results: Prevalence of articulatory defects was 88% (functional articulation disorders, 12%; compensatory articulation disorders, 10%; functional articulation disorders and CAD, 67%), resonance disorder was 50%, and voice abnormalities was 19%. Abnormal backing of oral consonants, particularly glottal substitution was the most common pattern of CAD (40%), follow by velar substitution (36%), and nasal consonant for oral pressure consonant (21%). There was high incidence of functional articulation disorder in patients with a cleft (76%). Younger children (≤7 years old) had more articulation defects than older children (>7 years old) (mean difference = 3.308, P = 0.002, 95% confident interval 1.683-6.971). Levene’s test for equal variance found that resonance disorder seems unaffected by the number of articulation errors (mean difference = 0.253, P = 0.897, 95% confident interval -3.736-4.241).
Conclusion: CAD, particularly abnormal backing of oral consonants and hypernasality were the most common speech defects in children with cleft. Refinement and revision of timing for referring for early speech intervention should be reconsidered.
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Affiliation(s)
- Benjamas Prathanee
- Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Cholada Seepuaham
- Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
| | - Tawitree Pumnum
- Department of Otolaryngology, Faculty of Medicine, Khon Kaen University, Khon Kaen 40002, Thailand
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Suzart DD, Carvalho ARRD. Alterações de fala relacionadas às alterações do frênulo lingual em escolares. REVISTA CEFAC 2016. [DOI: 10.1590/1982-0216201618621715] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
RESUMO Objetivo: caracterizar e comparar as alterações de fala relacionadas às alterações do frênulo lingual em escolares, dos 8;6 anos aos 10;11 anos entre grupo controle e pesquisa. Métodos: avaliou-se 52 crianças em idade escolar (8;6 anos a 10;11 anos), de ambos os gêneros, regularmente matriculadas em Instituto privado, divididas em: grupo controle (sem alteração do frênulo lingual) e grupo pesquisa (com alteração do frênulo lingual). As crianças foram avaliadas por meio do Protocolo de Avaliação em Motricidade Orofacial utilizado em uma Clínica Escola e por meio das figuras utilizadas no Protocolo de Avaliação em Motricidade Orofacial, MBGR. Os testes utilizados para a análise estatística foram "Teste de Fisher", "Qui Quadrado" e "Anova", adotando-se como nível de significância 5% (p<0,05). Resultados: das 52 crianças avaliadas, 26 (50%) apresentaram alteração do frênulo lingual. Destas, 21 (80,8%) apresentaram tônus de língua diminuído, 20 (76,9%) apresentaram língua baixa na cavidade oral e 16 (61,5%) apresentaram problemas de articulação. Quanto aos demais itens avaliados, não foram observadas diferenças estatisticamente significantes entre os grupos. Conclusão: o frênulo curto prevaleceu sobre as demais classificações da alteração do frênulo de língua. O grupo pesquisa apresentou alterações estatisticamente significantes quando comparado ao controle, nos seguintes itens: tônus lingual, postura de língua baixa na cavidade oral e articulação. Nos demais itens, apesar de não haver diferença estatisticamente significante entre os grupos, houve uma tendência de alteração maior no grupo pesquisa. Não foi possível determinar se as alterações de fala fonética são iguais para as diferentes alterações do frênulo lingual.
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[Speech and language disorders in children from public schools in Belo Horizonte]. REVISTA PAULISTA DE PEDIATRIA 2015; 33:453-9. [PMID: 26300524 PMCID: PMC4685566 DOI: 10.1016/j.rpped.2015.02.004] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Subscribe] [Scholar Register] [Received: 08/17/2014] [Revised: 02/03/2015] [Accepted: 02/08/2015] [Indexed: 11/30/2022]
Abstract
Objective: To investigate the prevalence of oral language, orofacial motor skill and auditory
processing disorders in children aged 4-10 years and verify their association with
age and gender. Methods: Cross-sectional study with stratified, random sample consisting of 539 students.
The evaluation consisted of three protocols: orofacial motor skill protocol,
adapted from the Myofunctional Evaluation Guidelines; the Child Language Test ABFW
- Phonology; and a simplified auditory processing evaluation. Descriptive and
associative statistical analyses were performed using Epi Info software, release
6.04. Chi-square test was applied to compare proportion of events and analysis of
variance was used to compare mean values. Significance was set at
p≤0.05. Results: Of the studied subjects, 50.1% had at least one of the assessed disorders; of
those, 33.6% had oral language disorder, 17.1% had orofacial motor skill
impairment, and 27.3% had auditory processing disorder. There were significant
associations between auditory processing skills’ impairment, oral language
impairment and age, suggesting a decrease in the number of disorders with
increasing age. Similarly, the variable "one or more speech, language and hearing
disorders" was also associated with age. Conclusions: The prevalence of speech, language and hearing disorders in children was high,
indicating the need for research and public health efforts to cope with this
problem.
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Lopes NDC, Vieira GASS, Pena SRB, Lemos SMA. Agentes comunitários de saúde: mapeamento de conhecimento antes e após oficinas de instrumentalização. REVISTA CEFAC 2015. [DOI: 10.1590/1982-0216201517913] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
OBJETIVOS: mapear o conhecimento de agentes comunitários de saúde antes e após participação em oficinas de instrumentalização sobre aspectos fonoaudiológicos e verificar as mudanças de percepção segundo o tempo de trabalho na Estratégia de Saúde da Família. MÉTODOS: o estudo foi realizado em um município a 170 km da capital de Minas Geraise com 74.409 habitantes. A rede de Atenção Primária a Saúde do município é composta por 10 unidades de Estratégia de Saúde da Família que alocam 60 agentes de saúde. Os dados foram coletados em todas as unidades e consistiu em três etapas: a) aplicação de questionário auto-aplicável acerca de aspectos fonoaudiológicos; b) processo de instrumentalização; c) reaplicação do questionário. RESULTADOS: participaram do estudo 51 agentes de saúde. Após a instrumentalização, tornou-se maior o número de agentes de saúde que deram relevância a fatores que sugerem a ocorrência de distúrbio da comunicação nas diferentes faixas etárias e que passaram a conhecer as quatro áreas que englobam a atuação fonoaudiológica. Não houve relação estatística entre o desempenho dos agentes nas respostas e a unidade de trabalho. Quanto ao tempo de trabalho Estratégia de Saúde da Família, na pré-instrumentalização, o melhor desempenho nas respostas foi dos agentes que trabalham há menos de um ano na atenção primária. CONCLUSÃO: ainstrumentalização favoreceu as respostas dos agentes comunitários de saúde. Houve relação entre o processo de instrumentalização e o tempo de atuação no Programa de Saúde da Família.
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Ceron MI, Bonini JB, Keske-Soares M. Progresso terapêutico de sujeitos submetidos a terapia fonológica pelo modelo de oposições múltiplas: comparação do progresso terapêutico. REVISTA CEFAC 2015. [DOI: 10.1590/1982-0216201514414] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Este trabalho tem como objetivo analisar e comparar o progresso terapêutico apresentado por crianças submetidas ao Modelo de Oposições Múltiplas estimuladas na terapia com os mesmos sons-alvo. Participaram deste relato de caso duas crianças com desvio fonológico, sendo um menino (S1) e uma menina (S2), com idades de 4:2 e 4:11, respectivamente. Os dados da fala foram coletados por meio da avaliação fonológica. Para o tratamento, foi utilizado o Modelo de Oposições Múltiplas durante 25 sessões com os mesmos sons-alvo, todos pertencentes a classe das fricativas. As substituições e omissões no inventário fonológico de cada criança foram analisadas, assim como a ocorrência de processos fonológicos pré e pós-terapia. Observou-se que o sujeito que apresentava mais substituições (S1) foi o que apresentou maiores aquisições de fonemas no inventário fonológico. O S1 foi o que apresentou maior ocorrência de processos em sua fala, tanto pré quanto pós-terapia, o que dificultava a inteligibilidade de fala para o ouvinte. Os processos que envolveram a classe das líquidas foram os que apresentaram um maior percentual de ocorrência, mesmo após a terapia. O Modelo de Oposições Múltiplas possibilitou um adequado progresso no tratamento dessas crianças com desvio fonológico, proporcionando uma expansão no inventário fonológico e uma diminuição de ocorrência de processos fonológicos apesar de haver diferenças quanto a evolução apresentada por cada uma.
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Campos FR, Rabelo ATV, Friche CP, Silva BSVD, Friche AADL, Alves CRL, Goulart LMHDF. Alterações da linguagem oral no nível fonológico/fonético em crianças de 4 a 6 anos residentes em belo horizonte. REVISTA CEFAC 2014. [DOI: 10.1590/1982-021620141713] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/22/2022] Open
Abstract
Objetivo estudar a prevalência de alterações da linguagem oral em crianças de quatro a seis anos e verificar sua associação com as variáveis idade, sexo, presença de alterações de motricidade orofacial e presença de alterações de processamento auditivo. Métodos realizou-se avaliação da linguagem oral (teste de avaliação de linguagem ABFW – Fonologia), avaliação de motricidade orofacial e avaliação simplificada do processamento auditivo. Os dados foram armazenados em formato eletrônico para análise estatística. Para comparação de proporções foi empregado o Teste Qui-Quadrado e para comparação de médias foi empregada a análise de variância. Foi considerado valor de 5% (p< 0,05) como limiar de significância estatística. Resultados foram avaliadas 242 crianças de 4 anos a 6 anos e 11 meses de idade. Observou-se prevalência de 36,0% (n=87) de alterações de linguagem oral, e associação com faixa etária com significância estatística (p=0,009). Verificou-se associação entre desvio fonológico e faixa etária (p<0,001); entre a presença de desvio fonético e alterações de motricidade orofacial (p<0,001) e presença de desvio fonológico e alterações do processamento auditivo (p<0,001). Conclusão a alta prevalência de alterações verificada aponta para a necessidade de elaboração de ações em atenção primária à saúde, de maneira a prevenir o aparecimento destas alterações, melhorar o acesso à intervenção e possibilitar a prevenção de problemas escolares mais graves. A maior ocorrência de alterações da linguagem oral na faixa etária de quatro a cinco anos sugere que esta seja uma boa fase para identificação e prevenção destes desvios.
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Bragança LLC, Alves CRL, Lemos SMA. Estudo do perfil comunicativo de crianças de 4 a 6 anos na educação infantil. REVISTA CEFAC 2014. [DOI: 10.1590/1982-021620140613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/21/2022] Open
Abstract
Objetivo caracterizar o desenvolvimento de fala e linguagem de crianças entre 4 e 6 anos de duas creches públicas e discutir interrelações com recursos ambientais. Métodos foram consideradas 60 crianças de ambos os sexos. A linguagem foi avaliada utilizando um Roteiro de observação do comportamento de crianças de 0 a 6 anos, com a classificação de Índices de Desempenho. A avaliação da fala foi realizada com um Álbum fonêmico e categorizada como Adequada ou Inadequada. Caracterizou-se o ambiente familiar por meio de um Inventário de Recursos do Ambiente Familiar (RAF) e para observação do ambiente da instituição foi utilizada a escala Infant and Toddlers Environment Rating Scale-Revised. Os resultados consideraram como variáveis dependentes os Índices de Desempenho do Perfil comunicativo e os dados de avaliação de fala; e as variáveis independentes, Idade, Sexo, Creche e Índice Global do RAF. Foi adotado nível de significância p<0,05. Resultados a qualidade do ambiente das creches foi considerada satisfatória e o desempenho no perfil comunicativo foi alto em ambas. Houve associação com significância estatística entre perfil comunicativo, o sexo e a idade, sendo que as meninas e as crianças de 5 anos obtiveram maiores médias. Observou-se associação significante entre o Índice geral do perfil comunicativo e o Índice Global do RAF. Conclusão na amostra estudada verificou-se associação entre ambiente familiar e desenvolvimento de fala. Houve grande ocorrência de inadequações de fala nas duas creches. São necessários outros estudos que investiguem fatores de risco para o desenvolvimento de linguagem e fala e possam contribuir com ações promotoras da saúde infantil.
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Lúcio GDS, Perilo TVDC, Vicente LCC, Friche AADL. The impact of speech disorders quality of life: a questionnaire proposal. Codas 2013; 25:610-3. [DOI: 10.1590/s2317-17822013.05000011] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/04/2012] [Accepted: 10/28/2013] [Indexed: 11/21/2022] Open
Abstract
PURPOSE: To develop a questionnaire to analyze the impact of speech disorders on quality of life and verify its reliability. METHODS: A literature review on instruments that assess the quality-of-life was performed, particularly those concerning communication disorders. The questionnaire was designed with 18 closed questions: one related to speech impairments, another about quality-of-life, and 16 questions covering the physical, emotional, and social domains. The questionnaire was applied to a population of 24 individuals of both sexes, aged between 12 and 50 years; 12 patients (case group) had phonetic speech disorders, and 12 (control group) had no impairment in oral communication. They were paired according to age and sex. To analyze the reliability of the instrument, the internal consistency of the items was assessed through Cronbach's Alpha coefficient. RESULTS: The internal consistency of the 16 questions concerning the domains was á=0.93; for the physical domain, á=0.71; for the emotional domain, á=0.77; and for the social domain, á=0.85. CONCLUSION: The questionnaire showed good reliability in identifying the impact of speech disorders on the individuals' quality of life.
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