Development and application of a vocal health and hygiene game in adults
Desenvolvimento e aplicação de um game sobre saúde e higiene vocal em adultos
Ana Paula Roza; Ingrid Gielow; Thays Vaiano; Mara Behlau.
Abstract
Purpose: To develop a game on vocal health and hygiene (VoxPedia) and apply it to adults aiming to investigate knowledge about vocal health and the vocal self-assessment in this population. Methods: The study sample was composed of 293 adults, of which 204 were women and 129 were voice professionals, invited to participate through digital media. Participants completed to the following forms and instruments: 1) Informed Consent Form (ICF); 2) Identification Data form; 3) Voice Handicap Index: 10 (VHI-10) protocol; 4) Vocal Health and Hygiene Questionnaire (VHHQ); 5) VoxPedia quiz. Results: The VoxPedia quiz was developed using simple and dynamic questions that allowed the participants to know their performance in real time. Data collected through this quiz showed that voice professionals reported reduced voice handicap and had higher scores in the VHHQ and VoxPedia. Voice professionals or not, participants who answered wrongly to the nature of impact of health aspects in the VHHQ reported increased voice handicap in the VHI-10; however, despite the self-reported handicap, most of them did not report voice complaints. In contrast, when voice complaints were reported, the participants not always perceived handicap or searched for vocal therapy. Conclusion: The VoxPedia quiz presented some concepts on vocal health and hygiene to the participants. In addition, it enabled the study of the relation between knowledge about vocal care and voice self-assessment. The data suggest that individuals with greater knowledge about vocal health and hygiene show better voice self-assessment, those with worse voice self-assessment do not perceive voice problems, and those who perceive voice problems do not necessarily seek professional assistance.
Keywords
Resumo
Objetivo: Desenvolver um game sobre saúde e higiene vocal (VoxPedia) e aplicá-lo em adultos, para investigar o conhecimento em cuidados vocais e compreender a autoavaliação vocal dos respondentes. Método: Participaram 293 adultos, 204 mulheres e 129 profissionais da voz, convidados através de mídias digitais. Os participantes responderam: 1) Termo de Consentimento Livre e Esclarecido (TCLE); 2) Dados de Identificação; 3) Protocolo do Índice de Desvantagem Vocal (IDV-10); 4) Questionário de Saúde e Higiene Vocal (QSHV); 5) Aplicação do quiz VoxPedia. Resultados: O VoxPedia foi desenvolvido com questões simples e com dinâmica que permitiu aos participantes conhecerem seu desempenho em tempo real. Os dados adquiridos através do quiz mostram que os profissionais da voz relataram menos desvantagem vocal e acertaram mais itens no QSHV e questões do VoxPedia. Profissionais da voz ou não, os participantes que erraram a natureza do impacto dos aspectos de saúde no QSHV referiram maior desvantagem vocal no IDV-10. Contudo, apesar da desvantagem autorreferida, a maioria não relata problemas de voz. Em contrapartida, quando o respondente relatou problemas de voz, nem sempre houve desvantagem percebida ou busca por terapia vocal. Conclusão: O VoxPedia apresentou alguns conceitos de saúde e higiene vocal aos participantes. Além disso, possibilitou o estudo das relações entre conhecimento em cuidados vocais e autoavaliação vocal. Os dados sugerem que os indivíduos com mais conhecimento em cuidados vocais têm melhor autoavaliação de voz; participantes com pior autoavaliação vocal não percebem problemas de voz; e aqueles que percebem problemas vocais não necessariamente procuram cuidados profissionais
Palavras-chave
References
1 Carding PN, Horsley IA, Docherty GJ. A study of the effecteness of voice therapy in the tratment of 45 patients with nonorganic dysphonia. J Voice. 1999;13(1):72-104. http://dx.doi.org/10.1016/S0892-1997(99)80063-0. PMid:10223677. [ Links ]
2 Tariq S, Mumtaz N, Noveen S. Impact of vocal hygiene on self rated vocal health of teachers of pakistan. Int J Rahabil Sci. 2015;4(1):20-4. [ Links ]
3 Anhaia TC, Gurgel LG, Vieira RH, Cassol M. Intervenções vocais diretas e indiretas em professores: revisão sistemática de literatura. Audiol Commun Res. 2013;18(4):361-6. http://dx.doi.org/10.1590/S2317-64312013000400019. [ Links ]
4 Moreti F, Zambon F, Behlau M. Voice care knowledge by dysphonic and healthy individuals of different generations. CoDAS. 2016;28(4):463-9. http://dx.doi.org/10.1590/2317-1782/20162015162. PMid:27652928. [ Links ]
5 Ferreira LP, Santos JG, Lima MFB. Vocal sympton and its probable cause: data colleting in a population. Rev CEFAC. 2009;11(1):110-8. http://dx.doi.org/10.1590/S1516-18462009000100015. [ Links ]
6 Siqueira LD, Andrade CAS, Rissoni TCA, Azevedo R, Maeda ST. Vocal health and its impact in the quality of life of college students. Rev CEFAC. 2015;17(6):1957-64. http://dx.doi.org/10.1590/1982-021620151762615. [ Links ]
7 Fletcher HM, Drinnan MJ, Carding PN. Voice care knowledge among clinicians and people with healthy voices or dysphonia. J Voice. 2007;21(1):80-91. http://dx.doi.org/10.1016/j.jvoice.2005.09.002. PMid:16427768. [ Links ]
8 Lobo BPL, Madazio GMV, Badaró FAR, Behlau MS. Vocal risk in preachers: talkativeness, vocal loudness, and knowledge about vocal health and hygiene. CoDAS. 2018;30(2):e20170089. PMid:29723332. [ Links ]
9 Luyten A, Bruneel L, Meerschman I, D’haeseleer E, Behlau M, Coffé C, et al. Prevalence of vocal tract discomfort in the Flemish population without self-perceived voice disorders. J Voice. 2016;30(3):308-14. http://dx.doi.org/10.1016/j.jvoice.2015.04.017. PMid:26025618. [ Links ]
10 Choi-Cardim K, Behlau M, Zambon F. Vocal symptoms and profile of teachers in vocal health program. Rev CEFAC. 2010;12(5):811-9. http://dx.doi.org/10.1590/S1516-18462010005000075. [ Links ]
11 Cielo CA, Ribeiro VV, Hoffman CF. Vocal symptoms of future professional voice users. Rev CEFAC. 2015;17(1):34-43. http://dx.doi.org/10.1590/1982-0216201517013. [ Links ]
12 Penteado RZ, Silva NB, Calçada MLM, Montebello MIL. Vocal discomfort, signs and symptoms in soccer coaches and physical trainers. Distúrb Comun. 2015;24(4):778-88. [ Links ]
13 Amaral AC, Zambon F, Moreti F, Behlau M. Vocal tract disconfort in teachers after teaching activity. CoDAS. 2017;29(2):1-7. PMid:28355385. [ Links ]
14 Zambon F, Moreti F, Behlau M. Coping strategies in techers with vocal complaint. J Voice. 2014;28(3):341-8. http://dx.doi.org/10.1016/j.jvoice.2013.11.008. PMid:24495425. [ Links ]
15 Ribas TM, Penteado RZ, Garcia-Zapata MTA. Quality of life related with the voice of teachers: exploratory systematic review of literature. Rev CEFAC. 2014;16(1):294-306. http://dx.doi.org/10.1590/1982-021620144812. [ Links ]
16 Miller AS, Cafazzo JA, Seto E. A game plam: gamification desing principles in mHealth applications for chronic disease management. Health Informatics J. 2016;22(2):184-93. http://dx.doi.org/10.1177/1460458214537511. PMid:24986104. [ Links ]
17 Theng YL, Lee JWY, Patinadan PV, Foo S. The use of video games, gamificaion and virtual enviroments in the self-manegement of diabetes: a systematic review of evidence. Games Health J. 2015;4(5):352-61. http://dx.doi.org/10.1089/g4h.2014.0114. PMid:26287926. [ Links ]
18 King D, Greaves F, Exeter C, Darzi A. ‘Gamification’: influencing health behaviors with games. J R Soc Med. 2013;106(3):76-8. http://dx.doi.org/10.1177/0141076813480996. PMid:23481424. [ Links ]
19 Costa ACS, Marchiori AZ. Gamificação, elementos de jogos e estratégia: uma matriz de referência. R. Ci. Inf. e Doc. 2016;6(2):44-65. http://dx.doi.org/10.11606/issn.2178-2075.v6i2p44-65. [ Links ]
20 Carlos DAO, Magalhães TO, Vasconcelos Filho JE, Silva RM, Brasil CCP. Concepção e avaliação de tecnologia mHealth para promoção da saúde vocal. RISTI (Porto). 2016;19:46-60. [ Links ]
21 Lavaissiéri P, Melo PED. Protótipo de aplicativo para terapia vocal: análise por pares. CoDAS. 2017;29(1):e20150300. http://dx.doi.org/10.1590/2317-1782/20172015300. PMid:28300955. [ Links ]
22 Toki E, Plachouras K, Tatsis G, Chronopoulos SK, Tafiadis D, Ziavra N, et al. The design of a mobile system for Voice e-assessment and vocal hygiene e-training. In: Auer M, Tsiatsos T, editors. Interactive mobile communication technologies and learning. Advances in intelligent systems and computing. Cham: Springer; 2017. vol. 725, p. 167-74. https://doi.org/10.1007/978-3-319-75175-7_18. [ Links ]
23 Lv Z, Esteve C, Chrivella J, Gagliardo P. Clinical feedback and technology selection of game based dysphonic rehabilitation tool. In: Proceeding of the 9th International Conference on Pervasive Computing Technologies for Healthcare; Istanbul. USA: IEEE; 2015. p. 253-6. http://dx.doi.org/10.4108/icst.pervasivehealth.2015.259135. [ Links ]
24 VoxPedia. Aprenderama: aprender é divertido [Internet]. São Paulo: Centro de Estudos da Voz; 2018 [citado em 2018 Maio 5]. Disponível em: http://www.aprenderama.com.br/index.php/voxpedia/ [ Links ]
25 Costa T, Oliveira G, Behlau M. Validation of the Voice Handicap Index: 10 (VHI-10) to the Brasilian Português. CoDAS. 2013;25(5):482-5. http://dx.doi.org/10.1590/S2317-17822013000500013. PMid:24408554. [ Links ]
26 Behlau M, Zambon F, Moreti F, Oliveira G, Couto EB Jr. Voice self-assessment protocols: different trends among organic and behavioral dysphonic. J Voice. 2017;31(1):112.e13-27. http://dx.doi.org/10.1016/j.jvoice.2016.03.014. PMid:27210475. [ Links ]
27 Behlau M, Pontes P, Moreti F. Higiene vocal: cuidando da voz. 5. ed. Rio de Janeiro: Revinter; 2017. p. 23-87. [ Links ]
28 Penteado RZ, Pereira IMTB. Qualidade de vida e saúde vocal de professores. Rev Saude Publica. 2007;41(2):236-43. http://dx.doi.org/10.1590/S0034-89102007000200010. PMid:17384799. [ Links ]
Submitted date:
08/03/2018
Accepted date:
12/12/2018
Facebook
Google+
Twitter
LinkedIn
Mendeley
StumbleUpon
CiteULike
Reddit
Email