Sintomas vocais na população pediátrica: Validação da versão brasileira do Questionário de Sintomas Vocais Pediátrico
Vocal symptoms in pediatric population: Validation of the Brazilian version of the Pediatric Vocal Symptoms Questionnaire
Lívia Lima Ribeiro, Ingrid Verduyckt, Mara Behlau
Resumo
Objetivo: Validar o Questionário de Sintomas Vocais Pediátrico (QSV-P) para o português brasileiro.
Método: Aprovado pelo Comitê de Ética (758.309). Participaram desta pesquisa 716 indivíduos, dos quais 367 eram crianças e adolescentes, com e sem alteração vocal, entre 6 e 18 anos, e 349 eram pais/responsáveis, que responderam à versão final do instrumento. Entre os respondentes dessa versão, 272 participaram do teste-reteste, e 32, da sensibilidade. As crianças e os adolescentes entre 6 e 18 anos responderam à versão de autoavaliação do QSV-P, e seus pais/responsáveis, à versão parental do QSV-P.
Resultados: O QSV-P apresentou confiabilidade e reprodutibilidade aceitáveis para a população brasileira e sensibilidade ao tratamento vocal.
Conclusão: O QSV-P foi validado para o português brasileiro, sendo um bom instrumento de autoavaliação vocal, tanto na versão parental quanto na versão autoavaliativa.
Palavras-chave
Abstract
Purpose: To validate the Pediatric Vocal Symptoms Questionnaire (PVSQ) for Brazilian Portuguese.
Methods: The study was approved by the Ethics Committee (758,309). A total of 716 individuals participated in this research, of which 367 were children and adolescents, with and without vocal alteration, aged 6-18 years, and 349 were parents/guardians, who responded to the final version of the instrument. Among the interviewed of this version, 272 participated in the test-retest, and 32, of the sensitivity. Children and adolescents aged 6-18 years responded to the self-evaluation version of the PVSQ, and their parents/guardians to its parental version.
Results: The PVSQ showed acceptable reliability and reproducibility for the Brazilian population and sensitivity to vocal treatment.
Conclusion: The PVSQ was validated for Brazilian Portuguese, being a good instrument of vocal self-evaluation, both in the parental version and in the self-evaluation version.
Keywords
Referências
Carding PN, Roulstone S, Northstone K. The prevalence of childhood Dysphonia: A cross-sectional study. J Voice. 2006;20(4):623-30. http:// dx.doi.org/10.1016/j.jvoice.2005.07.004. PMid:16360302.
Martins RH, Ribeiro CB, Fernandes de Mello BM, Branco A, Tavares EL. Dysphonia in children. J Voice. 2012;26(5): 674e.17-e20.
Kollbrunner J, Seifert E. Functional hoarseness in children: short-term play therapy with family dynamic counseling as therapy of choice. J Voice. 2013;27(5):579-88. http://dx.doi.org/10.1016/j.jvoice.2013.01.010. PMid:23683805.
De Bodt MS, Ketelslagers K, Peeters T, Wuyts FL, Mertens F, Pattyn J, et al. Evolution of vocal fold nodules from childhood to adolescence. J Voice. 2007;21(2):151-6. http://dx.doi.org/10.1016/j.jvoice.2005.11.006. PMid:16504470.
Behlau M, Madazio G, Feijó D, Pontes P. Avaliação de voz. In: Behlau M, organization. Voz: o livro do especialista. Rio de Janeiro: Revinter; 2004. vol. 1. p. 85-245.
Verduyckt I, Morsomme D, Ramacle M. Validation and standardization of the Pediatric Voice Symptom Questionnaire: A double-form questionnaire for dysphonic children and their parents. J Voice. 2012;26(4):129-39. http:// dx.doi.org/10.1016/j.jvoice.2011.08.001.
Verduyckt I, Remacle M, Jamart J, Benderitter C, Morsomme D. Voicerelated complaints in the pediatric population. J Voice. 2011;25(3):373-80. http://dx.doi.org/10.1016/j.jvoice.2009.11.008. PMid:20359863.
Connor NP, Cohen SB, Theis SM, Thibeault SL, Heatley DG, Bless DM. Attitudes of children with dysphonia. J Voice. 2008;22(2):197-209. http:// dx.doi.org/10.1016/j.jvoice.2006.09.005. PMid:17512168.
Krohling LL, Behlau M, Verduyckt I. Equivalência cultural da versão brasileira do Questionnaire des Symptômes Vocaux. CoDAS. 2016;28(4):454- 8. http://dx.doi.org/10.1590/2317-1782/20162015124. PMid:27409418.
McAllister A, Sjölander P. Children’s Voice and Voice Disorders. Semin Speech Lang. 2013;34(2):71-79. http://dx.doi.org/10.1055/s-0033-1342978.
McAllister A, Brandt SK. A comparison of recordings of sentences and spontaneous speech: perceptual and acoustic measures in preschool children’s voices. J Voice. 2012;26(5):673.e1-e5. http://dx.doi.org/10.1016/j. jvoice.2011.12.013. PMid:22717494.
Aaronson N, Alonso J, Burnam A, Lohr KN, Patrick DL, Perrin E, et al. Assessing health status and quality of life instruments: attributes and review criteria. Qual Life Res. 2002;11(3):193-205. http://dx.doi. org/10.1023/A:1015291021312. PMid:12074258.
Schoen-Ferreira TH, Aznar-Farias M, Silvares EFM. A construção da identidade em adolescentes: um estudo exploratório. Estud Psicol. 2003;8(1):107-15. http://dx.doi.org/10.1590/S1413-294X2003000100012.
Francisco MV, Liborio RMC. Um estudo sobre bullying entre escolares do ensino fundamental. Psicol Reflex Crit. 2009;22(2):200-7. http://dx.doi. org/10.1590/S0102-79722009000200005.
Gasparini G, Behlau M. Quality of Life: Validation of the brazilian version of the Voice-Related quality of life (V-RQOL) measure. J Voice. 2009;23(1):76- 81. http://dx.doi.org/10.1016/j.jvoice.2007.04.005. PMid:17628396.
Moreti F, Zambon F, Behlau M. Voice symptoms and vocal deviation selfassessment in different types of dysphonia. CoDAS. 2014;26(4):331-3. http://dx.doi.org/10.1590/2317-1782/201420130036. PMid:25211694.
Ribeiro LL, Paula KM, Behlau M. Voice-related quality of life in the pediatric population: validation of the Brazilian version of the Pediatric Voice-Related Quality-of-Life Survey. CoDAS. 2014;26(1):87-95. http:// dx.doi.org/10.1590/s2317-17822014000100013. PMid:24714864.
Vance YH, Morse RC, Jenney ME, Eiser C. Issues in measuring quality of life in childhood cancer: measures, proxies, and parental mental health. J Child Psychol Psychiatry. 2001;42(5):661-7. http://dx.doi.org/10.1111/1469- 7610.00761. PMid:11464970.
Wolpert M. Uses and Abuses of Patient Reported Outcome Measures (PROMs): Potential iatrogenic impact of PROMs implementation and how it can be mitigated. Adm Policy Ment Health. 2014;41(2):141-5. http:// dx.doi.org/10.1007/s10488-013-0509-1. PMid:23867978.
Black N. Patient reported outcome measures could help transform healthcare. Br Med J (Clin Res Ed). 2013;346(f167):1-5. http://dx.doi.org/10.1136/ bmj.f167. PMid:23358487.
Tavares ELM, Brasolotto A, Santana MF, Padovan CA, Martins RHG. Epidemiological study of dysphonia in 4-12 year-old children. Braz J Otorhinolaryngol. 2011;77(6):736-46. PMid:22183280.
Dejonckere PH, Bradley P, Clemente P, Cornut G, Crevier-Buchman L, Friedrich G, et al. A basic protocol for functional assessment of voice pathology, especially for investigating the efficacy of (phonosurgical) treatments and evaluating new assessment techniques. Guideline elaborated by the Committee on Phoniatrics of European Laryngological Society (ELS). Eur Arch Otorhinolaryngol. 2001;258(2):77-82. http://dx.doi.org/10.1007/ s004050000299. PMid:11307610.
Steen IN, MacKenzie K, Carding PN, Webb A, Deary IJ, Wilson JA. Optimizing outcome assessment of voice interventions, II: sensitivity to change of self-reported and observer-rated measures. J Laryngol Otol. 2008;122(1):46-51. http://dx.doi.org/10.1017/S0022215107007839. PMid:17498325.
Woisard V, Bodin S, Yardeni E, Puech M. The Voice handicap Index: correlation between subjective patient response and quantitative assessment of voice. J Voice. 2006;21(5):623-31. http://dx.doi.org/10.1016/j.jvoice.2006.04.005. PMid:16887329.
Karnell MP, Melton SD, Childes JM, Coleman TC, Dailey SA, Hoffman HT. Reliability of Clinician-Based (GRBAS and CAPE-V) and PatientBased (V-RQOL and IPVI) documentation of voice disorders. J Voice. 2007;21(5):576-90. http://dx.doi.org/10.1016/j.jvoice.2006.05.001. PMid:16822648.
Ugulino ACN, Behlau M. Autoavaliação do Comportamento Comunicativo ao Falar em Público nas Diferentes Categorias Profissionais. In: 22° Congresso Brasileiro de Fonoaudiologia; 2014 Out 8-11; Joiville. Anais. São Paulo: Sociedade Brasileira de Fonoaudiologia; 2014. 4929 p. Sessão de Concorrentes a Prêmio.
Submetido em:
18/09/2018
Aceito em:
10/01/2019
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