Validação de conteúdo e confiabilidade do Protocolo de Avaliação dos Distúrbios Adquiridos de Fala em Indivíduos com Doença de Parkinson (PADAF)
Validation of Content and Reliability of the Protocol for the Evaluation of Acquired Speech Disorders in Individuals with Parkinson's Disease (PADAF)
Monia Presotto, Carlos Roberto de Mello Rieder, Maira Rozenfeld Olchik
Resumo
Objetivo: Elaborar e realizar a validação de conteúdo, assim como verificar a confiabilidade entre examinador do Protocolo de Avaliação dos Distúrbios Adquiridos de Fala em Indivíduos com Doença de Parkinson (PADAF).
Método: O estudo foi realizado em três etapas. Na primeira, foi elaborado o protocolo e validado seu conteúdo mediante análise de sete especialistas. Na segunda, aplicou-se o instrumento em 25 indivíduos com doença de Parkinson (DP) idiopática. Na terceira e última etapa, verificou-se a confiabilidade entre-examinador.
Resultados: A versão final do PADAF foi composta de 32 itens que avaliam a respiração, a fonação, a ressonância, a articulação e a prosódia. Mostrou-se válido, com índice de validade de conteúdo (IVC) bem acima daquele estabelecido na literatura e com perfeita concordância na verificação da confiabilidade entre examinador.
Conclusão: O PADAF para indivíduos com DP foi desenvolvido e teve seu conteúdo validado com perfeita confiabilidade do instrumento.
Palavras-chave
Abstract
Purpose: To develop a protocol for the evaluation of acquired speech disorders in individuals with Parkinson’s disease (PADAF) and to validate its content and determine its inter-judge reliability.
Methods: The study was carried out in three stages: in the first one, the protocol was prepared and its content validated through the analysis of seven specialists; in the second, the instrument was applied to 25 individuals with idiopathic Parkinson’s disease (PD); in the third and last stage, the inter-judge reliability was determined.
Results: The final version of PADAF consisted of 32 items that evaluated breathing, phonation, resonance, articulation, and prosody. It was shown to be valid, with a content validity index (CVI) much higher than that established in the literature, and with perfect agreement in the determination of inter-judge reliability.
Conclusion: PADAF for PD individuals was developed and its content was validated, showing perfect instrument reliability.
Keywords
Referencias
Pals P, Van Everbroeck B, Grubben B, Viaene MK, Dom R, van der Linden C, et al. Case-control study of environmental risk factors for Parkinson’s disease in Belgium. Eur J Epidemiol. 2003;18(12):1133-42. http://dx.doi.org/10.1023/B:EJEP.0000006639.05690.92. PMid:14758870.
Rodriguez-Oroz MC, Jahanshahi M, Krack P, Litvan I, Macias R, Bezard E, et al. Initial clinical manifestations of Parkinson’s disease: features and pathophysiological mechanisms. Lancet Neurol. 2009;8(12):1128-39. http://dx.doi.org/10.1016/S1474-4422(09)70293-5. PMid:19909911.
Jankovic J. Parkinson’s disease: clinical features and diagnosis. J Neurol Neurosurg Psychiatry. 2008;79(4):368-76. http://dx.doi.org/10.1136/jnnp.2007.131045. PMid:18344392.
Ciucci MR, Ma ST, Fox C, Kane JR, Ramig LO, Schallert T. Qualitative changes in ultrasonic vocalization in rats after unilateral dopamine depletion or haloperidol: a preliminary study. Behav Brain Res. 2007;182(2):284-9. http://dx.doi.org/10.1016/j.bbr.2007.02.020. PMid:17397940.
Wildgruber D, Riecker A, Hertrich I, Erb M, Grodd W, Ethofer T, et al. Identification of emotional intonation evaluated by fMRI. Neuroimage. 2005;24(4):1233-41. http://dx.doi.org/10.1016/j.neuroimage.2004.10.034. PMid:15670701.
Schulz GM, Grant MK. Effects of speech therapy and pharmacologic and surgical treatments on voice and speech in Parkinson’s disease: a review of the literature. J Commun Disord. 2000;33(1):59-88. http://dx.doi.org/10.1016/S0021-9924(99)00025-8. PMid:10665513.
Le Dorze G, Dionne L, Ryalls J, Julien M, Ouellet L. The effects of speech and language therapy for a case of dysarthria associated with Parkinson’s disease. Eur J Disord Commun. 1992;27(4):313-24. http://dx.doi.org/10.3109/13682829209012043. PMid:1308695.
André ES. Moléstia de Parkinson. Fisioter Mov. 2004;17(1):11-24.
Goede CJ, Keus SH, Kwakkel G, Wagenaar RC. The effects of physical therapy in Parkinson’s Disease: a research synthesis. Arch Phys Med Rehabil. 2001;82(4):509-15. http://dx.doi.org/10.1053/apmr.2001.22352. PMid:11295012.
Barros ALS, Silveira EGC, Souza RCM, Freitas LC. Uma análise do comprometimento da fala em portadores de doença de Parkinson. Neuroci. 2004;12(3):123-9.
Gurgel LG, Kaiser V, Reppold CT. A busca de evidências de validade no desenvolvimento de instrumentos em Fonoaudiologia: revisão sistemática. Audiol Commun Res. 2015;20(4):371-83. http://dx.doi.org/10.1590/2317-6431-2015-1600.
Presotto M, Olchik MR, Kalf JG, Rieder CRM. Translation, linguistic and cultural adaptation, reliability and validity of the Radboud Oral Motor Inventory for Parkinson’s Disease – ROMP questionnaire. Arq Neuropsiquiatr. 2018;76(5):316-23. http://dx.doi.org/10.1590/0004-282x20180033. PMid:29898078.
Kalf JG, Borm GF, Swart BJM, Bloem BR, Zwarts MJ, Munneke M. Reproducibility and validity of patient-rated assessment of speech, swallowing, and saliva control in Parkinson’s disease. Arch Phys Med Rehabil. 2011;92(7):1152-8. http://dx.doi.org/10.1016/j.apmr.2011.02.011. PMid:21704797.
Fracassi AS, Gatto AR, Weber S, Spadotto AA, Ribeiro PW, Shelp AO. Adaptação para a língua portuguesa e aplicação de protocolo de avaliação das disartrias de origem central em pacientes com doença de Parkinson. Rev CEFAC. 2011;13(6):10056-65. http://dx.doi.org/10.1590/S1516-18462011005000030.
Duffy JR. Motor Speech disorders. Substrates, differential diagnosis, and management. St Louis: Mosby; 1995.
Ortiz KZ. Apraxia de fala. Distúrbios Neurológicos Adquiridos: Fala e Deglutição. Barueri: Manole; 2010.
Alexandre NMC, Coluci MZO. Validade de conteúdo nos processos de construção e adaptação de instrumentos de medidas. Ciênc. saúde coletiva. 2011; 16(7):3061-68. http://dx.doi.org/10.1590/S1413-81232011000800006.
Hughes AJ, Daniel SE, Kilford L, Lees AJ. Accuracy of clinical diagnosis of idiopathic Parkinson’s disease: a clinic-pathological study of 100 cases. J Neurol Neurosurg Psychiatry. 1992;55(3):181-4. http://dx.doi.org/10.1136/jnnp.55.3.181. PMid:1564476.
Hoehn MM, Yahr MD. Parkinsonism: onset, progression and mortality. Neurology. 1967;17(5):427-42. http://dx.doi.org/10.1212/WNL.17.5.427. PMid:6067254.
Hair F Jr, Anderson RE, Tatham RL, Black WC. Análise multivariada de dados. Porto Alegre: Bookman; 2005.
Landis JR, Koch GG. The measurement of observer agreement for categorical data. Biometrics. 1977;33(1):159-75. http://dx.doi.org/10.2307/2529310. PMid:843571.
Raymundo VP. Construção e validação de instrumentos: um desafio para a psicolinguística. Let Hoje. 2009;44(3):86-93.
Wynd CA, Schmidt B, Schaefer MA. Two quantitative approaches for estimating content validity. West J Nurs Res. 2003;25(5):508-18. http://dx.doi.org/10.1177/0193945903252998. PMid:12955968.
Hermida PMV, Araújo IEM. Elaboração e validação do instrumento de entrevista de enfermagem. Rev Bras Enferm. 2006;59(3):314-20. http://dx.doi.org/10.1590/S0034-71672006000300012. PMid:17175720.
Fujinaga CI, Scochi CGS, Santos CB, Zamberlan NE, Leite AM. Validação do conteúdo de um instrumento para a avaliação da prontidão do prematuro para início da alimentação oral. Rev Bras Saúde Mater Infant. 2008;8(4):391-9. http://dx.doi.org/10.1590/S1519-38292008000400004.
Siqueira MMM. Construção e validação da escala de percepção de suporte social. Psicol Estud. 2008;13(2):381-8. http://dx.doi.org/10.1590/S1413-73722008000200021.
Lynn MR. Determination and quantification of content validity. Nurs Res. 1986;35(6):382-5. http://dx.doi.org/10.1097/00006199-198611000-00017. PMid:3640358.
Grant JS, Davis LL. Selection and use of content experts for instrument development. Res Nurs Health. 1997;20(3):269-74. http://dx.doi.org/10.1002/(SICI)1098-240X(199706)20:3<269::AID-NUR9>3.0.CO;2-G. PMid:9179180.
Haynes SN, Richard DCS, Kubany ES. Content validity in psychological assessment: a functional approach to concepts and methods. Psychol Assess. 1995;7(3):238-47. http://dx.doi.org/10.1037/1040-3590.7.3.238.
Rubio DM, Berg-Weger M, Tebb SS, Lee S, Rauch S. Objectifying content validity: conducting a content validity study in social work research. Soc Work Res. 2003;27(2):94-105. http://dx.doi.org/10.1093/swr/27.2.94.
Submitted date:
20/09/2018
Accepted date:
31/01/2019
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