The International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) and Speech-language Pathology: associations with sociodemographic and health care variables
The International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) and Speech-language Pathology: associations with sociodemographic and health care variables
Marina Garcia de Souza Borges; Adriane Mesquita de Medeiros; Stela Maris Aguiar Lemos.
Abstract
Purpose: Identify factors related to the International Classification of Functioning, Disability and Health for Children and Youth (ICF-CY) representing more than one category and verify their association with sociodemographic and health care aspects in a speech-language pathology (SLP) outpatient clinic. Method: This is an observational, analytical, cross-sectional study based on a retrospective analysis of secondary data. One hundred eighty medical records of patients aged 5-16 years evaluated between 2010 and 2014 were included in the study. Sociodemographic and health care aspects were identified in these records, as well as presence of the ICF-CY Body Functions and Activities and Participation component categories. Analyses of the frequency distribution and measures of central tendency and dispersion of the variables, as well as Factor Analysis were carried out to create representative indicators of the ICF-CY categories identified. The MannWhitney and Kruskal-Wallis tests and the Spearman’s correlation were used to analyze the associations, adopting a statistical significance level of 5%. Results: Two factors that presented statistically relevant associations with the sociodemographic and health care variables were identified for the Body Functions component. As for the Activities and Participation component, three factors predominantly associated with the health care variables were identified. Conclusion: Items representative of the ICF-CY Body Functions and Activities and Participation categories and their respective factorial loads were identified. Statistically significant associations were verified between them and the sociodemographic and health care variables analyzed.
Keywords
Resumo
Objetivo: Identificar fatores relacionados à Classificação Internacional de Funcionalidade, Incapacidade e Saúde para Crianças e Jovens (CIF-CJ) representativos de mais de uma categoria e verificar sua associação com aspectos sociodemográficos e clínico-assistenciais em um ambulatório de avaliação fonoaudiológica. Método: Trata-se de estudo observacional, analítico e transversal, com base em análise retrospectiva de dados secundários. Foram incluídos 180 prontuários de pacientes entre 5 e 16 anos, avaliados de 2010 a 2014. Após a leitura desses prontuários, foram identificados os aspectos sociodemográficos e clínico-assistenciais, bem como a presença de categorias dos componentes Funções do Corpo e Atividades e Participação da CIF-CJ. Foram realizadas análises de distribuição de frequência e medidas de tendência central e dispersão das variáveis, além da análise fatorial, visando criar indicadores representativos das categorias da CIF-CJ identificadas. Para análise de associações, foram utilizados os testes Mann-Whitney e Kruskal-Wallis e a correlação de Spearman, adotando o nível de significância de 5%. Resultados: Foram identificados dois fatores para as Funções do Corpo que apresentaram associações de relevância estatística com as variáveis sociodemográficas e clínico-assistenciais. Para as Atividades e Participação, três fatores foram identificados, cujas associações se deram predominantemente com variáveis clínico-assistenciais. Conclusão: Foi possível a identificação de itens representativos e suas respectivas cargas fatoriais das categorias das Funções do Corpo e Atividades e Participação, sendo verificadas associações estatisticamente significativas entre eles e as variáveis sociodemográficas e clínico-assistenciais analisadas.
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Referências
1 Araújo ES. CIF: Uma Discussão sobre Linearidade no Modelo Biopsicossocial. Rev Fisioter S Fun. 2013;2(1):6-13. [ Links ]
2 Sampaio RF, Luz MT. Human functioning and disability: exploring the scope of the World Health Organization's international classification. Cad. Saúde Pública. 2009;25(3):475-83. https://doi.org/10.1590/1980-5497201500030017. [ Links ]
3 Araujo ES, Buchalla CM. The use of the International Classification of Functioning, Disability and Health in health surveys: a reflexion on its limits and possibilities. Rev Bras Epidemiol. 2015;18(3): 720-24. https://doi.org/10.1590/1980-5497201500030017. [ Links ]
4 Biz MCP. Workshops on the incorporation of the International Classification of Functioning, Disability and Health, CIF/OMS, into the health information system: Resolution 452/12 of the National Health Council as the guiding principle of the discussion. Revista Científica CIF Brasil. 2016;6(6):43-51. https://doi.org/10.5007/1980-0037.2018v20n2p229. [ Links ]
5 Araujo ES. CIF-WIN-S 2017. Revista Científica CIF Brasil. 2016;6(6):2-5. [ Links ]
6 Araujo ES, Maggi LE, Reichert TT. ICF in Health Systems of the Cities. Revista Científica CIF Brasil. 2015;3(3):49-61. [ Links ]
7 Morettin M, Bevilacqua MC, Cardoso MRA. A aplicação da Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) na Audiologia. Distúrb Comun. 2008;20(3):395-402. https://doi.org/10.1590/S2317-17822013000300005. [ Links ]
8 Morettin M, Cardoso MRA, Delamura AM, Zabeu JS, Amantini RCB, Bevilacqua MC. Use of the International Classification of Functioning, Disability and Health for monitoring patients using Cochlear Implants. CoDAS. 2013;25(3):216-23. https://doi.org/10.1590/S2317-17822013000300005. [ Links ]
9 [OMS] Organização Mundial de Saúde. CIF-CJ: A Classificação Internacional de Funcionalidade, Incapacidade e Saúde: versão para Crianças e Jovens. [Centro Colaborador da Organização Mundial de Saúde para a Família de Classificações Internacionais, org.; coordenação da tradução Heloisa Ventura Dinubila]. São Paulo: Editora da universidade de São Paulo - EDUSP; 2011. [ Links ]
10 Belsky J. Infância: Desenvolvimento Socioemocional. In: Belsky J. Desenvolvimento Humano - Experenciando o ciclo da vida. Porto Alegre: Artmed, 2010. p.135-63. [ Links ]
11 Prates LPCS, Martins VO. Speech and language disorders in childhood. Revista Médica de Minas Gerais. 2011;21(4 Supl 1):S54-S60. [ Links ]
12 César AM, Maksud SS. Characterizing the demand of speech-language pathology in the Municipal Public Service of Ribeirão das Neves - MG. Rev CEFAC. 2007;9(1):133-38. https://doi.org/10.1590/S1516-18462007000100017. [ Links ]
13 Goulart BNG, Chiari BM. Prevalence of speech disorders in schoolchildren and its associated factors. Rev Saúde Pública. 2007;41(5):726-31. https://doi.org/10.1590/S0034-89102007000500006. [ Links ]
14 Rabelo ATV, Campos FR, Friche CP, da Silva BSV, Friche AAL, Alves CRL et al. Speech and language disorders in children from public schools in Belo Horizonte. Rev Paul Pediatr. 2015;33(4):453-59. https://doi.org/10.1016/j.rpped.2015.02.004. [ Links ]
15 Pinto KDBPC, Maggi RRS, Alves JGB. Analysis of social and environmental risk for pleural involvement in severe pneumonia in children younger than 5 years of age. Rev Panam Salud Publica. 2004;15(2):104-9. https://doi.org/10.1590/s1020-49892004000200005. PMid:15030655. [ Links ]
16 Andrade SA, Santos DN, Bastos AC, Pedromônico MRM, de Almeida-Filho N, Barreto ML. Family environment and child's cognitive development: an epidemiological approach. Rev Saúde Pública. 2005;39(4):606-11. https://doi.org/10.1590/s0034-89102005000400014. PMid:16113911. [ Links ]
17 Souza MA, Passaglio NJS, Lemos SMA. Language and auditory processing disorders: Literature review. Rev. CEFAC. 2016;18(2):513-19. https://doi.org/10.1044/0161-1461(2010/10-0013). PMid: 20844275. [ Links ]
18 Gahyva DLC, Hage SRV. Phonological intervention for children with specific language impairment within a psycholinguistic model. Rev. CEFAC. 2010;12(1):152-60. https://doi.org/10.1590/S1516-18462009005000057. [ Links ]
19 Angst OVM, Liberalesso KP, Wiethan FM, Mota HB. Prevalence of speech-language disorders in kindergarten children of public schools and the social indicators. Rev. CEFAC. 2015;17(3):727-33. https://doi.org/10.1590/1982-0216201516114. [ Links ]
20 Rehder MI. Inter-relações entre voz e motricidade oral. In: Fernandes FDM, Mender BCA, Navas ALPGP (Org.). Tratado de fonoaudiologia. 2. Ed. São Paulo: Roca, 2010. p.813-26. [ Links ]
21 Tavares JG, da Silva EHAA. Theoretical considerations on the relationship between mouth breathing and dysphonia. Rev Soc Bras Fonoaudiol. 2008;13(4):405-10. https://doi.org/10.1590/S1516-80342008000400017. [ Links ]
22 Scopel RR, Souza VC, Lemos SMA. Family and school environment influences on language acquisition and development: literature review. Rev. CEFAC. 2012;14(4):732-41. https://doi.org/10.1590/S1516-18462011005000139. [ Links ]
23 Mazzarotto IHEK, Berberian AP, Massi G, Cunha JT, Tonocchi R, Barbosa APB. School referrals of children with writing difficulties: an analysis of the position adopted by their family. Rev. CEFAC. 2016;18(2):408-16. https://doi.org/10.1590/1982-0216201618211615. [ Links ]
24 D'Abreu LCF, Marturano EM. Identification of mental health problems related to school underachievement according to DAWBA. Psico. 2011;42(2):152-58. [ Links ]
Submetido em:
24/02/2019
Aceito em:
30/06/2019
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