CoDAS
https://codas.org.br/article/doi/10.1590/2317-1782/20202019261
CoDAS
Artigo Original

Adaptação do protocolo Indicadores de Performance Funcional Auditiva Brasileiro - Versão Reduzida

Adaptation of the Brazilian Functional Auditory Performance Indicators - Short Version

Maria Eduarda Braga de Araújo, Maria Clara de Oliveira Lima, Wanderson Laerte de Oliveira Carvalho, Joseli Soares Brazorotto

Downloads: 0
Views: 1013

Resumo

Objetivo: Adaptar o protocolo Indicadores de Performance Funcional Auditiva Brasileiro para uma versão reduzida, incluindo a produção de material e de um manual de aplicação. Método: Estudo do tipo metodológico, descritivo e transversal, com abordagem quantiqualitativa, realizado com sete fonoaudiólogos que aplicaram o protocolo em 34 crianças com deficiência auditiva e seus responsáveis. Cumpriram-se a análise da validade de conteúdo, bem como da confiabilidade do instrumento por meio da avaliação da equivalência semântica, da análise da satisfação dos fonoaudiólogos e dos testes estatísticos alfa de Cronbach e coeficiente de Kappa. Resultados: Foi adaptada a versão reduzida denominada FAPI-r, com coeficientes que indicaram consistência interna e concordância interavaliadores quase perfeitos. Os fonoaudiólogos referiram satisfação com o instrumento e relataram que o manual de aplicação facilitou o entendimento sobre a aplicação do teste. Observou-se, no entanto, a não concordância entre a avaliação dos fonoaudiólogos e as respostas das famílias, indicando a necessidade de maior inserção destas no cenário terapêutico. Conclusão: Realizada a adaptação do FAPI-r, constatando-se sua validade e confiabilidade, com futuros desdobramentos para a pesquisa e atuação clínica na população de crianças com deficiência auditiva.

Palavras-chave

Reprodutibilidade dos Testes; Audição; Percepção Auditiva; Perda Auditiva; Reabilitação

Abstract

Purpose: To adapt the Brazilian Functional Auditory Performance Indicators protocol to a short version including the production of material and an application manual. Methods: Methodological, descriptive, cross-sectional study with a quantitative and qualitative approach conducted with seven speech-language therapists who applied the protocol to 34 children with hearing loss and their guardians. The analysis of content validity and the instrument reliability evaluated the semantic equivalence, analysis of satisfaction of speech therapists, and statistical tests of Cronbach’s Alpha and Kappa coefficient. Results: The short version, called FAPI-r, was adapted considering coefficients that indicate internal consistency and almost perfect inter-evaluator agreement. Speech-language therapists reported satisfaction with the instrument and stated that the manual facilitates the understanding of the test application. However, there was no agreement between the assessment of speech-language therapists and the answers of families, indicating a need for a greater insertion of families in the therapeutic scenario. Conclusion: The adapted FAPI-r has validity and reliability, promising future developments for research and clinical performance in the population of hard of hearing children.

Keywords

Reproducibility of Tests; Hearing; Auditory Perception; Hearing Loss; Rehabilitation

Referências

1. Bornstein S. The importance of early identification and intervention for children with hearing loss. Part 1: human Development. J Health Commun. 2018;3:1-6.

2. Vavatzanidis NK, Mürbe D, Friederici AD, Hahne A. Establishing a mental lexicon with cochlear implants: an ERP study with young children. Sci Rep. 2018;8(1):910. http://dx.doi.org/10.1038/s41598-017-18852-3. PMid:29343736.

3. Bicas RS, Guijo LM, Delgado-Pinheiro EMC. Oral communication and auditory skills of hearing-impaired children and adolescents and the speech therapy rehabilitation process. Rev CEFAC. 2017;19(4):465-74. http:// dx.doi.org/10.1590/1982-0216201719412516.

4. Colalto CA, Goffi-Gomez MVS, Magalhães ATM, Samuel PA, Hoshino ACH, Porto BL, et al. Vocabulário expressivo em crianças usuárias de implante coclear. Rev CEFAC. 2017;19(3):308-19. http://dx.doi. org/10.1590/1982-021620171937216.

5. Shekari E, Nakhshab M, Valinejad V, Modarres Zadeh A, Hosseinpour A. Review paper: a systematic review of the effectiveness of early intervention and the role of parents in language development of hearing loss children. IRJ. 2017;15(1):5-14. http://dx.doi.org/10.18869/nrip.irj.15.1.5.

6. Wong CL, Ching TYC, Cupples L, Button L, Leigh G, Marnane V, et al. Psychosocial development in 5-year-old children with hearing loss using hearing aids or cochlear implants. Trends Hear. 2017;21:1-19. http://dx.doi. org/10.1177/2331216517710373. PMid:28752809.

7. Bornstein S. Factors influencing future auditory function and human development in infants with hearing loss. J Health Commun. 2018;3:1-4.

8. Ching TYC, Dillon H, Leigh G, Cupples L. Learning from the longitudinal outcomes of children with hearing impairment (LOCHI) study: summary of 5-year findings and implications. Int J Audiol. 2018;57(Suppl 2):S105-11. http://dx.doi.org/10.1080/14992027.2017.1385865. PMid:29020839.

9. Ferreira K, Moret ALM, Bevilacqua MC, Jacob RST. Translation and adaptation of functional auditory performance indicators (FAPI). J Appl Oral Sci. 2011;19(6):586-98. http://dx.doi.org/10.1590/S1678-77572011000600008. PMid:22230992.

10. Padilha RB, Deperon TM, Mendes ACA, Novaes BCAC. Speech perception: performance parameters and implications for speech therapy with hearing impaired children. Distúrb Comun. 2016;12:38-49.

11. Bradham TS, Fonnesbeck C, Toll A, Hecht BF. The listening and spoken language data repository: design and project overview. Lang Speech Hear Serv Sch. 2018;49(1):108-20. http://dx.doi.org/10.1044/2017_LSHSS-16-0087. PMid:29222559.

12. Magalhães LA, Cimonari PM, Novaes BCAC. Evaluation of speech perception in hearing impaired children: the question of instrument and its criteria. Rev Soc Bras Fonoaudiol. 2007;12:221-32.

13. Leandro FSM, Costa EC, Mendes BCA, Novaes BCAC. Hearing questionnaire: semantic and cultural adaptation of the version of the Littlears questionnaire in Portuguese in families of children with hearing loss. Audiol Commun Res. 2016;21:1-12.

14. Levy CCAC, Rodrigues-Sato LCCB. Validação do questionário Parent’s Evaluation of Aural/Oral Performance of Children - PEACH em língua portuguesa brasileira. CoDAS. 2016;28(3):205-11. PMid:27253225.

15. Queiroz VB, Zamberlan-Amorim NE, Pinotti KJ, Lizzi EAS, Reis ACMB. Speech perception test with pictures: applicability in children with hearing impairment. Rev CEFAC. 2017;19:465-74.

16. Farsen TC, Fiorini MC, Bardagi MP. Psychometric analysis of validated instruments in several contexts: the case of the career adaptability scale. Rev. Interinst. Psicol. 2017;10(2):162-75.

17. Echevarría-Guanilo ME, Gonçalves N, Romanoski PJ. Psychometric properties of measurement instruments: conceptual bases and evaluation methods - part I. Texto Contexto Enferm. 2017;26:1-12.

18. Souza AC, Alexandre NMC, Guirardello EB, Souza AC, Alexandre NMC, Guirardello EB. Propriedades psicométricas na avaliação de instrumentos: avaliação da confiabilidade e da validade. Epidemiol Serv Saude. 2017;26(3):649-59. http://dx.doi.org/10.5123/S1679-49742017000300022. PMid:28977189.

19. Cunha CM, Almeida OP No, Stackfleth R. Main psychometric evaluation methods of the validity of measuring instruments. Rev. Aten. Saúde. 2016;14(47):75-83. http://dx.doi.org/10.13037/rbcs.vol14n47.3391.

20. Meyer TS, Figueiredo VLM. Proposta de uma Forma Reduzida do WISCIV para Avaliação Intelectual de Surdos. Aval Psicol. 2017;16(3):310-7. http://dx.doi.org/10.15689/ap.2017.1603.12534.

21. Rabelo GRG, Melo LPF. Orientação no processo de reabilitação de crianças deficientes auditivas na perspectiva dos pais. Rev CEFAC. 2016;18(2):362- 8. http://dx.doi.org/10.1590/1982-0216201618212515.

22. Lima MCO, Souza AS, Santos IRD, Carvalho WLO, Brazorotto JS. Análise da efetividade de um programa de intervenção para famílias de crianças com deficiência auditiva. CoDAS. 2019;31(3):e20180116. PMid:31271580


Submetido em:
12/11/2019

Aceito em:
07/02/2020

60c4fc87a9539514030a8344 codas Articles

CoDAS

Share this page
Page Sections