Protocolo de investigação clÃnica no zumbido (PIC-z): desenvolvimento e validação de um instrumento
Clinical investigation protocol for tinnitus (CIP-t): development and validation of an instrument
Hélinton Goulart Moreira; Michele Vargas Garcia
Resumo
Objetivo: O objetivo do estudo foi o desenvolvimento e validação de um protocolo de investigação clÃnica do zumbido e analisar a sua aplicabilidade. Método: A pesquisa foi realizada em 8 etapas: Etapa 1: Revisão bibliográfica e desenvolvimento do protocolo-piloto; Etapa 2: JuÃzes especialistas I - primeira análise/julgamento; Etapa 3: Elaboração do protocolo único de investigação e do guia de aplicação; Etapa 4: JuÃzes especialistas II - segunda análise/ julgamento dos instrumentos da etapa anterior; Etapa 5: Ajustes nos materiais; Etapa 6: JuÃzes especialistas e não especialistas - aplicação clÃnica; Etapa 7: Construção final; Etapa 8: Estudo piloto - amostra por conveniência. Os resultados de cada etapa foram alocados em uma planilha do Excel para análises especÃficas (cálculo da razão da validade de conteúdo e sugestões). Resultados: Foi possÃvel a estruturação do protocolo, dando origem a um instrumento único, subdividido em: anamnese de investigação do zumbido, histórico audiológico, emocional, metabólico, somatossensorial, vascular e resultados das avaliações, quadro para definição de subgrupos, árvore de decisão clÃnica e avaliações complementares. A aplicação foi realizada em uma amostra de 83 adultos e idosos. Conclusão: O protocolo de investigação clÃnica do zumbido foi finalizado e seu conteúdo validado, sendo possÃvel aplicar em indivÃduos adultos e idosos com zumbido.
Palavras-chave
Abstract
Purpose: The objective of this study was the development and validation of a clinical investigation protocol for tinnitus and the analysis of its applicability. Methods: The research was conducted in eight stages: Stage 1: Literature review and development of the pilot protocol; Stage 2: Expert judges I – first analysis/evaluation; Stage 3: Elaboration of the unified investigation protocol and the application guide; Stage 4: Expert judges II – second analysis/evaluation of the instruments from the previous stage; Stage 5: Refinement of materials; Stage 6: Application of the protocol by expert and non-expert clinicians; Stage 7: Final construction; Stage 8: Pilot study – convenience sample. The results of each stage were compiled into an Excel spreadsheet for specific analyses (content validity ratio calculation and suggestions). Results: The structure of the protocol was successfully developed, resulting in a unified instrument subdivided into: tinnitus-focused anamnesis, audiological, emotional, metabolic, somatosensory, and vascular history, assessment results, a framework for subgroup classification, clinical decision tree, and complementary evaluations. The protocol was applied to a sample of 83 adults and older individuals. Conclusion: The clinical investigation protocol for tinnitus was finalized and its content validated, demonstrating applicability for adult and elderly individuals with tinnitus.
Keywords
References
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Submitted date:
04/14/2025
Accepted date:
08/20/2025
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