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Self-perception of voice, hearing, and general health in screening for voice changes in older women. 在筛查老年妇女嗓音变化时对嗓音、听力和总体健康状况的自我认知。
IF 0.8 Q2 Arts and Humanities Pub Date : 2024-01-08 eCollection Date: 2024-01-01 DOI: 10.1590/2317-1782/20232022063pt
Maria Clara Rocha, Bárbara de Faria Morais Nogueira, Flávio Barbosa Nunes, Adriane Mesquita de Medeiros

Purpose: To verify the association between sociodemographic factors, vocal behavior, morbidities, and self-perception of voice, hearing, and general health in older women with voice disorders.

Methods: The sample had 95 older women aged 60 to 84 years (mean of 69,5). They were interviewed with a structured questionnaire on sociodemographic aspects, health, and vocal behavior. The Screening Protocol for Voice Disorders in Older Adults (RAVI) was used to identify the presence of voice disorders.

Results: Participants who had finished high school and were retired predominated. The number of older women with voice disorders according to RAVI was 46.3%. Physical sensations such as dry throat, throat clearing, and itchy throat were the most common complaints. The group of older women with voice disorders had worse self-perception of voice quality, hearing, and general health and a higher frequency of upper airway infections than those without voice disorders (p ≤ 0.05).

Conclusion: The vocal self-assessment measured with RAVI was statistically associated with self-perception of voice quality, hearing, general health, sore throat, sinusitis, and respiratory allergies.

目的:验证患有嗓音疾病的老年妇女的社会人口学因素、发声行为、疾病以及对嗓音、听力和总体健康的自我感觉之间的关联:抽样调查了 95 名 60 至 84 岁的老年妇女(平均 69.5 岁)。她们接受了关于社会人口学、健康和发声行为的结构化问卷调查。采用老年人嗓音障碍筛查方案(RAVI)来确定是否存在嗓音障碍:结果:参与者以高中毕业和退休者居多。根据 RAVI,有嗓音障碍的老年妇女占 46.3%。咽干、清嗓和咽痒等身体感觉是最常见的主诉。与无嗓音障碍的老年妇女相比,有嗓音障碍的老年妇女在嗓音质量、听力和总体健康方面的自我感觉更差,上呼吸道感染的频率更高(P ≤ 0.05):结论:用 RAVI 测量的嗓音自我评估与嗓音质量、听力、一般健康状况、咽喉痛、鼻窦炎和呼吸道过敏的自我感觉有统计学关联。
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引用次数: 0
Sleep habits and orofacial myofunctional self-assessment of children at risk for sleep breathing disorders 睡眠呼吸障碍高危儿童的睡眠习惯和口面肌功能自我评估
IF 0.8 Q2 Arts and Humanities Pub Date : 2023-12-22 DOI: 10.1590/2317-1782/20232022187en
Melissa Picinato-Pirola, A. L. E. Lira, Giovanna Régis Viana, Thaynara Lemos Batista Santos, Camila de Castro Corrêa
ABSTRACT Purpose To identify orofacial myofunctional complaints and sleep-disordered breathing and correlate them with sleep habits in childhood. Methods The study included 71 parents/guardians of public school children aged 6 to 11 years. They answered a form with semi-structured medical history questions and the Nordic Orofacial Test-Screening - interview, the Pediatric Obstructive Sleep Apnea Screening Tool Questionnaire, and the Children’s Sleep Habits Questionnaire - all of them in their Portuguese/Brazilian versions in an online format. Statistical analyses used Spearman’s correlation, setting the significance level at 5%. Results There were 29 female children (40.8%) and 42 male ones (59.2%), with a mean age of 8.52 years. The study found orofacial myofunctional complaints related to breathing functions (35.2%), chewing and swallowing (32.4%), and deleterious habits (33.8%). All children were at a low risk of sleep-disordered breathing. As for sleep habits, 23 children (32.39%) had a lower total score, whereas 48 children (67.61%) exceeded 41 points. Conclusion There was a correlation between the risk of sleep-disordered breathing in children with complaints of orofacial myofunctional disorders and poor sleep quality/habits.
摘要 目的 找出口面部肌功能投诉和睡眠呼吸障碍,并将其与儿童时期的睡眠习惯联系起来。方法 该研究包括 71 名 6-11 岁公立学校儿童的家长/监护人。他们回答了一份包含半结构化病史问题的表格、北欧口腔测试筛查--访谈、儿科阻塞性睡眠呼吸暂停筛查工具问卷和儿童睡眠习惯问卷--所有这些问卷的葡萄牙语/巴西语版本均为在线格式。统计分析采用斯皮尔曼相关性,显著性水平设定为 5%。结果 有 29 名女童(40.8%)和 42 名男童(59.2%),平均年龄为 8.52 岁。研究发现,口面肌功能症状与呼吸功能(35.2%)、咀嚼和吞咽(32.4%)以及不良习惯(33.8%)有关。所有儿童患睡眠呼吸障碍的风险都很低。在睡眠习惯方面,23 名儿童(32.39%)的总分较低,而 48 名儿童(67.61%)的总分超过了 41 分。结论 主诉口面部肌功能紊乱的儿童患睡眠呼吸障碍的风险与睡眠质量/习惯不佳之间存在相关性。
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引用次数: 0
Evidence of concurrent and predictive criterion validity of the Child Communication Screening Instrument from 0 to 36 months (IRC-36) 0 至 36 个月儿童沟通能力筛查工具 (IRC-36) 的并发有效性和预测性标准有效性的证据
IF 0.8 Q2 Arts and Humanities Pub Date : 2023-12-22 DOI: 10.1590/2317-1782/20232022218en
Dayanne Priscila Rodrigues de Almeida, Ana Augusta de Andrade Cordeiro, Larissa Nadjara Alves Almeida, Camila Arruda Manchester de Queiroga, Bianca Queiroga
ABSTRACT Purpose To determine evidence of concurrent and predictive criterion validity of the Communication Screening Instrument for children aged 0 to 36 months (IRC-36). Methods 78 parents/guardians of children who attend the childcare service of the Family Health Centers participated in the research, in addition to 33 children aged between 0 and 36 months, invited to the second stage of the study. In its first stage, 13 health professionals were trained to apply the IRC-36 to the children's parents/guardians. In the second moment, the parents responded to a new IRC-36 application, and the children were evaluated with Denver II. Results IRC-36 correlated with Denver II in more than half of the cases, confirming the instrument’s concurrent criterion validity. IRC-36 results in the first stage did not significantly correlate with Denver II. The instrument's cutoff value was 12, which is the reference value between children at risk and not at risk of communication disorders. The instrument had high sensitivity and an accuracy value within the recommended levels. The occurrence of risk of communication changes was higher in the second IRC-36 application. Conclusion The study presented evidence of concurrent criterion validity, indicating that the instrument has evidence of accuracy and validity measures to screen communication in children aged 0 to 36 months, being able to identify the risk for communication disorders.
摘要 目的 确定 0 至 36 个月儿童沟通能力筛查工具(IRC-36)的并发有效性和预测标准有效性。方法 78 名参加家庭健康中心托儿服务的儿童的家长/监护人参加了研究,此外还有 33 名 0 至 36 个月大的儿童被邀请参加第二阶段的研究。在第一阶段,13 名卫生专业人员接受了培训,以便向儿童的父母/监护人应用 IRC-36。在第二阶段,家长们对新的 IRC-36 应用程序做出了回应,并使用丹佛 II 对儿童进行了评估。结果 IRC-36 与 Denver II 的相关性超过半数,证实了该工具的并行标准有效性。第一阶段的 IRC-36 结果与丹佛 II 没有明显的相关性。该工具的临界值为 12,这是沟通障碍高危儿童与非高危儿童之间的参考值。该工具的灵敏度很高,准确度也在建议水平之内。第二次使用 IRC-36 时,出现沟通障碍的风险较高。结论 该研究提供了并发标准效度的证据,表明该工具在筛查 0 至 36 个月儿童的沟通能力方面具有准确性和有效性,能够识别沟通障碍的风险。
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引用次数: 0
Multi-professional screening instrument for risk of broncho-aspiration in a hospital environment for the elderly population: validity evidence based on response processes. 医院环境中老年人支气管吸入风险的多专业筛查工具:基于反应过程的有效性证据。
IF 0.8 Q2 Arts and Humanities Pub Date : 2023-12-22 eCollection Date: 2023-01-01 DOI: 10.1590/2317-1782/20232022228pt
Paloma Alves Miquilussi, Rosane Sampaio Santos, Giselle Aparecida de Athayde Massi

Purpose: The objective of this study was to validate the Multiprofessional Screening Instrument for Broncho-aspiration Risk in Hospital Environment, which is aimed at the elderly population, based on response processes.

Methods: Judges applied the instrument to different patients and randomly selected. After the application, the judges were interviewed so that it was possible to verify their impression regarding the relevance of the items about their interpretation of the written content, as well as grammatical and semantic issues. Suggestions for adding alternative questions and answers were considered, as well as proposals for adapting the questions that made up the instrument. Non-verbal reactions, such as facial expressions that suggested doubts or hesitations, by the judges concerning the instrument were also analyzed.

Results: The agreement of the judges concerning each item of the device was calculated by the Content Validity Index (CVI) and by the Intraclass Correlation Coefficient (ICC), and their results showed a high level of agreement. Through the suggestions of the judges, a new version of the Multi-professional Screening Instrument for the Risk of Broncho-aspiration in a Hospital Environment in the Elderly was elaborated.

Conclusion: The results obtained showed that the validity of the Multi-professional Instrument for Screening the Risk of Broncho-aspiration in the Hospital Environment with the elderly population, based on the response processes, was achieved and makes it a promising device to assist professionals in hospital care for the elderly.

目的:本研究旨在根据反应过程验证针对老年人群的医院环境中支气管吸入风险的多专业筛查工具:方法:对不同的患者随机抽取评委使用该工具。使用后,对评委进行了访谈,以核实他们对书面内容的解释以及语法和语义问题的相关性的印象。此外,还考虑了增加其他问题和答案的建议,以及调整构成工具的问题的建议。此外,还分析了评委对问卷的非语言反应,如表示怀疑或犹豫的面部表情:通过内容效度指数(CVI)和类内相关系数(ICC)计算了评委们对工具中每个项目的一致程度,结果显示一致程度很高。通过评委们的建议,新版《医院环境中老年人支气管吸入风险多专业筛查工具》得以制定:结果表明,《医院环境中老年人支气管吸入风险多专业筛查工具》在反应过程的基础上实现了有效性,使其成为协助医院护理老年人的专业人员的一种有前途的工具。
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引用次数: 0
Sleep habits and orofacial myofunctional self-assessment of children at risk for sleep breathing disorders. 睡眠呼吸障碍高危儿童的睡眠习惯和口面肌功能自我评估。
IF 0.8 Q2 Arts and Humanities Pub Date : 2023-12-22 eCollection Date: 2023-01-01 DOI: 10.1590/2317-1782/20232022187pt
Melissa Picinato-Pirola, Amanda Lima E Lira, Giovanna Régis Viana, Thaynara Lemos Batista Santos, Camila de Castro Corrêa

Purpose: To identify orofacial myofunctional complaints and sleep-disordered breathing and correlate them with sleep habits in childhood.

Methods: The study included 71 parents/guardians of public school children aged 6 to 11 years. They answered a form with semi-structured medical history questions and the Nordic Orofacial Test-Screening - interview, the Pediatric Obstructive Sleep Apnea Screening Tool Questionnaire, and the Children's Sleep Habits Questionnaire - all of them in their Portuguese/Brazilian versions in an online format. Statistical analyses used Spearman's correlation, setting the significance level at 5%.

Results: There were 29 female children (40.8%) and 42 male ones (59.2%), with a mean age of 8.52 years. The study found orofacial myofunctional complaints related to breathing functions (35.2%), chewing and swallowing (32.4%), and deleterious habits (33.8%). All children were at a low risk of sleep-disordered breathing. As for sleep habits, 23 children (32.39%) had a lower total score, whereas 48 children (67.61%) exceeded 41 points.

Conclusion: There was a correlation between the risk of sleep-disordered breathing in children with complaints of orofacial myofunctional disorders and poor sleep quality/habits.

目的:确定口面部肌功能投诉和睡眠呼吸障碍,并将其与儿童时期的睡眠习惯联系起来:研究对象包括 71 名 6 至 11 岁公立学校儿童的家长/监护人。他们回答了一份包含半结构化病史问题的表格、北欧口腔测试筛查--访谈、儿科阻塞性睡眠呼吸暂停筛查工具问卷和儿童睡眠习惯问卷--所有这些问卷的葡萄牙语/巴西语版本均为在线格式。统计分析采用斯皮尔曼相关性,显著性水平设定为 5%:共有 29 名女童(40.8%)和 42 名男童(59.2%),平均年龄为 8.52 岁。研究发现,口面肌功能症状与呼吸功能(35.2%)、咀嚼和吞咽(32.4%)以及不良习惯(33.8%)有关。所有儿童患睡眠呼吸障碍的风险都很低。在睡眠习惯方面,23 名儿童(32.39%)的总分较低,而 48 名儿童(67.61%)的总分超过了 41 分:结论:主诉口面部肌功能紊乱的儿童患睡眠呼吸障碍的风险与睡眠质量/习惯不佳之间存在相关性。
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引用次数: 0
Multi-professional screening instrument for risk of broncho-aspiration in a hospital environment for the elderly population: validity evidence based on response processes 医院环境中老年人支气管吸入风险的多专业筛查工具:基于反应过程的有效性证据
IF 0.8 Q2 Arts and Humanities Pub Date : 2023-12-22 DOI: 10.1590/2317-1782/20232022228en
Paloma Alves Miquilussi, R. Santos, G. Massi
ABSTRACT Purpose The objective of this study was to validate the Multiprofessional Screening Instrument for Broncho-aspiration Risk in Hospital Environment, which is aimed at the elderly population, based on response processes. Methods Judges applied the instrument to different patients and randomly selected. After the application, the judges were interviewed so that it was possible to verify their impression regarding the relevance of the items about their interpretation of the written content, as well as grammatical and semantic issues. Suggestions for adding alternative questions and answers were considered, as well as proposals for adapting the questions that made up the instrument. Non-verbal reactions, such as facial expressions that suggested doubts or hesitations, by the judges concerning the instrument were also analyzed. Results The agreement of the judges concerning each item of the device was calculated by the Content Validity Index (CVI) and by the Intraclass Correlation Coefficient (ICC), and their results showed a high level of agreement. Through the suggestions of the judges, a new version of the Multi-professional Screening Instrument for the Risk of Broncho-aspiration in a Hospital Environment in the Elderly was elaborated. Conclusion The results obtained showed that the validity of the Multi-professional Instrument for Screening the Risk of Broncho-aspiration in the Hospital Environment with the elderly population, based on the response processes, was achieved and makes it a promising device to assist professionals in hospital care for the elderly.
ABSTRACT Purpose 本研究的目的是根据反应过程验证针对老年人群的医院环境中支气管吸入风险的多专业筛查工具。方法 对不同患者随机抽取评委使用该工具。应用结束后,对评委进行了访谈,以核实他们对书面内容的解释以及语法和语义问题的相关性的印象。此外,还考虑了增加其他问题和答案的建议,以及调整构成工具的问题的建议。此外,还分析了评委对问卷的非语言反应,如表示怀疑或犹豫的面部表情。结果 用内容效度指数(CVI)和类内相关系数(ICC)计算了评委们对工具每个项目的一致程度,结果显示一致程度很高。通过评委们的建议,新版《医院环境中老年人支气管吸入风险多专业筛查工具》得以制定。结论 结果表明,根据反应过程,《医院环境中老年人支气管吸入风险多专业筛查工具》具有有效性,使其成为协助医院护理老年人的专业人员的有前途的工具。
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引用次数: 0
Guide to the preparation of speech reports for implanted children: opinion of specialists. 植入儿童语言报告编写指南:专家意见。
IF 0.8 Q2 Arts and Humanities Pub Date : 2023-12-22 eCollection Date: 2023-01-01 DOI: 10.1590/2317-1782/20232022177pt
Natália Barreto Frederigue-Lopes, Joice de Moura Silva, Flávia Custódio Pedroso de Souza, Marcela Beatriz Ricardo, Thais Corina Said de Angelo, Regina Tangerino de Souza Jacob, Adriane Lima Mortari Moret, Marina Morettin Zupelari

Purpose: To develop a guide for the preparation of speech-language reports of implanted children to be shared among speech-language pathologists of cochlear implant (CI) services and rehabilitation professionals.

Methods: The Delphi method was used to select the relevant and fundamental items that should be included in the two versions proposed for the guide: Guide 1 - Speech-language reports provided by the CI services to rehabilitators, and Guide 2 - Speech-language reports provided by the rehabilitators to CI services. Twenty-one speech therapists specialized and with experience in cochlear implants and auditory rehabilitation participated in the discussion and judgment of the items during the selection rounds. Consensus was considered when the item reached agreement equal to or greater than 80% among participants, being selected to compose the two guides.

Results: After the two rounds, 21 items from Guide 1 reached consensus among therapists, that is, more than 80% of them agreed that these items should be present in the report sent by the CI service. For Guide 2, 22 items analyzed by speech therapists working in CI services in the postoperative sector were selected in the second round.

Conclusion: Based on the analysis of the two rounds, the "Guide for the preparation of speech-language pathology reports: intersection between CI service and rehabilitators" was developed. This material can be applied in the follow-up of implanted children, standardizing the information shared about the electronic device, evaluation results, monitoring of results and therapeutic process of this population.

目的:为人工耳蜗(CI)服务机构的言语病理学家和康复专业人员共同使用的植入儿童言语报告编写指南:方法:采用德尔菲法(Delphi method)来选择相关的基本项目,并将其纳入指南的两个版本中:指南 1 - 由 CI 服务机构向康复人员提供的言语报告,以及指南 2 - 由康复人员向 CI 服务机构提供的言语报告。21 位在人工耳蜗和听觉康复方面具有专长和经验的言语治疗师参与了在筛选过程中对项目的讨论和判断。如果项目在参与者中达成的一致意见等于或大于 80%,则视为达成共识,并被选入两份指南:经过两轮筛选,治疗师对指南 1 中的 21 个项目达成了共识,即超过 80% 的治疗师同意这些项目应出现在 CI 服务机构发送的报告中。对于《指南 2》,术后 CI 服务部门的言语治疗师分析了 22 个项目,并在第二轮中选定了这些项目:根据两轮分析,编写了 "言语病理学报告编写指南:CI 服务与康复人员之间的交叉"。该材料可用于植入儿童的后续治疗,使有关电子设备、评估结果、结果监测和治疗过程的信息共享标准化。
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引用次数: 0
Modifications of auditory feedback and its effects on the voice of adult subjects: a scoping review. 听觉反馈的修改及其对成年受试者嗓音的影响:范围综述。
IF 0.8 Q2 Arts and Humanities Pub Date : 2023-12-22 eCollection Date: 2023-01-01 DOI: 10.1590/2317-1782/20232022202pt
Moisés do Carmo Alves, Patrícia Cotta Mancini, Leticia Caldas Teixeira

Introduction: The auditory perception of voice and its production involve auditory feedback, kinesthetic cues and the feedforward system that produce different effects for the voice. The Lombard, Sidetone and Pitch-Shift-Reflex effects are the most studied. The mapping of scientific experiments on changes in auditory feedback for voice motor control makes it possible to examine the existing literature on the phenomenon and may contribute to voice training or therapies.

Purpose: To map experiments and research results with manipulation of auditory feedback for voice motor control in adults.

Method: Scope review following the Checklist Preferred Reporting Items for Systematic reviews and Meta-Analyses extension (PRISMA-ScR) to answer the question: "What are the investigation methods and main research findings on the manipulation of auditory feedback in voice self-monitoring of adults?". The search protocol was based on the Population, Concept, and Context (PCC) mnemonic strategy, in which the population is adult individuals, the concept is the manipulation of auditory feedback and the context is on motor voice control. Articles were searched in the databases: BVS/Virtual Health Library, MEDLINE/Medical Literature Analysis and Retrieval System online, COCHRANE, CINAHL/Cumulative Index to Nursing and Allied Health Literature, SCOPUS and WEB OF SCIENCE.

Results: 60 articles were found, 19 on the Lombard Effect, 25 on the Pitch-shift-reflex effect, 12 on the Sidetone effect and four on the Sidetone/Lombard effect. The studies are in agreement that the insertion of a noise that masks the auditory feedback causes an increase in the individual's speech intensity and that the amplification of the auditory feedback promotes the reduction of the sound pressure level in the voice production. A reflex response to the change in pitch is observed in the auditory feedback, however, with particular characteristics in each study.

Conclusion: The material and method of the experiments are different, there are no standardizations in the tasks, the samples are varied and often reduced. The methodological diversity makes it difficult to generalize the results. The main findings of research on auditory feedback on voice motor control confirm that in the suppression of auditory feedback, the individual tends to increase the intensity of the voice. In auditory feedback amplification, the individual decreases the intensity and has greater control over the fundamental frequency, and in frequency manipulations, the individual tends to correct the manipulation. The few studies with dysphonic individuals show that they behave differently from non-dysphonic individuals.

简介声音的听觉感知及其产生涉及听觉反馈、动觉线索和前馈系统,它们对声音产生不同的影响。研究最多的是伦巴第效应、侧音效应和音高转换反射效应。绘制有关听觉反馈对嗓音运动控制的影响的科学实验图,可以检查有关该现象的现有文献,并可能有助于嗓音训练或治疗。目的:绘制有关听觉反馈对成人嗓音运动控制的影响的实验和研究成果图:方法:按照《系统综述和荟萃分析扩展首选报告项目清单》(PRISMA-ScR)进行范围综述,以回答问题:"关于在成人嗓音自我监控中操纵听觉反馈的调查方法和主要研究结果是什么?检索方案基于人群、概念和语境(PCC)记忆策略,其中人群为成年人,概念为听觉反馈操作,语境为运动语音控制。文章在数据库中进行了检索:BVS/Virtual Health Library、MEDLINE/Medical Literature Analysis and Retrieval System online、COCHRANE、CINAHL/Cumulative Index to Nursing and Allied Health Literature、SCOPUS 和 WEB OF SCIENCE:结果:共找到 60 篇文章,其中 19 篇关于伦巴第效应,25 篇关于音高转换反射效应,12 篇关于西德顿效应,4 篇关于西德顿/伦巴第效应。这些研究一致认为,插入掩盖听觉反馈的噪音会导致个人说话强度的增加,而听觉反馈的放大会促进发声声压级的降低。然而,在听觉反馈中可以观察到对音调变化的反射反应,但每项研究都有自己的特点:结论:实验的材料和方法各不相同,任务没有标准化,样本也各不相同,而且往往有所减少。研究方法的多样性使得研究结果难以一概而论。听觉反馈对语音运动控制的主要研究结果证实,在抑制听觉反馈时,个体倾向于增加语音的强度。在听觉反馈放大的过程中,个体会降低声音强度,并对基频有更大的控制力;而在频率操纵的过程中,个体倾向于纠正操纵。对发音障碍者的少数研究表明,他们的行为与非发音障碍者不同。
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引用次数: 0
Evidence of concurrent and predictive criterion validity of the Child Communication Screening Instrument from 0 to 36 months (IRC-36). 0-36个月儿童沟通能力筛查工具(IRC-36)的并发有效性和预测性标准有效性的证据。
IF 0.8 Q2 Arts and Humanities Pub Date : 2023-12-22 eCollection Date: 2023-01-01 DOI: 10.1590/2317-1782/20232022218pt
Dayanne Priscila Rodrigues de Almeida, Ana Augusta de Andrade Cordeiro, Larissa Nadjara Alves Almeida, Camila Arruda Manchester de Queiroga, Bianca Arruda Manchester de Queiroga

Purpose: To determine evidence of concurrent and predictive criterion validity of the Communication Screening Instrument for children aged 0 to 36 months (IRC-36).

Methods: 78 parents/guardians of children who attend the childcare service of the Family Health Centers participated in the research, in addition to 33 children aged between 0 and 36 months, invited to the second stage of the study. In its first stage, 13 health professionals were trained to apply the IRC-36 to the children's parents/guardians. In the second moment, the parents responded to a new IRC-36 application, and the children were evaluated with Denver II.

Results: IRC-36 correlated with Denver II in more than half of the cases, confirming the instrument's concurrent criterion validity. IRC-36 results in the first stage did not significantly correlate with Denver II. The instrument's cutoff value was 12, which is the reference value between children at risk and not at risk of communication disorders. The instrument had high sensitivity and an accuracy value within the recommended levels. The occurrence of risk of communication changes was higher in the second IRC-36 application.

Conclusion: The study presented evidence of concurrent criterion validity, indicating that the instrument has evidence of accuracy and validity measures to screen communication in children aged 0 to 36 months, being able to identify the risk for communication disorders.

目的:确定 0 至 36 个月儿童沟通能力筛查工具(IRC-36)的并发有效性和预测性标准有效性。方法:78 名参加家庭健康中心托儿服务的儿童的父母/监护人参加了研究,此外还有 33 名 0 至 36 个月的儿童应邀参加了研究的第二阶段。在第一阶段,13 名卫生专业人员接受了培训,以便向儿童的父母/监护人应用 IRC-36。在第二阶段,家长们对新的 IRC-36 应用程序做出了回应,并用 Denver II 对儿童进行了评估:结果:IRC-36 与丹佛 II 的相关性超过半数,证实了该工具的并行标准有效性。第一阶段的 IRC-36 结果与丹佛 II 没有明显的相关性。该工具的临界值为 12,这是沟通障碍高危儿童与非高危儿童之间的参考值。该工具的灵敏度很高,准确度也在建议水平之内。结论:该研究提供了并发标准效度的证据,表明该工具在筛查 0 至 36 个月儿童的沟通能力方面具有准确性和有效性,能够识别沟通障碍的风险。
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引用次数: 0
Modifications of auditory feedback and its effects on the voice of adult subjects: a scoping review 听觉反馈的修改及其对成年受试者嗓音的影响:范围综述
IF 0.8 Q2 Arts and Humanities Pub Date : 2023-12-22 DOI: 10.1590/2317-1782/20232022202en
Moisés do Carmo Alves, Patrícia Cotta Mancini, Leticia Caldas Teixeira
ABSTRACT Introduction The auditory perception of voice and its production involve auditory feedback, kinesthetic cues and the feedforward system that produce different effects for the voice. The Lombard, Sidetone and Pitch-Shift-Reflex effects are the most studied. The mapping of scientific experiments on changes in auditory feedback for voice motor control makes it possible to examine the existing literature on the phenomenon and may contribute to voice training or therapies. Purpose To map experiments and research results with manipulation of auditory feedback for voice motor control in adults. Method Scope review following the Checklist Preferred Reporting Items for Systematic reviews and Meta-Analyses extension (PRISMA-ScR) to answer the question: “What are the investigation methods and main research findings on the manipulation of auditory feedback in voice self-monitoring of adults?”. The search protocol was based on the Population, Concept, and Context (PCC) mnemonic strategy, in which the population is adult individuals, the concept is the manipulation of auditory feedback and the context is on motor voice control. Articles were searched in the databases: BVS/Virtual Health Library, MEDLINE/Medical Literature Analysis and Retrieval System online, COCHRANE, CINAHL/Cumulative Index to Nursing and Allied Health Literature, SCOPUS and WEB OF SCIENCE. Results 60 articles were found, 19 on the Lombard Effect, 25 on the Pitch-shift-reflex effect, 12 on the Sidetone effect and four on the Sidetone/Lombard effect. The studies are in agreement that the insertion of a noise that masks the auditory feedback causes an increase in the individual's speech intensity and that the amplification of the auditory feedback promotes the reduction of the sound pressure level in the voice production. A reflex response to the change in pitch is observed in the auditory feedback, however, with particular characteristics in each study. Conclusion The material and method of the experiments are different, there are no standardizations in the tasks, the samples are varied and often reduced. The methodological diversity makes it difficult to generalize the results. The main findings of research on auditory feedback on voice motor control confirm that in the suppression of auditory feedback, the individual tends to increase the intensity of the voice. In auditory feedback amplification, the individual decreases the intensity and has greater control over the fundamental frequency, and in frequency manipulations, the individual tends to correct the manipulation. The few studies with dysphonic individuals show that they behave differently from non-dysphonic individuals.
ABSTRACT 引言 声音的听觉感知及其产生涉及听觉反馈、动觉线索和前馈系统,它们对声音产生不同的影响。研究最多的是伦巴第效应、侧音效应和音高偏移反射效应。绘制有关听觉反馈对嗓音运动控制的变化的科学实验图,可以检查有关这一现象的现有文献,并可能有助于嗓音训练或治疗。目的 对操纵听觉反馈以控制成人嗓音运动的实验和研究成果进行梳理。方法 按照《系统综述和 Meta 分析首选报告项目清单》扩展版(PRISMA-ScR)进行范围综述,以回答以下问题:"关于在成人嗓音自我监控中操纵听觉反馈的调查方法和主要研究结果是什么?检索方案基于人群、概念和语境(PCC)记忆策略,其中人群为成年人,概念为听觉反馈操作,语境为运动语音控制。文章在数据库中进行了检索:BVS/Virtual Health Library、MEDLINE/Medical Literature Analysis and Retrieval System online、COCHRANE、CINAHL/Cumulative Index to Nursing and Allied Health Literature、SCOPUS 和 WEB OF SCIENCE。结果 共找到 60 篇文章,其中 19 篇关于伦巴第效应,25 篇关于音高转换反射效应,12 篇关于西德顿效应,4 篇关于西德顿/伦巴第效应。这些研究一致认为,插入掩盖听觉反馈的噪音会导致个人说话强度的增加,而听觉反馈的放大会促进发声声压级的降低。不过,听觉反馈中会出现对音调变化的反射反应,但每项研究都有自己的特点。结论 实验的材料和方法各不相同,任务没有标准化,样本也各不相同,而且往往有所减少。研究方法的多样性使得研究结果难以一概而论。听觉反馈对语音运动控制的主要研究结果证实,在抑制听觉反馈时,个体倾向于增加语音的强度。在听觉反馈放大的过程中,个体会降低声音强度,并对基频有更大的控制能力;而在频率操纵的过程中,个体倾向于纠正操纵。对发音障碍者的少数研究表明,他们的行为与非发音障碍者不同。
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