Objective: To validate the Vocal Tract Discomfort Scale for the Brazilian Portuguese (VTDS-BR), based on internal consistency, reliability, and accuracy. Methods: The participants were 431 adults of both sexes, divide...
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Objective: To analyze the determining factors for using devices in vocal interventions and characterize their use by Brazilian speech-language pathologists (SLPs). Methods: This cross-sectional observational study had...
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Objective: To map the volitional and non-volitional devices used by speech and language pathologists (SLPs) in voice training and therapy and characterize their use in research on voice interventions. Methods: This sc...
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Objective: To analyze the reliability, measurement error, and responsiveness of the Voice Handicap Index (VHI) for measuring voice handicap in individuals with voice disorders. Methods: This systematic review followed...
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Objective: To analyze the reliability, measurement error, and responsiveness of the Voice Handicap Index (VHI) for measuring voice handicap in individuals with voice disorders. Methods: This systematic review followed the recommendations of the COnsensus-based Standards for the Selection of health Measurement INstruments. Studies that validated the VHI, analyzed the measurement properties of reliability, measurement error, or responsiveness, and had dysphonic individuals as the study population were included. The following electronic databases were searched: Cochrane Library, EMBASE, LILACS, PubMed, Scopus, and Web of Science. The manual search was carried out on gray literature in the Biblioteca Digital Brasileira de Teses e Dissertações and ProQuest Dissertation & Theses, in addition to mapping citations and consulting an expert in the field. Evidence selection, data extraction, risk of bias analysis, certainty of evidence, and good psychometric measurements were performed by two blinded and independent reviewers. A meta-analysis was performed using Fisher's transformed r-to-z correlation coefficient and standardized mean difference. Heterogeneity was calculated using Tau² and I² statistical tests in JAMOVI 2.3.2 software. Results: Eighty studies were included in the meta-analysis. When assessing the risk of bias, most studies were classified as inadequate during the reliability and measurement error stages. In the responsiveness stage, they were classified as doubtful in the sensitivity and specificity sub-boxes and good in the comparison sub-box with a gold standard instrument. For psychometric properties, most studies were classified as indeterminate in terms of both reliability and responsiveness. In test-retest reliability and responsiveness, the average outcome differed significantly from zero, indicating agreement between the test and retest moments and a significant reduction in the VHI score after intervention. Considering certainty of the evidence, the l
BackgroundParticipation is a complex multidirectional construct that is influenced by social, attitudinal, and physical aspects of the environment, in addition to being an indicator of social inclusion, health and wel...
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BackgroundParticipation is a complex multidirectional construct that is influenced by social, attitudinal, and physical aspects of the environment, in addition to being an indicator of social inclusion, health and well-being. The family of participation-related constructs includes attendance and involvement in relevant activities, to capture the participatory experiences of children and youth. In recent years, instruments to assess participation in different environments have been developed, facilitating the incorporation of this assessment into the physiotherapist's clinical practice, as participation represents an important outcome in rehabilitation. The Participation and Environment Measure - Children and Youth (PEM-CY) was developed from the theoretical framework of the International Classification of Functioning, Disability and health (ICF). The PEM-CY was translated into Portuguese, but its psychometric properties have not yet been verified in the Brazilian population. ObjectiveTo verify the psychometric properties of the PEM-CY Brazil (internal consistency and construct validity) in Brazilian children and young people. MethodsParticipants were 101 Brazilian children and adolescents (mean age 9.36 years, SD 3.47) with and without disabilities. Parents or guardians answered the PEM-CY Brazil questionnaire that assesses Participation (Frequency, Involvement and Desire for Change) and Environment (supports, barriers, environmental helpfulness, environmental resources, and overall environmental support). The internal consistency of all subscales was assessed using Cronbach's Alpha. Construct validity was analyzed by comparing the PEM-CY results between groups of children with and without disabilities using the Mann-Whitney or Chi-square tests, considering p<0.05. ResultsInternal consistency ranged from good to excellent for all subscales of the participation section (α=0.70 to 0.84) and all subscales of the environment section (α=0.53 to 0.95). The comparative ana
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