Etapas finais do processo de validação da escala Urica-VV: responsividade e relação com outras variáveis da avaliação multidimensional da voz

• Autor(a) principal: Silva, Hêmmylly Farias da
• Data de Publicação: 2022
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/24921
• topic: Fonoaudiologia; Voz; Terapêutica; Comportamento e estudo de validação; Speech; Language and hearing sciences; Voice; Therapeutics; Behavior and validation study; CNPQ::CIENCIAS DA SAUDE::SAUDE COLETIVA

Introduction: The treatment readiness process emphasizes the motivation to seek, initiate, maintain, and complete a treatment. The understanding of this process is essential to the therapist in the initial moment, so the importance of using a self assessment instrument that includes all the processes of evidence of psychometric validity for this investigation is highlighted. Purpose: To verify evidence of validity in relation to other variables and consequences of the test on the URICA-V Scale. Methodology: The work was divided into two studies: Study one was a cross-sectional with 130 subjects. All volunteers presented a laryngeal exam, answered the vocal screening protocol and URICA-V scales, validated by IAT and CTT, and made vocal recordings. Data analysis was performed using descriptive and inferential statistics, using Kruskal Wallis tests, Spearman correlation and beta regression analysis. The second study was longitudinal with 79 subjects. All volunteers underwent 6 vocal therapy sessions and were evaluated using the same instruments as in study 1, pre and post therapy. Data analysis was performed using Wilcoxon and effect size analysis. Results: In the version validated by the IAT, there was discriminant validity of the total score with the auditory vocal symptom; from the contemplation stage with auditory, sensory and total vocal symptoms. In the CTT version, the discriminant validity was between the total score and the auditory and total vocal symptoms; the action stage with auditory symptoms and the maintenance stage with auditory, sensory and total symptoms. Regarding risk factors, in the IAT version, there was also discriminant validity of the total score and consideration of organizational and total risk factors; maintenance score with organizational risk factors. In the CTT version, the discriminant validity was of the total score, the stage of action and maintenance with organizational, personal and total risk factors; the action stage with risk factor, as well as the maintenance stage with environmental risk factors. For the auditory-perceptual and acoustic analysis data, the IAT version showed discriminant validity only with the general degree of auditory-perceptual. The CTT version showed discriminant validity of the pre-contemplation stage with the shimmer and the harmonic noise ratio. The beta regression model determined that the variables that influence the contemplation stage on the IAT URICA-VV were: number of personal risk factors, age, being a voice professional, having low education and the subjects' vocal intensity. Finally, responsiveness to monitoring the readiness stage was not observed in either version, thus reaffirming that they are important scales for the purposes of initial assessment of subjects, but not for follow-up purposes. Conclusion: The URICA-V scale in both versions showed discriminant validity with some data from the multidimensional assessment with the voice and concurrent validity between the two versions. The beta regression model determined that the variables that influence the contemplation stage on the TRI scale were: number of personal risk factors, age, being a voice professional, having low education and the subjects' vocal intensity. There was no responsiveness to monitoring the readiness stage in either of the two versions of the scale.