Voice-related quality of life in the pediatric population: validation of the Brazilian version of the Pediatric Voice-Related Quality-of Life survey

Abstract

The checklist can be used as a tool in the therapeutic follow-up processes of children with autism spectrum disorders, but it does not replace the complete FCP protocol.

Sintomas vocais na população pediátrica: Validação da versão brasileira do Questionário de Sintomas Vocais Pediátrico

“…The individual analysis of the questions of the PVSQ reinforces the more circumstantial profile of the response of children and adolescents, since seven items presented difference in the test-retest as opposed to the two observed in the parental evaluation, which resulted in higher test-retest difference in the vocal symptoms score in the self-report version, as shown in Table 4. In the self-report, the differences relate to physical, sociofunctional and emotional symptoms; in the parental report, such changes appeared only in the physical item, the most objective domain (18) , for which parents have a better perception (17) . Analyzing the reproducibility of the vocal symptoms score of the PVSQ, it is observed that: there was difference both in the parental evaluation and self-evaluation; the mean scores were higher in the retest, differently from what occurred in the validation of the original version (6) ; the change in the scores reinforces that the contact with the instrument enhances the perception of parents and children regarding the vocal symptoms, by assisting in the comprehension of the experienced difficulties (7,8) , which is very important, even for vocal rehabilitation, since it is only possible to modify behaviors through their perception.…”

“…The use of the self-evaluation of vocal quality as an external measure for measuring the validity of a self-evaluation instrument has been adopted in several Brazilian validation studies (15)(16)(17) . In a research on the quality of life related to voice in children and adolescents (17) , there was a positive correlation between parental evaluation of vocal quality and the scores of the Pediatric Voice-Related Quality-of-Life Protocol (PVRQOL), demonstrating that the perception of a bad voice correlates to a lower quality of life in children and adolescents aged 2-18 years.…”

“…It is known that the reports of parents and children about the vocal symptom do not present general agreement (6,7) , that the child, even recognizing a change in his/her voice, may like it and not point out symptoms (7) and that there is a poor correlation between the clinic and the perception of the subject who lives with dysphonia (24)(25)(26) . The speech-language evaluation and the vocal self-evaluation have different results (8,17) , so they should not be exclusively used. The sum of the information assists in understanding the vocal problem, directs actions, defines therapeutic objectives and measures the effects of therapy in the comparison before and after speech therapy (23) .…”

Comunicação alternativa e aumentativa no transtorno do espectro do autismo: impactos na comunicação

“…It was used to describe the child's biopsychosocial issues and obtain information about their initial form of communication, as described by the parents. The collection of primary data was through filming recorded in videos of 15 minutes each of the pre-and postspeech therapy evaluation sessions using AAC, following the author's time criterion (16) . The five initial minutes of recording were discarded.…”

Relação entre medidas perceptivo-auditivas e de autoavaliação em pacientes com esclerose múltipla

“…Self-assessment instruments are designed to assess the impact of voice problems on specific populations and age groups (11,12) , voice use under specific occupational conditions (13,14) or specific conditions of voice disorders (9,15,16) .…”