Questionário ABEL - Auditory Behavior in Everyday Life: estudo da confiabilidade - consistência interna da versão brasileira e reprodutibilidade no teste-reteste

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Abstract

OBJETIVO: verificar a confiabilidade (reprodutibilidade e consistência interna) da versão em português do questionário Auditory Behavior in Everyday Life e associações da pontuação com dados de anamnese e escolaridade dos entrevistados. MÉTODOS: foram entrevistados 18 pais de crianças entre quatro e 13 anos e 11 meses, usuárias de próteses auditivas. A versão em português do questionário foi aplicada em duas ocasiões. Estatisticamente, verificou-se a reprodutibilidade no teste-reteste e a consistência interna do instrumento. Foi investigado se valores obtidos na aplicação do questionário poderiam estar associados às variáveis da anamnese e à escolaridade dos entrevistados. RESULTADOS: o questionário mostrou-se reprodutível e com elevada consistência interna (Alfa de Cronbach>0,7). Houve associação entre o grau de perda auditiva e os itens "Atende ao telefone adequadamente" (p=0,004*), "Diz o nome de irmãos, membros da família e colegas de classe" (p=0,032*) e o Fator Consciência Auditiva (p=0,039*). Houve associação entre escolaridade dos entrevistados e o item "Solicita ajuda em situações necessárias" (p=0,027*). CONCLUSÕES: a versão em português do questionário ABEL tem confiabilidade: reprodutibilidade e consistência interna. Há associação entre o grau de perda auditiva e a pontuação em itens específicos e no Fator de Consciência Auditiva. Há associação entre a escolaridade dos entrevistados e o item "Solicita ajuda em situações necessárias".

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Most cited references 20

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Parental Report of Infant Language Skills: A Review of the Development and Application of the Communicative Development Inventories

Penny Roy, James Law (2008)

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Levels of evidence: universal newborn hearing screening (UNHS) and early hearing detection and intervention systems (EHDI).

Christine Yoshinaga-Itano (2016)

Levels of evidence differ according to the audience addressed. Implementation of universal newborn hearing screening requires responses to a complex myriad of diverse groups: the general public, families with children who are deaf or hard of hearing, the deaf and hard of hearing communities, hospital administrators, physicians (pediatricians, general practitioners, ear nose and throat physicians, geneticists), managed care, Medicaid, insurance agencies, and politicians. The level of evidence required by medical/health agencies and task forces may differ from the levels of evidence available in education and intervention. Issues related to the low incidence of the disability, the lack of a normal distribution within the disability study, the obstacles to random assignment to treatment, and designs that include a control group with "no treatment" have implications legally and ethically for the professional providing services to families and children who are deaf or hard of hearing. This session will discuss issues related to "convenience samples," number of subjects included in research studies, and the population required to obtain a large enough sample of children with low-incidence disabilities. The level of evidence required to demonstrate sensitive periods of development, which are a critical element for justification of implementing a universal newborn hearing screening includes both behavioral and neurological information. Sensitive periods may have different duration for different aspects of development, such as social-emotional development, auditory and speech development, or language development. Further complicating the question of sensitive periods of development are the distinct possibility that different sensitive periods exist for development of age-level vocabulary, for establishing English phonology, or for mastering English syntax. Research outcomes provide evidence that age of identification of hearing loss is reduced, that age of intervention initiation is lowered, and that the outcomes of intervention are better because of the establishment of a screening program. Most professionals in communication disorders believe that screening is not the actual cause of better developmental outcomes but that the age when children begin to have access to language and communication and the characteristics of the intervention are the primary cause of better outcomes. Screening is the avenue through which access to quality intervention is made available. The research still remains at an infant level of development such that there is very little evidence for the efficacy of specific characteristics of the intervention provided. (1) The learner will be able to identify the obstacles in conducting research on the effectiveness of intervention of children identified through universal newborn hearing screening programs. (2) The learner will be able to identify the type of research on developmental outcomes of children with early-identified hearing loss.

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The Glasgow Children's Benefit Inventory: a new instrument for assessing health-related benefit after an intervention.

Iain Swan, H S Gatehouse, H Kubba (2004)

Most health-related quality-of-life measures make an assessment at a single point in time. Comparing results before and after an intervention is often difficult, because the difference measured is usually small compared with the variation between individuals. A retrospectively applied measure specifically worded to assess benefit would be very useful for clinical research. Such a measure exists for adults. We aimed to develop a similar measure for children. We chose potential items after reviewing existing health-related quality-of-life measures, published literature, and parental interviews. A draft questionnaire was given to a group of parents and modified. The resulting Glasgow Children's Benefit Inventory (GCBI) comprised 24 questions on the consequences of a specified intervention on various aspects of the child's day-to-day life, without reference to any specific symptoms, and was worded to apply to children of any age. The questionnaire was mailed to the parents of all 1,777 children who had undergone tonsillectomy or ventilation tube insertion at one hospital during the period January 1998 to December 2001. There were 670 questionnaires returned. The GCBI scores correlated well with parental satisfaction with surgery and with estimates of technical success (residual sore throats, reported hearing impairment, ear infections). The questionnaire had high internal consistency. Factor analysis showed 4 dimensions in the pattern of responses relating to emotion, physical health, learning, and vitality. The GCBI is a means to retrospectively assess benefit after an intervention in children, and we have shown initial evidence of reliability and validity. Although not restricted to any branch of pediatric medicine, it is eminently suitable for use in pediatric otolaryngology.