Attention to oropharingeal dysfunction in home care: speech therapy management. Appearance and content validation study of a guidance manual

Pereira, Karina de Fatima Portela de Oliveira; Pereira, Adriano de Souza; Zeigelboim, Bianca Simone; Santos, Rosane Sampaio

doi:10.1590/1982-021620182052918

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ORIGINAL ARTICLES • Rev. CEFAC 20 (5) • Sep-Oct 2018 • https://doi.org/10.1590/1982-021620182052918 copy

Attention to oropharingeal dysfunction in home care: speech therapy management. Appearance and content validation study of a guidance manual

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Purpose:

to validate as to appearance and content, the "guidance manual for adult patients with dysphagia in home care speech therapy".

Methods:

a qualitative and quantitative study, divided into three stages; first, the pilot material was constructed; second, 8 expert judges, with a master or doctorate degree, were chosen to assess the manual through a questionnaire; and third, 8 caregiver judges of home care patients were chosen to represent the study population.

Results:

Pearson's linear correlation was used in the analysis of the judges' answers, considering the responses with a correlation greater than 0,6 which is a parameter that indicates a strong linear correlation.

Conclusion:

the results found, after the judges' evaluation, showed a strong correlation between the questions regarding the content of the manual and suggesting appearance and content validity.

Keywords:
Home Nursing; Validation Studies; Speech, Language and Hearing Sciences; Deglutition Disorders

GROUP OF ITEMS	ITEMS	AGREEMENT INDEX
Objectives	1.1 They are consistent with the needs of patients with dysphagia.	0.87
	1.2 They are consistent from the point of view of the rehabilitation process.	0.75
	1.3 Promotes behavior change and attitude.	1.00
	1.4 It may circulate in the scientific setting in the area of dysphagia.	0.75
	1.5 It meets the objectives of institutions working with dysphagic patients in home care.	0.87
Structure	2.1 The guidance manual is suitable for caregivers / dysphagia patients in home care.	1.00
	2.2 The messages are presented in a clear and objective way.	1.00
	2.3 The information presented is scientifically correct.	1.00
	2.4 The manual is appropriate to the socio - cultural level of the proposed target audience.	0.87
	2.5 Logical sequence of the proposed content.	0.75
	2.6 The information is well structured in agreement and spelling.	0.87
	2.7 The style of writing corresponds to the level of knowledge of the target audience.	0.75
	2.8 Information and presentation are consistent.	1.00
	2.9 The size of the title and topics is adequate.	1.00
	2.10 The illustrations are expressive and sufficient.	0.62
	2.11 The material (paper, printing) is appropriate.	1.00
	2.12 Pages number is adequate.	1.00
Relevance	3.1 The themes portray key aspects that must be reinforced.	1.00
	3.2 The material allows learning in the context of home care.	1.00
	3.3 The manual proposes to the learner to acquire knowledge in dysphagia.	1.00
	3.4 The manual approaches the necessary issues for attention, care and monitoring of dysphagia.	1.00
	3.5 It is suitable for use by the speech therapist as a complement to their work in the context of home care.	0.87

DOMAINS	ITEM	N	SCORES
DOMAINS	ITEM	N	TA	A	PA	I
Objective	1.1 They are consistent with the needs of patients with dysphagia.	8	2	5	1	-
	1.2 They are consistent from the point of view of the rehabilitation process.	8	4	2	2	-
	1.3 Promotes behavior change and attitude.	8	6	2	-	-
	1.4 It may circulate in the scientific setting in the area of dysphagia.	8	4	2	2	-
	1.5 It meets the objectives of institutions working with dysphagic patients in home care.	8	4	3	1	-
Structure	2.1 The guidance manual is suitable for caregivers / dysphagia patients in home care.	8	5	3	-	-
	2.2 The messages are presented in a clear and objective way.	8	4	4	-	-
	2.3 The information presented is scientifically correct.	8	3	5	-	-
	2.4 The manual is appropriate to the socio - cultural level of the proposed target audience.	8	4	3	1	-
	2.5 Logical sequence of the proposed content.	8	3	3	2	-
	2.6 The information is well structured in agreement and spelling.	8	5	2	1	-
	2.7 The style of writing corresponds to the level of knowledge of the target audience.	8	3	3	2	-
	2.8 Information and presentation are consistent.	8	6	2	-	-
	2.9 The size of the title and topics is adequate.	8	5	3	-	-
	2.10 The illustrations are expressive and sufficient.	8	1	4	2	1
	2.11 The material (paper, printing) is appropriate.	8	6	2	-	-
	2.12 Pages number is adequate.	8	5	3	-	-
Relevance	3.1 The themes portray key aspects that must be reinforced.	8	5	3	-	-
	3.2 The material allows learning in the context of home care.	8	6	2	-	-
	3.3 The manual proposes to the learner to acquire knowledge in dysphagia.	8	5	3	-	-
	3.4 The manual approaches the necessary issues for attention, care and monitoring of dysphagia.	8	5	3	-	-
	3.5 It is suitable for use by the speech therapist as a complement to their work in the context of home care.	8	4	3	1	-
	TOTAL	-	95	65	15	1

GROUP OF ITEMS (DOMAINS)	ITEMS	AGREEMENT INDEX
Objective	1.1 It meets the objectives of guiding patients with dysphagia.	1.00
	1.2 Help during the rehabilitation process.	1.00
	1.3 It is suitable for use by the caregiver of the patient with dysphagia.	1.00
Structure	2.1 Is the cover attractive? It Indicates the content of the material?	1.00
	2.2 The size of the title and the content in the topics is suitable	1.00
	2.3 Topics have sequence	1.00
	2.4 Information and presentation are consistent	1.00
	2.5 Pages number is adequate	1.00
	2.6 The material (paper, printing) is appropriate	1.00
	2.7 Themes depict important key aspects	1.00
Writing Style	3.1 Writing is in proper style	1.00
	3.2 The text is interesting	1.00
	3.3 Vocabulary is accessible	1.00
	3.4 There is an association of the theme of each session with the corresponding text	1.00
	3.5 The text is clear	1.00
	3.6 The writing style corresponds to the level of knowledge of the target audience	1.00
Appearance	4.1 Pages or sections appear organized	1.00
	4.2 The illustrations are simple (preferably drawings)	1.00
	4.3 The illustrations serve to complement the texts	1.00
	4.4 The illustrations are expressive and sufficient	1.00
Motivation	5.1 The material is appropriate for age, gender and culture.	1.00
	5.2 The material presents logic	1.00
	5.3 The interaction is invited by the texts. Suggests actions	1.00
	5.4 The manual approaches the necessary issues for patient with dysphagia care	1.00
	5.5 Promotes behavior and attitude change	1.00
	5.6 The manual proposes to the learner to acquire knowledge to perform care related to dysphagia	1.00

DOMAINS	ITEM	N	SCORES
DOMAINS	ITEM	N	TA	A	PA	I
Objective	1.1 It meets the objectives of guiding patients with dysphagia.	8	8	-	-	-
	1.2 Help during the rehabilitation process.	8	7	1	-	-
	1.3 It is suitable for use by the caregiver of the patient with dysphagia.	8	8	-	-	-
Structure	2.1 Is the cover attractive? Does it Indicate the content of the material?	8	5	3	-	-
	2.2 The size of the title and the content in the topics is suitable	8	8	-	-	-
	2.3 Topics have sequence	8	8	-	-	-
	2.4 Information and presentation are consistent	8	6	2	-	-
	2.5 Pages number is adequate	8	8	-	-	-
	2.6 The material (paper, printing) is appropriate	8	4	4	-	-
	2.7 Themes depict important key aspects	8	7	1	-	-
Writing Style	3.1 Writing is in proper style	8	4	4	-	-
	3.2 The text is interesting	8	6	2	-	-
	3.3 Vocabulary is accessible	8	5	3	-	-
	3.4 There is an association of the theme of each session with the corresponding text	8	8	-	-	-
	3.5 The text is clear	8	7	1	-	-
	3.6 The writing style corresponds to the level of knowledge of the target audience	8	6	2	-	-
Appearance	4.1 Pages or sections appear organized	8	7	1	-	-
	4,2 The illustrations are simple (preferably drawings)	8	4	4	-	-
	4.3 The illustrations serve to complement the texts	8	6	2	-	-
	4.4 The illustrations are expressive and sufficient	8	4	4	-	-
Motivation	5.1 The material is appropriate for age, gender and culture.	8	8	-	-	-
	5.2 The material presents logic	8	8	-	-	-
	5.3 The interaction is invited by the texts. Suggests actions	8	7	1	-	-
	5.4 The manual approaches the necessary issues for patient with dysphagia care	8	8	-	-	-
	5.5 Promotes behavior and attitudechange	8	8	-	-	-
	5.6 The manual proposes to the learner to acquire knowledge to perform care related to dysphagia	8	8	-	-	-
	TOTAL	-	173	35	-	-

ABRAMO Associação Brasileira de Motricidade Orofacial Rua Uruguaiana, 516, Cep 13026-001 Campinas SP Brasil, Tel.: +55 19 3254-0342 - São Paulo - SP - Brazil
E-mail: revistacefac@cefac.br

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[1] Corresponding address: Karina de Fatima Portela De Oliveira Pereira, Rua Jose Bajerski, 921, sobrado 86, CEP: 82220320 - Curitiba, Paraná, Brasil, E-mail: kari.portela@gmail.com