ESSA - TF - Artigos em revistas científicas
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Browsing ESSA - TF - Artigos em revistas científicas by Author "Aires, Raquel"
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- Body image concerns in people who underwent a total laryngectomyPublication . Guimarães, Isabel; Torrejano, Gabriela; Aires, Raquel; Gonçalves, Filomena; Freitas, Susana Vaz; Correia, Paula; Romeiro, Cláudia; Silvestre, Inês; Bom, Rita; Martins, Paulo; Santos, Ana R.Abstract: Background: Body image is a potential psychological burden after total laryngectomy (TL) with devastating effects on patients’ health-related quality of life (HRQOL) and communication. This study focused on TL patients to determine the prevalence of dissatisfied body image and whether they have poorer HRQOL and difficulty adjusting to their new voice than TL patients with satisfied body image. It also aimed to investigate the potential predictors of body image. Methods: A multicenter cross-sectional study was conducted. For TL patients, the Body Image Scale (BIS), the European Organization for Research on Cancer Quality of Life Questionnaire, Core and Neck Module (EORTC QLQ C30 and EORCT H&N35), and the Self-Experiences of Communication after Laryngeal cancer (SECEL) were used. Patients were categorized as dissatisfied with their body image if the BIS score was ≥8. Multiple regression analysis was performed using the BIS as the dependent measure and HRQOL (QLQ C30 and H& N35) and communication (SECEL) as independent variables. Results: Overall, 31.3% of TL patients had dissatisfied body image, significantly worse HRQOL, and difficulty adjusting to their new voice than patients with satisfied body image. The regression model showed that social eating and socializing (H&N35) and adjustment to their new voice (SECEL) were independent predictors of body image. The model explained 52% of the variance. Conclusions: Screening TL patients at risk for body image concerns may help develop effective interventions to optimize HRQOL and patient communication.
- Self-evaluation of communication experiences after laryngectomy (SECEL): translation and psychometric properties in european portuguesePublication . Guimarães, Isabel; Torrejano, Gabriela; Aires, Raquel; Freitas, Susana; Gonçalves, Filomena; Correia, Paula; Romeiro, Cláudia; Silvestre, Inês; Bom, Rita; Martins, Paulo; Santos, Ana RitaIntroduction: The patients’ perception of how communication dysfunction may cause a disadvantage is important information for the clinical decision-making process. Objectives: This study aimed to translate the self-evaluation of communication experiences after laryngectomy (SECEL) to the European Portuguese (EP) and to assess its feasibility, acceptability, reliability, and validity. Material and methods: A cross-sectional study was carried out, and a cluster sample of seven ENT outpatient clinics was drawn. The EP-SECEL was filled in by 129 people with laryngectomy, aged 29–81 years and 25 of those completed it in the second time. Patients have also filled in the European Organization for Research Treatment of Cancer Quality of Life Questionnaire (EORCT), the core quality of life questionnaire (QLQ-C30) and the 35-item Head and Neck module (H&N35). Results: The EP-SECEL has the same conceptual meaning, semantics, idiomatic, format and score equivalence as the original one. Psychometric analyses revealed that it is feasible (missing <1%, to fill out took about 15 minutes for most patients), acceptable (floor and ceiling effects inferior to 15%), reliable (excellent internal consistency, Cronbach’s alpha = 0.90, and moderate test-retest, Spearman’s rhô = 0.64), well-constructed (66% of the total variance is explained by exploratory factor analysis), significantly convergent (correlates with the EORTC QLQ-C30 and H&N35) and validly discriminates people with total and partial laryngectomy as well as people with different primary means-of-communication. Conclusions: This study supports that the EP-SECEL has sufficient psychometric qualities to be considered an adequate tool to be recommended for assessing health-related quality of life among laryngectomy patients.
- Voice handicap index: cut-off points for screening european portuguese with voice disordersPublication . Guimarães, Isabel; Torrejano, Gabriela; Aires, Raquel; Caetano, Mariana; Fernandes, António; Martins, Paulo; Luís, LeonorSummary: Objectives. To determine cut-off values of the Voice Handicap Index (VHI) and the shortened version (VHI-10) for European Portuguese (EP) with voice disorders. In addition, to analyze the discriminatory power of individual items of the VHI-10 and the ability to detect differences in various Ear Nose and Throat (ENT) diagnoses. Study Design. Cross-sectional cohort study. Methods. All participants completed the EP VHI and a 4-point self-assessment of voice disorder severity. The case group (subjects with voice disorders) underwent assessment through strobovideolaryngoscopy examinations by ENT surgeons and perceptual analyses by speech-language pathologists (SLPs). In contrast, the control group was evaluated solely by SLPs. Data were analyzed using a receiver-operating characteristic curve to determine the accuracy and cut-off values of the VHI and VHI-10. Results. The study involved a sample of 350 adults (171 cases and 179 controls), predominantly women aged 18–88 years. The area under curve (AUC) for VHI and VHI-10 was 0.997 [95% confidence interval (CI): 0. 992–1] and 0.998 [95% CI: 0.995–0.999], respectively. Optimal cut-off values were identified as 13.5 for VHI (0. 994 sensitivity and 0.989 specificity) and 5.5 for VHI-10 (0.977 sensitivity and 0.955 specificity). Each individual item within the VHI-10 significantly contributed to the overall assessment, exhibiting varying discriminatory power ranging from excellent (AUC = 0.937) to poor (AUC = 0.637). Significant differences were found in the case group between neurogenic disorders and healthy larynx (P = 0.014), structural and physiologic minor laryngeal abnormalities (P = 0.006), and inflammatory disorders (P = 0.043). Conclusions. The VHI and the VHI-10 exhibited accurate screening properties for predicting EP speakers with voice disorders.