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Browsing by Author "Correia, Paula"

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  • A agradabilidade de vozes disfónicas em adolescentes
    Publication . Bastos, Ana Catarina; Quintal, Aldora; Correia, Paula; Martins, Ana Paula
    2014-05-14Conference object Open access Show more
  • 2022-11Conference object Open access Show more
  • Body image concerns in people who underwent a total laryngectomy
    Publication . 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.
    2024-02-14Journal article Open access Show more
  • Development of a questionnaire to assess people’s food choices determinants
    Publication . Ferrão, Ana C.; Guiné, Raquel P.F.; Correia, Paula; Ferreira, Manuela; Duarte, João; Lima, João
    Background: Diet and nutrition are major determinants of public health and are associated with a large number of diseases. Therefore, in order to plan actions to promote global health, it is crucial to understand people’s food choices. Objective: The aim of this study was the development and validation of a new instrument, a questionnaire to measure psycho-social motivations associated with food choices and eating practices. Methods: A descriptive cross-sectional study was undertaken on a non-probabilistic sample of 382 adult participants. The questionnaires were applied after informed consent only to adults (aged 18 or over) and the data were collected from January to April 2017 among the Portuguese population. The analysis has been conducted to explore the item-item correlation and the reliability of this new instrument. Results: The results indicated satisfactory correlations between the items of the different variables, except for Variable D (Social and cultural motivations) that did not show strong and significant correlations for almost any items. Considering all the items in each of the variables studied, Cronbach’s alpha values ranged from 0.32 for the marketing and commercial motivations to 0.64 for the economical and availability motivations. When some items were removed from the variables, the values of Cronbach’s alpha increased and ranged from 0.66 for social and cultural motivations to 0.78 for health, environmental and political motivations, and for marketing and commercial motivations. Conclusion: This work suggested that this questionnaire could be considered a suitable tool for exploring food choice determinants.
    2019Journal article Open access Show more
  • Expressões faciais e disfonia: Um estudo exploratório junto de mulheres disfónicas
    Publication . Correia, Paula; Dias, Maria do Rosário
    "Foram estudadas cinco mulheres adultas com disfonia num estudo exploratório prospetivo, com cinco voluntárias saudáveis, sem perturbação vocal, para fins de controlo. A metodologia utilizada foi descritiva, comparativa e correlacional. Realizou-se um protocolo de avaliação complexo incluindo: análise da expressão facial (sobrancelhas, olhos e boca) durante a leitura oral de textos que representam diferentes emoções (neutro, alegria, tristeza) e narrativas sobre acontecimentos de vida. Foram delineados como objetivos: 1) identificar as expressões faciais utilizadas nos diferentes contextos emocionais; 2) verificar a relação entre o grau de disfonia e as expressões faciais para diferentes contextos emocionais; 3) verificar se as mulheres com e sem disfonia apresentam expressões faciais significativamente diferentes nos vários contextos emocionais. Os resultados mostraram diferenças estisticamente significativas (p<0,05) entre os dois grupos na manifestação de alegria através da face. Os sujeitos com perturbação vocal são menos expressivos facialmente, em todos os contextos e significativamente menos expressivos ao nível da emoção alegria. O grau de disfonia encontra-se associado a uma diminuição de manifestações faciais de alegria e a uma maior manifestação de traços associáveis à tristeza, sendo a transmissão emocional é bimodal."
    2016-04Journal article Open access Show more
  • Self-evaluation of communication experiences after laryngectomy (SECEL): translation and psychometric properties in european portuguese
    Publication . Guimarães, Isabel; Torrejano, Gabriela; Aires, Raquel; Freitas, Susana; Gonçalves, Filomena; Correia, Paula; Romeiro, Cláudia; Silvestre, Inês; Bom, Rita; Martins, Paulo; Santos, Ana Rita
    Introduction: 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.
    2019-05-20Journal article Open access Show more
  • The reflux symptom score-12: cross-cultural adaptation and validation for european portuguese speakers with laryngopharyngeal reflux
    Publication . Guimarães, Isabel; Batista, Ana P.; Quintal, Aldora; Bom, Rita; Romeiro, Cláudia; Saraiva, Madalena; Cunha, Maura; Ferreira, Daniela B.; Correia, Paula; Almeida, Lina; Torrejano, Gabriela
    Abstract: Objectives. To translate and cross-culturally adapt the 12-item reflux symptom score (RSS-12) to European Portuguese (EP) and determine its clinimetric properties for symptomatic individuals with laryngopharyngeal reflux (LPR). Study design. Multinational cross-sectional cohort study. Methods. The English RSS-12 was cross-culturally adapted according to the recommendations of the international guidelines. The validation study included the completion of the RSS-12, reflux symptom index, and voice handicap index by symptomatic and asymptomatic subjects with LPR. The RSS-12 was completed a second time by symptomatic subjects. Nine clinimetric properties were analyzed according to the international guidelines for validation of patient-reported outcome measures. Results. The EP RSS-12 is equivalent to the English version (content, depth, and scoring). A total of 155 adults (84 with LPR symptoms) aged 21–78 years participated in the validation study. Statistical analyses revealed high internal consistency (Cronbach alpha > 0.90), high test-retest reliability (intraclass correlation coefficient > 0.70, P < 0.001), low measurement error (Standard measure error of 5.21 for RSS and 1.59 for quality of life), good content validity (omission data < 1% and item-total correlations > 0.652), good construct validity (61.9% of the total item variance with moderate item loadings), strong concurrent validity with reflux symptom index (rp = 0.772, P < 0.001) and moderate validity with voice handicap index (rp = 0.531, P < 0. 001), and signi5cantly known-groups validity (P < 0.001). The EP RSS-12 showed cross-cultural validity with French and Persian versions and high predictive validity with a cut-off value > 8 for a sensitivity of 91.7% and a specificity of 91.5%. Conclusions. The EP RSS-12 retained the features of the English version and is a reliable and valid patient-reported outcome measure for EP individuals with LPR in the study.
    2023-07-29Journal article Restricted access Show more
  • Trans Woman Voice Questionnaire: authorised European Portuguese translation
    Publication . Alves, Dina Caetano; Correia, Paula; Moreira, Kelly
    2022Book part Open access Show more
  • A voz como atividade simbólica no idoso
    Publication . Quintal, Aldora; Correia, Paula; Costa, Joana; Martins, Ana Paula
    2014-05-09Conference object Open access Show more