Banca de DEFESA: HIPOLITO VIRGILIO MAGALHAES JUNIOR

Uma banca de DEFESA de DOUTORADO foi cadastrada pelo programa.
DISCENTE : HIPOLITO VIRGILIO MAGALHAES JUNIOR
DATA : 21/05/2018
HORA: 08:00
LOCAL: DOD
TÍTULO:

EVIDENCES OF VALIDATION OF AN OROPHARYNGEAL DYSPHAGIA SCREENING INSTRUMENT


PALAVRAS-CHAVES:

dysphagia, screening, elderly, validation, accuracy, structural equation modeling.


PÁGINAS: 201
GRANDE ÁREA: Ciências da Saúde
ÁREA: Saúde Coletiva
SUBÁREA: Epidemiologia
RESUMO:
In the elderly, feeding may be compromised as a result of a swallowing disorder during the passage of food through the oral and pharyngeal region called oropharyngeal dysphagia (DO), a health condition that interferes with the maintenance of the nutritional status and hydration of the with the possibility of significant respiratory complications. Recognized as a geriatric syndrome by two important European communities, OD affects the autonomy and independence of the elderly in carrying out their daily life activities and contributes to functional decline and fragility. The objective of this study was to develop and validate a self-referenced questionnaire for the diagnosis of oropharyngeal dysphagia in the elderly (RaDI). The research methodology of this non-randomized, cross-sectional validation study followed the assumptions of the Standards for Educational and Psychological Testing, which describe the process of obtaining evidence based on: test content, response processes, internal structure, with other variables (convergent validity, discriminant, criterion and generalization). The collection, carried out from March 2013 to October 2017, in the city of Natal, state of Rio Grande do Norte, included the elderly, aged 60 and older, of both sexes, attended in the services of care for the elderly, Institution de Longa permanence, University Hospital and two Coexistence Centers, and excluded those with functional difficulties to understand, without any oral feeding, laryngectomized and tracheostomized patients. In the first two stages of validation, four researchers involved in the issues of swallowing and aging, three speech therapists and a sanitary dentist participated in a panel of experts to evaluate the analyzes of 32 judges on the first version of RaDI with 17 items. After its reformulation, the questionnaire was applied to the target population in 40 elderly people, and adjusted to 14 questions that were applied in 211 elderly people to perform the confirmatory factor analysis within a previously hypothesized theoretical model. The RaDI was reduced in 9 questions and was administered along with the associated factors questionnaire in 393 participants, within the same sociodemographic profile, to evaluate the concurrent validity, and in 110 along with the Rosenberg Self-esteem Scale to analyze its divergent validity , performed using the Spearman coefficient (r). The reliability examined by the test-retest in 75 elderly, used intraclass correlation (ICC), weighted Kappa, instrument measurement error (SEM) and the smallest real difference (SRD), and the internal consistency considered Cronbach's alpha, in of the 95% confidence interval. Results: RaDI was adjusted in its internal structure in the nine questions model, with good reliability (ICC = 0.83, CI 0.74-0.89, p <0.001, SEM = 2.13, SRD = 5.90 ) and high internal consistency (a = 0.90). Conclusions: RaDI has produced valid and reliable answers to identify the symptoms of oropharyngeal dysphagia in the elderly and is still in the process of obtaining the most adjusted psychometric parameters in its confidence interval.
 
 
 
 
 
 
 
 

MEMBROS DA BANCA:
Externo à Instituição - ANA CALINE NÓBREGA DA COSTA - UFBA
Interno - 3926907 - DYEGO LEANDRO BEZERRA DE SOUZA
Externo à Instituição - LUCIA FIGUEIREDO MOURÃO - UNICAMP
Presidente - 421717 - MARIA ANGELA FERNANDES FERREIRA
Interno - 1868020 - ZENEWTON ANDRÉ DA SILVA GAMA
Notícia cadastrada em: 20/04/2018 08:12
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