SLP, graduate student in the Speech-Language Pathology program at the Universidade Federal da Paraíba (Federal University of Paraíba; UFPB).
SLP, graduate student in Decision and Health Models at the UFPB.
J Voice. 2020 Jul;34(4):547-558. doi: 10.1016/j.jvoice.2018.12.004. Epub 2018 Dec 28.
In terms of treatment results, the readiness stage presents the best conditions for adherence to a therapeutic proposal, and it allows for an estimated disease prognosis and assistance with treatment monitoring. Patients with dysphonia who are treated using vocal rehabilitation (basically a behavioral program), regardless of disease etiology, can optimize their treatment by understanding the stages of behavioral change.
To evaluate the accuracy of the components constituting the stages of readiness to change on the University of Rhode Island Change Assessment-Voice (URICA-V) scale using confirmatory factor analysis and internal consistency indices.
This documentary study evaluated the records of 488 patients with dysphonia collected from a voice laboratory database. Most of the patients were Brazilian women with higher education who were single, nonprofessional voice users. The results of the URICA-V self-assessment questionnaire were analyzed to determine the patients' stage of readiness to change when vocal rehabilitation was proposed as a treatment. A descriptive and inferential statistical analysis was conducted using confirmatory factor analysis to determine the correlation between the questionnaire items and the stages of readiness.
Of the eight items in the precontemplation stage, only four presented significant factor loading within that stage. Three items in the action stage did not present significant factor loading during that stage. The items in the contemplation and maintenance stages presented significant factor loadings within their respective stages.
The results of a confirmatory factor analysis allowed us to propose an adjustment to the URICA-V scale. The objective of the adjusted scale is to improve the instrument's ability to make evaluations prethrepy and posttherapy and to more reliably assess readiness in patients undergoing voice therapy.
就治疗效果而言，准备阶段最有利于患者坚持治疗方案，有助于对疾病预后进行评估，并为治疗监测提供帮助。采用嗓音康复治疗（主要是一种行为方案）治疗的各种类型的发声障碍患者，无论病因如何，通过了解行为改变阶段都可以优化治疗效果。
使用验证性因子分析和内部一致性指数评估罗得岛大学改变评估-嗓音量表（URICA-V）中构成改变准备阶段的各分量表的准确性。
本文献研究评估了从嗓音实验室数据库中收集的 488 例发声障碍患者的记录。大多数患者为巴西籍女性，具有较高的教育水平，且为单身、非专业嗓音使用者。对 URICA-V 自我评估问卷的结果进行分析，以确定当提出嗓音康复治疗时患者改变的准备阶段。采用描述性和推断性统计分析，通过验证性因子分析确定问卷项目与改变准备阶段之间的相关性。
在不准备阶段的 8 个项目中，只有 4 个在该阶段呈现出显著的因子负荷。在行动阶段的 3 个项目在该阶段没有呈现出显著的因子负荷。在沉思和维持阶段的项目在各自的阶段呈现出显著的因子负荷。
验证性因子分析的结果使我们能够提出对 URICA-V 量表的调整。调整后的量表的目的是提高该工具进行治疗前和治疗后评估的能力，并更可靠地评估接受嗓音治疗的患者的准备情况。
