Departamento de Fonoaudiologia, Universidade Federal de Sergipe - UFS - São Cristóvão (SE), Brasil.
CEFAC Saúde e Educação - São Paulo (SP), Brasil.
Codas. 2022 Jan 10;34(2):e20200324. doi: 10.1590/2317-1782/20212020324. eCollection 2022.
To present Myofunctional Orofacial Clinical History Instructive and Protocol belonging to the MMBGR Protocol - Infants and Preschoolers, including the adaptation and validation of content and appearance.
Validation, descriptive and cross-sectional study. Adaptation based on the MBGR Protocol, based on theoretical studies and the authors' experience. Infants between 6 and 23 months of age and preschoolers between 24 and 71 months were considered. Consent and consensus of the version adapted by the authors (original and current) was obtained. The appearance and content of the new instrument were analyzed by 10 speech therapists specialized in Orofacial Motricity. We performed two analysis rounds. First: an electronic form containing dichotic questions (yes / no), with justification for negative answers; Content Validity Index and Exact Binomial Test; Second: 5 points-Likert scale.
We produced an unprecedented instructional and adapted Clinical History protocol maintaining 23 age group related items. We excluded information from 7 items and included information in 8. Initially, we achieved agreement in 70% instructional specialist items by at least 70% of the specialists; and 64% of Clinical History items, by at least 90% of specialists. In the second round, there were 100% of "I totally agree" responses from the experts.
"Instructive" and "Myofunctional Clinical History, Orofacial" had validity of content and appearance concluded, and together with the "Clinical Examination" they integrate the "Protocol MMBGR - Infants and Preschoolers", being able to contribute to clinical practice and research in Motricity Orofacial area in the age group between 6 months and 5 years and 11 months of age.
介绍属于 MMBGR 协议 - 婴儿和学龄前儿童的肌功能口颜面临床病史指导和方案,包括内容和外观的适应和验证。
验证、描述性和横断面研究。基于 MMBGR 协议的改编,基于理论研究和作者的经验。考虑年龄在 6 至 23 个月之间的婴儿和年龄在 24 至 71 个月之间的学龄前儿童。获得了作者改编的版本(原始和当前)的同意和共识。10 位专门从事口颜面运动学的言语治疗师对新仪器的外观和内容进行了分析。我们进行了两轮分析。第一轮:包含二分问题(是/否)的电子表格,并对否定答案进行了说明;内容有效性指数和精确二项式检验;第二轮:5 分-李克特量表。
我们制作了一个前所未有的指导和适应的临床病史方案,保留了 23 个与年龄组相关的项目。我们排除了 7 个项目的信息,并增加了 8 个项目的信息。最初,我们在至少 70%的专家中达到了 70%的指导专家项目的一致性;在至少 90%的专家中,临床病史项目达到了 64%。在第二轮,专家们的回答是 100%的“我完全同意”。
“指导”和“口颜面肌功能临床病史”的内容和外观有效性已得到结论,并且与“临床检查”一起,它们共同构成了“MMBGR 协议 - 婴儿和学龄前儿童”,能够为 6 个月至 5 岁 11 个月龄的口颜面运动领域的临床实践和研究做出贡献。