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与言语和语言发展相关的国际功能、残疾和健康分类检查表。

Checklist of relevant ICF categories for speech and language development.

机构信息

Programa de Pós-graduação em Distúrbios da Comunicação Humana, Escola Paulista de Medicina, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

Departamento de Fonoaudiologia, Escola Paulista de Medicina, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.

出版信息

Codas. 2024 Jan 22;36(2):e20220322. doi: 10.1590/2317-1782/20232022322pt. eCollection 2024.

Abstract

PURPOSE

Create a checklist of the International Classification of Functioning, Disability and Health (ICF) based on relevant categories for the development of speech and language, according to the perception of parents and speech therapists.

METHODS

Pilot application and research were carried out. 100 parents of preschool children with typical language/cognition development and 57 language specialist speech therapists participated in the survey. A questionnaire was created with 199 ICF categories of body function components, activities and participation, and environmental factors. Each category was scored as: indispensable (2); important (1) or unimportant (0). Statistical analysis was performed (descriptive, sum, cluster/K-means and Mann-Whitney method).

RESULTS

With the sum of the points (essential, important and unimportant) and the number of responses essential, the most relevant categories were identified for each group of respondents, as well as the set of categories in common (72 considered to have the greatest influence). The common list to the groups included the three components: body functions (30 categories/40% of the total), activities and participation (35/49.29%) and environmental factors (seven/13.20%). From the selected categories, 58.33% presented statistically significant results between the groups, regarding the relevance given.

CONCLUSIONS

The categories were considered with different scores between the groups: those of body functions were more scored by speech therapists, while those of environmental factors by parents. Thus, it was possible to create a checklist from the identification of the most relevant categories for the development of speech and language, in preschool age, contemplating the components of body functions, activities and participation and environmental factors.

摘要

目的

根据家长和言语治疗师的感知,为言语和语言发展创建一个基于相关类别的国际功能、残疾和健康分类(ICF)检查表。

方法

进行了试点应用和研究。有 100 名有典型语言/认知发育的学龄前儿童的家长和 57 名语言专业言语治疗师参与了调查。创建了一个包含身体功能成分、活动和参与以及环境因素的 199 个 ICF 类别的问卷。为每个类别评分:必不可少(2);重要(1)或不重要(0)。进行了统计分析(描述性、总和、聚类/K-均值和曼-惠特尼方法)。

结果

根据得分总和(必不可少、重要和不重要)和必不可少的回复数量,确定了每个受访者群体最相关的类别,以及共同的类别集(认为最有影响的 72 个类别)。两个群体共同的列表包括三个组成部分:身体功能(30 个类别/占总数的 40%)、活动和参与(35/49.29%)和环境因素(七个/13.20%)。从选定的类别中,58.33%在组间的相关性方面呈现出统计学意义。

结论

组间对这些类别的评分不同:言语治疗师更看重身体功能类,而家长更看重环境因素类。因此,有可能从识别最相关的类别的过程中创建一个检查表,用于发展学龄前儿童的言语和语言,同时考虑身体功能、活动和参与以及环境因素等组成部分。

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本文引用的文献

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Speech-language pathologists' treatment goals for preschool language disorders: An ICF analysis.
Int J Speech Lang Pathol. 2023 Dec;25(6):885-892. doi: 10.1080/17549507.2022.2142665. Epub 2022 Nov 23.
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Activities and participation of children with cerebral palsy: parent perspectives.
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The International Classification of Functioning, Disability and Health: development of capacity and performance scales.
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