Proposal and content validation of an orofacial myofunctional assessment protocol for individuals with cleft lip and palate

Abstract

Purpose: To create and validate the content of an orofacial myofunctional assessment protocol for individuals with cleft lip and palate. Methods: The first version of an orofacial myofunctional assessment protocol for individuals with cleft lip and palate was created by two speech-language pathologists, who contemplated the structural and functional aspects of the stomatognathic system. This version was analyzed by other two speech-language pathologists experienced in cleft lip and palate assessment, who suggested changes that led to the second version of the protocol. Dynamic and static images necessary for performing the orofacial myofunctional examination were recorded from three individuals with cleft lip and palate, who represented three life stages: childhood, adolescence, and adulthood. Five examiners evaluated the images, applied the proposed protocol, and judged each item regarding its clarity to validate the content, from Content Validity Index. Results: The assessment protocol was finalized with 13 items, ten related to structural aspects and three related to functional aspects, with their corresponding sub-items. The general agreement in the validation of its content was 100%, so that only one stage was required. Conclusion: A protocol to evaluate the orofacial myofunctional aspects of individuals with cleft lip and palate was created with 13 items, as well as their corresponding sub-items, and its content was validated.

Ampliação e validação do protocolo de avaliação miofuncional orofacial para indivíduos com fissura labiopalatina

“…This study was developed with the purpose of extending and performing the total validity of an orofacial myofunctional assessment protocol for individuals with cleft lip and palate, previously developed (6) for which it was performed the content validity. In this regard, the literature has referred to the importance of standardized and validated tools for use at clinical practice (10)(11)(12) .…”

“…Besides, with the application, at clinical routine, of the protocol previously proposed (6) , it was perceived the need to add the items mobility, tonicity and sensibility of the orofacial structures, because such aspects contribute to the understanding of the dysfunctions and the establishment of the treatment planning. It should be highlighted that these added aspects comprise some protocols and propositions of general orofacial myofunctional assessment, applied to several populations (3,9) .…”

“…For the expansion of the protocol suggested by Graziani et al (6) , were added the aspects relevant to the mobility and tonicity evaluation of the orofacial structures, based on the proposition "Orofacial Myofunctional Evaluation-protocol MBGR" (3) , as well as of sensitivity. Besides, items of some aspects were modified in order to turn the instrument more complete, and called PROTIFI the shortening for "Protocol of Orofacial Myofunctional Evaluation for Individuals with Cleft Lip and Palate".…”

“…Thus, the objective of this study was to perform the extension and validation of the content, criterion and construct of the orofacial myofunctional evaluation protocol for individuals with cleft lip and palate suggested by Graziani et al (6) . The idea is to make this instrument more complete and present higher methodological strictness, as well as to define evaluation parameters for its use to contribute with clinical practice and scientific community.…”

Avaliação da eficiência do uso do Sistema Informatizado de Educação Continuada em Enfermagem

“…No entanto, esta variável não foi analisada e correlacionada com o resultado da pesquisa. (16,29,39,(43)(44)(45)(97)(98)(99) Observamos também que quanto menor o tempo de graduado, maior a eficiência dos dados das categorias Estrutura Organizacional e Profissionais. (100) , que tenham interferência direta no alcance de resultados.…”