Screening for Voice Disorders in Older Adults (Rastreamento de Alterações Vocais em Idosos—RAVI)—Part II: Validity Evidence and Reliability

Purpose To verify the association between sociodemographic factors, vocal behavior, morbidities, and self-perception of voice, hearing, and general health in older women with voice disorders. Methods The sample had 95 older women aged 60 to 84 years (mean of 69,5). They were interviewed with a structured questionnaire on sociodemographic aspects, health, and vocal behavior. The Screening Protocol for Voice Disorders in Older Adults (RAVI) was used to identify the presence of voice disorders. Results Participants who had finished high school and were retired predominated. The number of older women with voice disorders according to RAVI was 46.3%. Physical sensations such as dry throat, throat clearing, and itchy throat were the most common complaints. The group of older women with voice disorders had worse self-perception of voice quality, hearing, and general health and a higher frequency of upper airway infections than those without voice disorders (p ≤ 0.05). Conclusion The vocal self-assessment measured with RAVI was statistically associated with self-perception of voice quality, hearing, general health, sore throat, sinusitis, and respiratory allergies.

Section: Methodsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Self-perception of voice, hearing, and general health in screening for voice changes in older women

Rocha,

Nogueira,

Nunes

et al. 2024

“…The study groups were defined after collecting all data. Participants were divided into two groups based on the RAVI classification (7,10,11) and the laryngeal examination results: a group of older women with self-perceived vocal changes, vocal symptoms, and laryngeal examination findings consistent with older laryngeal characteristics (SPVA/n=25), and a group of older women without self-perceived vocal changes, without vocal symptoms, and with a normal laryngeal examination (WSPA/n=28) (Figure 1).…”

Section: Methodsmentioning

confidence: 99%

Analysis of different performance times of the voiced trill technique in older women

Nogueira,

Gama,

Nunes

et al. 2023

Purpose To analyze and compare the immediate vocal effects of the voiced trill technique in the assessment of acoustic and auditory-perceptual measures of older women with and without self-perceived vocal changes. Methods Clinical, quasi-experimental study in older women, aged 60 to 70 years (n=53). A questionnaire on vocal self-perception, voice, and laryngeal assessment was applied, before and after performing the voiced trill technique. Before and during intervals of the technique, sustained vowel samples were collected, totaling four samples. Older women were divided into two groups: one with self-perceived voice changes (n=25), and the other without self-perceived voice changes (n=28). Auditory-perceptual assessments and acoustic analysis were performed. Statistical tests were used to correlate the data: ANOVA Test for repeated measures, Friedman Test, Wilcoxon Test, and Pearson's Chi-Square Test. For all tests, the significance level was set at 5%. Results There was a predominance of moderate dysphonia in both groups, according to the auditory-perceptual judgment. There was no statistically significant difference between the groups in the assessment of the auditory-perceptual analysis regarding voice changes (improved, worsened, and unaltered voices) before and after the different technique performance times. Most older women improved their voice after 1 minute of performing the technique. Conclusion Older women often have voice changes when considering the perceptual judgment of the voice. There was no scientific evidence as to the ideal time to obtain a better effect on older women's voices.

“…No entanto, outro viés foi a dificuldade em identificar se essas doenças eram agudas ou crônicas. Para o rastreio do distúrbio vocal foi utilizado o protocolo RAVI (7)(8)(9) .…”

Section: Métodounclassified

“…A maioria dos distúrbios de voz em idosos está relacionado ao estado de saúde física, social e comportamental (6) . Para realizar a identificação de possível distúrbio vocal foi desenvolvido um protocolo denominado Rastreamento de Alterações Vocais em Idosos (RAVI), baseado na autoavaliação do idoso em relação a sintomas perceptivos-auditivos e de desconforto do trato vocal (7)(8)(9)(10) .…”

Section: Introductionunclassified

Autopercepção da voz, audição e saúde geral no rastreio de distúrbio vocal em idosas

Rocha,

Nogueira,

Nunes

et al. 2024

RESUMO Objetivo Verificar a associação de fatores sociodemográficos, do comportamento vocal, morbidades e autopercepção da voz, auditiva e de saúde geral de idosas com distúrbio vocal. Método Participaram 95 idosas com idades entre 60 e 84 anos (média 69,5). Realizou-se uma entrevista com apoio de um questionário estruturado contendo questões sociodemográficas, de saúde e do comportamento vocal. Utilizou-se o Protocolo para Rastreamento de Alterações Vocais em Idosos (RAVI) para identificar a presença de distúrbio vocal. Resultados Houve o predomínio de participantes com ensino médio completo e aposentadas. O número de idosas que apresentaram distúrbio vocal segundo o RAVI foi de 46,3%. Queixas relacionadas às sensações físicas como garganta seca, pigarro e coceira na garganta foram as mais presentes. O grupo de idosas com distúrbio vocal apresentou pior autopercepção da qualidade vocal, audição, saúde geral e maior frequência de infecções de vias aéreas superiores quando comparadas àquelas sem distúrbio vocal (p≤0,05). Conclusão Houve associação estatística entre a autoavaliação vocal mensurada pelo RAVI e a autopercepção da qualidade da voz, da audição, da saúde geral, inflamações de garganta, sinusite e alergias respiratórias.