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https://revistacefac.org.br/article/doi/10.1590/1982-0216/202426312523
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Structure of treatment goals set by expert voice-specialized speech-language pathologists for patients with vocal needs

Estructura de los objetivos terapéuticos formulados  por fonoaudiólogos/as en la intervención de usuarios/as  con necesidades vocales

Jaime Crisosto-Alarcón; Arturo Flores

http://dx.doi.org/10.1590/1982-0216/202426312523 Revista CEFAC, vol.26, n3, e12523, 2024
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Abstract

Purpose: to determine the structure of treatment goals set by expert voice-specialized speech-language pathologists in treatment plans for patients with vocal needs.

Methods: a cross-sectional documentary research was conducted to analyze 129 treatment goals proposed in treatment plans by 30 expert voice-specialized speech-language pathologists. These goals were thematically analyzed and organized according to the therapeutic content addressed. The goals including the notion of patient in their wording, the statement of a specific purpose, the method for achieving it, and the presence of outcome criteria, were evaluated.

Results: most treatment goals analyzed correspond to those aimed at modifying vocal parameters (67.4%). The contents referring to muscle tone (13.8%), vocal hygiene and education (10%), breathing (7.75%), and posture (1.55%) are represented to a lesser extent. From the total number of treatment goals analyzed, 82.17% include the notion of patient, 88.37% indicate the method, 100% indicate the purpose, 52.71% state the outcome criteria used, and 17.05% include other components in their structure.

Conclusions: diversity in goal setting shows different visions by the professionals involved in the therapeutic process.

Keywords

 Dysphonia; Planning; Clinical Decision-Making; Achievement; Voice Training

Resumen

Objetivo: determinar la estructura de los objetivos operacionales formulados por los/las fonoaudiólogos/ as en las planificaciones terapéuticas para usuarios con necesidades vocales.

Métodos: investigación documental transversal en que se analizaron 129 objetivos operacionales propuestos en las planificaciones terapéuticas de 30 fonoaudiólogos/as. Estos objetivos se sometieron a un proceso de análisis temático y se organizaron según el contenido terapéutico abordado. Se examinó la inclusión de la noción de usuario en la redacción, la declaración de una finalidad específica, el método para alcanzarla y la presencia de criterios de logro.

Resultados: de la totalidad de objetivos analizados, la mayoría corresponde a aquellos que están orientados a la modificación de parámetros vocales (67.4%). En menor medida, están representados los contenidos referentes a tonicidad muscular (13.8%), educación e higiene vocal (10%), respiración (7.75%) y postura (1.55%). Del total, un 82.17% incluye la noción de usuario, un 88.37% señala el método, el 100% indica la finalidad y un 52.71% declara los criterios de logro utilizados. Un 17.05% incluye otros componentes en su estructura.

Conclusiones: la diversidad en la formulación de los objetivos evidencia distintas visiones acerca del proceso terapéutico por parte de los profesionales involucrados.

Palabras clave

Disfonía; Planificación; Toma de Decisiones Clínicas; Logro; Entrenamiento de la Voz

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Submetido em:
01/12/2023

Aceito em:
08/02/2024

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