Environmental factors and their associations with speech-language-hearing diagnostic hypotheses in children and adolescents
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Universidade Federal de Minas Gerais
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Purpose: to analyze the associations between speech-language-hearing diagnos tic hypotheses in children and adolescents and the Environmental Factors in the International Classification of Functioning, Disability, and Health. Methods: an observational, analytical, cross-sectional study carried out between 2016 and 2019 in an outpatient center with 5- to 16-year-old children and adolescents undergoing speech-language-hearing assessment and their parents/guardians. The Brazilian Economic Classification Criteria was used, and sociodemographic data were collected, along with speech-language-hearing diagnostic hypotheses and information
on the presence of categories of the Environmental Factors, qualified as either barriers or facilitators. Descriptive and association analyses were made, using Pearson’s chi square and Fisher’s Exact tests, with the significance level set at 0.05. Results: most participants had changes in oral language acquisition/development, written language, and oral-motor function. The most prevalent facilitators were in the categories of Services, Systems, and Policies; Support and Relationships; and Products and Technology, whereas the barriers were in the categories of Attitudes; Products and Technology; and Services, Systems, and Policies. The diagnostic
hypotheses of “Change in cognitive aspects of language”, “Change in speech”, and “Change in voice” had a significant association with the codes present in chapters 3 – Support and Relationships, and 4 – Attitudes. Conclusion: this association shows that patients with communication changes need a comprehensive approach encompassing the Contextual Factors.
Abstract
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International Classification of Functioning, Disability and Health, Speech, Language and Hearing Sciences, Child, Adolescent, Social Environment
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Language and Hearing Sciences;, Adolescent, International Classification of Functioning, Disability and Health, Social Environment, Child
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https://doi.org/10.1590/1982-0216/20212356421