Health literacy of people with spinal cord injury: a systematic review.

STUDY DESIGN: Systematic review. OBJECTIVE: To systematically review the evidence on health literacy (HL) of people diagnosed with spinal cord injury (SCI). METHODS: PubMed, Cochrane Library, Web of Science and Embase databases were used to identify studies published from 1974 to 2021. Two reviewers independently carried out the study selection process and assessed the methodological quality of the studies. The risk of bias in the studies was classified according to the Joanna Briggs Institute (JBI). RESULTS: In total, 1398 studies were identified from the initial search, and 11 were selected for reading thoroughly. After screening, five studies were included. All had a cross-sectional design, and most scientific production was from the United States. In the studies, people with SCI received assistance in rehabilitation services. The results were heterogeneous compared to the HL: reasonable HL; suitable HL; Inadequate HL. Better HL was identified in individuals from the white population compared to the black population with SCI. CONCLUSION: Studies on HL in the SCI population are limited. Guidance and personalized education provided in rehabilitation programs seem to have an influence on HL levels in this population. More research is needed to broaden the understanding of HL in the rehabilitation process of people diagnosed with SCI.

Validation of the WHOQOL-Bref instrument in Brazilian sign language (Libras).

PURPOSE: The recognition of the Brazilian Sign Language (Libras) as the official language of the Brazilian deaf, in 2002, reaffirms the linguistic and cultural particularities of the deaf population. Therefore, there is a lack of a validated instrument for assessing the Quality of Life of deaf people using Libras. With authorization from the World Health Organization (WHO), a version of the WHOQOL-Bref in Libras was developed, called WHOQOL-Bref/Libras. However, its psychometric properties have not been examined as yet. Therefore, the purpose of this work is to perform the psychometric validation of the WHOQOL-Bref/Libras. METHODS: WHOQOL-Bref/Libras and a sociodemographic questionnaire were applied to 311 deaf people from the five Brazilian regions. To assess temporal stability, the questionnaire was readministered to 52 deaf people, over an interval of 2 weeks. RESULTS: WHOQOL-Bref/Libras demonstrated satisfactory psychometric values for reliability, discriminant and construct validity, temporal stability, and internal consistency. Cronbach's alpha coefficient showed satisfactory values for each of the WHOQOL-Bref domains: Physical health (0.641), Psychological (0.705), Environment (0.710), and Overall-Bref domains (0.873). The WHOQOL-Bref/Libras is the appropriate option to assess the quality of life of deaf people who communicate through Libras. CONCLUSION: WHOQOL-Bref/Libras had a satisfactory psychometric performance; therefore, it is a valid option that will provide autonomous participation for the deaf in quality of life investigations.

O perfil da Fonoaudiologia em hospitais universitários federais brasileiros / The profile of speech therapy in Brazilian federal university hospitals

Introdução: Os Hospitais Universitários são importantes centros e ocupam papel de destaque na comunidade onde estão inseridos. Nestes locais há um conjunto diversificado de profissionais de saúde. Objetivo: Descrever a atuação da Fonoaudiologia nos Hospitais Universitários das Universidades Federais Brasileiras - HUs. Métodos: Estudo descritivo exploratório realizado nos Serviços de Fonoaudiologia dos HUs. A população constituiu-se de fonoaudiólogos responsáveis pelos serviços. No site do MEC- Ministério da Educação, foi obtida a relação de todos os Hospitais Universitários Federais, com seus respectivos contatos (e-mail/ endereço/ telefone). Os dados foram coletados por meio da aplicação de questionário contendo questões objetivas que avaliou a atuação fonoaudiológica dentro do HU, sendo aplicado via e-mail. Resultado: Entre os 45 HUs, 25 participaram do estudo e 16 possuem serviços de fonoaudiologia há 2 a 13 anos. Os atendimentos são ambulatoriais, entretanto, há serviços de fonoaudiologia atuando em ambulatório, clínicas, UTIs neonatal e de adultos e pronto socorro. Doutorado, Mestrado e a docência fazem parte do currículo de vários profissionais. Conclusão: A atuação da fonoaudiologia em unidades hospitalares, assim como a atuação conjunta precisa ser ampliada, pois o trabalho em equipe faz com que a profissão seja cada vez mais reconhecida e solicitada por outros profissionais, além de contribuir para melhor efeito na assistência ao paciente.

Introduction: The University Hospitals are very important centers and represent a relevant role in the community where they are inserted. In these places there is a diverse range of health professionals.Objective: To describe the performance of Speech-Language Pathology in University Hospitals of Federal Brazilian Universities ­ UH. Methods: Exploratory descriptive study developed by the Speech-Language Pathology services of the UHs. The population was constituted by the Speech-Language Pathology therapists responsible for the services. In MEC site, the relation of all the Federal University Hospitals and its respective contacts (e-mail/address/telephone) were obtained. The data were collected by the application of a questionnaire with objective questions, which evaluated the performance of Speech-Language Pathology inside the UH, and that was sent by e-mail. Results: Among the 45 UHs, 25 have participated of the study and 16 posses Speech-Language Pathology Services from 2 to 13 years. The attendance is the ambulatory, but there are also services developed in clinic, neonatal and adult ITUs and in first-aid clinics. Doctorship, Mastership and teaching are part of the résumé of many professionals. Conclusions: The performance of Speech-Languege Pathology in hospital unities should be amplified, since joint work makes the profession to be better recognized and therefore requested by other professionals, beyond contributing to a better assistance for the patient.

Introducción: Los Hospitales Univesitários son importantes centros y ocupan un papel relevante en la comunidad donde se insertan. En estos lugares hay una amplia gama de profesionales de la salud. Objetivo: Describir la actuación de la Fonoaudiologia en los Hospitales Universitários de las Universidades Federales Brasileñas. Métodos: Estudio exploratorio descriptivo llevada a cabo en servicios de Fonoaudiologia de los HUs. La población se constituió de fonoaudiologos responsable de los servicios. En la pagina web del MEC ­ Ministério de la Educación, fue encontrada la relación de todos los Hospitales Universitários Federales, con sus correspondientes contactos (correo electrónico / dirección / teléfono). Los datos fueron recolectados a través de la aplicación de un cuestionario con preguntas objetivas que evaluó el desempeño fonoaudiológico dentro de HU, aplicado a través del correo electrónico. Resultados: Entre los 45 HUs, 25 participaron del estudio y 16 tienen servicios de Fonoaudiologia hace 2 a 13 años. La atención ambulatoria, sin embargo, está trabajando en los servicios ambulatorios, clínicas, UCI neonatal y de adultos y la sala de emergencia. Doctorado, máster y la enseñanza son parte del currículum de varios profesionales. Conclusión: La actuación de la Fonoaudiología en unidades hospitalares, así como la acción conjunta necesita ser ampliada porque el trabajo en equipo hace que la profesión sea cada vez más reconocida y buscada por otros profesionales, mas allá de contribuir a un mejor efecto en el cuidado al paciente.