Treatment indicators influence speech therapy discharge time.

PURPOSE: To compare the treatment time for acquired neurological disorders of communication and the reason for discharge of users of a medium complexity care service for two periods: before and after implementation of treatment indicators. METHODS: A retrospective cohort study was carried out involving the analysis of medical records of users of the Adult Language Sector of the Speech and Hearing Therapy Service of the Integrated Rehabilitation Center, seen before and after treatment indicators implementation. RESULTS: 129 electronic medical records of users who remained under treatment until discharge from speech therapy in the two studied periods were analyzed. The mean duration of speech therapy for these users was 10.9 months for the first period and 7.8 months for the second period. After implementation of the indicators with regular reassessments, 72 out of the 89 users continued with treatment. There was a statistically significant difference in the therapy average time and reason for discharge before and after treatment indicators implementation. CONCLUSION: After treatment indicators implementation, there was a reduction of the average speech therapy treatment time for communication disorders and an increase of speech therapy discharge percentage of users seen in a Brazilian service of medium complexity.

Treatment indicators influence speech therapy discharge time / Indicadores de tratamento influenciam no tempo para a alta fonoaudiológica

ABSTRACT Purpose To compare the treatment time for acquired neurological disorders of communication and the reason for discharge of users of a medium complexity care service for two periods: before and after implementation of treatment indicators. Methods A retrospective cohort study was carried out involving the analysis of medical records of users of the Adult Language Sector of the Speech and Hearing Therapy Service of the Integrated Rehabilitation Center, seen before and after treatment indicators implementation. Results 129 electronic medical records of users who remained under treatment until discharge from speech therapy in the two studied periods were analyzed. The mean duration of speech therapy for these users was 10.9 months for the first period and 7.8 months for the second period. After implementation of the indicators with regular reassessments, 72 out of the 89 users continued with treatment. There was a statistically significant difference in the therapy average time and reason for discharge before and after treatment indicators implementation. Conclusion After treatment indicators implementation, there was a reduction of the average speech therapy treatment time for communication disorders and an increase of speech therapy discharge percentage of users seen in a Brazilian service of medium complexity.

RESUMO Objetivo Comparar o tempo de tratamento dos distúrbios neurológicos da comunicação adquiridos e o motivo da alta dos usuários de um serviço de média complexidade por dois períodos: antes e após a implementação dos indicadores de tratamento. Método Foi realizado um estudo de coorte retrospectivo por meio da análise de prontuários de usuários do Setor de Linguagem Adulto do Serviço de Fonoaudiologia de um Centro Integrado de Reabilitação, a partir dos registros anteriores e posteriores à inserção dos indicadores de tratamento. Resultados Foram analisados 129 prontuários eletrônicos de usuários que permaneceram em tratamento até a alta fonoaudiológica nos dois períodos estudados. A duração média da terapia fonoaudiológica desses usuários foi de 10.9 meses no primeiro período e 7.8 meses no segundo período. Após a implementação dos indicadores com reavaliações regulares, 72 dos 89 usuários continuaram o tratamento. Houve diferença estatisticamente significante no tempo médio de terapia e do motivo da alta antes e após a inserção dos indicadores de tratamento. Conclusão Após a implementação dos indicadores de tratamento, houve redução do tempo médio de tratamento fonoaudiológico para os distúrbios da comunicação e aumentou o percentual das altas fonoaudiológicas dos usuários atendidos em um serviço brasileiro de média complexidade.

Animal assisted therapy: systematic review of literature. / Terapia assistida por animais: revisão sistemática da literatura.

PURPOSE: to verify the applications of AAT in health by performing a systematic review of the literature. RESEARCH STRATEGY: a survey was carried out in four databases with the descriptors: animal assisted therapy, horse assisted therapy, speech therapy. SELECTION CRITERIA: article published between 2010 and 2018, in Portuguese or English, free electronic access and that mentioned the characteristics of the intervention program. DATA ANALYSIS: criteria: casuistry, area of knowledge, program characteristic, type of research, year and language of publication, nationality, periodical and impact factor. RESULTS: 43 articles published in 30 journals, 16 with impact factor, were reviewed. Clinical studies prevailed (93.02%), 37.20% were from Medicine, the population studied had different diagnoses and ages, 55.81% with adults / elderly. AAT was used preferentially for physical rehabilitation (67.44%) and the main mediator was the dog, mentioned in 72.09% of the articles. Eight (n = 8) programs with a focus on communication intervention were described. CONCLUSION: There is scientific evidence on the use of AAT published in the period studied, in Brazil and in the world. The programs were used by different health and education professionals. The AAT goals were specific to the profile of the participants, and consistent with the characteristics of the mediator animal and the site.

OBJETIVO: Verificar evidências sobre aplicação da TAA na saúde realizando revisão sistemática da literatura. ESTRATÉGIA DE PESQUISA: Foi realizado levantamento em quatro bases de dados com os descritores: terapia assistida por animais (Animal Assisted Therapy), terapia assistida por cavalos (Equine-Assisted Therapy), fonoaudiologia (speech therapy). CRITÉRIOS DE SELEÇÃO: Artigo publicado entre 2010 e 2018, em português ou inglês, com acesso eletrônico livre e que mencionava as características do programa de intervenção. ANÁLISE DOS DADOS: Critérios: casuística, área do conhecimento, característica do programa, tipo de pesquisa, ano e língua de publicação, nacionalidade, periódico e fator de impacto. RESULTADOS: 43 artigos publicados em 30 periódicos, 16 com fator de impacto, foram revisados. Os estudos clínicos prevaleceram (93,02%), 37,20% eram da Medicina, a população estudada tinha diferentes diagnósticos e idades, sendo 55,81% com adultos/idosos. A TAA foi usada preferencialmente para reabilitação física (67,44%) e o principal mediador foi o cão citado em 72,09% dos artigos. Foram descritos oito (n=8) programas com foco na intervenção em comunicação. CONCLUSÃO: Há evidências científicas sobre o uso da TAA publicadas no período estudado, no Brasil e no mundo. Os programas eram utilizados por diferentes profissionais da saúde e educação. As metas da TAA eram específicas para o perfil dos participantes e condizentes com as características do animal mediador e do local.

Vocabulary of preschool children with typical language development and socioeducational variables. / Vocabulário de pré-escolares com desenvolvimento típico de linguagem e variáveis socioeducacionais.

PURPOSE: To investigate the correlation between age, socioeconomic status (SES), and performance on emissive and receptive vocabulary tests in children with typical language development. METHODS: The study sample was composed of 60 preschool children of both genders, aged 3 years to 5 years 11 months, with typical language development divided into three groups: G I (mean age=3 years 6 months), G II (mean age=4 years 4 months) and G III (mean age=5 years 9 months). The ABFW Child Language Test - Vocabulary and the Peabody Picture Vocabulary Test (PPVT) for emissive and receptive language were applied to the preschoolers. The socioeconomic classification questionnaire of the Brazilian Association of Survey Companies (ABEP) was applied to the preschoolers' parents/legal guardians. Data were analyzed according to the criteria of the aforementioned instruments and were arranged in Excel spreadsheet for Windows XP®. A multiple linear regression model was used, adopting a statistical significance level of 5%, to analyze the correlation between age, SES, and performance on the receptive and emissive vocabulary tests. RESULTS: In the ABEP questionnaire, participants were classified mostly into social level C (63.3%), followed by levels B (26.6%) and D (10%). The preschoolers investigated presented emissive and receptive vocabulary adequate for the age groups. No statistically significant difference was found for the variables age and SES regarding emissive and receptive vocabulary. Higher test scores were observed with increased age and SES, for social levels "B" compared with "D" and for "C" with "D". CONCLUSION: The variables age and socioeconomic status influenced the performance on emissive and receptive vocabulary tests in the study group.

Vocabulário de pré-escolares com desenvolvimento típico de linguagem e variáveis socioeducacionais / Vocabulary of preschool children with typical language development and socioeducational variables

RESUMO Objetivo Verificar a associação entre idade, nível socioeconômico e o desempenho em prova de vocabulário emissivo e receptivo de crianças com desenvolvimento típico de linguagem. Método Participaram 60 estudantes da Educação Infantil, com idade entre 3 a 5:11 anos, de ambos os gêneros, com desenvolvimento típico de linguagem, divididos em Grupos: GI (ẋ 3:6 anos), GII (ẋ 4:4 anos) e GIII (ẋ 5:9 anos). Foram aplicados, individualmente, os testes de Linguagem Infantil ABFW- parte Vocabulário e o Peabody para vocabulário emissivo e receptivo, respectivamente, e o preenchimento do questionário de classificação socioeconômica da Associação Brasileira de Empresas de Pesquisa (ABEP) pelo responsável. Os dados foram analisados conforme critérios dos instrumentos e dispostos em planilha de Excel for Windows XP®. Foi utilizado modelo de Regressão Linear múltipla, adotou-se um nível de significância de 5% para estudar a relação entre a idade, o nível socioeconômico e o desempenho em prova de vocabulário receptivo e emissivo. Resultados No ABEP, os participantes foram classificados em sua maioria no nível social C (63,3%), seguido do B (26,6%) e D (10%). Apresentaram vocabulário emissivo e receptivo condizente com a faixa etária. No vocabulário emissivo e receptivo, houve diferença estatística para a variável idade e nível socioeconômico. Verificou-se maior pontuação nos testes, conforme o avanço da idade e do nível socioeconômico, do nível social "B" para o "D", e do "C" para o "D". Conclusão As variáveis idade e nível socioeconômico podem influenciar o desempenho nas provas de vocabulário emissivo e receptivo do grupo estudado.

ABSTRACT Purpose To investigate the correlation between age, socioeconomic status (SES), and performance on emissive and receptive vocabulary tests in children with typical language development. Methods The study sample was composed of 60 preschool children of both genders, aged 3 years to 5 years 11 months, with typical language development divided into three groups: G I (mean age=3 years 6 months), G II (mean age=4 years 4 months) and G III (mean age=5 years 9 months). The ABFW Child Language Test - Vocabulary and the Peabody Picture Vocabulary Test (PPVT) for emissive and receptive language were applied to the preschoolers. The socioeconomic classification questionnaire of the Brazilian Association of Survey Companies (ABEP) was applied to the preschoolers' parents/legal guardians. Data were analyzed according to the criteria of the aforementioned instruments and were arranged in Excel spreadsheet for Windows XP®. A multiple linear regression model was used, adopting a statistical significance level of 5%, to analyze the correlation between age, SES, and performance on the receptive and emissive vocabulary tests. Results In the ABEP questionnaire, participants were classified mostly into social level C (63.3%), followed by levels B (26.6%) and D (10%). The preschoolers investigated presented emissive and receptive vocabulary adequate for the age groups. No statistically significant difference was found for the variables age and SES regarding emissive and receptive vocabulary. Higher test scores were observed with increased age and SES, for social levels "B" compared with "D" and for "C" with "D". Conclusion The variables age and socioeconomic status influenced the performance on emissive and receptive vocabulary tests in the study group.