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Functionality and Quality of Life within the Speech-Language Pathology Assessment Context: Analysis from the
Marina Garcia de Souza Borges1, Adriane Mesquita de Medeiros1, Stela Maris Aguiar Lemos1
1Speech-Language Pathology and Audiology Department, Federal University of Minas Gerais, Belo Horizonte, Brazil.
Summary
Male sex and clinical complaints negatively impact child functionality. However, participation in activities positively affects quality of life for children undergoing speech-language evaluation, highlighting the importance of the biopsychosocial model.
Area of Science:
- Speech-Language Pathology
- Pediatric Health
- Biopsychosocial Health Models
Background:
- Quality of life and functionality are key in the biopsychosocial model.
- Understanding factors influencing these aspects in children is crucial for effective speech-language pathology (SLP) interventions.
Purpose of the Study:
- To assess the impact of clinical, sociodemographic, and functional factors on the quality of life in children and adolescents undergoing speech-language evaluation.
- To explore the relationships between International Classification of Functioning, Disability and Health (ICF) components and quality of life.
Main Methods:
- Cross-sectional analytical observational study with 84 Brazilian children and adolescents.
- Utilized the Brazilian Economic Classification Criteria and Pediatric Quality of Life Inventory 4.0™.
- Collected data on sex, complaints, diagnostic hypothesis, and ICF components (Body Functions, Activities and Participation, Environmental Factors).
- Employed factor analysis and structural equation modeling for data analysis.
Main Results:
- Male sex and clinical-care variables negatively influenced functionality (p < 0.05).
- Activities and Participation positively impacted self-reported (p = 0.031) and parent-reported quality of life (p = 0.003).
- Orofacial motricity complaints negatively affected parent-reported quality of life, while speech disorder diagnoses positively influenced self-reported quality of life.
Conclusions:
- Clinical complaints and sex negatively affect functionality, while participation in activities positively influences quality of life.
- Structural equation modeling is a valuable tool for analyzing ICF and quality of life in SLP practice.
- Findings support a comprehensive biopsychosocial approach in pediatric speech-language pathology.
Keywords:
AdolescentChildrenInternational Classification of Functioning, Disability, and HealthQuality of lifeSpeech-language pathologyMore Related Videos
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