Educative processes in the vocal health of teachers: a literature review of Brazilian studies in Speech-Language Pathology and Audiology
This literature review analyzes the educative processes of vocal healthc actions aimed at teachers discussed in Speech-Language Pathology and Audiology literature produced in Brazil. Our corpus consisted of 63 studies on collective intervention published between 1994 and 2008. The analysis emphasizes the distribution of publications over time; the characterization of the type of educative process (unilateral or dialogic, democratic, participatory and problema-based); the themes/content addressed; the form of development (precise or procedural); and the organization of actions (individually centered or expanded towards working issues). It was observed that 74% of the actions were developed in processes, such as courses, workshops or voice training. The average length of each meeting ranged from 20 minutes to four hours. Seventy nine percent of the educative strategies employed were characterized as unilateral and inconsistent with proposals based on healthcare promotion. The most common themes and topics were: vocal habits/behaviors and vocal hygiene/health (71%); warming up and cooling down, vocal exercises and techniques (50%); anatomy and physiology of vocal production and oral sensorimotor system (44%); vocal parameters (23%); work environment (22%), and use of voice, communication and expression (20%). The focus of the educative process is the individual (100%) and it is generally conducted without considering work conditions, health and quality of life. Work environment aspects were contemplated in only 17% of the publications, teachers’ work organization, in 6%, and school community, in 1%. It was identified the need for organization and revision of forms of development, dynamics, strategies, themes and contents, type and focus of the educative process of public healthcare actions aiming at teachers’ vocal health, according to the perspective of health promotion.
CONCLUSION: In average, subjects were satisfied with their hearing aids dispensed by SUS. The Brazilian Portuguese version of the SADL proved to be an effective instrument to assess the level of satisfaction among the users of hearing aids dispensed by SUS evaluated in this study. Further research is necessary to complement these findings.
Knowledge persons accompanying patients in a Speech-Language Pathology school-clinic have about the work of speech-language pathologists
It was expected that persons accompanying patients during Speech-Language Pathology treatment would have greater knowledge about Speech-Language Pathology than general population, because they have had a wider contact with this profession. However, it was observed that, for both groups, the image of the speech-language pathologist was restricted to its rehabilitative aspect. Therefore, speech-language pathologists need to further promote and instruct those around them about their profession.
Otoacoustic detection of risk of early hearing loss in ears with normal audiograms: A 3-year follow-up study
In adults with a normal audiogram, ear vulnerability to noise could be elicited by the use of objective DPOAE measurements. A high IaDPOAE that corresponded to reduced DPOAE levels constitutes a risk for early hearing loss. This study emphasised the interest of DPOAE measurements in public health and occupational noise prevention policies. The IaDPOAE calculation may also be interesting for clinicians because no DPOAE index of abnormality is currently available.
from Hearing Research
CONCLUSION: The educational process was effective to treat the subjects proposed by the group and allowed the individual empowerment.