Use of alternative communication technology on quality of life evaluation of head and neck neoplasms patients.

Introduction: Communication, social interactions and health-related quality of life (HRQoL) of the person affected by head and neck cancer (HNC) are affected by both diagnosis and treatment. Objective: The aim of this study was to evaluate the use of alternative communication software as a resource...

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Published in:Brazilian Journal of Occupational Therapy / Cadernos Brasileiros de Terapia Ocupacional Vol. 27; no. 1; pp. 61 - 72
Main Authors: Aparecida Gomes-Ferraz, Cristiane, Rezende, Gabriela, Rodrigues do Prado De Carlo, Marysia Mara
Format: pictorial research tables/charts Journal Article
Published: Cadernos de Terapia Ocupacional da UFSCar 2019
Online Access:View this record in EBSCOhost
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      dt: 2019
      vid: 27
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      pub: Cadernos de Terapia Ocupacional da UFSCar
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        10.4322/2526-8910.ctoAO1761
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        atl: Use of alternative communication technology on quality of life evaluation of head and neck neoplasms patients.
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          Aparecida Gomes-Ferraz, Cristiane
          Rezende, Gabriela
          Rodrigues do Prado De Carlo, Marysia Mara
        affil: Universidade de São Paulo - USP, Ribeirão Preto, SP, Brasil
      sug:
        subj:
          Head and Neck Neoplasms Surgery
          Laryngectomy
          Health Status Evaluation
          Quality of Life Evaluation
          Alternative and Augmentative Communication
          Software Utilization
          Cancer Patients Psychosocial Factors
          Human
          Funding Source
          Communication Aids for Persons with Disabilities
          Exploratory Research
          Cross Sectional Studies
          Adult
          Male
          Female
          Scales
          Psychological Well-Being
          Functional Status
          Interviews
          Age Factors
          Descriptive Statistics
          Emotions
          Quantitative Studies
          Academic Medical Centers Brazil
          Brazil
          Questionnaires
          Summated Rating Scaling
          Data Analysis Software
          Qualitative Studies
          Fisher's Exact Test
          Mann-Whitney U Test
          Kruskal-Wallis Test
          Analysis of Covariance
          Socioeconomic Factors
          Comparative Studies
          Middle Age
          Aged
          Aged, 80 and Over
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Aged, 80 & over
          Male
          Female
      ab:
        Introduction: Communication, social interactions and health-related quality of life (HRQoL) of the person affected by head and neck cancer (HNC) are affected by both diagnosis and treatment. Objective: The aim of this study was to evaluate the use of alternative communication software as a resource for the application of HRQoL assessment tools for people with HNC who underwent laryngectomy. Method: An exploratory, cross-sectional study with 100 adult individuals of both genders. A Sociodemographic identification form was used and the Brazilian Criteria for Economic Classification was applied the Functional Assessment of Cancer Therapy-Head and Neck-FACT-H&N scale. These instruments were inserted, in their original format, into the alternative communication software Livox®, which is an auxiliary communication resource that favors the communication of people with speech difficulties providing a conversion of text into sounds. Results: The dimensions of functional well-being and emotional well-being were the most affected in the evaluation of HRQoL. Most interviewees did not have difficulty in using Livox® to respond to the questionnaires. However, there was an association between the age and professional activity in relation to the use of the software, since 100% of the over-58s and non-active retirees reported some difficulties in their use. Conclusion: The use of technological resources may facilitate access to services and treatments by laryngectomized individuals, however, the elderly present greater difficulties in the use of modern communication technologies due to sociocultural contexts, cognitive and emotional difficulties. Occupational therapy can facilitate this adaptation through the use of resources, strategies, and techniques for the use of technology instruments as facilitators for communication in intra- and extra-hospital contexts, providing autonomy and independence for the subjects.
        Introdução: A comunicação, as interações sociais e a qualidade de vida relacionada à saúde (QVRS) da pessoa acometida pelo câncer de cabeça e pescoço (CCP), são afetadas tanto pelo diagnóstico como pelos tratamentos. Objetivo: Avaliar o uso de um software de comunicação alternativa como recurso para aplicação de instrumentos de avaliação da QVRS de pessoas com CCP, submetidas à laringectomia. Método: Estudo exploratório, transversal, realizado com 100 pessoas adultas, de ambos os sexos. Foi utilizada uma ficha de identificação Sociodemográfica e foram aplicados o Critério de Classificação Econômica Brasil e a escala Functional Assessment of Cancer Therapy - Head and Neck -- FACT -- H & N. Esses instrumentos foram inseridos, em seu formato original, no software de comunicação alternativa Livox®, que é um recurso auxiliar de comunicação que favorece a comunicação de pessoas com dificuldades na fala, fornecendo uma conversão de texto em sons. Resultados: As dimensões do Bem-Estar Funcional e Bem-Estar Emocional foram as mais comprometidas na avaliação da QVRS. Os entrevistados, em sua maioria, não demonstraram dificuldade em utilizar o Livox® para responder aos questionários. Porém, observou-se associação entre a idade e atividade profissional exercida em relação à utilização do software, pois 100% das pessoas com mais de 58 anos e os aposentados não ativos referiram alguma dificuldade em sua utilização. Conclusão: O uso de recursos tecnológicos pode facilitar acessos à serviços e tratamentos por parte das pessoas laringectomizadas, mas os idosos apresentam maiores dificuldades no uso de tecnologias modernas de comunicação, devido à contextos socioculturais, dificuldades cognitivas e emocionais. A Terapia ocupacional pode facilitar essa adaptação através do uso de recursos, estratégias e técnicas de uso de instrumentos de tecnologia como facilitadores para comunicação em contextos intra e extra-hospitalares, proporcionando autonomia e independência aos sujeitos.
      pubtype: Academic Journal
      doctype:
        pictorial
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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