{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,4,22]],"date-time":"2026-04-22T18:41:57Z","timestamp":1776883317348,"version":"3.51.2"},"reference-count":27,"publisher":"FapUNIFESP (SciELO)","issue":"3","content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["CoDAS"],"abstract":"<jats:p>RESUMO Objetivo Analisar se existe associa\u00e7\u00e3o entre a autoavalia\u00e7\u00e3o vocal e a prontid\u00e3o para mudan\u00e7a em pacientes disf\u00f4nicos. M\u00e9todo Participaram 151 pacientes com queixa vocal e diagn\u00f3stico de disfonia, entre 18 e 65 anos de idade, 47 homens e 104 mulheres, atendidos no ambulat\u00f3rio de voz de uma institui\u00e7\u00e3o p\u00fablica. Foram aplicados quatro instrumentos de autoavalia\u00e7\u00e3o, incluindo o Question\u00e1rio de Qualidade de Vida em Voz (QVV), o \u00cdndice de Desvantagem Vocal (IDV) e a Escala de Sintomas Vocais (ESV), al\u00e9m da utiliza\u00e7\u00e3o do instrumento URICA-VOZ, para verifica\u00e7\u00e3o do est\u00e1gio de prontid\u00e3o para mudan\u00e7a dos pacientes. Todos os instrumentos foram aplicados imediatamente antes do in\u00edcio da terapia vocal. As vari\u00e1veis foram correlacionadas e comparadas por meio de estat\u00edstica inferencial. Resultados A maioria dos pacientes encontrava-se no est\u00e1gio de contempla\u00e7\u00e3o (76,2%, n = 115), 22 (14,6%), no est\u00e1gio de pr\u00e9-contempla\u00e7\u00e3o e 14 (9,3%), no est\u00e1gio de a\u00e7\u00e3o. Houve correla\u00e7\u00e3o negativa entre o escore no URICA-VOZ e o dom\u00ednio socioemocional e escore total do QVV. Ocorreu correla\u00e7\u00e3o positiva entre o escore do URICA-VOZ e os dom\u00ednios total, emocional e funcional do IDV, assim como entre o escore do URICA-VOZ e os dom\u00ednios total, de limita\u00e7\u00e3o e emocional da ESV. Apenas os valores do dom\u00ednio socioemocional do QVV e emocional no ESV apresentaram diferen\u00e7as estatisticamente significantes entre os est\u00e1gios motivacionais. Conclus\u00f5es Existe associa\u00e7\u00e3o entre a autoavalia\u00e7\u00e3o vocal e a prontid\u00e3o para mudan\u00e7a em pacientes disf\u00f4nicos. Pacientes com maior impacto na qualidade de vida em voz no QVV e maior frequ\u00eancia de sintomas vocais referida na ESV apresentam maior prontid\u00e3o para mudan\u00e7a.<\/jats:p>","DOI":"10.1590\/2317-1782\/20162015111","type":"journal-article","created":{"date-parts":[[2016,7,2]],"date-time":"2016-07-02T10:57:28Z","timestamp":1467457048000},"page":"295-301","source":"Crossref","is-referenced-by-count":22,"title":["Autoavalia\u00e7\u00e3o e prontid\u00e3o para mudan\u00e7a em pacientes disf\u00f4nicos"],"prefix":"10.1590","volume":"28","author":[{"given":"Leonardo Wanderley","family":"Lopes","sequence":"first","affiliation":[{"name":"Universidade Federal da Para\u00edba, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Eveline Gon\u00e7alves","family":"Vilela","sequence":"additional","affiliation":[{"name":"Universidade Federal da Para\u00edba, Brasil"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"530","published-online":{"date-parts":[[2016,7,4]]},"reference":[{"issue":"8","key":"ref1","doi-asserted-by":"crossref","first-page":"763","DOI":"10.1017\/S0022215107007177","article-title":"Optimising outcome assessment of voice interventions, I: reliability and validity of three self-reported scales","volume":"121","author":"Webb AL","year":"2007","journal-title":"J Laryngol Otol"},{"issue":"1","key":"ref2","doi-asserted-by":"crossref","first-page":"132","DOI":"10.1016\/j.jvoice.2004.01.007","article-title":"Quality of life in dysphonic patients","volume":"19","author":"Krischke S","year":"2005","journal-title":"J Voice"},{"issue":"1","key":"ref3","doi-asserted-by":"crossref","first-page":"101","DOI":"10.1044\/jslhr.4101.s101","article-title":"Treatment efficacy: voice disorders","volume":"41","author":"Ramig L","year":"1998","journal-title":"J Speech Lang Hear Res"},{"issue":"4","key":"ref4","doi-asserted-by":"crossref","first-page":"458","DOI":"10.1016\/j.jvoice.2008.12.009","article-title":"Patient perceptions of voice therapy adherence","volume":"24","author":"van Leer EV","year":"2008","journal-title":"J Voice"},{"issue":"3","key":"ref5","doi-asserted-by":"crossref","first-page":"337","DOI":"10.1016\/j.jvoice.2007.10.009","article-title":"A study of voice therapy dropout","volume":"23","author":"Hapner E","year":"2007","journal-title":"J Voice"},{"issue":"2","key":"ref6","doi-asserted-by":"crossref","first-page":"192","DOI":"10.1016\/j.jvoice.2006.09.009","article-title":"A review of patient adherence to the recommendation for voice therapy","volume":"22","author":"Portone C","year":"2008","journal-title":"J Voice"},{"issue":"5","key":"ref7","doi-asserted-by":"crossref","first-page":"617","DOI":"10.1016\/j.jvoice.2013.02.003","article-title":"Relationship between adherence to speech therapy in patients with dysphonia and quality of life","volume":"27","author":"Almeida LD","year":"2013","journal-title":"J Voice"},{"issue":"4","key":"ref8","doi-asserted-by":"crossref","first-page":"714","DOI":"10.1590\/S1516-18462011005000105","article-title":"Ades\u00e3o a orienta\u00e7\u00f5es fonoaudiol\u00f3gicas ap\u00f3s a alta do tratamento vocal em docentes: Estudo prospectivo","volume":"14","author":"Gama ACC","year":"2012","journal-title":"Rev. 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