MMBGR Protocol - infants and preschoolers: Instructive and Orofacial Myofunctional Clinical History

Medeiros, Andréa Monteiro Correia; Marchesan, Irene Queiroz; Genaro, Katia Flores; Barreto, Íkaro Daniel de Carvalho; Berretin-Felix, Giédre

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Original Article • CoDAS 34 (2) • 2022 • https://doi.org/10.1590/2317-1782/20212020324 copy

MMBGR Protocol - infants and preschoolers: Instructive and Orofacial Myofunctional Clinical History

Authorship SCIMAGO INSTITUTIONS RANKINGS

ABSTRACT

Purpose

To present Myofunctional Orofacial Clinical History Instructive and Protocol belonging to the MMBGR Protocol - Infants and Preschoolers, including the adaptation and validation of content and appearance.

Methods

Validation, descriptive and cross-sectional study. Adaptation based on the MBGR Protocol, based on theoretical studies and the authors' experience. Infants between 6 and 23 months of age and preschoolers between 24 and 71 months were considered. Consent and consensus of the version adapted by the authors (original and current) was obtained. The appearance and content of the new instrument were analyzed by 10 speech therapists specialized in Orofacial Motricity. We performed two analysis rounds. First: an electronic form containing dichotic questions (yes / no), with justification for negative answers; Content Validity Index and Exact Binomial Test; Second: 5 points-Likert scale.

Results

We produced an unprecedented instructional and adapted Clinical History protocol maintaining 23 age group related items. We excluded information from 7 items and included information in 8. Initially, we achieved agreement in 70% instructional specialist items by at least 70% of the specialists; and 64% of Clinical History items, by at least 90% of specialists. In the second round, there were 100% of “I totally agree” responses from the experts.

Conclusion

“Instructive” and “Myofunctional Clinical History, Orofacial” had validity of content and appearance concluded, and together with the “Clinical Examination” they integrate the “Protocol MMBGR - Infants and Preschoolers”, being able to contribute to clinical practice and research in Motricity Orofacial area in the age group between 6 months and 5 years and 11 months of age.

Keywords
Speech; Language and Hearing Sciences; Infant; Preschool; Validation Studies; Medical History Taking; Diagnosis; Myofunctional Therapy; Stomatognathic System

	N	%
Age group
Between 31 and 40 years old	3	30,0
Between 41 and 50 years old	7	70,0
Currently, in which region of the country do you practice the profession:
Center-West	2	20,0
Northeast	3	30,0
Southeast	1	10,0
South	4	40,0
What is your degree?
Doctor	8	80,0
Master	2	20,0
Teaching. For how long?
Less than 5 years	1	10,0
Between 5 and 10 years old	3	30,0
Between 10 and 15 years old	1	10,0
Between 15 and 20 years old	3	30,0
Between 25 and 30 years old	2	20,0
Years of experience in Speech Therapy – Orofacial Motricity.
Between 5 and 10 years old	1	10,0
Between 15 and 20 years old	4	40,0
Between 20 and 25 years old	5	50,0
Do you work in the area of Orofacial Motricity with Infants (up to 24 months of life)?	8	80,0
For how long?
Less than 5 years	1	12,5
Between 5 and 10 years old	2	25,0
Between 10 and 15 years old	3	37,5
Between 15 and 20 years old	2	25,0
Do you work in the area of Orofacial Motricity with preschoolers (24 months to 5 years of age)?	8	80,0
For how long?
Between 5 and 10 years old	2	25,0
Between 10 and 15 years old	1	12,5
Between 15 and 20 years old	1	12,5
Between 20 and 25 years old	4	50,0

ITEM – MBGR – Clinical History (original)	MMBGR – Clinical History (modified items from MBGR)
Personal Data	“Goes to daycare/school” / “class” instead of “works/has worked”/ “year”
How and where do you eat?	“Playing” instead of “Doing a lesson”
Chewing Capacity	Degree of satisfaction "of the family", rather than the degree of satisfaction of the "patient"
Communication	"Elaborate" instead of "It took time to elaborate"

The number of appraisers according to	Nº of Items (%)	CVI (%)	p-value
Instructive
10	0 (0,0)	100	1,000
9	3 (30,0)	90	0,972
8	3 (30,0)	80	0,851
7	1 (10,0)	70	0,617
6	2 (20,0)	60	0,350
5	0 (0,0)	50	0,150
4	1 (10,0)	40	0,047
Clinical history
10	26 (40,6)	100	1,000
9	15 (23,4)	90	0,972
8	13 (20,3)	80	0,851
7	8 (12,5)	70	0,617
6	1 (1,6)	60	0,350
5	1 (1,6)	50	0,150

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E-mail: revista@codas.org.br

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[1] Conflict of Interests: nothing to declare.