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Review
. 2023 Nov 22;16(Suppl 2):489-506.
doi: 10.1055/s-0043-1776109. eCollection 2023 Oct.

Brazilian Consensus on Sleep-Focused Speech-Language-Hearing Sciences - 2023 Brazilian Sleep Association

Luciana Moraes Studart-Pereira  1   2 , Esther Mandelbaum Gonçalves Bianchini  3 , Márcia Assis  1   4 , Marieli Timpani Bussi  5 , Camila de Castro Corrêa  6 , Thays Crosara Abrahão Cunha  7   8 , Luciano Ferreira Drager  1   9 , Vanessa Ieto  10 , Geraldo Lorenzi-Filho  11 , Gabriele Ramos de Luccas  12 , Evelyn Lucien Brasil  1   13 , Silmara Regina Pavani Sovinski  10 , Edilson Zancanella  14   15 , Gabriel Natan Pires  16   17 ; Consensus Group on Sleep-focused Speech-Language-Hearing Sciences
Affiliations
Review

Brazilian Consensus on Sleep-Focused Speech-Language-Hearing Sciences - 2023 Brazilian Sleep Association

Luciana Moraes Studart-Pereira et al. Sleep Sci. .

Abstract

Introduction This consensus aimed to develop a structured document presenting the role of sleep-focused Speech-Language-Hearing (SPH) Sciences (SPHS). The recommendations were based on the expertise of specialists and on evidence in the literature, aiming to guide the coverage of this area and the consequent improvement in the quality of the professionals' approach. Methods A Delphi method was conducted with 49 SLH pathologists (SLHP), four sleep physicians, one dentist, one physical therapist, and one methodologist. Four Delphi panel rounds were conducted in Google Forms. The items were analyzed based on the panelists' percentage of agreement; consensuses were reached when ⅔ (66.6%) of valid responses were on a same on a same answer (either "agree" or "disagree"). Results Participants voted on 102 items. The mean consensus rate was 89.9% ± 10.9%. The essential topics were the importance of professional training, the SLH diagnosis, and the SLH treatment of sleep disorders. It was verified that all fields of the SLHS are related to the area of sleep; that sleep-focused SLH pathologists (SLHP) are the responsible for assessing, indicating, and conducting specific orofacial myofunctional therapy for sleep-disordered breathing alone or in combination with other treatments; that SLHP are included in interdisciplinary teams in the area of sleep in public and private services. Discussion The Brazilian consensus on sleep-focused SLHS is a landmark in this area. This consensus described the scope of action of sleep-focused SLHP and systematized recommendations being useful as a reference for the professional practice in the area of sleep.

Keywords: consensus; delphi; language and hearing sciences; obstructive sleep apnea; sleep; sleep wake disorders; speech.

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Conflict of interest statement

Conflicts of interests GNP is a shareholder at SleepUp© and founder of P&P Metanálises©. The other authors have no conflicts of interests to disclose.

Figures

Fig. 1
Fig. 1
Professional specialties reported by the panelists. Each panelist could report as many specialties as they had; hence, the total number of reported specialties exceeded the number of panelists.
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