Actions on childhood voice in public schools: a scoping review

Sebastião, Luciana Tavares; Zamberlan-Amorim, Nelma Ellen; Zambon, Fabiana; Ribeiro, Vanessa Veis; Behlau, Mara

doi:10.1590/2317-1782/e20240367pt

person Luciana Tavares Sebastião

conceiving the topic · drafting the article · collecting data · interpreting the data · final approval of the version to be published

schoolCentro de Estudos da Voz – CEV - São Paulo (SP), Brasil.

0000-0002-1475-4837

person Nelma Ellen Zamberlan-Amorim

preparing the data · reviewing the manuscript

schoolHospital das Clínicas, Faculdade de Medicina de Ribeirão Preto - Ribeirão Preto (SP), Brasil.

0000-0002-7150-3807

person Fabiana Zambon

was responsible for interpreting the data · reviewing the manuscript

schoolSindicato dos Professores de São Paulo – SINPRO-SP - São Paulo (SP), Brasil.

0000-0003-1294-8221

person Vanessa Veis Ribeiro

managing and coordinating the planning · execution of the research activities · execution · interpretation of the data · reviewing the manuscript · final approval

schoolCentro de Estudos da Voz – CEV - São Paulo (SP), Brasil.schoolFaculdade de Ciências e Tecnologias em Saúde, Universidade de Brasília – UnB - Brasília (DF), Brasil.

0000-0002-3089-6085

person Mara Behlau

reviewing the manuscript · final approval

schoolCentro de Estudos da Voz – CEV - São Paulo (SP), Brasil.

0000-0003-4663-4546

Conflict of interests:

nothing to declare.

personCorrespondence address: Luciana Tavares Sebastião Centro de Estudos da Voz – CEV Rua Machado Bittencourt, 361, 10º andar, Vila Mariana, São Paulo (SP), Brasil, CEP: 04044-001. E-mail:
lutsfono@gmail.com

Editor:

Stela Maris Aguiar Lemos.

Figures (2)
Tables (5)

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Figure 1 Study selection flowchart

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Figure 2 Characterization of the School Health Program components addressed in the studies

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Base de dados Estratégia Número de estudos mapeados Medline/ PUBMED (("Preschool children"[Title/Abstract] OR "Young children"[Title/Abstract] OR "Early childhood"[Title/Abstract] OR "Preschoolers"[Title/Abstract] OR "Pre-kindergarten children"[Title/Abstract] OR "Nursery school children"[Title/Abstract] OR "Pre-K children"[Title/Abstract] OR "Kindergarten children"[Title/Abstract] OR "Early learners"[Title/Abstract] OR "Toddlers"[Title/Abstract] OR "Children aged 3-5"[Title/Abstract] OR "Children aged 4-6"[Title/Abstract] OR "Early years children"[Title/Abstract] OR "Preprimary children"[Title/Abstract] OR "Infant school children"[Title/Abstract] OR "Children"[Title/Abstract] OR "Child"[Title/Abstract]) AND ("Voice"[Title/Abstract] OR "Phonation"[Title/Abstract] OR "Vocal function"[Title/Abstract] OR "Vocal quality"[Title/Abstract] OR "Voice production"[Title/Abstract] OR "Vocal health"[Title/Abstract] OR "Laryngeal function"[Title/Abstract] OR "Vocal fold function"[Title/Abstract] OR "Vocal cord function"[Title/Abstract] OR "Vocal performance"[Title/Abstract] OR "Vocal expression"[Title/Abstract]) AND ("Primary education"[Title/Abstract] OR "Elementary education"[Title/Abstract] OR "Secondary education"[Title/Abstract] OR "High school education"[Title/Abstract] OR "K-12 education"[Title/Abstract] OR "School education"[Title/Abstract] OR "Grade school education"[Title/Abstract] OR "Middle school education"[Title/Abstract] OR "Junior high school education"[Title/Abstract] OR "Primary schooling"[Title/Abstract] OR "Secondary schooling"[Title/Abstract] OR "Basic education"[Title/Abstract] OR "Compulsory education"[Title/Abstract] OR "Early education"[Title/Abstract] OR "School"[Title/Abstract] 354 LILACS/BV (TW:("crianças em idade pré-escolar" OR "crianças pré-escolares" OR "crianças pequenas" OR "primeira infância" OR "pré-escolares" OR "crianças em pré-jardim de infância" OR "crianças de escola infantil" OR "crianças de pré-K" OR "crianças de jardim de infância" OR "primeiros aprendizes" OR "crianças de 3-5 anos" OR "crianças de 4-6 anos" OR "crianças de primeiros anos" OR "crianças pré-primárias" OR "crianças de escola infantil" OR "crianças" OR "criança") AND TW:("voz" OR "fonação" OR "função vocal" OR "qualidade vocal" OR "produção vocal" OR "saúde vocal" OR "função laríngea" OR "função das pregas vocais" OR "função das cordas vocais" OR "performance vocal" OR "expressão vocal") AND TW:("educação primária e secundária" OR "educação primária" OR "educação fundamental" OR "educação secundária" OR "educação de ensino médio" OR "educação K-12" OR "educação escolar" OR "educação de ensino básico" OR "educação obrigatória" OR "educação inicial" OR "escola")) 86 EMBASE ('preschool child'/exp OR 'preschool child' OR 'young child':ab,ti OR 'early childhood':ab,ti OR 'preschooler':ab,ti OR 'pre-kindergarten child':ab,ti OR 'nursery school child':ab,ti OR 'pre-k child':ab,ti OR 'kindergarten child':ab,ti OR 'early learner':ab,ti OR 'toddler':ab,ti OR 'child aged 3-5':ab,ti OR 'child aged 4-6':ab,ti OR 'early years child':ab,ti OR 'preprimary child':ab,ti OR 'infant school child':ab,ti OR 'child':ab,ti) AND ('voice'/exp OR 'voice' OR 'phonation':ab,ti OR 'vocal function':ab,ti OR 'vocal quality':ab,ti OR 'voice production':ab,ti OR 'vocal health':ab,ti OR 'laryngeal function':ab,ti OR 'vocal fold function':ab,ti OR 'vocal cord function':ab,ti OR 'vocal performance':ab,ti OR 'vocal expression':ab,ti) AND ('primary education'/exp OR 'primary education' OR 'elementary education':ab,ti OR 'secondary education':ab,ti OR 'high school education':ab,ti OR 'k-12 education':ab,ti OR 'school education':ab,ti OR 'grade school education':ab,ti OR 'middle school education':ab,ti OR 'junior high school education':ab,ti OR 'primary schooling':ab,ti OR 'secondary schooling':ab,ti OR 'basic education':ab,ti OR 'compulsory education':ab,ti OR 'early education':ab,ti OR 'school':ab,ti) 337 SCOPUS ( ( TITLE-ABS-KEY ( "Preschool children" OR "Young children" OR "Early childhood" OR "Preschoolers" OR "Pre-kindergarten children" OR "Nursery school children" OR "Pre-K children" OR "Kindergarten children" OR "Early learners" OR "Toddlers" OR "Children aged 3-5" OR "Children aged 4-6" OR "Early years children" OR "Preprimary children" OR "Infant school children" ) ) AND ( TITLE-ABS-KEY ( "Voice" OR "Phonation" OR "Vocal function" OR "Vocal quality" OR "Voice production" OR "Vocal health" OR "Laryngeal function" OR "Vocal fold function" OR "Vocal cord function" OR "Vocal performance" OR "Vocal expression" ) ) AND ( TITLE-ABS-KEY ( "Education, Primary and Secondary" OR "Primary education" OR "Elementary education" OR "Secondary education" OR "High school education" OR "K-12 education" OR "School education" OR "Grade school education" OR "Middle school education" OR "Junior high school education" OR "Primary schooling" OR "Secondary schooling" OR "Basic education" OR "Compulsory education" OR "Early education" ) ) ) 64 WEB OF SCIENCE ((TS=("Preschool children" OR "Young children" OR "Early childhood" OR "Preschoolers" OR "Pre-kindergarten children" OR "Nursery school children" OR "Pre-K children" OR "Kindergarten children" OR "Early learners" OR "Toddlers" OR "Children aged 3-5" OR "Children aged 4-6" OR "Early years children" OR "Preprimary children" OR "Infant school children")) AND TS=("Voice" OR "Phonation" OR "Vocal function" OR "Vocal quality" OR "Voice production" OR "Vocal health" OR "Laryngeal function" OR "Vocal fold function" OR "Vocal cord function" OR "Vocal performance" OR "Vocal expression")) AND TS=("Education, Primary and Secondary" OR "Primary education" OR "Elementary education" OR "Secondary education" OR "High school education" OR "K-12 education" OR "School education" OR "Grade school education" OR "Middle school education" OR "Junior high school education" OR "Primary schooling" OR "Secondary schooling" OR "Basic education" OR "Compulsory education" OR "Early education" OR "School") 165 Cochrane Central Register of Controlled Trials (("Preschool children" OR "Young children" OR "Early childhood" OR "Preschoolers" OR "Pre-kindergarten children" OR "Nursery school children" OR "Pre-K children" OR "Kindergarten children" OR "Early learners" OR "Toddlers" OR "Children aged 3-5" OR "Children aged 4-6" OR "Early years children" OR "Preprimary children" OR "Infant school children" OR "Children" OR "Child")):ti,ab,kw AND (("Voice" OR "Phonation" OR "Vocal function" OR "Vocal quality" OR "Voice production" OR "Vocal health" OR "Laryngeal function" OR "Vocal fold function" OR "Vocal cord function" OR "Vocal performance" OR "Vocal expression")):ti,ab,kw AND (("Education, Primary and Secondary" OR "Primary education" OR "Elementary education" OR "Secondary education" OR "High school education" OR "K-12 education" OR "School education" OR "Grade school education" OR "Middle school education" OR "Junior high school education" OR "Primary schooling" OR "Secondary schooling" OR "Basic education" OR "Compulsory education" OR "Early education" OR "School")):ti,ab,kw 129 ProQuest noft(("Preschool children" OR "Young children" OR "Early childhood" OR "Preschoolers" OR "Pre-kindergarten children" OR "Nursery school children" OR "Pre-K children" OR "Kindergarten children" OR "Early learners" OR "Toddlers" OR "Children aged 3-5" OR "Children aged 4-6" OR "Early years children" OR "Preprimary children" OR "Infant school children" OR "Children" OR "Child")) AND noft(("Voice" OR "Phonation" OR "Vocal function" OR "Vocal quality" OR "Voice production" OR "Vocal health" OR "Laryngeal function" OR "Vocal fold function" OR "Vocal cord function" OR "Vocal performance" OR "Vocal expression")) AND noft(("Education, Primary and Secondary" OR "Primary education" OR "Elementary education" OR "Secondary education" OR "High school education" OR "K-12 education" OR "School education" OR "Grade school education" OR "Middle school education" OR "Junior high school education" OR "Primary schooling" OR "Secondary schooling" OR "Basic education" OR "Compulsory education" OR "Early education" OR "School")) AND stype.exact("Dissertations & Theses") 86 MedRxiv "Preschool children" AND "Voice" AND "Education, Primary and Secondary" 0 Google Scholar “Voice” AND “Dysphonia” AND “School” 2.856

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Table 1 Publication characteristics

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Chart 1 Sample characteristics

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Chart 2 Actions developed according to the components of the School Health Program

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Databases Strategy Number of studies mapped Medline/ PUBMED (("Preschool children"[Title/Abstract] OR "Young children"[Title/Abstract] OR "Early childhood"[Title/Abstract] OR "Preschoolers"[Title/Abstract] OR "Pre-kindergarten children"[Title/Abstract] OR "Nursery school children"[Title/Abstract] OR "Pre-K children"[Title/Abstract] OR "Kindergarten children"[Title/Abstract] OR "Early learners"[Title/Abstract] OR "Toddlers"[Title/Abstract] OR "Children aged 3-5"[Title/Abstract] OR "Children aged 4-6"[Title/Abstract] OR "Early years children"[Title/Abstract] OR "Preprimary children"[Title/Abstract] OR "Infant school children"[Title/Abstract] OR "Children"[Title/Abstract] OR "Child"[Title/Abstract]) AND ("Voice"[Title/Abstract] OR "Phonation"[Title/Abstract] OR "Vocal function"[Title/Abstract] OR "Vocal quality"[Title/Abstract] OR "Voice production"[Title/Abstract] OR "Vocal health"[Title/Abstract] OR "Laryngeal function"[Title/Abstract] OR "Vocal fold function"[Title/Abstract] OR "Vocal cord function"[Title/Abstract] OR "Vocal performance"[Title/Abstract] OR "Vocal expression"[Title/Abstract]) AND ("Primary education"[Title/Abstract] OR "Elementary education"[Title/Abstract] OR "Secondary education"[Title/Abstract] OR "High school education"[Title/Abstract] OR "K-12 education"[Title/Abstract] OR "School education"[Title/Abstract] OR "Grade school education"[Title/Abstract] OR "Middle school education"[Title/Abstract] OR "Junior high school education"[Title/Abstract] OR "Primary schooling"[Title/Abstract] OR "Secondary schooling"[Title/Abstract] OR "Basic education"[Title/Abstract] OR "Compulsory education"[Title/Abstract] OR "Early education"[Title/Abstract] OR "School"[Title/Abstract] 354 LILACS/VHL (TW:("crianças em idade pré-escolar" OR "crianças pré-escolares" OR "crianças pequenas" OR "primeira infância" OR "pré-escolares" OR "crianças em pré-jardim de infância" OR "crianças de escola infantil" OR "crianças de pré-K" OR "crianças de jardim de infância" OR "primeiros aprendizes" OR "crianças de 3-5 anos" OR "crianças de 4-6 anos" OR "crianças de primeiros anos" OR "crianças pré-primárias" OR "crianças de escola infantil" OR "crianças" OR "criança") AND TW:("voz" OR "fonação" OR "função vocal" OR "qualidade vocal" OR "produção vocal" OR "saúde vocal" OR "função laríngea" OR "função das pregas vocais" OR "função das cordas vocais" OR "performance vocal" OR "expressão vocal") AND TW:("educação primária e secundária" OR "educação primária" OR "educação fundamental" OR "educação secundária" OR "educação de ensino médio" OR "educação K-12" OR "educação escolar" OR "educação de ensino básico" OR "educação obrigatória" OR "educação inicial" OR "escola")) 86 EMBASE ('preschool child'/exp OR 'preschool child' OR 'young child':ab,ti OR 'early childhood':ab,ti OR 'preschooler':ab,ti OR 'pre-kindergarten child':ab,ti OR 'nursery school child':ab,ti OR 'pre-k child':ab,ti OR 'kindergarten child':ab,ti OR 'early learner':ab,ti OR 'toddler':ab,ti OR 'child aged 3-5':ab,ti OR 'child aged 4-6':ab,ti OR 'early years child':ab,ti OR 'preprimary child':ab,ti OR 'infant school child':ab,ti OR 'child':ab,ti) AND ('voice'/exp OR 'voice' OR 'phonation':ab,ti OR 'vocal function':ab,ti OR 'vocal quality':ab,ti OR 'voice production':ab,ti OR 'vocal health':ab,ti OR 'laryngeal function':ab,ti OR 'vocal fold function':ab,ti OR 'vocal cord function':ab,ti OR 'vocal performance':ab,ti OR 'vocal expression':ab,ti) AND ('primary education'/exp OR 'primary education' OR 'elementary education':ab,ti OR 'secondary education':ab,ti OR 'high school education':ab,ti OR 'k-12 education':ab,ti OR 'school education':ab,ti OR 'grade school education':ab,ti OR 'middle school education':ab,ti OR 'junior high school education':ab,ti OR 'primary schooling':ab,ti OR 'secondary schooling':ab,ti OR 'basic education':ab,ti OR 'compulsory education':ab,ti OR 'early education':ab,ti OR 'school':ab,ti) 337 SCOPUS ( ( TITLE-ABS-KEY ( "Preschool children" OR "Young children" OR "Early childhood" OR "Preschoolers" OR "Pre-kindergarten children" OR "Nursery school children" OR "Pre-K children" OR "Kindergarten children" OR "Early learners" OR "Toddlers" OR "Children aged 3-5" OR "Children aged 4-6" OR "Early years children" OR "Preprimary children" OR "Infant school children" ) ) AND ( TITLE-ABS-KEY ( "Voice" OR "Phonation" OR "Vocal function" OR "Vocal quality" OR "Voice production" OR "Vocal health" OR "Laryngeal function" OR "Vocal fold function" OR "Vocal cord function" OR "Vocal performance" OR "Vocal expression" ) ) AND ( TITLE-ABS-KEY ( "Education, Primary and Secondary" OR "Primary education" OR "Elementary education" OR "Secondary education" OR "High school education" OR "K-12 education" OR "School education" OR "Grade school education" OR "Middle school education" OR "Junior high school education" OR "Primary schooling" OR "Secondary schooling" OR "Basic education" OR "Compulsory education" OR "Early education" ) ) ) 64 WEB OF SCIENCE ((TS=("Preschool children" OR "Young children" OR "Early childhood" OR "Preschoolers" OR "Pre-kindergarten children" OR "Nursery school children" OR "Pre-K children" OR "Kindergarten children" OR "Early learners" OR "Toddlers" OR "Children aged 3-5" OR "Children aged 4-6" OR "Early years children" OR "Preprimary children" OR "Infant school children")) AND TS=("Voice" OR "Phonation" OR "Vocal function" OR "Vocal quality" OR "Voice production" OR "Vocal health" OR "Laryngeal function" OR "Vocal fold function" OR "Vocal cord function" OR "Vocal performance" OR "Vocal expression")) AND TS=("Education, Primary and Secondary" OR "Primary education" OR "Elementary education" OR "Secondary education" OR "High school education" OR "K-12 education" OR "School education" OR "Grade school education" OR "Middle school education" OR "Junior high school education" OR "Primary schooling" OR "Secondary schooling" OR "Basic education" OR "Compulsory education" OR "Early education" OR "School") 165 Cochrane Central Register of Controlled Trials (("Preschool children" OR "Young children" OR "Early childhood" OR "Preschoolers" OR "Pre-kindergarten children" OR "Nursery school children" OR "Pre-K children" OR "Kindergarten children" OR "Early learners" OR "Toddlers" OR "Children aged 3-5" OR "Children aged 4-6" OR "Early years children" OR "Preprimary children" OR "Infant school children" OR "Children" OR "Child")):ti,ab,kw AND (("Voice" OR "Phonation" OR "Vocal function" OR "Vocal quality" OR "Voice production" OR "Vocal health" OR "Laryngeal function" OR "Vocal fold function" OR "Vocal cord function" OR "Vocal performance" OR "Vocal expression")):ti,ab,kw AND (("Education, Primary and Secondary" OR "Primary education" OR "Elementary education" OR "Secondary education" OR "High school education" OR "K-12 education" OR "School education" OR "Grade school education" OR "Middle school education" OR "Junior high school education" OR "Primary schooling" OR "Secondary schooling" OR "Basic education" OR "Compulsory education" OR "Early education" OR "School")):ti,ab,kw 129 ProQuest noft(("Preschool children" OR "Young children" OR "Early childhood" OR "Preschoolers" OR "Pre-kindergarten children" OR "Nursery school children" OR "Pre-K children" OR "Kindergarten children" OR "Early learners" OR "Toddlers" OR "Children aged 3-5" OR "Children aged 4-6" OR "Early years children" OR "Preprimary children" OR "Infant school children" OR "Children" OR "Child")) AND noft(("Voice" OR "Phonation" OR "Vocal function" OR "Vocal quality" OR "Voice production" OR "Vocal health" OR "Laryngeal function" OR "Vocal fold function" OR "Vocal cord function" OR "Vocal performance" OR "Vocal expression")) AND noft(("Education, Primary and Secondary" OR "Primary education" OR "Elementary education" OR "Secondary education" OR "High school education" OR "K-12 education" OR "School education" OR "Grade school education" OR "Middle school education" OR "Junior high school education" OR "Primary schooling" OR "Secondary schooling" OR "Basic education" OR "Compulsory education" OR "Early education" OR "School")) AND stype.exact("Dissertations & Theses") 86 MedRxiv "Preschool children" AND "Voice" AND "Education, Primary and Secondary" 0 Google Scholar “Voice” AND “Dysphonia” AND “School” 2,856

Authors	State	year	Journal
Cielo and Cappellari(²²)	RS	2008	Revista Brasileira de Otorrinolaringologia
Cappellari and Cielo(²³)	RS	2008	Revista Brasileira de Otorrinolaringologia
Sales et al.(²⁴)	SE	2010	Journal of Voice
Silva et al.(²⁵)	PR	2012	Jornal da Sociedade Brasileira de Fonoaudiologia
Sales et al.(²⁶)	SE	2013	Journal of Voice
Sales et al.(²⁷)	SE	2013	Journal of Voice
Pascotini et al.(²⁸)	RS	2015	Distúrbios da Comunicação
Pascotini et al.(²⁹)	RS	2016	Journal of Voice
Marangon et al.(¹⁰)	SP	2018	Revista CEFAC
Aires et al.(³⁰)	RS	2019	Journal of Voice
Hoffmann and Cielo(³¹).	RS	2021	Journal of Voice
Schott et al.(³²)	RJ	2009	Revista CEFAC
Braga et al.(³³)	MG	2009	Revista CEFAC
Oliveira et al.(¹²)	MG	2011	Jornal da Sociedade Brasileira de Fonoaudiologia
Paixão et al.(³⁴)	PR	2012	Revista CEFAC
Souza et al.(³⁵)	MG	2017	CoDAS
Silva and Souza(³⁶)	RN	2020	Revista Brasileira de Ciências da Saúde
Reis et al.(³⁷)	PE	2021	Revista CEFAC
Tavares et al.(³⁸)	SP	2011	Brazilian Journal of Otorhinolaryngology
Guerra et al.(³⁹)	PE	2014	Distúrbios da Comunicação
Paixão et al.(⁴⁰)	PR	2015	Distúrbios da Comunicação
Pascotini et al.(⁴¹)	RS	2014	Revista Brasileira de Qualidade de Vida
Pascotini et al.(⁴²)	RS	2016	Revista CEFAC
Cielo et al.(⁴³)	RS	2016	Revista CEFAC
Maia(⁴⁴)	MG	2012	Doctoral thesis (UFMG)
Nunes(⁴⁵)	MG	2017	Doctoral thesis (UFMG)
Oliveira(⁴⁶)	SP	2023	Doctoral thesis (Unesp Marília)

Authors and year	Participants			Sample Size	Age (years)	Sex	Education Level	School Type
Authors and year	Children	Parents	Teachers	Sample Size	Age (years)	Sex	Education Level	School Type
Cielo and Cappellari, 2008(²²)	º			23 children	4:0 to 6:8	Both sexes	Preschool	Public Private
Cappellari and Cielo, 2008(²³)	º			23 children	4:0 to 6:8	Both sexes	Preschool	Public Private
Sales et al., 2010(²⁴)	º			600 children	7 to 10	Both sexes	Elementary school	Public
Silva et al., 2012(²⁵)	º			38 children	7 to 11	Both sexes	Elementary school	Public
Sales et al., 2013(²⁶)	º			196 children	7 to 10	Both sexes	Elementary school	Public
Sales et al., 2013(²⁷)	º			60 children	7 to 10	Both sexes	Elementary school	Public
Pascotini et al., 2015(²⁸)		º		104 parents	8 to 12	Both sexes	Elementary school	Public
Pascotini et al., 2016(²⁹)	º			82 children	8 to 10	Both sexes	Elementary school	Public
Marangon et al., 2018(¹⁰)	º			250 children	6 to 9	Both sexes	Elementary school	Public
Aires et al., 2019(³⁰)	º			154 children	8 to 10	Both sexes	Elementary school	Public Private
Hoffmann and Cielo, 2021(³¹)	º			115 children	4:7 to 7:11	Not reported	Elementary school	Public Private
Schott et al., 2009(³²)	º			122 children	6:0 to 8:11	Both sexes	Elementary school	Public
Braga et al., 2009(³³)	º			100 children	6 to 8	Both sexes	Elementary school	Public
Oliveira et al., 2011(¹²)	º			70 children	6 to 10	Both sexes	Elementary school	Public
Paixão et al., 2012(³⁴)	º	º		50 children 100 parents	6 to 12	Both sexes	Elementary school	Public
Souza et al., 2017(³⁵)	º			420 children	6 to 10	Not reported	Elementary school	Public Private
Silva and Souza, 2020(³⁶)	º			63 children	8 to 12	Both sexes	Elementary school	Public
Reis et al., 2021(³⁷)	º			31 children	6 to 7	Both sexes	Elementary school	Public
Tavares et al., 2011(³⁸)	º			2.000 children	4 to 12	Both sexes	Preschool Elementary school	Public Private
Guerra et al., 2014(³⁹)		º	º	20 parents 1 teacher	4 to 6	Both sexes	Preschool	Public
Paixão et al., 2015(⁴⁰)	º	º		50 children 100 parents	6 to 12	Not reported	Elementary school	Public
Pascotini et al., 2014(⁴¹)	º	º		83 children	8 to 12	Both sexes	Elementary school	Public
Pascotini et al., 2016(⁴²)	º			82 children	8 to 10	Both sexes	Elementary school	Public
Cielo et al., 2016(⁴³)	º	º		102 children	8 to 12	Both sexes	Elementary school	Public
Maia, 2012(⁴⁴)	º	º	º	198 children 198 parents teachers NI	7 to 10	Both sexes	Elementary school	Public
Nunes, 2017(⁴⁵)	º	º		420 children	6 to 10	Both sexes	Elementary school	Public Private
Oliveira, 2023(⁴⁶)	º	º		19 children 15 parents	4 to 11	Not reported	Preschool Elementary school	Public

Authors and year	Characteristics of actions according to SHP components
Cielo and Cappellari, 2008(²²)	Component I – Health Assessment
	Parent Questionnaire on Child's General Health
	Auditory-Perceptual Evaluation (RASAT)
	Aerodynamic Assessment (Maximum Phonation Time /a/, /s/, /z/)
	Hearing Screening
Cappellari and Cielo, 2008(²³)	Component I – Health Assessment
	Parent Questionnaire on Child's General Health
	Auditory-Perceptual Evaluation (RASAT)
	Acoustic Analysis (Multi-Dimensional Voice Program Advanced)
	Hearing Screening
Sales et al., 2010(²⁴)	Component I – Assessment of health conditions
	Interview
	Vocal screening
	Auditory-Perceptual Evaluation (GRBAS)
	Assessment of other communication disorders during spontaneous conversation
	At another institution
	Otolaryngological evaluation (physical examination and video nasolaryngoscopy).
Silva et al., 2012(²⁵)	Component I – Health Assessment
	Parent questionnaire on the child's general health and assessment of inappropriate vocal habits
	Vocal Screening (APE)
	Social Skills Assessment (Multimedia Inventory of Social Skills for Children - IMHSC)
Sales et al., 2013(²⁶)	Component I – Assessment of Health Conditions
	Questionnaire for children about negative feelings when using their voice and vocal complaints
	Vocal screening with assessment of the following parameters: pitch (predominantly low or high), intensity (adequate, reduced, or increased), resonance (oral, nasal, or laryngeal), and speech rate (predominantly normal, slow, or fast).
	Aerodynamic assessment (maximum phonation time /a/, /i/, /u/, /s/, /z/)
	Acoustic analysis (Multi-Speech Program)
Sales et al., 2013(²⁷)	Component I – Health Assessment
	Questionnaire for children about negative feelings when using their voice and vocal complaints
	Auditory-perceptual evaluation (GRBAS)
	Acoustic analysis (Multi-Speech program)
	Aerodynamic assessment (maximum phonation time /a/, /i/, /u/, /s/, /z/)
	Other aspects assessed during spontaneous conversation: word articulation, vocal attack, resonance, pitch, loudness, and breathing/speech coordination
	Conducting a game-based workshop for socialization
	At another institution:
	Otolaryngological evaluation (laryngeal video stroboscopy)
Pascotini et al., 2015(²⁸)	Component I – Health Assessment
Pascotini et al., 2015(²⁸)	Questionnaire for parents about the child's vocal behavior (vocal identity, favorite games, vocal habits and family environment, pathological factors, and parental behavior regarding the vocal change)
Pascotini et al., 2016(²⁹)	Component I – Health Assessment
	Acoustic analysis (Multi-Dimensional Voice Program Advanced)
	Aerodynamic assessment (maximum inspiratory pressure and maximum expiratory pressure measured with a pressure gauge)
	Anthropometric measurements (weight and height) and calculation of Body Mass Index (BMI)
	Hearing screening
Marangon et al., 2018(¹⁰)	Component I – Health Assessment
	Auditory-Perceptual evaluation (GRBASI)
	Aerodynamic Assessment (breathing pattern, lip position during breathing, and nasal airflow measured using a Glatzel mirror)
Aires et al., 2019(³⁰)	Component I – Health Assessment
	Parent Interview about the Child's General Health
	Auditory-Perceptual evaluation (CAPE-V)
	Aerodynamic Assessment (maximum phonation time /a/, /i/)
	Hearing Screening
Hoffmann and Cielo, 2021(³¹)	Component I – Health Assessment
	Parent Interview about anthropometric data, health history, and the child's development
	Auditory-Perceptual evaluation (CAPE-V);
	Aerodynamic Assessment (maximum phonation time /a/, /i/, /u/)
	Acoustic Analysis (Multi-Dimensional Voice Program Advanced)
	Hearing Screening
Schott et al., 2009(³²)	Component I – Assessment of Health Conditions
	Screening (Adapted Form from the ENT and Head and Neck Surgery Clinic Assessment)
	Auditory-Perceptual evaluation (RASAT)
	Acoustic Analysis (VoxMetria)
Braga et al., 2009(³³)	Component I – Health Assessment
	Child assessment form sent to parents
	Auditory-perceptual evaluation (RASAT)
	Acoustic analysis (VoxMetria)
Oliveira et al., 2011(¹²)	Component I – Health Assessment
	Auditory-perceptual evaluation (GRBASI)
	Acoustic analysis (Multi-Dimensional Voice Program Advanced)
	Feedback for the school and parents and/or guardians
	Guidance on vocal health
	Referral for care at the Basic Health Unit for children with dysphonia
Paixão et al., 2012(³⁴)	Component I – Health Assessment
	Questionnaire with parents about habits that are harmful to the voice and characteristics of the environment
	Questionnaires with students to identify habits that are harmful to the voice and characteristics of the environment
	Auditory-perceptual evaluation (classification of altered/unaltered voice)
	Feedback for parents
Souza et al., 2017(³⁵)	Component I – Health Assessment
	Parental vocal self-assessment (PVRQOL)
	Auditory-perceptual evaluation (overall degree of dysphonia graded on a 4-point Likert scale)
Silva and Souza, 2020(³⁶)	Component I – Health Assessment
	Acoustic analysis (PRAAT program)
	Aerodynamic assessment (maximum phonation time /a/, /i/, /u/)
Reis et al., 2021(³⁷)	Component I – Health Assessment
	Vocal self-assessment (PVRQOL)
	Acoustic analysis (VoxMetria program)
Tavares et al., 2011(³⁸)	Component I – Health Assessment
	Questionnaires for parents about the child's general health, vocal complaints, and associated factors.
	Auditory-perceptual evaluation (GRBASI)
	Acoustic analysis (Multi-Dimensional Voice Program Advanced)
	At another institution
	Video laryngoscopy
Guerra et al., 2014(³⁹)	Component I – Assessment of Health Conditions
	Questionnaire for parents on vocal behavior, vocal signs/symptoms, diseases, and communication disorders
	Questionnaire for the teacher on vocal behavior, vocal signs/symptoms, diseases, and communication disorders
	Guidance for families on vocal behavior changes and where children could be referred for treatment, when necessary
Paixão et al., 2015(⁴⁰)	Component I – Assessment of Health Conditions
	Questionnaire for parents on vocal behavior, vocal/laryngeal signs and symptoms, and environmental characteristics
	Questionnaire for children on vocal behavior, vocal/laryngeal signs and symptoms, and environmental characteristics
	Auditory-Perceptual evaluation (GRBASI)
	Feedback for parents
	Guidance for families
	Referral of children with vocal disorders for otorhinolaryngological and speech-language pathology evaluation, as well as treatment, when necessary
Pascotini et al., 2014(⁴¹)	Component I – Assessment of Health Conditions
	Parental vocal self-assessment (P-QVV)
	Anthropometric assessment (weight and height) and calculation Body Mass Index (BMI)
Pascotini et al., 2016(⁴²)	Component I – Health Assessment
	Aerodynamic assessment (Forced Vital Capacity by spirometry and Maximum Phonation Time of the vowels /a/, /e/, /ė/)
	Hearing screening
	Anthropometric assessment (weight and height) and calculation of Body Mass Index (BMI)
	Waist circumference measurement
Cielo et al., 2016(⁴³)	Component I – Health Assessment
	Aerodynamic assessment (Maximum Phonation Time of the vowels /e/, /é/)
	Hearing screening
	Anthropometric assessment (weight and height) and calculation of BMI
	Pubertal development assessment through pediatric consultation
Maia, 2012(⁴⁴)	Component I – Health Assessment
	Interview with parents about vocal behavior, speech characteristics, and vocal habits, and administration of the MTA-SNAP-IV questionnaire
	Teachers indicate children without complaints of academic or social impairment and analyze their academic performance
	Auditory-perceptual evaluation (Scale) GRBAS and Visual Analog Scale)
	Acoustic analysis (VoxMetria program)
	Global behavioral and speech-language-hearing assessment
	At another institution
	Otolaryngological evaluation (laryngeal evaluation by fiberoptic nasoscopy)
Nunes, 2017(⁴⁵)	Component I – Health Assessment
	Questionnaire for parents on the National Economic Indicator (IEN)
	Parental vocal self-assessment (PVRQOL)
	Auditory-perceptual evaluation (GRBASI)
	Acoustic analysis (Multi-Dimensional Voice Program Advanced)
	Analysis of vocal behavior (vocal attack)
	Parental behavioral assessment (Child Behavior Checklist - CBCL)
Oliveira, 2023(⁴⁶)	Component II – Health Promotion and Disease Prevention
	Stage 1
	Development and evaluation of the course on children's vocal health by experts and laypeople
	Stage 2 – Pilot Study
	Questionnaire for parents on Participant Profile Characterization – before and after
	Tests – before and after
	Online course for parents and students
	Stage 3 – Evaluation of the Online Course by more participants
	Questionnaire for parents on Participant Profile Characterization – before and after
	Tests – before and after
	Online course for parents and students