Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/20212353121
Revista CEFAC
Original Articles

The relevance of family engagement in the implementation of the Picture Exchange Communication System (PECS) in children with Autism Spectrum Disorder

Relevância do engajamento familiar na implementação do Picture Exchange Communication System em crianças com Transtorno do Espectro do Autismo

Dayane Oliveira Olivatti; Mayara K Sugahara; Simoni Camilo; Jacy Perissinoto; Ana Carina Tamanaha

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Abstract

Purpose: to analyze the relevance of family engagement in the implementation of the Picture Exchange Communication System (PECS) in children presented with Autism Spectrum Disorder (ASD).

Methods: a longitudinal study with a sample of 22 mother-child dyads with ASD; 17 boys and 5 girls, with a mean age of 7 years and 2 months. The Executor Skills Protocol was used. The PECS implementation program consisted of 24 therapy sessions with the active presence of mothers. The family's support was measured by the frequency of the sessions. Spearman's correlation test and a significance level of 0.05% were used.

Results: mothers performed most tasks correctly in the first three phases. There was a tendency to correlation between the executor´s skills and the number of sessions in all phases of the program, and in the four initial phases, the indexes showed a statistical significance. Family compliance was 96%.

Conclusion: family engagement was relevant for the appropriation of children to the PECS during the time of exposure, reaching phases of discrimination and construction of sentences with cards.

Keywords

Autism Spectrum Disorder; Language; Communication; Family; Speech, Language and Hearing Science

Resumo

Objetivo: analisar a relevância do engajamento familiar na implementação do Picture Exchange Communication System (PECS) em crianças com Transtorno do Espectro do Autismo (TEA).

Métodos: um estudo longitudinal com amostra constituída por 22 díades mãe-criança com TEA, sendo 17 meninos e 5 meninas, com média de idade de 7 anos e 2 meses. Utilizou-se o Protocolo de Avaliação das Habilidades do Executor PECS. O programa de implementação do PECS foi composto por 24 sessões de terapia com a presença ativa das mães. A adesão das famílias foi mensurada pela frequência às sessões. Utilizou-se o teste de Correlação de Spearman e o nível de significância de 0,05%.

Resultados: as mães executaram corretamente a maioria das tarefas nas três primeiras fases do PECS. Houve tendência de correlação entre as habilidades do executor e o número de sessões em todas as fases do programa, sendo que nas quatro fases iniciais os índices mostraram significância estatística. A adesão das famílias foi de 96%.

Conclusão: o engajamento das famílias foi relevante para que as crianças se apropriassem do PECS no tempo ofertado de exposição, atingindo fases de discriminação e construção de frases com os cartões.

Palavras-chave

Transtorno do Espectro Autista; Linguagem; Comunicação; Família; Fonoaudiologia

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Submitted date:
30/04/2021

Accepted date:
16/08/2021

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