Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/202325110422
Revista CEFAC
Case Reports

Speech-language-hearing teletherapy for children with autism spectrum disorders during the covid-19 pandemic

Telefonoaudiologia para crianças com transtorno do espectro  do autismo durante a pandemia da covid-19

Ariely Carla Felix da Silva Santos; Ivana Arrais de Lavor Navarro Xavier; Bianca Arruda Manchester de Queiroga; Angélica Galindo Carneiro Rosal; Rafaella Asfora Siqueira Campos Lima; Ana Cristina de Albuquerque Montenegro

http://dx.doi.org/10.1590/1982-0216/202325110422 Revista CEFAC, vol.25, n1, e10422, 2023
PDF English
PDF Português
Downloads: 0
Views: 222

Abstract

This paper aimed to investigate the contribution of speech-language-hearing teletherapy to the development of communication skills in children with autism spectrum disorders during the coronavirus-19 pandemic. This qualitative, interventive, longitudinal case series study analyzed data from the medical records of patients, based on instructions given to their families via speech-language-hearing teletherapy during social isolation. It was part of a public outreach program conducted in a speech-language-hearing teaching clinic, aiming to analyze results in the field of language. All children progressed in various aspects, such as the development of communication skills, expanded vocabulary, increased naming and asking, morphosyntactic development, and advancements in the use of augmentative and alternative communication. Also, shared attention and eye contact increased, the interaction with the family improved, and inadequate behaviors decreased; there was greater autonomy in daily routine and greater attention during activities; increased interest in toys during play and longer and more frequent playing, associated with decreased screen time. In conclusion, the results demonstrated progress in communication and social interaction after the speech-language-hearing teletherapy for children presented with autism spectrum disorders during the coronavirus-19 pandemic.

Keywords

Autistic Disorder; Speech, Language and Hearing Sciences; Telemedicine; Child Language

Resumo

Esse trabalho teve por objetivo investigar a contribuição da Telefonoaudiologia no desenvolvimento das habilidades comunicacionais de crianças com Transtorno do Espectro do Autismo durante a pandemia da Coronavírus-19. Trata-se de um estudo interventivo, longitudinal de abordagem qualitativa, do tipo série de casos, realizado por meio da análise de dados dos prontuários de pacientes atendidos, a partir das orientações às famílias, via telefonoaudiologia, passadas durante o período de isolamento social, em um projeto de extensão, realizado em uma clínica-escola de Fonoaudiologia, buscando analisar os resultados obtidos na área da linguagem. Foi observada evolução em todas as crianças, em diversos aspectos, como desenvolvimento das habilidades comunicativas com ampliação do vocabulário, aumento de nomeações e solicitações, desenvolvimento morfossintático e avanços no uso da Comunicação Aumentativa e Alternativa. Além do aumento na atenção compartilhada e no contato visual, houve melhora na interação com os familiares e redução dos comportamentos inadequados; maior autonomia na rotina diária e maior atenção durante as atividades; aumento do interesse pelos brinquedos durante a brincadeira e ampliação da frequência e do tempo do brincar, associado à diminuição do uso de telas. Concluiu-se que os resultados demonstraram avanços na comunicação e na interação social, após o teleconsulta fonoaudiológico para crianças com Transtorno do Espectro do Autismo durante a pandemia da Coronavírus-19. 

Palavras-chave

Transtorno Autístico; Fonoaudiologia; Telemedicina; Linguagem Infantil

Referencias

1. Santos HS. Covid-19. Biologia Net [homepage on the internet]. 2021 [accessed 2021 mai 1]. Available at: https://www.biologianet.com/doencas/covid-19.htm.

2. Barbosa MRP, Fernandes FDM. Remote follow-up to speech-language intervention for children with Autism Spectrum Disorders (ASD): parents' feedback regarding structured activities. CoDAS. 2017; 29(2):e20160119. https://doi.org/10.1590/2317-1782/20162016119.

3. Conselho Federal de Fonoaudiologia (CFFa) [homepage na internet]. Resolução n° 580 de 20 de agosto de 2020. Brasília, DF: Diário Oficial da União (DOU), 2020. [accessed 2022 fev 10]. Available at: https://www.fonoaudiologia.org.br/resolucoes/resolucoes_html/CFFa_N_580_20.

4. Rogers SJ, Dawson G, Vismara LA. Autismo: compreender e agir em família. Lisboa: Lidel; 2012.

5. American Psychiatric Association - APA. DSM-V: Diagnostic and statistical manual of mental disorders. Washington: American Psychiatric Association; 2014.

6. Reis HIS, Pereira APS, Almeida LS. Características e especificidades da comunicação social na perturbação do espectro do autismo. Rev. bras. educ. espec. 2016;(22):325-36. https://doi.org/10.1590/S1413-65382216000300002.

7. Backes B, Zanon RB, Bosa CA. The relation between language regression and social communicative development of children with autism spectrum disorder. CoDAS. 2013;(25):268-73. https://doi.org/10.1590/s2317-17822013000300013.

8. Maenner MJ, Shaw KA, Baio J, Washington A, Patrick M, DiRienzo M. Prevalence of Autism Spectrum Disorder among children aged 8 years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. MMWR Surveill Summ. 2020; (4):1-12. https://doi.org/10.15585/mmwr.ss6904a1.

9. Balestro JI, Fernandes FDM. Caregivers' perception of children with Autism Spectrum Disorder regarding to the communicative profile of their children after a communicative orientation program. CoDAS. 2019; 31(1):e20170222. https://doi.org/10.1590/2317-1782/20182018222.

10. Pires SCF. A comunicação suplementar e alternativa na estimulação precoce para a aquisição da competência comunicativa. In: Deliberato D, Nunes DRP, Gonçalves MJ, editors. Trilhando juntos a comunicação alternativa. 1. ed. Marília: Associação Brasileira de Pesquisadores em Educação Especial - ABPEE, 2017. p.245-72.

11. Montenegro ACA, Leite GA, Franco NM, Santos D, Pereira JEA, Xavier IALN. Contributions of alternative communication in the development of communication in children with autism spectrum disorder. Audiol., Commun. Res. 2021;26:e2442. https://doi.org/10.1590/2317-6431-2020-2442.

12. Bearss K, Burrell TL, Challa SA, Postorino V, Gillespie SE, Crooks C et al. Feasibility of parent training via telehealth for children with autism spectrum disorder and disruptive behaviour: a demonstration pilot. J Autism Dev Disord. 2018;48(4):1020-30. https://doi.org/10.1007/s10803-017-3363-2.

13. Montenegro ACM, Xavier IALN, Lima RASC. Autismo comunica: comunicação alternativa promovendo acessibilidade comunicacional. In: Araújo NA, Lucena JA, Studart-Pereira L, editors. Relatos de experiências em Fonoaudiologia. Recife: Ed. UFPE, 2021. p.18-31.

14. Bardin L. Análise de conteúdo. 1ª ed. Brasil: Edições 70; 2011.

15. Aquino EM, Silveira IH, Pescarini JM, Aquino R, Souza-Filho JAD, Rocha AD. Social distancing measures to control the COVID-19 pandemic: potential impacts and challenges in Brazil. Ciênc. Saúde Colet. 2020;25(Suppl 1):2423-46. https://doi.org/10.1590/1413-81232020256.1.10502020.

16. Nascimento MPDS. As mudanças na dinâmica familiar de crianças com transtorno do espectro autista devido à pandemia do coronavírus. [monografia] Taubaté (SP): Universidade de Taubaté, Departamento de Psicologia; 2020.

17. FIirme FCCC, Rachid MPD. A influência do isolamento social durante a pandemia da COVID-19 nas crianças com Transtorno do Espectro Autista [Final paper]. Santos (SP): Centro Universitário do Planalto Central Aparecido dos Santos; 2022.

18. Duan L, Shao X, Wang Y, Huang Y, Miao J, Yang X et al. An investigation of mental health status of children and adolescents in China during the outbreak of COVID-19. J Affect Disord. 2020; 275:112-8. https://doi.org/10.1016/j.jad.2020.06.029.

19. Bellomo TR, Prasad S, Munzer T, Laventhal N. The impact of the COVID-19 pandemic on children with autism spectrum disorders. J Pediatr Rehabil Med. 2020;13(3):349-54. https://doi.org/10.3233/PRM-200740. PMID: 32986631.

20. Mutlue T, Doenyas C, Genc HA. Behavioral implications of the Covid-19 process for Autism Spectrum Disorder, and individuals' comprehension of and reactions to the pandemic conditions. Frontiers in Psychiatry. 2020; 11:561882. https://doi.org/10.3389/fpsyt.2020.561882.

21. Lim T, Tan MY, Aishworiya R, Kang YQ. Autism Spectrum Disorder and COVID-19: helping caregivers navigate the pandemic. Ann Acad Med Singap. 2020;49(6):384-6. PMID: 32712636.

22. Dimer NA, Canto-Soares N do, Santos-Teixeira L dos, Goulart BNG de. The COVID-19 pandemic and the implementation of telehealth in speech-language and hearing therapy for patients at home: an experience repor. CoDAS. 2020;32(3). https://doi.org/10.1590/2317-1782/20192020144.

23. Wosik J, Fudim M, Cameron B, Gellad ZF, Cho A, Phinneyn D et al. Telehealth transformation: COVID-19 and the rise of virtual care. J Am. Med. Inform. Assoc., Philadelphia. 2020; 27(6). https://doi.org/10.1093/jamia/ocaa067.

24. Boldrini P, Kiekens C, Bargellesi S, Brianti R, Galeri S, Lucca LF et al. First impact on services and their preparation. "Instant paper from the field" on rehabilitation answers to the Covid-19 emergency. Eur. J. Phys. Rehabil. Med., Torino. 2020;56(3):319-2210. https://doi.org/23736/S1973-9087.20.06303-0. PMID: 32264667.

25. Dimer NA, Canto-Soares ND, Santos-Teixeira LD, Goulart BNGD. The COVID-19 pandemic and the implementation of telehealth in speech-language and hearing therapy for patients at home: an experience report. CoDAS. 2020;32(3):e20200144. https://doi.org/10.1590/2317-1782/20192020144.

26. Aquino C, Coelho M, Kauer M, Kopp T, Lima D, Pereira L et al. Teleconsulta: a emergência de uma prática em tempos de distanciamento social. Apae Ciência. 2021;16(2):104-16. https://doi.org/10.29327/216984.16.1-9.

27. Boisvert M, Hall N, Andrianopoulos M, Chaclas J. The multi-faceted implementation of telepractice to service individuals with autism. Inter J Telerehab. 2012;4(2):11. https://doi.org/10.5195/ijt.2012.6104.

28. Miranda VSGD, Silveira KDA, Rech S, Vidor DCGM. Comunicação aumentativa e alternativa e habilidades de linguagem de crianças com paralisia cerebral: uma revisão sistemática. Rev. Bras. Educ. Espec. 2021;27(e0007):445-58. https://doi.org/10.1590/1980-54702021v27e0007.

29. Colizzi M, Sironi E, Antonini F, Ciceri ML, Bovo C, Zoccante L. Psychosocial and Behavioral Impact of COVID-19 in Autism Spectrum Disorder: an online parent survey. Brain Sciences. 2021;10(6):341. https://doi.org/10.3390/brainsci10060341. PMID: 32503172. PMCID: PMC7349059.

30. Benson PR. The longitudinal effects of network characteristics on the mental health of mothers of children with ASD: the mediating role of parent cognitions. J Autism Dev Disord. 2017;(46):1699-715. https://doi.org/10.1007/s10803-016-2699-3. PMID: 26810434.

31. Wattanawongwan S, Ganz JB, Pierson L, Yllades V, Liao CY, Ura SK. Communication intervention implementation via telepractice parent coaching: Parent implementation outcomes. J SpeC Educ Techn. 2022;37(1):35-48. https://doi.org/10.1177/0162643420950026.
 

Submitted date:
21/11/2022

Accepted date:
10/02/2023

65c51c59a953950dab473a92 cefac Articles
Links & Downloads
1982-0216 (Electrónico) 1516-1846 (Impreso)
Revista CEFAC ©2024 Todos los derechos reservados.

Revista CEFAC

Share this page
Page Sections