Revista CEFAC
https://revistacefac.org.br/article/doi/10.1590/1982-0216/20232556823
Revista CEFAC
Artigos Originais

Application of Augmentative and Alternative Communication to stimulate communicative intention and cognition in patients with Autism Spectrum Disorder

A aplicação da Comunicação Suplementar e Alternativa para  a estimulação da intenção comunicativa e da cognição em pacientes  com Transtorno do Espectro Autista 

Renata da Costa Rebello de Mendonça; Glória Marques; Viviane de Oliveira Freitas Lione; Kamila Castro Grokoski

http://dx.doi.org/10.1590/1982-0216/20232556823 Revista CEFAC, vol.25, n5, e6823, 2023
PDF English
PDF Português
Downloads: 1
Views: 143

Abstract

Purpose: to assess the advancement in communicative intention and cognition in children with autism spectrum disorder after applying a personalized alternative communication method.

Methods: patients had their communicative intention and cognition (Vineland-3) assessed before and after the intervention with 10 structured alternative communication sessions. The “Demystifying Alternative Communication” podcast was developed as supplementary material to this study. Student’s t-test was used, setting the significance level at p < 0.05.

Results: patients improved their communicative intention, with higher scores after the intervention, and no changes were found in relation to cognition.

Conclusion: even though the patients’ equivalent age was inferior to their real age in the communication subdomain assessment, they progressed in expressive communication, language, and writing.

Keywords

Autism Spectrum Disorder; Child Language; Cognition; Social Cognition; Speech, Language and Hearing Sciences

Resumo

Objetivo: avaliar o avanço da intenção comunicativa e da cognição em crianças com Transtorno do Espectro Autista após a aplicação de metodologia personalizada de comunicação alternativa. 

Métodos: foram realizadas dez sessões estruturadas de comunicação alternativa e os pacientes foram avaliados antes e após a intervenção quanto a intenção comunicativa e cognição (Vineland-3). Como material suplementar deste trabalho, foi elaborado o podcast “Desmistificando a Comunicação Alternativa”. Foi utilizado teste t-Student com o p <0,05 onsiderado significante. 

Resultados: os pacientes apresentaram melhoras quanto à intenção comunicativa, demonstrando maiores escores após a realização da intervenção. 

Conclusão: apesar de os pacientes apresentarem uma idade equivalente inferior à idade real na avaliação do subdomínio da comunicação, estes demonstraram avanços quanto às variáveis de comunicação expressiva, linguagem e escrita. 

Palavras-chave

Transtorno do Espectro Autista; Linguagem Infantil; Cognição; Cognição Social; Fonoaudiologia

Referências

1. Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision. American Psychiatric Association; 2022.

2. Maenner MJ, Shaw KA, Bakian AV, Bilder DA, Durkin MS, Esler A et al. Prevalence and Characteristics of Autism Spectrum Disorder Among Children Aged 8 Years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2018. MMWR Surveill Summ. 2021;70(11):1-16. https://doi.org/10.15585/mmwr.ss7011a1. PMID: 34855725.

3. Baio J, Wiggins L, Christensen DL, Maenner MJ, Daniels J, Warren Z et al. Prevalence of Autism Spectrum Disorder among children aged 8 years - Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2014. Morbidity and mortality weekly report. Surveillance summaries (Washington, D.C.: (2002), 67(6), 1-23. https://doi.org/10.15585/mmwr.ss6706a1. PMID: 29701730.

4. Lord C, Brugha TS, Charman T, Cusack J, Dumas G, Frazier T et al. Autism spectrum disorder. Nat Rev Dis Primers. 2020;6(1):5. https://doi.org/10.1038/s41572-019-0138-4. PMID: 31949163.

5. Georgiou N, Spanoudis G. Developmental Language Disorder and Autism: Commonalities and Differences on Language. Brain sciences. 2021;11(5):589. https://doi.org/10.3390/brainsci11050589. PMID: 33946615.

6. Állan S, Souza CBA de. O modelo de tomasello sobre a evolução cognitivo-linguística humana. Psic: Teor e Pesq. 2009Apr;25(2):161-8. https://doi.org/10.1590/S0102-37722009000200003.

7. Ünal E, Papafragou A. Relations Between Language and Cognition: Evidentiality and Sources of Knowledge. Top Cogn Sci. 2020;12(1):115-35. https://doi.org/10.1111/tops.12355. PMID: 29932304.

8. Pereira ET, Montenegro ACA, Rosal AGC, Walter CCF. Augmentative and Alternative Communication on Autism Spectrum Disorder: impacts on communication. CoDAS. 2020;32(6):e20190167https://doi.org/10.1590/2317-1782/20202019167. PMID: 33206773. .

9. Brancalioni AR, Moreno AC, Souza APR de, Cesa CC. Dialogismo e comunicação aumentativa alternativa em um caso. Rev. CEFAC. 2011;13(2):377-84. https://doi.org/10.1590/S1516-18462010005000068.

10. Cesa CC, Mota HB. Comunicação aumentativa e alternativa: panorama dos periódicos brasileiros. Rev. CEFAC. 2015;17(1):264-9. https://doi.org/10.1590/1982-021620150114.

11. Mirenda P. Toward Functional Augmentative and Alternative Communication for students with Autism: manual signs, graphic symbols, and voice output communication aids. Lang Speech Hear Serv Sch. 2003;34(3):203-16. https://doi.org/10.1044/0161-1461(2003/017). PMID: 27764322.

12. Lima Antão JYF, Oliveira ASB, Almeida Barbosa RT, Crocetta TB, Guarnieri R, Arab C et al. Instruments for augmentative and alternative communication for children with autism spectrum disorder: a systematic review. Clinics (São Paulo). Nov 29 2018;73:e497. https://doi.org/10.6061/clinics/2017/e497. PMID: 30517284.

13. Light J, McNaughton D. Communicative competence for individuals who require Augmentative and Alternative Communication: a new definition for a new era of communication? Augment Altern Commun. 2014;30(1):1-18. https://doi.org/10.3109/07434618.2014.885080. PMID: 30952185.

14. Nunes DR de P, Nunes Sobrinho F de P. Comunicação alternativa e ampliada para educandos com autismo: considerações metodológicas. Rev bras educ espec. 2010;16(2):297-312. https://doi.org/10.1590/S1413-65382010000200010.

15. Noens I, van Berckelaer-Onnes I, Verpoorten R, van Duijn G. The ComFor: an instrument for the indication of augmentative communication in people with autism and intellectual disability. J Intellect Disabil Res. 2006;50(Pt 9):621-32. https://doi.org/10.1111/j.1365-2788.2006.00807.x. PMID: 16901289.

16. Williams DL, Goldstein G, Minshew NJ. Neuropsychologic functioning in children with autism: further evidence for disordered complex information-processing. Child Neuropsychol. 2006;12(4-5):279-98. https://doi.org/10.1080/09297040600681190. PMID: 16911973.

17. Haque MM, Rabbani M, Dipal DD, Zarif MII, Iqbal A, Schwichtenberg A et al. Informing developmental milestone achievement for children with autism: machine learning approach. JMIR Med Inform. 2021;9(6):e29242. https://doi.org/10.2196/29242. PMID: 33984830.

18. Nunes D, Walter C. AAC and Autism in Brazil: a descriptive review. International Journal of Disability, Development and Education. 2020;67(3):263-79. https://doi.org/10.1080/1034912X.2018.1515424.

19. Iacono T, Trembath D, Erickson S. The role of augmentative and alternative communication for children with autism: current status and future trends. Neuropsychiatr Dis Treat. 2016;12:2349-61. https://doi.org/10.2147/NDT.S95967. PMID: 27703354.

20. Hume K, Steinbrenner JR, Odom SL, Morin KL, Nowell SW, Tomaszewski B et al. Evidence-based practices for children, youth, and young adults with autism: third generation review [published correction appears in J Autism Dev Disord. 2023;53(1):514]. J Autism Dev Disord. 2021;51(11):4013-32. https://doi.org/10.1007/s10803-020-04844-2. PMID: 33449225.

21. Ganz JB, Davis JL, Lund EM, Goodwyn FD, Simpson RL, Morin KL et al. Meta-analysis of PECS with individuals with ASD: investigation of targeted versus non-targeted outcomes, participant characteristics, and implementation phase. Res Dev Disabil. 2012;33(2):406-18. https://doi.org/10.1016/j.ridd.2011.09.023. PMID: 22119688.

22. van der Meer LA, Rispoli M. Communication interventions involving speech-generating devices for children with autism: a review of the literature. Dev Neurorehabil. 2010;13(4):294-306. https://doi.org/10.3109/17518421003671494. PMID: 20629595.

23. Clarke KA, Siegel M, Williams DL. The relationship between Augmentative and Alternative Communication use by pediatric psychiatric inpatients with Autism Spectrum Disorder and interfering behaviors. Am J Speech Lang Pathol. 2023:1-17. https://doi.org/10.1044/2023_ajslp-23-00019. PMID: 37433305.

24. Suhr M, Bean A, Rolniak J, Paden Cargill L, Lyle S. The influence of classroom context on AAC device use for nonspeaking school-aged autistic children. Int J Speech Lang Pathol. 2023:1-11. https://doi.org/10.1080/17549507.2023.2220992. PMID: 37395393.

25. Schirmer CR. Pesquisas em recursos de alta tecnologia para comunicação e transtorno do espectro autista. ETD - Educação Temática Digital. 02/05 2020;22(1):68-85. https://doi.org/10.20396/etd.v22i1.8655470.

26. Gilroy SP, McCleery JP, Leader G. A delayed intervention start randomized controlled trial of high- and low-tech communication training approaches for school-age autistic children with co-occurring intellectual disability. J Appl Behav Anal. 2023;56(3):593-606. https://doi.org/10.1002/jaba.989. PMID: 37092868.

27. Correa B, Simas F, Portes JRM. Metas de socialização e estratégias de ação de mães de crianças com suspeita de Transtorno do Espectro Autista. Revista Brasileira de Educação Especial. 2018;24(2). https://doi.org/10.1590/S1413-65382418000200010.

28. Carvalho A de JA, Lemos SMA, Goulart LMH de F. Language development and its relation to social behavior and family and school environments: a systematic review. CoDAS. 2016;28(4):470-9. https://doi.org/10.1590/2317-1782/20162015193. PMID: 27652929.

29. Martinez LS, Pires SCF. Profile of speech-language pathology care focused on Augmentative and Alternative Communication. Audiol., Commun. Res. 2022;27:e2642. https://doi.org/10.1590/2317-6431-2022-2642en.

30. Vogan VM, Francis KE, Morgan BR, Smith ML, Taylor MJ. Load matters: neural correlates of verbal working memory in children with autism spectrum disorder. J Neurodev Disord. 2018;10(1):19. https://doi.org/10.1186/s11689-018-9236-y. PMID: 29859034.

31. Schlosser RW, Koul R. Advances in augmentative and alternative communication research for individuals with Autism Spectrum Disorder: moving research and practice forward. Augment Altern Commun. 2023;39(1):2-6. https://doi.org/10.1080/07434618.2023.2181214. PMID: 36994996.

32. West P, Jensen EJ, Douglas SN, Wyatt G, Robbins L, Given C. Perceptions of families with adolescents utilizing augmentative and alternative communication technology: a qualitative approach. J Pediatr Nurs. 2023;71:e46-e56. https://doi.org/10.1016/j.pedn.2023.04.014. PMID: 37127476.

33. Czermainski FR, Bosa CA, Salles JF de. Funções executivas em crianças e adolescentes com Transtorno do Espectro do Autismo: uma revisão. Psico [journal on the internet]. 2014 [accessed 2023 sep 7];44(4):518-25. Available at: https://revistaseletronicas.pucrs.br/ojs/index.php/revistapsico/article/view/11878.

34. Parisse C. Cognition and language acquisition in normal and autistic children. Journal of Neurolinguistics. 1999;12(3):247-69. https://doi.org/10.1016/S0911-6044(99)00017-2.
 

Submetido em:
05/07/2023

Aceito em:
05/09/2023

65bb9e93a95395251e41ede3 cefac Articles
Links & Downloads
1982-0216 (Eletrônico) 1516-1846 (Impresso)
Revista CEFAC ©2024 Todos os direitos reservados.

Revista CEFAC

Share this page
Page Sections