Teleintervenção guiada por videofeedback à famílias de crianças com deficiência auditiva
INTRODUCTION: Therapeutic protocols that optimize development results in the hearing-impaired child population still lack evidence. Videofeedback is a low-cost, easily accessible technology procedure that can improve communication between family and child, with impacts on their development. Its u...
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| Formato: | Dissertação |
| Idioma: | pt_BR |
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Universidade Federal do Rio Grande do Norte
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| Endereço do item: | https://repositorio.ufrn.br/handle/123456789/57307 |
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| Resumo: | INTRODUCTION: Therapeutic protocols that optimize development results in the
hearing-impaired child population still lack evidence. Videofeedback is a low-cost, easily
accessible technology procedure that can improve communication between family and
child, with impacts on their development. Its use through telepractice can transform the
provision of specialized therapies for this population. PURPOSE: To analyze the
effectiveness of a remote intervention program with videofeedback to improve
interaction between families and children with hearing impairment. METHOD:
Intervention study with a convenience sample, with 12 families using a hearing health
service, divided into control and experimental groups, assessed by blinded researchers.
Families and children were characterized using secondary data from medical records
and questionnaires and clinical assessments. The variables analyzed in the pre, and
post moments were those referring to the evaluation of the interaction between the
family and their child, recorded on video, and self-efficacy, especially for communication
situations with the child. The intervention program through teleconsultation consisted of
10 intensive, sequential sessions. Prior to the main study, a single-case pilot study was
carried out to calibrate the research procedures, presented as Article 1. RESULTS: In
the pilot study (Article 1), reliable change and clinical significance were observed for the
mother's behaviors and reliable change for the child's receptive and expressive
language behaviors, indicating the potential of the proposed model. In the intervention
study (Article 2), a statistically significant difference was found between the control and
experimental groups in the pre- and post-intervention moments (p <0.05) in
communication between family and child and in families' self-efficacy. Among the
variables highlighted in family-child interaction (general assessment of the caregiver's
communicative competence, tuned interaction, intrusiveness, solution of breaks in
communication and syntactic expansion) it was observed reliable clinical change
experimental group in relation to the control group. CONCLUSION: There is
effectiveness in the intervention guided by videofeedback mediated by telepractice,
highlighting the improvement of interactions between families and their children with
hearing impairment, as well as their self-efficacy and the potential of this tool for
optimizing results in clinical children's auditory rehabilitation programs. |
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