Teleintervenção guiada por videofeedback à famílias de crianças com deficiência auditiva

Abstract

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.