Análise da interação família-criança com deficiência auditiva: uma medida para guiar a atuação fonoaudiológica

Abstract

Objectives: Given the lack of national studies addressing this theme, the objective of this research was to analyze 50 dyads of caregivers and their hearing impaired children, seeking to verify which intervention needs in the interactions and which should be considered as a guide for action. of the speech therapist in hearing (re) habilitation programs. Methods: For this, an observational, cross-sectional study of quantitative and qualitative analysis was developed, which recorded up to 15 minutes of free interaction in the clinical setting between the primary caregiver and his or her hearing impaired child. For the analysis of interactions an instrument adapted by the researchers considered reliable by the analysis of Crombach Alpha was employed. The videos were analyzed independently and blindly by two researchers. Results: The categories that emerged in the analysis of interactions as priorities for speech-language intervention were: intrusiveness, monitoring of the child's understanding by the interlocutor, the use of communication strategies and the use of language structures for lexical and syntactic expansion. Conclusion: Of the 50 interactions analyzed, in 40 caregivers demonstrated no or little communicative competence and a statistically significant correlation was noted between the general communicator competence and the child's hearing and language categories, a fact that should be alert to the clinical community about the importance of speech therapy directed to the tuning of communication between families and children with hearing impairment, since the results found here may resemble therapeutic contexts in different realities.