Audiology - Communication Research
https://audiolcommres.org.br/article/doi/10.1590/2317-6431-2024-2964pt
Audiology - Communication Research
Literature Review

Otimizando o desenvolvimento da linguagem em crianças com deficiência auditiva - o impacto das intervenções centradas na família: uma revisão sistemática

Optimizing language development in hearing-impaired children - the impact of family-centered interventions: a systematic review

Larissa Fernandes Gomes; Karinna Veríssimo Meira Taveira; Joseli Soares Brazorotto

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Resumo

Objetivo: Avaliar se a intervenção centrada na família tem efeito no desenvolvimento da linguagem de crianças com deficiência auditiva.

Estratégia de pesquisa: Foi realizada uma revisão sistemática da literatura seguindo os Principais Itens para Relatar Revisões sistemáticas e Meta-análises (PRISMA), por meio da busca em seis bases de dados (Cochrane, LILACS, PsycINFO, PubMed, Scopus, Web of Science, EMBASE) e na literatura cinzenta (Google Scholar), sem restrição de idioma ou ano.

Critérios de seleção: Os estudos eram elegíveis se tivessem um grupo controle e/ou comparassem testes pré e pós-intervenção focados nos esforços das famílias para melhorar a comunicação e o desenvolvimento da linguagem de seus filhos com deficiência auditiva. Dois revisores independentes trabalharam na seleção e análise dos dados.

Análise dos dados: Foram incluídos seis artigos que preencheram os critérios de elegibilidade e todos apresentaram baixo risco de viés. Em relação ao nível de evidência, dois foram classificados como de alto risco e quatro como de baixo risco. Os estudos variaram quanto ao modelo de intervenções centradas na família.

Resultados: Foram encontradas mais de uma intervenção, sendo elas: Muenster Parental Program (MPP), Parent-Child Interaction Therapy (PCIT), intervenção guiada por feedback de vídeo e programas de intervenção precoce. Em todos eles, os resultados quanto à interação e comunicação família-criança foram benéficos, com medidas ou inventários de linguagem com as famílias indicando melhora nas habilidades de linguagem das crianças.

Conclusão: A intervenção focada nas famílias, independente do modelo, potencializa o desenvolvimento linguístico de crianças com deficiência auditiva.

Palavras-chave

Família; Criança; Relações pais-filho; Perda auditiva; Desenvolvimento da linguagem

Abstract

Purpose:To evaluate whether family-centered intervention has an effect on the language development of hard of hearing children.

Research strategies: A systematic literature review was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) by searching six databases (Cochrane, LILACS, PsycINFO, PubMed, Scopus, Web of Science, EMBASE) and the gray literature (Google Scholar), without language or year restriction.

Selection criteria: Studies were eligible if they had a control group and/or compared pre- and post-intervention tests focused on parents’ efforts to improve communication and language development in their children with hearing impairment. Two independent reviewers worked on data selection and analysis.

Data analysis: Six articles that met the eligibility criteria were included and all of them had a low risk of bias. Regarding the level of evidence, two were classified as high risk and four as low risk. The studies varied regarding the model of family-centered interventions.

Results: More than one intervention was found, namely: Muenster Parental Program (MPP), Parent‒Child Interaction Therapy (PCIT), Videofeedback-guided intervention and early intervention programs. In all of them, the results regarding family-child interaction and communication were beneficial, with language measures or family language inventories indicating improvement in the children’s language skills.

Conclusion: The intervention focused on families, regardless of the model, enhances the linguistic development of children with hearing impairment.

Keywords

Family; Child; Parent‒child relationships; Hearing loss; Language development

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Submitted date:
07/23/2024

Accepted date:
12/27/2024

699eea6aa9539554184d3da3 acr Articles
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