ABSTRACT
Proposal of differentiated care to parents of children with complaints of language alterations
Márcia Generoso Ribeiro
Graduate Program (Masters degree) in Speech-Language Pathology and Audiology, Pontifícia Universidade Católica de São Paulo PUC-SP São Paulo (SP), Brazil
Correspondence address Correspondence address: Márcia Generoso Ribeiro. R. Professor Agostinho Alvim, 88, Jd. do Colégio São Paulo (SP), Brasil, CEP: 05883-140. E-mail: marciaribeirofono@gmail.com
INTRODUCTION: It has been increasing in private or public Speech-Language and Hearing clinics demands for care to children with complaints like: "do not talk", "speaks little", "speaks wrong", or "presents unintelligible productions". The possibility to accept that demand in the National Health System is a relevant issue in accordance with public health policies based on the concepts of promotion, prevention and care.
AIM: To check the efficacy of a differentiated care procedure, with preventive purposes, to parents of children with language alterations complaints waiting for speech-language therapy in the National Health System.
METHODS: Quantitative and qualitative research with participation of six families waiting for speech-language therapy at a Health Unit in São Paulo. Five instruments were used: 1- initial interview with parents; 2- language evaluation; 3- communicative abilities and difficulties questionnaire for parents; 4- communicative attitudes observation protocol for parents, filled in from the filming of a play activity between parents and their child, and an instrument that guided the construction of the differentiated care; 5- favorable and unfavorable actions to communication, play and oral habits. After three months, the instruments 2, 3 and 4 were re-applied, to check whether there were changes.
RESULTS: After the differentiated care, all families reported a better understanding of their children's speech. A general increase in favorable attitudes, such as discourse reformulations, continuity enunciations, and requests for clarification, was observed, as well as a decrease in unfavorable attitudes. That showed a positive impact on the dialogism, on the resulting interactions, and on the communicative skills of the children.
CONCLUSION: Results show that the proposed differentiated care was effective as speech-language and hearing clinical device in public health and may establish new care practices, family-centered and centered in the commitments of co-responsibility between health professionals and the public.
Study presented to the Graduate Program in Speech-Language Pathology and Audiology, Pontifícia Universidade Católica de São Paulo PUC-SP São Paulo (SP), Brazil, for obtaining the Masters degree in Speech-Language Pathology and Audiology, under supervision of Profa. Dra. Sílvia Friedman.
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Publication Dates
-
Publication in this collection
24 Sept 2012 -
Date of issue
2012