Screening and remote speech therapy guidance in children in a pandemic context
DOI:
https://doi.org/10.11606/issn.2176-7262.rmrp.2025.213870Palabras clave:
Primary Health Care, Child Development, Risk Factors, Speech, Language and Hearing Sciences, Health PromotionResumen
The child's language development arises from an interaction between biological characteristics and experiences provided by the environment. Adverse factors in these two areas can alter their typical developmental pace. Therefore, it is emphasized the need to carefully and cautiously monitor child development. The objective of this study was to conduct remote screening of children aged 1-4 years attending different Family Health Units in a municipality in the interior of São Paulo, and to provide guidance to caregivers on positive strategies for language enhancement while awaiting referral for early intervention. Due to the pandemic scenario, an online screening questionnaire based on the Language Development Protocol (LDP) was developed, and through active participant search, 285 children were screened. The results showed statistical significance regarding the impacts caused by the pandemic and interaction with other children. Furthermore, it was found that children who do not interact with others have approximately twice the prevalence of delays. A delay rate of 18.95% (n=54) was also observed in the total studied sample. Parents/caregivers were provided with guidance and tools through the Language Stimulation Guide developed by the executing researcher, and the units were informed about children with delays. In conclusion, the importance of speech-language pathologists in primary healthcare is highlighted, as they assist in preventive processes for child development disorders, considering that language permeates children's overall development. Additionally, it is necessary to promote intersectoral actions that involve early childhood education schools, as they play a crucial role in the context of child development.
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Bronfenbrenner U, Morris PA. The bioecological model of human development. In Lerner RM. Handbook of Child Psychology. New York: Wiley; 2006.
Figueiras AC et al. Manual para vigilância do desenvolvimento infantil no contexto da AIDPI [internet]. Washington: PAHO; 2015 [citado em 15 abr. 2023]. Disponível em: http://www.bvsde.paho.org/bvsacd/cd61/vigilancia.pdf.
Mayer MGG, Lopes-Herrera SA. Intervenção fonoaudiológica nas alterações da compreensão-Linguagem receptiva In: Guarnieri C.; Lopes-Herrera SA. Dicas e estratégias para intervenção fonoaudiológica em linguagem infantil. Ribeirão Preto: Booktoy; 2016.
Asha. American Speech-Language-Hearing Association. Speech-Language Pathology Medical Review Guidelines. Rockville: American Speech-Language-Hearing Association; 2011.
Desarkar P et al. Assessing and stabilizing aberrant neuroplasticity in autism spectrum disorder: the potential role of transcranial magnetic stimulation. Front Psychiatry. 2015;6:124.
Magina EDCV. Qualidade de Vida e Funcionamento das Famílias de Crianças dos 0 aos 6 anos [Dissertação na internet]. Braga (Portugal): Universidade do Minho; 2011 [citado em 18 abr. 2023]. Disponível em: http://repositorium.sdum.uminho.pt/handle/1822/13663
Glascoe FP. Screening for developmental and behavioral problems. Ment Retard Dev Disabil Res Rev. 2005;11:173-9.
Schirmer CR et al. Language and learning disorder. J Pediatr. 2004; 80(suppl.2):95-103.
Silva GMD et al. Identificação dos fatores de risco em crianças com alteração fonoaudiológica: estudo piloto. CoDAS. 2013;25(5):456-62.
Molini-Avejonas DR, Fernandes FDM. Processo de intervenção no distúrbios de linguagem infantil. In: Lamônica DAC, Oliveira DBD. Tratado de Linguagem: perspectivas contemporâneas. 1º. ed. Ribeirão Preto: Book Toy; 2017.
Dias DC et al Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders. Clinics. 2020;75:e1426.
Scopel RR et al. A influência do ambiente familiar e escolar na aquisição e no desenvolvimento da linguagem: revisão de literatura. CEFAC. 2012;14(4):732-41.
Brasil. Ministério da Saúde. Secretaria de Políticas de Saúde. Departamento de Atenção Básica. Saúde da criança: acompanhamento do crescimento e desenvolvimento infantil / Ministério da Saúde. Secretaria de Políticas de Saúde. Brasília: Ministério da Saúde; 2012.
Chiesa V et al. COVID-19 pandemic: health impact of staying at home, social distancing and lockdown measures-a systematic review of systematic reviews. J Public Health. 2021;43(3):e462-81.
Araújo MLB, Freire RMA. Atendimento fonoaudiológico em grupo. Rev. CEFAC. 2011;13(2):362-68.
Skov T et al. Prevalence proportion ratios: estimation and hypothesis testing. Int J Epidemiol. 1998;27:91-5.
Teixeira CFS et al. A saúde dos profissionais de saúde no enfrentamento da pandemia de Covid- 19. Ciência & Saúde Coletiva, 25(9):3465-3474, 2020.
Dias DC, Rondon-Melo S, Molini-Avejonas DR. Sensitivity and specificity of a low-cost screening protocol for identifying children at risk for language disorders. CLINICS 2020;75:e1426.
Leal CCR. Efeitos do isolamento social devido à Covid-19 no desenvolvimento infantil [Trabalho de conclusão de curso]. São Paulo (Brasil): Universidade de São Paulo; 2022 [citado em 16 mai. 2023].
NCPI. Comitê Científico do Núcleo Ciência pela Infância. Edição Especial: Repercussões da Pandemia de Covid-19 no Desenvolvimento Infantil. [internet]. Brasil; 2020 [citado em 10 mai. 2023] Disponível em: http://www.ncpi.org.br.
Fonseca RP et al. Neuropsicologia Escolar. São Paulo: Pearson Editora; 2020.
Subhaskaran K. Letter to editor. How has Covid-19 school closure impacted parental mental health? J Affect Disord. 2021;287:405.
Fonseca RP et al. Impactos desenvolvimentais de saúde mental e aprendizagem em crianças, adolescentes, pais e professores pós-fechamento das escolas: uma revisão sistemática. Debates em Psiquiatria. 2022;12:1-68.
Brasil. Presidência da República. Decreto de N. 99.710 de 21 de novembro de 1990. Promulga a Convenção sobre os Direitos da Criança. Brasília: Casa Civil, 1990.
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- 2025-10-01 (2)
- 2025-10-01 (1)
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Derechos de autor 2025 Camila Bolivar Vieira Sousa, Daniela Cardilli-Dias, Gilberto da Cruz Leal, Daniela Regina Molini-Avejonas

Esta obra está bajo una licencia internacional Creative Commons Atribución 4.0.



