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https://codas.org.br/article/doi/10.1590/2317-1782/20232021305en
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Picture Exchange Communication System (PECS) Implementation Program for children with autism spectrum disorder

Programa de Implementação do Picture Exchange Communication System (PECS) para crianças com Transtorno do Espectro do Autismo

Ana Carina Tamanaha; Dayane Oliveira Felicio Olivatti; Simoni Camilo da Silva; Soraia Cunha Peixoto Vieira; Jacy Perissinoto

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Abstract

Purpose

The aim of this study was to evaluate a program for implementing of the PECS in children with non-verbal ASD or with minimal verbalization in a school clinic belonging to the Unified Health System - SUS.

Methods

This is a longitudinal study. The sample consisted of 22 children with nonverbal ASD or with minimal verbalization; 17 boys and 5 girls, aged 6 to 12 years old. The program consisted of 24 sessions of individual speech language therapy with the presence of the family member and followed the six phases originally proposed by the PECS Training Manual.

Results

All children reached the first three phases. About 82% reached phase IV; 64% phase V and 19% phase VI. Family adherence was 96%.

Conclusion

It was possible to test a PECS implementation program in 24 sessions and verify that children were able to achieve phases of discrimination and sentence construction, besides demonstrating gain in their lexical repertoire and reduction of non-adaptative behaviors.

Keywords

Autism; Communication; Language; Communication Aids for Disabled; Speech Language Therapy

Resumo

Objetivo

O objetivo deste estudo foi avaliar um programa de implementação do PECS em crianças com TEA em clínica-escola pertencente ao Sistema Único de Saúde - SUS.

Método

Trata-se de estudo longitudinal. Foram atendidas 22 crianças com TEA não falantes ou com verbalização mínima; sendo 17 do gênero masculino e 5 do feminino, na faixa etária de 6 a 12 anos. O programa foi constituído por 24 sessões de terapia fonoaudiológica individual com a presença do familiar e obedeceu às seis fases propostas originalmente pelo Manual de Treinamento do PECS.

Resultados

Todas as crianças atingiram apropriadamente as três primeiras fases. A fase IV foi alcançada por 82% delas; a fase V por 64%; e a fase VI por cerca de 19% da amostra. O índice de adesão das famílias foi de 96%.

Conclusão

Foi possível testar um programa de implementação do PECS em 24 sessões e verificar que as crianças puderam atingir fases de discriminação e construção de frases, além de demonstrarem ganho em seu repertório lexical e diminuição das atipias comportamentais.

Palavras-chave

Autismo; Comunicação; Linguagem; Auxiliares de Comunicação para Pessoas com Deficiência; Fonoaudiologia

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