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https://codas.org.br/article/doi/10.1590/2317-1782/20232021305en
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Original Article

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

http://dx.doi.org/10.1590/2317-1782/20232021305en CoDAS, vol.35, n4, e20210305, 2023
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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

Referencias

  1. American Psychiatric Association. Manual Diagnóstico e Estatístico de Transtornos Mentais - DSM-5. Porto Alegre: Artmed; 2014.
  2. Klin A, Jones W. An agenda for 21st century neurodevelopmental medicine: lessons from autism. Rev Neurol. 2018;66(S01):S3-15. PMid:29516447.
  3. Tamanaha AC, Perissinoto J. Transtornos do Espectro do Autismo - implementando estratégias para a comunicação. Ribeirão Preto: BookToy; 2019.
  4. Moretto G, Ishihara MK, Ribeiro M, Caetano SC, Perissinoto J, Tamanaha AC. Interference of the communicative profile of children with Autism Spectrum Disorders upon their mother’s quality of life. CoDAS. 2020;32(6):e20190170. http://dx.doi.org/10.1590/2317-1782/20202019170 PMid:33331540.
  5. Santos PA, Bordini D, Scattolin M, Asevedo GRDC, Caetano SC, Paula CS, et al. The impact of the implementation of PECS on understanding instruction in children with Autism Spectrum Disorders. CoDAS. 2021;5(2):e20200041. http://dx.doi.org/10.1590/2317-1782/20202020041 PMid:33978106.
  6. Bondy A, Frost L. Manual de treinamento do sistema de comunicação por Troca de Figuras. Newark: Pyramid; 2009.
  7. Ferreira C, Caetano SC, Perissinoto J, Tamanaha AC. Repercussão da implementação do Picture Exchange Communication System - PECS no índice de sobrecarga de mães de crianças com Transtorno do Espectro do Autismo. CoDAS. 2022;34(3):e202110109. http://dx.doi.org/10.1590/2317-1782/20212021109
  8. Olivatti DFO, Sugahara MK, Camilo S, Perissinoto J, Tamanaha AC. Relevância do engajamento familiar na implementação do Picture Exchange Communication System - PECS em crianças com Transtorno do Espectro do Autismo. Rev CEFAC. 2021;23(5):e3121. http://dx.doi.org/10.1590/1982-0216/20212353121
  9. Jurgens A, Anderson A, Moore DW. Maintenance and generalization of skills acquired through PECS training: a long-term follow-up. Dev Neurorehabil. 2019;22(5):338-47. http://dx.doi.org/10.1080/17518423.2018.1503619 PMid:30067415.
  10. Pereira ET, Montenegro ACA, Rosal AGC, Walter CCF. Augmentative and alternative communication on Autism Spectrum Disorder: impacts on communication. CoDAS. 2020;32(6):e20190167. http://dx.doi.org/10.1590/2317-1782/20202019167 PMid:33206773.
  11. ABEP: Associação Brasileira de Empresas de Pesquisa. Critério de Classificação Econômica Brasil [Internet]. São Paulo: ABEP; 2018. [citado em 2021 Nov 23]. p. 1-6. Disponível em: www.abep.org
  12. Weschler D. WISC III Escala de inteligência para crianças. São Paulo: Casa Psicólogo; 2002.
  13. Sparrow SS, Balla D, Cicchetti D. Vineland adaptative behavior scales. Expanded edition. Circle Pines: American Guidance Service; 1984.
  14. Marteleto MRF, Pedromônico MRM. Validity of Autism Behavior Checklist (ABC): preliminary study. Rev Bras Psiquiatr. 2005;27(4):295-301. http://dx.doi.org/10.1590/S1516-44462005000400008 PMid:16358111.
  15. Capovilla FC, Negrão VD, Damásio M. Teste de vocabulário auditivo e teste de vocabulário expressivo. São Paulo: Memnon; 2011.
  16. Ribeiro SH, Paula CS, Bordini D, Mari JJ, Caetano SC. Barriers to early identification of Autism in Brazil. Rev Bras Psiquiatr. 2017;39(4):352-4. http://dx.doi.org/10.1590/1516-4446-2016-2141 PMid:28977067.
  17. Donato C, Spencer E, Arthur-Kelly M. A critical synthesis of barriers and facilitations to the use of AAC by children with ASD and their communication partners. Augment Altern Commun. 2018;34(3):242-53. http://dx.doi.org/10.1080/07434618.2018.1493141 PMid:30231643.
  18. Sievers SB, Trembath D, Westerveld M. A systematic review of predictors, moderators and mediators of augmentative and alternative communication outcomes for children with ASD. Augment Altern Commun. 2018;34(3):219-29. http://dx.doi.org/10.1080/07434618.2018.1462849 PMid:29706101.
  19. White EN, Ayres KM, Snyder SK, Cagliani RR, Ledford JR. Augmentative and alternative communication and speech production for individuals with ASD: a systematic review. J Autism Dev Disord. 2021;51(11):4199-212. http://dx.doi.org/10.1007/s10803-021-04868-2 PMid:33511525.
  20. Klin A, Micheletti M, Klalman CI, Schultz S, Constantino JN, Jones W. Affording autism in early brain development re-definition. Dev Psychopathol. 2020;32(4):1175-89. PMid:32938507.. http://dx.doi.org/10.1017/S0954579420000802
  21. Micheletti M, McCracken C, Constantino J, Mandell D, Jones W, Klin A. Outcomes of 24 to 36 months-old children with ASD vary by ascertainment strategy: a systematic review and meta-analysis. J Child Psychol Psychiatry. 2020;61(1):4-17. http://dx.doi.org/10.1111/jcpp.13057 PMid:31032937.
  22. Lai MC, Anagnostou E, Wiznitzer M, Alisson C, Baron Cohen S. Evidence-based support for autistic people across the lifespan: maximizing potential, minimizing barriers, and optimizing the person-environment fit. Lancet Neurol. 2020;19(5):434-51. http://dx.doi.org/10.1016/S1474-4422(20)30034-X PMid:32142628.
  23. Brignell A, Chenausky KV, Song H, Zhu J, Suo C, Morgan AT. Communication intervention for Autism Spectrum Disorder in minimally verbal children. Cochrane Database Syst Rev. 2018;11(11):CD012324. http://dx.doi.org/10.1002/14651858.CD012324.pub2 PMid:30395694.
  24. Gilroy SP, Leader G, McCleery JP. A pilot community-based randomized comparison of speech generating devices and the PECS for children diagnosed with Autism Spectrum Disorder. Autism Res. 2018;11(12):1701-11. http://dx.doi.org/10.1002/aur.2025 PMid:30475454.
     
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