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Arquivos Internacionais de Otorrinolaringologia 2011; 15(01): 054-058
DOI: 10.1590/S1809-48722011000100008
Original Article
Thieme Publicações Ltda Rio de Janeiro, Brazil

Effect of the Parents Guiding Program for the Lexical Development of Children using Cochlear Implant

Efeito do Programa de Orientação a Pais no Desenvolvimento Lexical de Crianças Usuárias de Implante Coclear
Juzzie de Melo Mota
*   Phonoaudiologist with Specialization in Choclear Implant from HC/FMUSP.
,
Talita Fortunato Tavares
**   Doctoral Degree in Rehabilitation Department of Sciences Physiotherapy, Phonoaudiology and Occupational Therapy of the Medical School of the University of São Paulo.
,
Robinson Tsuji Koji
***   Doctoral Degree in Otorhinolaryngology from FMUSP.
,
Ricardo Ferreira Bento
****   Titular Professor of the Medical School of the University of São Paulo.
,
Carla Gentile Matas
*****   Doctor Professor of the Medical School of the University of São Paulo.
,
Claudia Regina Furquim de Andrade
******   Titular Professor of the Medical School of the University of São Paulo.
,
Débora Befi Lopes
*******   Associate Professor of the Medical School of the University of São Paulo.
› Author Affiliations
Further Information

Publication History

13 September 2010

07 October 2010

Publication Date:
12 February 2014 (online)

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Summary

Introduction: Children with severe hearing loss have a delay in the vocabulary repertoire compared to the normal-hearing children of the same chronological age. One of the factors considered to be basic during the process of language development is the family intervention.

Objective: To propose a program controlled for guiding of parents of children using cochlear implant (CIC) and verify the effectiveness of the program through the variation of the children's lexical performance.

Method: Prospective study. Eight CIC and their respective families took part in the research and were divided into two groups: GI (with guiding program) and GII (without guiding program). The lexical performance of the children was measured through the List of Evaluation of Expressive Vocabulary (LAVE) with prior and posterior guiding program. The guiding program Participative Family for CIC was composed by four sessions, of weekly application, with duration of 60 minutes each. The topics approached were development of auditory and linguistic skills.

Results: The intra-groups ANOVAs didn't present a different significant performance in LAVE for the prior and posterior guiding comparison of both groups. The ANOVAs between groups didn't reveal a statistically significant difference between the groups for lexical performance.

Conclusion: The groups didn't differ in the effectiveness of the program as measured by LAVE. Such results must be an important indicator of lexical evolution measures based only on the family perception. In future studies the program temporal extension, sample expansion and objective measures of the lexical development must be taken into account.

Resumo

Introdução: Crianças com perda auditiva profunda possuem atraso no repertório vocabular em comparação a crianças ouvintes de mesma idade cronológica. Um dos fatores considerados fundamental durante o processo de desenvolvimento da linguagem é a intervenção da família.

Objetivo: Propor um programa controlado para orientação a pais de crianças usuárias de implante coclear (CIC) e verificar a efetividade do programa através da variação de desempenho lexical das crianças.

Método: Estudo prospectivo.Participaram da pesquisa oito CIC e suas respectivas famílias as quais foram divididas em dois grupos: GI (com programa de orientação) e GII (sem programa de orientação). O desempenho lexical das crianças foi mensurado através do LAVE (Lista de Avaliação do Vocabulário Expressivo) pré e pós-programa de orientação. O programa de orientação Família Participativa para CIC foi constituído por quatro sessões, de aplicação semanal, com duração de 60 minutos cada. Os temas abordados foram desenvolvimento de habilidades auditivas e linguísticas.

Resultados: As ANOVAs intra-grupos não indicaram desempenho significantemente diferenciado no LAVE na comparação pré- e pós programa de orientação em ambos os grupo. ANOVAs entre-grupos não revelaram diferença estatisticamente significante entre os grupos para performance lexical.

Conclusão: Os grupos não se diferenciaram na efetividade do programa como medido pelo LAVE. Tal resultado deve ser um indicador importante de medidas de evolução lexical baseadas somente na percepção familiar. Em estudos futuros devem ser considerados extensão temporal do programa, expansão da amostra, e medidas objetivas do desenvolvimento lexical.

Keywords

cochlear implant - language development - language - child language

Palavras-chave

implante coclear - desenvolvimento da linguagem - linguagem - linguagem infantil
 

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