Protocolo de Avaliação Multimodal Infantil – PAMI: uma proposta para análise da matriz multimodal em cenas de atenção conjunta na síndrome de Down

• Autor(a) principal: Lima, Ivonaldo Leidson Barbosa
• Data de Publicação: 2020
• Tipo de documento: Tese
• Idioma: por
• Título da fonte: Biblioteca Digital de Teses e Dissertações da UFPB
• Texto Completo: https://repositorio.ufpb.br/jspui/handle/123456789/18468
• topic: Fonoaudiologia; Linguística; Desenvolvimento da linguagem; Síndrome de Down; Atenção conjunta; Speech-language and hearing sciences; Linguistics; Language development; Down syndrome; Joint attention; Orthophonie; Linguistique; Développement du langage; Syndrome de Down; Attention conjointe; CNPQ::LINGUISTICA, LETRAS E ARTES::LINGUISTICA

Down syndrome is a genetic disorder that affects child development. When compared to neurotypical children, children with this syndrome have a delay in the process of language acquisition and cognitive development. Joint attention is a skill related to linguistic and cognitive development that reflects a movement of attentional engagement between a child, a couple and an object or event. In this sense, this study aimed to investigate the insertion in joint attention situations and the use of the multimodal linguistic matrix by children with Down syndrome, through a Children's Multimodal Assessment Protocol (PAMI), which was developed to this end. Thus, the study selected videos from six children, three of whom had Down syndrome and three had a typical development. These videos were shown to three judges specialized in studies of multimodal language acquisition, who evaluated the performance of both groups a priori. Then, the judges evaluated the videos of the three children with Down syndrome, after a certain period of speech-language pathology stimulation. The PAMI protocol for joint engagement analysis was developed for this analysis based on the studies of Carpenter et al (1998) and Tomasello (2003), and on the children's multimodal linguistic matrix, including prosodic-gestural elements (MCNEILL, 1992; 1998; CAVALCANTE, 2018). Finally, descriptive quantitative statistical analyzes and inferences were performed in order to observe the data. From the evaluations it was possible to notice that children with Down syndrome and neurotypical children have similar insertion in joint attention situations. On the one hand, neurotypical children have a greater insertion in direct attention situations and also have a greater amount of prosodic-vocal productions (p=0.028); on the other hand, there was a greater amount of gestures, absence of speech (p=0.001) and follow-up care in Down syndrome (p=<0.001). In addition, there was an adaptation of the children's multimodal matrix in each format of joint engagement. Longitudinally, the linguistic matrix and the joint engagement of children with Down syndrome are improved, especially with the increase in the number of prosodic-vocal productions (p=0.039), holophrases (p=0.05), utterance blocks (p=0.01), deictic terms (p=0.05) and direct attention (p=0.015). The PAMI protocol was a significant tool in data detection and may be used to evaluate and monitor the linguistic development of neurotypical and neuroatypical children. Finally, it is noteworthy that there is a mutual influence between gesture and speech in children's language and socio-cognitive development, which must be considered in the clinical context of speech-language pathology.