CoDASPub Date : 2026-04-20eCollection Date: 2026-01-01DOI: 10.1590/2317-1782/e20250151pt
Sthella Zanchetta, Laura Caetano Meneghelli, Pamela Papile Lunardelo
{"title":"Behavioral tests of auditory processing: a study on reference values for normal-hearing adults.","authors":"Sthella Zanchetta, Laura Caetano Meneghelli, Pamela Papile Lunardelo","doi":"10.1590/2317-1782/e20250151pt","DOIUrl":"10.1590/2317-1782/e20250151pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze and compare outcomes of clinical tests assessing auditory processing (AP) in adults with normal hearing across age groups and to propose reference values.</p><p><strong>Methods: </strong>A total of 116 adults aged 18 to 59 years, all with normal hearing, no auditory complaints, and native speakers of Brazilian Portuguese, were evaluated. The following verbal and nonverbal tests were administered: Masking Level Difference (MLD), Gaps-In-Noise (GIN), Pitch Pattern Sequence (PPS), Duration Pattern Sequence (DPS), and Dichotic Digits Test (DDT).</p><p><strong>Results: </strong>The GIN, PPS, and DDT showed significant differences beginning at 40 years of age. For the DPS, significant differences were observed between individuals aged 18-29 years and those aged 50-59 years. In the DDT, significant differences were found in the right ear beginning at 50 years and in the left ear beginning at 40 years. The MLD was the only test that did not show age-related differences.</p><p><strong>Conclusion: </strong>A decline in auditory processing test performance was observed with increasing age, even before senescence. The age at which significant changes occurred varied across tests, highlighting the need to establish age-specific reference values. The MLD was the only test that remained stable throughout adulthood. The proposed reference values are as follows: MLD, 8-14 dB (18-59 years); GIN, ≤ 6 ms (18-39 years) and ≤ 8 ms (40-59 years); PPS, ≥ 76.6% (18-39 years) and ≥ 63.0% (40-59 years); DPS, ≥ 90.3% (18-29 years), ≥ 80.0% (30-49 years), and ≥ 70.0% (50-59 years); DDT-RE, ≥ 98.5% (18-49 years) and ≥ 93.2% (50-59 years); DDT-LE, ≥ 97.5% (18-39 years) and ≥ 95.0% (40-59 years).</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250151"},"PeriodicalIF":0.8,"publicationDate":"2026-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142685/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785093","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2026-04-17eCollection Date: 2026-01-01DOI: 10.1590/2317-1782/e20250176en
Siri Vikram, Sharon Ashley, Gagan Bajaj, Dasmine Fraclita D'Souza
{"title":"Evaluation of the Context-Based Prospective Memory (CBPM) task in neurotypical middle-aged and older adults: psychometric properties and sensitivity to age-related cognitive changes.","authors":"Siri Vikram, Sharon Ashley, Gagan Bajaj, Dasmine Fraclita D'Souza","doi":"10.1590/2317-1782/e20250176en","DOIUrl":"10.1590/2317-1782/e20250176en","url":null,"abstract":"<p><strong>Purpose: </strong>Prospective Memory (PM) is the ability to remember intentions for future execution which plays an important role in communication and is vulnerable to age-related decline. Context-Based Prospective Memory (CBPM) task, a novel test in Indian scenario evaluated psychometric properties among young adults. This study aimed to evaluate the psychometric properties of CBPM task among the neurotypical middle-aged and older adults and to investigate its sensitivity to age-related changes.</p><p><strong>Methods: </strong>A total of 80 participants (40 middle-aged, 40 older adults) completed the CBPM task and the Memory for Intentions Screening Test (MIST). Psychometric properties like internal consistency, test-retest reliability and convergent validity were evaluated. Age-related differences were examined using previously established CBPM task data from young adults.</p><p><strong>Results: </strong>CBPM task demonstrated strong internal consistency (Cronbach's α= 0.875 for middle-aged and 0.715 for older adults), Excellent test-retest reliability for total performance scores (ICC=0.93 and 0.81) for middle-aged and older adults respectively and error classification (ICC= 0.97 and 0.99). Similarly inter-rater reliability also indicated strong reliability for the total PM performance (ICC=0.91 and 0.85), and error classification (ICC=0.97 and 0.99). Significant convergent validity was also observed with MIST, suggesting that both the tasks perform similarly. On assessing the tool's sensitivity to age-related changes in PM abilities, significant declines were observed in middle-aged and older adults compared to young adults affirming the age-related cognitive deterioration.</p><p><strong>Conclusion: </strong>The CBPM task is an effective and reliable tool to measure PM across age groups, demonstrating strong psychometric properties and sensitivity to identify the age-related decline.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250176"},"PeriodicalIF":0.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142254/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785234","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2026-04-17eCollection Date: 2026-01-01DOI: 10.1590/2317-1782/e20250161en
Natália de Castro E Silva Martins, Luciana Moraes Studart-Pereira, Hilton Justino da Silva
{"title":"Exploratory study on the effect of orofacial myofunctional therapy on habitual tongue resting position in people with obstructive sleep apnea.","authors":"Natália de Castro E Silva Martins, Luciana Moraes Studart-Pereira, Hilton Justino da Silva","doi":"10.1590/2317-1782/e20250161en","DOIUrl":"10.1590/2317-1782/e20250161en","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the effect of OMT on the habitual tongue resting position and the results in people with OSA.</p><p><strong>Methods: </strong>This exploratory study comprising 18 individuals. The study considered eligible individuals of both sexes with a medical diagnosis of OSA (polysomnography) and orofacial myofunctional disorder. Exclusion criteria were those with a history of surgery for OSA or head/neck surgery, cancer in the region, previous oral motor speech-language therapy, psychiatric or neurological disorders that impair communication, oropharyngeal dysphagia, or neuromuscular diseases. They were submitted to speech-language-hearing assessment, sleep questionnaires (Pittsburgh and Epworth), anthropometric measurement, photo/film recordings, and tongue ultrasound examination. Individuals with an indication for OMT had 12 individual weekly sessions and were subsequently reassessed.</p><p><strong>Results: </strong>Changes were observed in mean tongue distances of the tongue regions pre- and post-OMT. The anterior region (RA) increased from 3.21 mm to 3.38 mm; the middle region (MR) increased from 3.14 mm to 3.25, and the posterior region (RP) decreased from 2.65 to 2.57. The analysis of delta percentage differences between tongue regions pre- and post-OMT shows that the mean percentage ± SD of AR increased by 3.5±6.1, and that of PR decreased by -3.8±4.8. The deltas of AR and PR were significantly different.</p><p><strong>Conclusion: </strong>OMT changes the distances between the base of the tongue and the contour surface of its three regions, increasing AR and decreasing PR, which generated subjective improvements in the sleep quality of patients with OSA, reflected in lower Pittsburgh and Epworth scores.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250161"},"PeriodicalIF":0.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142161/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785188","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2026-04-17eCollection Date: 2026-01-01DOI: 10.1590/2317-1782/e20250111pt
Héryka Maria Oliveira Lima, Larissa Nadjara Almeida, Alexandra Christine de Aguiar, Anna Alice Almeida
{"title":"Development and validation of the Brazilian voice bank for various emotions (EMOVOX-BR).","authors":"Héryka Maria Oliveira Lima, Larissa Nadjara Almeida, Alexandra Christine de Aguiar, Anna Alice Almeida","doi":"10.1590/2317-1782/e20250111pt","DOIUrl":"10.1590/2317-1782/e20250111pt","url":null,"abstract":"<p><strong>Purpose: </strong>To develop and validate the Voice Bank for Various Emotions for Brazilian Portuguese (EMOVOX-BR).</p><p><strong>Methods: </strong>Observational and cross-sectional study. The corpus of this study consisted of 1,638 sound signals, in different speech tasks, produced by professional actors and actors in training, native speakers of Brazilian Portuguese (PT-BR). From these audios, those containing the phrase in PT-BR \"look at the blue plane\" in the variation of the six basic emotions plus neutral emission were selected. In the validation stage, the sample was composed of Brazilian speech-language pathologist judges, with experience in the area of voice, to perform the auditory-perceptual judgment of the voices to select the sound signals to compose and validate the EMOVOX-BR. They judged the identification and valence of the emotion, and which vocal parameters were most decisive in the recognition of emotions. Tests were used to verify intra- and inter-judge agreement and reliability.</p><p><strong>Results: </strong>EMOVOX-BR was made up of 39 audios, 24 male and 15 female voices. In the validation phase, all audios obtained a high accuracy rate in recognizing emotions from voice. The emotions anger, disgust and neutral were the most easily identified, with rates above 70%. The pitch and loudness parameters were the most relevant for recognizing emotions.</p><p><strong>Conclusion: </strong>EMOVOX-BR is a pioneering voice bank in PT-BR, made up of 39 audios from native speakers, with variations in the six basic emotions and neutral emission.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250111"},"PeriodicalIF":0.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142256/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785205","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2026-04-17eCollection Date: 2026-01-01DOI: 10.1590/2317-1782/e20240338en
Pâmela da Silva Panassol, Luciana Friedrich, Leticia Petersen Schmidt Rosito, Amanda Zanatta Berticelli, Andréa Lucia Corso
{"title":"Hearing assessment of infants with congenital syphilis.","authors":"Pâmela da Silva Panassol, Luciana Friedrich, Leticia Petersen Schmidt Rosito, Amanda Zanatta Berticelli, Andréa Lucia Corso","doi":"10.1590/2317-1782/e20240338en","DOIUrl":"10.1590/2317-1782/e20240338en","url":null,"abstract":"<p><strong>Purpose: </strong>To evaluate the presence of hearing loss in the first months of life in infants treated for congenital syphilis at birth.</p><p><strong>Methods: </strong>Prospective study including all neonates born in a University public hospital in South Brazil, who needed treatment for congenital syphilis after birth in the Neonatal Unit, between 2021 and 2022. Otorhinolaryngologic and audiologic evaluations were performed at a mean age of 3.3 months, concomitantly with the first post-discharge appointment in the congenital syphilis outpatient clinic, through frequency-specific auditory brainstem response.</p><p><strong>Results: </strong>Sixty-five patients were included in the study. All subjects underwent Neonatal Hearing Screening before being discharged from the hospital, consisting of transient evoked otoacoustic emission and automated auditory brainstem response tests. Sixty-one patients (93.8%) passed both screening tests and four (6.2%) failed both tests. Concerning the 4 newborns who failed, 2 returned for retesting and had normal results, 1 patient did not show up for retesting, and 1 patient failed both retests. Follow-up was concluded by 23 infants (35.4% of the initial sample) who underwent Frequency-Specific Auditory Brainstem Response testing. The other patients did not attend to the appointments. Regarding the 23 patients that concluded the follow-up, no interaural response asymmetries suggestive of retrocochlear involvement were observed. Additionally, no changes were found in the absolute latencies of waves I, III, and V, or in the interpeak intervals I-III, III-V, and I-V. The Frequency-Specific Auditory Brainstem Response evaluation did not present any abnormalities in the electrophysiological thresholds at the tested frequencies.</p><p><strong>Conclusion: </strong>No signs of hearing loss were found in patients treated for congenital syphilis during neonatal period, either in the Neonatal Hearing Screening or in the Frequency-Specific Auditory Brainstem Response during follow-up.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20240338"},"PeriodicalIF":0.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142162/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785225","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2026-04-17eCollection Date: 2026-01-01DOI: 10.1590/2317-1782/e20250169pt
Renata Christina Vieira
{"title":"Interrater reliability in the application of the VPAS-PB: analysis among experienced judges.","authors":"Renata Christina Vieira","doi":"10.1590/2317-1782/e20250169pt","DOIUrl":"10.1590/2317-1782/e20250169pt","url":null,"abstract":"<p><strong>Purpose: </strong>This study analyzes the interrater reliability of the Brazilian Portuguese version of the Vocal Profile Analysis Scheme (VPAS-PB) applied by experienced judges.</p><p><strong>Methods: </strong>Ten adult participants with no vocal or hearing complaints produced a standard sentence and two personal stories, which were recorded and later evaluated independently by three speech-language-hearing pathologists trained in phonetics and experienced with the protocol. Interrater reliability was estimated using internal consistency analysis (Cronbach's Alpha).</p><p><strong>Results: </strong>Analysis with Cronbach's alpha indicated good to excellent internal consistency for most vocal settings, with lower agreement for \"lip spreading\" and \"falsetto.\"</p><p><strong>Conclusion: </strong>This study demonstrates that the VPAS-PB has high interrater reliability and excellent internal consistency across most vocal settings, reinforcing its applicability in the Brazilian Portuguese context.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 3","pages":"e20250169"},"PeriodicalIF":0.8,"publicationDate":"2026-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13142255/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785201","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Cortical auditory evoked potential with different speech stimuli in children with asymptomatic congenital cytomegalovirus infection.","authors":"Luara Rezende Madeira, Pamela Papile Lunardelo, Adriana Ribeiro Tavares","doi":"10.1590/2317-1782/e20250108pt","DOIUrl":"10.1590/2317-1782/e20250108pt","url":null,"abstract":"<p><strong>Purpose: </strong>To characterize cortical auditory evoked potentials with speech stimuli in children with asymptomatic CMV infection compared to non-infected children with typical development of hearing, speech, and language.</p><p><strong>Methods: </strong>The sample included 23 children with asymptomatic congenital cytomegalovirus infection and 16 control children, matched by age, sex, head circumference, and socioeconomic status. Cortical Auditory Evoked Potentials were recorded using speech stimuli /da/ and /ga/ at 70 dB SPL, with electrodes placed at the vertex (Cz), forehead (Fpz), and earlobes (A1 and A2). The presence of components was analyzed and compared between groups using descriptive and inferential statistics.</p><p><strong>Results: </strong>The analysis of the waves indicated that the control group showed neural responses closer to those observed in mature auditory pathways, with the presence of N1 and P2 in the formation process, evidenced by clearer wave morphology. Regarding latency, significantly higher values were observed in the control group for the /ga/ syllable. The CMV group exhibited higher amplitudes for the N2 component, indicating greater neural effort in auditory stimulus discrimination.</p><p><strong>Conclusion: </strong>Children with asymptomatic cytomegalovirus may have alterations in central auditory processing with differences in detection and discrimination of acoustic cues compared to the control group. Cortical auditory evoked potentials are a tool to assess these alterations, and further research is needed to understand the effects of CMV infection on central auditory development.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 2","pages":"e20250108"},"PeriodicalIF":0.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075846/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692981","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Oral narrative discourse in schoolchildren with Autism Spectrum Disorder.","authors":"Luísa Stefano Santos, Patrícia Aparecida Zuanetti, Julia Branco Zulian, Matheus Francoy Alpes, Angela Cristina Pontes-Fernandes, Marisa Tomoe Hebihara Fukuda","doi":"10.1590/2317-1782/e20250042pt","DOIUrl":"10.1590/2317-1782/e20250042pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the characteristics of oral narrative discourse in children diagnosed with autism spectrum disorder (ASD).</p><p><strong>Methods: </strong>The study included schoolchildren aged 6 to 10 years, divided into two groups: ASD group (n = 26), with oral children diagnosed with ASD; and control group (n = 26), with typically developing children. Sociodemographic data were collected through questionnaires applied to parents/guardians, and the schoolchildren were evaluated regarding intellectual estimation and oral narrative discourse (partial retelling, total retelling, and story comprehension); the story was read aloud to them.</p><p><strong>Results: </strong>The schoolchildren belonged to socioeconomic classes A/B, and most mothers had a bachelor's degree. No schoolchild was classified as intellectually disabled. The oral narrative instrument identified a difference between the groups in the partial retelling test; the ASD group performed worse. There was no difference in total retelling or oral comprehension. Regarding the morphosyntax used in constructing narrative sentences, a difference was identified in the use of nouns and prepositions, with poorer performance in the ASD group. No significant differences were observed in the use of other morphosyntactic categories.</p><p><strong>Conclusion: </strong>Schoolchildren with ASD, in favorable sociodemographic conditions, present oral narrative performance similar to that of typically developing children, with occasional differences.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 2","pages":"e20250042"},"PeriodicalIF":0.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075842/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147693010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2026-04-10eCollection Date: 2026-01-01DOI: 10.1590/2317-1782/e20250105pt
Isabella Marins, Kelly da Silva, Aline Wolf, Juliana Portas, Julie Vigano, Rodrigo Dornelas
{"title":"Association between the feeling of vocal comfort and social security when wearing a protective mask: a study with transgender people.","authors":"Isabella Marins, Kelly da Silva, Aline Wolf, Juliana Portas, Julie Vigano, Rodrigo Dornelas","doi":"10.1590/2317-1782/e20250105pt","DOIUrl":"10.1590/2317-1782/e20250105pt","url":null,"abstract":"<p><strong>Purpose: </strong>To analyze the influence of facial mask usage on vocal production and social interaction in transgender individuals.</p><p><strong>Methods: </strong>A cross-sectional study employing a convenience sample recruited via the snowball method was conducted. Data were collected through an online questionnaire comprising questions about gender identification, comfort with mask usage, and perceived social security, in addition to the validated instruments Vocal Disadvantage Index-10 (IDV-10) and Vocal Fatigue Index (IFV). Descriptive statistics and logistic regression (with a significance level of 5%) were used to identify predictors of social security perception.</p><p><strong>Results: </strong>A total of 85 transgender individuals participated, with a mean age of 30.4 years, including 44.7% trans men and 55.3% trans women. Although only 43.5% of participants reported feeling comfortable with mask use, 75.3% experienced an increased sense of social security. Significant correlations were found between the IDV-10 and IFV scores, and logistic regression analysis revealed that comfort with mask usage significantly predicted the perception of social security (Z = -3.11; p = 0.002).</p><p><strong>Conclusion: </strong>Facial mask usage plays a dual role in the transgender experience, inducing vocal discomfort while enhancing feelings of social security.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 2","pages":"e20250105"},"PeriodicalIF":0.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692956","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
CoDASPub Date : 2026-04-10eCollection Date: 2026-01-01DOI: 10.1590/2317-1782/e20250080pt
Cassio Kennedy de Sá Andrade, Ana Cristina de Albuquerque Montenegro, Pâmela Pontes Dos Santos, Adriana Di Donato Chaves, Rafaella Asfora Siqueira Campos Lima, Isabelle Cahino Delgado, Giorvan Ânderson Dos Santos Alves
{"title":"Communication development of a child with autism, the son of deaf parents, using alternative communication: a case report.","authors":"Cassio Kennedy de Sá Andrade, Ana Cristina de Albuquerque Montenegro, Pâmela Pontes Dos Santos, Adriana Di Donato Chaves, Rafaella Asfora Siqueira Campos Lima, Isabelle Cahino Delgado, Giorvan Ânderson Dos Santos Alves","doi":"10.1590/2317-1782/e20250080pt","DOIUrl":"10.1590/2317-1782/e20250080pt","url":null,"abstract":"<p><strong>Purpose: </strong>The main objective of this study is to describe the development of communicative skills in a 5-year-old child with autism spectrum disorder (ASD), the son of deaf parents, through an augmentative and alternative communication (AAC) system using the DHACA method (Development of Communication Skills in Autism) with an adapted AAC resource using pictograms associated with the respective signs in Libras (Brazilian Sign Language).</p><p><strong>Methods: </strong>The Autism Treatment Evaluation Checklist (ATEC) was applied for assessment. The Communication Assessment in ASD (ACOTEA) was used for direct assessment with the child.</p><p><strong>Results: </strong>The analysis of both qualitative and quantitative data from the speech-language-hearing intervention using DHACA demonstrated significant progress in the child's expressive and receptive communication, with an increase in oral productions, including verbalization of words, use of gestures, and improved shared attention. A decrease in inappropriate behaviors, such as tantrums, was also observed. This demonstrates the effectiveness of the DHACA method in implementing an AAC system in a child with ASD, the son of deaf parents.</p><p><strong>Conclusion: </strong>The study is innovative in that it proposes the functional use of the bilingual DHACA book, promoting greater interaction and use of AAC between the child and his parents.</p>","PeriodicalId":46547,"journal":{"name":"CoDAS","volume":"38 2","pages":"e20250080"},"PeriodicalIF":0.8,"publicationDate":"2026-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13075831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147692992","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}