Departamento de Fonoaudiologia, Universidade Federal de São Paulo - UNIFESP - São Paulo (SP), Brasil.
Instituto de Educação de Londres - Belo Horizonte (MG), Brasil.
Codas. 2023 Sep 18;35(4):e20210305. doi: 10.1590/2317-1782/20232021305pt. eCollection 2023.
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.
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.
All children reached the first three phases. About 82% reached phase IV; 64% phase V and 19% phase VI. Family adherence was 96%.
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.
本研究旨在评估在隶属于统一卫生系统（SUS）的学校诊所中，为非语言性自闭症谱系障碍或仅有极少量语言表达能力的儿童实施图片交换沟通系统（PECS）的方案。
这是一项纵向研究。样本由 22 名非语言性自闭症谱系障碍或仅有极少量语言表达能力的儿童组成；其中 17 名男孩和 5 名女孩，年龄在 6 至 12 岁之间。该方案包括 24 次个体言语语言治疗课程，有家庭成员的参与，并遵循 PECS 培训手册最初提出的六个阶段。
所有儿童都达到了前三个阶段。约 82%的儿童达到了第四阶段；64%的儿童达到了第五阶段，19%的儿童达到了第六阶段。家庭的参与率为 96%。
在 24 次课程中，我们得以测试 PECS 的实施方案，并验证了儿童能够达到辨别和句子构建的阶段，此外还展示了词汇量的增加和非适应性行为的减少。
