Background: The creation of new educational strategies based on technology is the essence of telehealth. This innovative learning is an alternative to promote integration and improve the professional practices in speech-language pathology (SLP). The objective of this study was to evaluate an SLP technology designed for distance learning. Materials and Methods: The survey selected fourth-year SLP students (n = 60) from three public universities in the state of Sa˜o Paulo, Brazil. The experimental group (EG) contained 10 students from each university (n = 30), and the remaining students formed the control group (CG). Initially, both groups answered a preprotocol questionnaire, and the EG students received the technology, the recommendations, and the deadline to explore the material. In the second stage all students answered the postprotocol questionnaire in order to evaluate the validity and the learning of the technology contents. Results: The comparison between the CG students showed that their performance worsened in the majority in comparison with the EG students, who showed an improved performance. Conclusions: Therefore, this study concluded that the technology instrument actually responded to the population studied and is recommended to complement traditional teaching.
Objetivo O presente trabalho teve como objetivo investigar o desempenho de crianças com Transtorno Fonológico nas habilidades metafonológicas avaliadas pelo teste Lindamood Auditory Conceptualization Test (LAC-adaptado para o Português-Brasileiro), de acordo com a idade e a gravidade do transtorno. Métodos Foram avaliadas 50 crianças com Transtorno Fonológico, idade entre 5 anos e 7 anos e 11 meses, submetidas à aplicação das três categorias (I-A; I-B; II) do Lindamood Auditory Conceptualization Test e, posteriormente, agrupadas por idade e pela gravidade, de acordo com a aplicação do Índice de gravidade de Porcentagem de Consoantes Corretas-Revisado. Resultados As habilidades avaliadas indicaram que as crianças, cujo valor do Índice de gravidade de Porcentagem de Consoantes Corretas-Revisado foi inferior a 85%, destacando-se a gravidade associada à idade (crianças de menor faixa etária), apresentaram maior dificuldade na percepção auditiva e sistema fonológico mais desorganizado, evidenciado nas habilidades metafonológicas mais simples do teste, que envolvem a discriminação de unidades fonêmicas isoladas. As tarefas complexas não acrescentam informações para determinar quais aspectos do conhecimento cognitivo-linguístico da criança com transtorno fonológico está mais alterado. Conclusão As habilidades avaliadas indicaram que as crianças que apresentaram maior gravidade do transtorno fonológico, e, portanto um sistema fonológico mais desorganizado, apresentaram maior dificuldade na percepção auditiva. Os resultados indicam ainda que crianças com transtorno fonológico, independentemente da gravidade, têm dificuldade em habilidades metafonológicas mais complexas, sendo que as mais graves também apresentam dificuldades naquelas mais simples.
INTRODUCTION: Currently there are few normalized and standardized tests of metaphonological skills for Brazilian-Portuguese (BP) speakers. Thus, the translation and adaptation of international tests have become a valuable resource for Brazilian researchers. OBJECTIVE: The present study aimed to translate and adapt the protocol and manual of the Lindamood Auditory Conceptualization Test-3rd edition from American-English (AE) to BP, respecting the cross-cultural equivalence (Study 1), as well to perform the application of the final version of the LAC 3 translated and adapted in a pilot study with BP speaking children (Study 2). METHOD: For the Study 1 it was accomplished a survey of the LAC 3 stimulus characteristics, as the syllabic structures used, the types of phonemes that compose the syllabic structures, and the types of manipulation activities required for the test items. Thus, the stimulus were translated according to the survey, and only the LAC 3 application manual was translated directly from the EA to BP. The stimulus translation were evaluated by two experienced judges, and then adapted in a final version of the test in BP (LAC 3-Adapted). The evaluation of the reliability considered the internal consistency of Kuder-Richardson 20 (KR20). For such, it were analyzed the items in each category (Ia, Ib, II, III and IV, except the Category V) of the application in the control group (CG), with 33 children with normal development of speech and language. The KR20 coefficients higher then 0,7 were considered acceptable. For the Study 2, was applied the LAC 3-Adapted in a pilot study with 66 children, being 33 from CG and 33 from the research group (RG), formed by children with speech sound disorder. Were made comparison between CG and RG regarding three types of the test score, as well it was calculated references values for the standard score of the LAC 3-Adapted by means of percentiles. The approved and excluded RG children in the LAC 3-Adapted precheck were compared with phonology tests. RESULTS: In Study 1, the stimulus survey was thorough and respected the cross-cultural equivalences. The judges evaluation determined modifications that resulted in the final version of the LAC 3-Adapted. The KR20 of the Category I-a (0.68) was very close to the acceptable and can be improved if one of three items were excluded (0.74). The KR20 of the Category I-b (0.78) was acceptable but can be improved if an item is deleted (0.85). And the KR20 of the categories II (0.97), III (0.97) and IV (0.96) were high and can be considered acceptable. In Study 2, the raw score of the categories I-a, I-b and III differentiated the groups, since the RG children showed worse performance. With the new reference values for the LAC 3-Adapted standard score, the BP speakers can be qualitatively classified to reflect a real test performance. Younger children with SSD were the ones with more difficulty in the precheck
Interactive Tele-Education in Phonological Disorder: students' performance with and without the utilization of an electronic media The creation of new educational strategies based on technology is the essence of Tele-education Interactive. The resources are diverse, bringing together the use of objects of learning, videoconferencing and systems based on internet. The objective of this paper consisted on the application and analysis of a Distance Education model in the area of Child Language, more specifically to the Phonological Disorder, comparing the students´ performance of three public universities of the State of São Paulo. Participated of these project 60 students of the 4 th year of the Speech Therapist course, being 30 from the control group (CG) and 30 from the experimental group (EG), which were evaluated on a presence way, by means of written assessment protocol and the EG received a copy of an electronic media, a CD-ROM previously elaborated. Was established one month so that the students could explore the material, but the CG didn't receive the CD-ROM, just continued exposed to traditional education. As a result it was concluded that most of the EG students improved their performance after the period of using the CD-ROM and the suggested material as a Tele-education could be recommended to complement the traditional teaching, providing to the students a interactive course via self-learning.
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