Protocolo de monitoramento para pais e profissionais de crianças com perda auditiva: metanálise de intervenção precoce e adaptação cultural do Success From the Start

Abstract

Early identification of hearing loss contributes to oral language development and other developmental milestones in children with hearing loss. After diagnosis, parents end up having to make several decisions regarding the treatment of their children. In the Brazilian literature, no instrument was found available to provide support for parents' decision process. To address this gap, this work aims to translate and culturally adapt a monitoring screening protocol for parents and professionals that targets children with hearing loss. For this, two studies were conducted. The first consisted of a systematic review of the literature and meta-analysis on the influence of the intervention on the oral language development of children with hearing loss. Fifteen studies were part of the qualitative synthesis and twelve of the quantitative synthesis. According to the summarized data, the age of identification and early intervention allowed children to achieve speech and language outcomes within developmental milestones, both of which can be obtained by growth curves using standardized language scores. The second study consisted of the cultural adaptation and adaptation of 452 items of the Success from the Star protocol, corresponding to all principal areas of language development: communication, listening, listening, and vocalization. Judges evaluated 25% of the items on the following categories: 1) cultural suitability, 2) conceptual clarity, and 3) suitability to the target audience. We proposed a back-translation to consolidate the final items. Subsequently, the translated items were compared with the revised version of the instrument, which comprises 347 items in the two areas of development. The instrument was qualitatively evaluated by two experts in order to validate its content.