Intervenções mediadas pelos pais sobre as habilidades sociocomunicacionais em crianças com transtorno do espectro autista
DOI:
https://doi.org/10.51247/pdlc.v7iEspecial1.1023Palavras-chave:
Transtorno do espectro autista, Intervenções mediadas pelos pais, Habilidades sociocomunicacionais, InfânciaResumo
As intervenções mediadas pelos pais (PMIs) têm adquirido crescente relevância na abordagem do Transtorno do Espectro Autista (TEA), embora as evidências disponíveis ainda apresentem limitações para identificar quais habilidades sociocomunicacionais se beneficiam em maior medida e sob quais condições. O objetivo desta revisão sistemática (RS) foi sintetizar os efeitos das PMIs sobre as habilidades sociocomunicacionais de crianças com TEA, considerando os subdomínios infantis, as condições de implementação, a etapa do desenvolvimento e a mediação parental. A RS seguiu as diretrizes PRISMA e foi registrada no PROSPERO. A busca foi realizada nas bases Scopus, Web of Science, PubMed, SciELO e Redalyc, identificando-se 1.471 registros, dos quais 22 atenderam aos critérios estabelecidos e apresentaram risco de viés aceitável, avaliado por meio das ferramentas JBI. Os achados evidenciaram efeitos favoráveis das PMIs principalmente sobre habilidades proximais (iniciações comunicativas, atenção compartilhada, comunicação funcional, reciprocidade vocal e linguagem expressiva). Os programas baseados em PACT, PRT, P-ESDM, FCT e modelos de telessaúde relataram melhorias significativas. Além disso, a efetividade depende da fidelidade da implementação, do coaching profissional, da sensibilidade das medidas utilizadas e da adaptação às necessidades familiares e contextuais. Destaca-se a necessidade de delineamentos pragmáticos e culturalmente sensíveis que avaliem a sustentabilidade, a aplicabilidade em contextos com recursos limitados e a manutenção dos efeitos em longo prazo.
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Direitos de Autor (c) 2026 María José Mejía-León, Carmita Esperanza Villavicencio-Aguilar
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