TELEMONITORING OF PRESCHOOL CHILDREN WITH CLINICAL RISK INDICATORS FOR AUTISM SPECTRUM DISORDER IN A PANDEMIC CONTEXT
Child development; Language Development; Autistic Spectrum Disorder; Telemonitoring.
Introduction: Autistic Spectrum Disorder is a neurodevelopmental disorder whose diagnosis can be made from the third year of life, but the clinical manifestations,
although difficult to discern, can be observed from the 6th month of life onwards. In this sense, even without a diagnosis of autism, identifying, monitoring signs of risk and providing communicative support to parents, expanding and optimizing children's communicative intentions in social situations in a plastic period of development are fundamental, especially in a historical pandemic scenario. Objective: To propose a speech therapy protocol for telemonitoring for early stimulation of pragmatic language in preschoolers with clinical risk indicators for child development. Method: This is a case series, observational, prospective, cross-sectional and analytical study with a sample found by children aged between 18 and 44 months, with clinical indicators of risk for autism, evaluated parents consented to telemonitoring for a period of three months at the Specialized Center in Rehabilitation III, Instituto Santos Dumont. The study was divided into three stages: (1) structured interview with parents, assessment of pragmatic skills and the use of children's actions and gestures, (2) preparation of parent guidance telephone calls based on the results obtained in the assessment, and ( 3) reassessment. A statistical analysis was conducted by descriptive and inferential tests that compared pre- and post-intervention performance. Results: Seven children remained in weekly telemonitoring via an open digital platform. A profile of children with gestural and verbal communication deficits was observed. Conclusion: The results show that ASD is a neurodevelopmental disorder prevalent in children and is closely associated with quality in social communication and communicative intention, which demands attention from reference services, professionals in the field and parents. Investing in early intervention for symptoms optimizes the prognosis and empowers the family, reducing future costs.