Funcionalidade na intervenção precoce: revisão integrativa
DOI:
https://doi.org/10.34024/rnc.2022.v30.12975Palavras-chave:
Estimulação precoce, Desenvolvimento infantil, Classificação Internacional de Funcionalidade, Incapacidade e Saúde.Resumo
Introdução. Programas de intervenção precoce (IP) são implementados após o nascimento e até os três anos de idade e objetivam minimizar atrasos do desenvolvimento infantil e promover a saúde e o desempenho global familiar. A organização dos serviços de IP passou por diferentes estágios ao longo dos anos. A Classificação Internacional de Funcionalidade, Incapacidade e Saúde (CIF) permitiu incorporar o modelo Biopsicossocial no planejamento das intervenções. Objetivo. Analisar como a abordagem da funcionalidade evoluiu ao longo do tempo nos programas de IP sob a perspectiva dos conceitos e domínios da CIF. Método. Realizou-se uma revisão integrativa nas bases de dados Scielo, PEDro, Lilacs e PubMed com as estratégias de busca: "child development" AND "early intervention" AND functioning; "child development” AND "early intervention" AND disability; "child development" AND "early intervention" AND disabilities. Os critérios de inclusão foram: ensaios clínicos que estudaram práticas de IP em crianças com idade entre zero e três anos. Resultados. 23 artigos foram incluídos. Observou-se que as práticas que integram as várias perspectivas da funcionalidade e destacam a abordagem biopsicossocial são recentes, publicadas em sua maioria na última década. Conclusão. Conforme a família assumiu o protagonismo na condução das intervenções, os programas passaram a individualizar os cuidados de acordo com as necessidades específicas de cada uma e a funcionalidade passou a ser abordada em sua totalidade pelas intervenções, com os artigos mais recentes abordando os domínios Funções do corpo, Atividade, Participação e Fatores Contextuais.
Métricas
Referências
Black MM, Walker SP, Fernald LCH, Andersen CT, DiGirolamo AM, Lu C, et al. Early childhood development coming of age: science through the life course. Lancet 2017;389:77-90. https://doi.org/10.1016/S0140-6736(16)31389-7
Black MM, Pérez-Escamilla R, Rao SF. Integrating nutrition and child development interventions: Scientific basis, evidence of impact, and implementation considerations. Adv Nutr 2015;6:852-9. https://doi.org/10.3945/an.115.010348
Richter L, Black M, Britto P, Daelmans B, Desmond C, Devercelli A, et al. Early childhood development: an imperative for action and measurement at scale. BMJ Glob Heal 2019;4(Suppl 4):e001302. https://doi.org/10.1136/bmjgh-2018-001302
Walker SP, Chang SM, Vera-Hernández M, Grantham-McGregor S. Early childhood stimulation benefits adult competence and reduces violent behavior. Pediatrics 2011;127:849-57. https://doi.org/10.1542/peds.2010-2231
Spittle AJ, Treyvaud K, Lee KJ, Anderson PJ, Doyle LW. The role of social risk in an early preventative care programme for infants born very preterm: a randomized controlled trial. Dev Med Child Neurol 2018;60:54-62. https://doi.org/10.1111/dmcn.13594
Smythe T, Zuurmond M, Tann CJ, Gladstone M, Kuper H. Early intervention for children with developmental disabilities in low and middle-income countries - the case for action. Int Health 2021;13:222-31. https://doi.org/10.1093/inthealth/ihaa044
Verger S, Riquelme I, Bagur S, Paz-Lourido B. Satisfaction and Quality of Life of Families Participating in Two Different Early Intervention Models in the Same Context: A Mixed Methods Study. Front Psychol 2021;12:2-11. https://doi.org/10.3389/fpsyg.2021.650736
Sampaio RF, Luz MT. Funcionalidade e incapacidade humana: explorando o escopo da classificação internacional da Organização Mundial da Saúde. Cad Saúde Pública (Rio de Janeiro) 2009;25:475-83. https://doi.org/10.1590/S0102-311X2009000300002
Franco V, Melo M, Apolónio A. Child’s development problems and early intervention. Educ em Rev 2012;43:49-64. https://doi.org/10.1590/s0104-40602012000100005
Rosário H, Leal T, Pinto AI, Simeonsson RJ. Utilidade da classificação internacional da funcionalidade, incapacidade e saúde: Versão para crianças e jovens (CIF-CJ) no contexto da intervenção precoce e da educação especial. Psicologia 2014;23:129. https://doi.org/10.17575/rpsicol.v23i2.332
Brasil. Ministério da Saúde. Secretaria de Atenção à Saúde. Diretrizes de estimulação precoce - crianças de zero a 3 anos com atraso de desenvolvimento neuropsicomotor. Brasilia: MS. 2016; 184 p. https://bvsms.saude.gov.br/bvs/publicacoes/diretrizes_estimulacao_criancas_0a3anos_neuropsicomotor.pdf
World Health Organization. Classificação Internacional funcionalidade, incapacidade e saude. Lisboa: OMS: 2004; 238p. https://catalogo.inr.pt/documents/11257/0/CIF+2004
Whittemore R, Knafl K. The integrative review: Updated methodology. J Adv Nurs 2005;52:546-53. https://doi.org/10.1111/j.1365-2648.2005.03621.x
Marini BPR, Lourenço MC, Souza Della Barba PC. Systematic literature review on models and practices of Early Childhood Intervention in Brazil. Rev Paul Pediatr 2017;35:456-63. https://doi.org/10.1590/1984-0462/;2017;35;4;00015
Rose SA, Schmidt K, Riese ML, Bridger WH. Effects of prematurity and early intervention on responsivity to tactual stimuli: a comparison of preterm and full-term infants. Child Dev 1980;51:416-25. https://doi.org/10.2307/1129275
Ramey CT, Yeates KO, Short EJ. The plasticity of intellectual development: insights from preventive intervention. Child Dev 1984;55:1913-25. https://doi.org/10.2307/1129938
Rauh VA, Achenbach TM, Nurcombe B, Howell CT, Teti DM. Minimizing adverse effects of low birthweight: four-year results of an early intervention program. Child Dev 1988;59:544-53. https://doi.org/10.2307/1130556
Wasik BH, Ramey CT, Bryant DM, Sparling JJ. A longitudinal study of two early intervention strategies: Project CARE. Child Dev 1990;61:1682-96. https://doi.org/10.2307/1130831
Brooks-Gunn J, Liaw FR, Klebanov PK. Effects of early intervention on cognitive function of low birth weight preterm infants. J Pediatr 1992;120:350-9. https://doi.org/10.1016/S0022-3476(05)80896-0
Black MM, Dubowitz H, Hutcheson J, Berenson-Howard J, Starr RHJ. A randomized clinical trial of home intervention for children with failure to thrive. Pediatrics 1995;95:807-14. https://pediatrics.aappublications.org/content/95/6/807.long
Smith T, Groen AD, Wynn JW. Randomized trial of intensive early intervention for children with pervasive developmental disorder. Am J Ment Retard 2000;105:269-85. https://doi.org/10.1352/0895-8017(2000)105<0269:RTOIEI>2.0.CO;2
Callaghan TC, Rankin MP. Emergence of graphic symbol functioning and the question of domain specificity: a longitudinal training study. Child Dev 2002;73:359-76. https://doi.org/10.1111/1467-8624.00412
Als H, Duffy FH, McAnulty GB, Rivkin MJ, Vajapeyam S, Mulkern R V, et al. Early experience alters brain function and structure. Pediatrics 2004;113:846-57. https://doi.org/10.1542/peds.113.4.846
Hernandez-Reif M, Fielda T, Largie S, Diego M, Manigat N, Seoanes J, et al. Cerebral palsy symptoms in children decreased following massage therapy. Early Child Dev Care 2005;175:445-56. https://doi.org/10.1080/0300443042000230546
Mahoney G, Perales F. Relationship-focused early intervention with children with pervasive developmental disorders and other disabilities: a comparative study. J Dev Behav Pediatr 2005;26:77-85. https://doi.org/10.1097/00004703-200504000-00002
Weindling AM, Cunningham CC, Glenn SM, Edwards RT, Reeves DJ. Additional therapy for young children with spastic cerebral palsy: A randomised controlled trial. Health Technol Assess (Rockv) 2007;11:1-71. https://doi.org/10.3310/hta11160
Nair MKC, Philip E, Jeyaseelan L, George B, Mathews S, Padma K. Effect of Child Development Centre model early stimulation among at risk babies--a randomized controlled trial. Indian Pediatr 2009;46 (Suppl):s20-6. https://www.researchgate.net/publication/51435945_Effect_of_Child_Development_Centre_Model_Early_Stimulation_Among_At-risk_Babies_-_A_Randomized_Controlled_Trial
Dawson G, Rogers S, Munson J, Smith M, Winter J, Greenson J, et al. Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model. Pediatrics 2010;125:e17-23. https://doi.org/10.1542/peds.2009-0958
Koldewijn K, van Wassenaer A, Wolf M-J, Meijssen D, Houtzager B, Beelen A, et al. A neurobehavioral intervention and assessment program in very low birth weight infants: outcome at 24 months. J Pediatr 2010;156:359-65. https://doi.org/10.1016/j.jpeds.2009.09.009
Spittle AJ, Anderson PJ, Lee KJ, Ferretti C, Eeles A, Orton J, et al. Preventive care at home for very preterm infants improves infant and caregiver outcomes at 2 years. Pediatrics 2010;126:e171-8. https://doi.org/10.1542/peds.2009-3137
Blauw-Hospers CH, Dirks T, Hulshof LJ, Bos AF, Hadders-Algra M. Pediatric physical therapy in infancy: from nightmare to dream? A two-arm randomized trial. Phys Ther 2011;91:1323-38. https://doi.org/10.2522/ptj.20100205
Windsor J, Benigno JP, Wing CA, Carroll PJ, Koga SF, Nelson CA 3rd, et al. Effect of foster care on young children’s language learning. Child Dev 2011;82:1040-6. https://doi.org/10.1111/j.1467-8624.2011.01604.x
Hwang A-W, Chao M-Y, Liu S-W. A randomized controlled trial of routines-based early intervention for children with or at risk for developmental delay. Res Dev Disabil 2013;34:3112-23. https://doi.org/10.1016/j.ridd.2013.06.037
Kaiser AP, Roberts MY. Parent-implemented enhanced milieu teaching with preschool children who have intellectual disabilities. J Speech Lang Hear Res 2013;56:295-309. https://doi.org/10.1044/1092-4388(2012/11-0231)
Carlo WA, Goudar SS, Pasha O, Chomba E, Wallander JL, Biasini FJ, et al. Randomized trial of early developmental intervention on outcomes in children after birth asphyxia in developing countries. J Pediatr 2013;162:705-12.e3. https://doi.org/10.1016/j.jpeds.2012.09.052
Sgandurra G, Lorentzen J, Inguaggiato E, Bartalena L, Beani E, Cecchi F, et al. A randomized clinical trial in preterm infants on the effects of a home-based early intervention with the “CareToy System”. PLoS One 2017;12:e0173521. https://doi.org/10.1371/journal.pone.0173521
Giovannetti AM, Raggi A, Leonardi M, Mosca F, Gangi S, Sabbadini S, et al. Usefulness of ICF-CY to define functioning and disability in very low birth weight children: A retrospective study. Early Hum Dev 2013;89:825-31. http://dx.doi.org/10.1016/j.earlhumdev.2013.07.014
Pereira TTSO, Barros MNS, Augusto MCNAA. O Cuidado em Saúde: o Paradigma Biopsicossocial e a Subjetividade em Foco. Mental 2011;9:523-36. http://pepsic.bvsalud.org/scielo.php?script=sci_arttext&pid=S1679-44272011000200002&lng=pt&nrm=iso
Silva TR, Gontijo CS. A Família e o Desenvolvimento Infantil sob a Ótica da Gestalt-Terapia. Revista IGT na Rede 2016;13:15-36. http://www.igt.psc.br/ojs
Zhang L, Ssewanyana D, Martin MC, Lye S, Moran G, Abubakar A, et al. Supporting Child Development Through Parenting Interventions in Low- to Middle-Income Countries: An Updated Systematic Review. Front Public Heal 2021;9:1-20. https://doi.org/10.3389/fpubh.2021.671988
Downloads
Publicado
Edição
Seção
Licença
Copyright (c) 2022 Leticia Helene Mendes Ferreira, Lidiane Andréa Oliveira Lima, Shamyr Sulyvan de Castro, Katia Virgínia Viana Cardoso
Este trabalho está licenciado sob uma licença Creative Commons Attribution 4.0 International License.
