Authors: Ingrid Santos¹, Joseli Brazorotto¹
¹Federal University of Rio Grande do Norte
Background: Programs aimed at enhancing family-child interactions in the context of hearing impairment increasingly emphasize parental involvement and feedback. However, such approaches remain underutilized in telehealth. This study introduces televideofeedback, a strategy combining asynchronous video analysis with synchronous personalized guidance, to strengthen family interactions and parental self-efficacy in communication.
Methods: A quasi-experimental design (n=12) included an experimental group (EG, n=6) and a control group (CG, n=6), approved by the ethics committee (protocol no. 5.272.705). Participants were families of children aged 3–7 years with different types and degrees of hearing loss. The EG received ten 40-minute televideofeedback sessions through a secure platform, focused on communicative attunement. Interaction quality was assessed using a structured observation form rated by blinded judges (Krippendorff’s alpha = 0.876). Self-efficacy was measured via the SPISE-R scale, addressing beliefs, knowledge, confidence, and communicative actions. Data were analyzed using the Jacobson-Truax Method and Mann-Whitney tests (p < 0.05).
Results: The EG showed significant and clinically reliable improvements in interaction dimensions such as tuned responses, reduced intrusiveness, and syntactic expansion. The CG showed no change or decline. The EG also exhibited significantly higher self-efficacy scores than the CG, particularly regarding communicative beliefs, confidence, and strategies in daily interactions.
Conclusion: Televideofeedback was effective in enhancing both communication behaviors and parental self-efficacy. The results support its integration into auditory rehabilitation as a feasible, inclusive, and accessible telehealth strategy, particularly valuable for underserved or remote populations.
