DHACA® method implementation strategies used by parents of children with Autism Spectrum Disorder

Abstract

ABSTRACT Purpose: to investigate the strategies adopted by parents of children with autism spectrum disorder in implementing the DHACA® method. Methods: cross-sectional, qualitative, exploratory study using primary data collected through structured interviews with caregivers of children undergoing speech-language-hearing intervention with the DHACA® method. The interviews were transcribed, categorized, and coded to identify patterns according to the content analysis proposed by Bardin. Results: the analysis showed that family members adopted various communication support strategies. They used the DHACA® book, articulated with the child's interests, and made it constantly available and accessible at home. Communication partners also demonstrated engagement with the method and the appropriation of the proposed strategies, favoring its functional use in the child's daily life. Other categories emerged during the interview, such as barriers, context of use, communication partners, and impact on the family. Conclusion: family members used strategies suggested by therapists, such as modeling and physical, visual, and verbal cues, and provided daily communication opportunities using the DHACA® communication book. These strategies enhanced the development of children's communication skills and the participation and engagement of close communication partners.