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Kilcoyne S, Overton S, Brockbank S, Lloyd-White S, Samuel R, Hotton M, Cropper J, Thomas GPL, Ching CR, Johnson D. Social Media and Website Use: The Experiences of Parents and Carers Accessing Care at the Oxford Craniofacial Unit. J Craniofac Surg 2024; 35:104-110. [PMID: 38011637 DOI: 10.1097/scs.0000000000009804] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/05/2022] [Accepted: 08/26/2023] [Indexed: 11/29/2023] Open
Abstract
INTRODUCTION Historically, medical professionals have been the providers of specialist information about rare medical conditions. Now, increasingly, patients and the public are using the internet to access and generate information about medical diagnoses. The global nature of the internet allows patients to connect across geographical borders, and to obtain and share information that would have been previously inaccessible to them. This research investigated the use of website and social media by parents of children with craniosynostosis. METHODS A cross-sectional survey-based design was employed. Participants were parents of children with craniosynostosis attending multidisciplinary craniofacial clinics within the Oxford Craniofacial Unit. A questionnaire was administered which assessed social media and website use adapted from the questionnaire created by Khouri and colleagues (2016) and Huggons and colleagues (2019). The surveys were administered over an 18-month period (November 2020 to May 2022). RESULTS The final sample comprised 82 parents [70 mothers; 10 fathers; 1 sister/carer and 1 parent (mother/father unspecified)]. The children were aged 11 months-16 years of age (average age 6 y and 3 mo). Children had a variety of diagnoses: 31 sagittal, 19 metopic, 14 syndromic craniosynostosis, 8 unicoronal, 6 multisuture, 3 bicoronal, and 1 unilambdoid.Results showed that 93% (n=76/82) of parents used the internet to find out more about craniosynostosis, with 72% (n=59/82) of parents specifically using social media to find out more about craniosynostosis. The social media platforms used included: Facebook 64% (n=53/82), Instagram 24% (n=20/82), Blogs 12% (n=10/82), Twitter 4% (n= 4/82), Tik Tok 2% (n=2/82), and Snapchat 0.01% (n=1/82).Parents reported that Facebook was the most helpful source of information about craniosynostosis (52%; n=43/82). Parents indicated the key timepoints they used social media included: when their child received a diagnosis (70%; n=58/82), before their child's surgery (34%; n=28/82), before their first craniofacial clinic appointment (83%; n=25/30), and when child was older (17%; n=14/84). Forty percent (n=33/82) of parents said that a diagnosis of craniosynostosis made no difference to their social media use, whereas 34% (n=28/82) of parents used social media more, and 20% (n=16/82) used it less. CONCLUSION Results highlight that parents use social media and other websites to access information relating to craniosynostosis. Future research should examine whether parental use of social media changes across their child's lifespan and evaluate the quality of this information.
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Affiliation(s)
- Sarah Kilcoyne
- Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital
| | - Sarah Overton
- Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital
| | - Sally Brockbank
- Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital
| | - Samuel Lloyd-White
- Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital
| | - Rosanna Samuel
- Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital
- Cleft, Craniofacial and Facial Palsy Psychology Hub, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK
| | - Matthew Hotton
- Cleft, Craniofacial and Facial Palsy Psychology Hub, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK
| | - Jennifer Cropper
- Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital
- Cleft, Craniofacial and Facial Palsy Psychology Hub, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital, Oxford, UK
| | - Gregory P L Thomas
- Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital
| | - C Rosanna Ching
- Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital
| | - David Johnson
- Oxford Craniofacial Unit, Oxford University Hospitals NHS Foundation Trust, John Radcliffe Hospital
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2
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Singh A, Lawler CP, Walker VR, Pelch KE, Garton AE, Rooney AA, Haugen AC. Becoming aWARE: The Development of a Web-Based Tool for Autism Research and the Environment. J Xenobiot 2023; 13:492-499. [PMID: 37754843 PMCID: PMC10532575 DOI: 10.3390/jox13030031] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/19/2023] [Revised: 08/25/2023] [Accepted: 09/12/2023] [Indexed: 09/28/2023] Open
Abstract
A sharp rise in autism spectrum disorder (ASD) prevalence estimates, beginning in the 1990s, suggested factors additional to genetics were at play. This stimulated increased research investment in nongenetic factors, including the study of environmental chemical exposures, diet, nutrition, lifestyle, social factors, and maternal medical conditions. Consequently, both peer- and non-peer-reviewed bodies of evidence investigating environmental contributors to ASD etiology have grown significantly. The heterogeneity in the design and conduct of this research results in an inconclusive and unwieldy 'virtual stack' of publications. We propose to develop a Web-based tool for Autism Research and the Environment (aWARE) to comprehensively aggregate and assess these highly variable and often conflicting data. The interactive aWARE tool will use an approach for the development of systematic evidence maps (SEMs) to identify and display all available relevant published evidence, enabling users to explore multiple research questions within the scope of the SEM. Throughout tool development, listening sessions and workshops will be used to seek perspectives from the broader autism community. New evidence will be indexed in the tool annually, which will serve as a living resource to investigate the association between environmental factors and ASD.
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Affiliation(s)
- Anisha Singh
- National Institute of Environmental Health Sciences, Durham, NC 27709, USA; (A.S.); (C.P.L.); (V.R.W.); (A.E.G.); (A.A.R.)
| | - Cindy P. Lawler
- National Institute of Environmental Health Sciences, Durham, NC 27709, USA; (A.S.); (C.P.L.); (V.R.W.); (A.E.G.); (A.A.R.)
| | - Vickie R. Walker
- National Institute of Environmental Health Sciences, Durham, NC 27709, USA; (A.S.); (C.P.L.); (V.R.W.); (A.E.G.); (A.A.R.)
| | | | - Amanda E. Garton
- National Institute of Environmental Health Sciences, Durham, NC 27709, USA; (A.S.); (C.P.L.); (V.R.W.); (A.E.G.); (A.A.R.)
| | - Andrew A. Rooney
- National Institute of Environmental Health Sciences, Durham, NC 27709, USA; (A.S.); (C.P.L.); (V.R.W.); (A.E.G.); (A.A.R.)
| | - Astrid C. Haugen
- National Institute of Environmental Health Sciences, Durham, NC 27709, USA; (A.S.); (C.P.L.); (V.R.W.); (A.E.G.); (A.A.R.)
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Cortes Cavalcante J, Faria Sales M, Sousa Junior RRD, Souto DO, Vale Gonçalves R, Camargos ACR, Leite HR. Analysis of the Brazilian-Portuguese Content on Autism Spectrum Disorder Available on YouTube Videos. Phys Occup Ther Pediatr 2023; 44:128-142. [PMID: 37069791 DOI: 10.1080/01942638.2023.2199843] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/04/2022] [Accepted: 03/29/2023] [Indexed: 04/19/2023]
Abstract
AIMS Information about Autism Spectrum Disorder (ASD) is available in different videos on YouTube. However, these videos might present inaccurate or outdated information. The aims of this study were to 1) identify characteristics of Brazilian-Portuguese videos about ASD (i.e., type of content, number of views, likes, and dislikes); 2) analyze the content of informative videos about ASD, by assessing their trustworthiness and overall quality; and 3) investigate the most popular topics of informative videos about ASD over time. METHODS This is a cross-sectional study that investigated Brazilian-Portuguese ASD content on YouTube. Videos were selected by two examiners and categorized as experiential or informative. The Discern checklist and the Global Quality Score (GQS) were used to analyze the trustworthiness and quality of informative videos. RESULTS In total, 216 videos were analyzed, of which 19.5% and 85% were classified as experiential and informative, respectively. The majority of informative videos presented moderate trustworthiness and quality. Videos about ASD clinical aspects were the most popular. CONCLUSION YouTube offers a large number of experiential and informative videos on ASD. However, some of these videos fail to present reliable and additional sources of information for stakeholders. Efforts to promote knowledge translation about ASD on YouTube are necessary.
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Affiliation(s)
- Júlia Cortes Cavalcante
- Undergraduate program in Physical Therapy, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Minas Gerais, Brazil
| | - Marina Faria Sales
- Undergraduate program in Physical Therapy, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Minas Gerais, Brazil
| | - Ricardo Rodrigues de Sousa Junior
- Graduate program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Minas Gerais, Brazil
| | - Deisiane Oliveira Souto
- Graduate program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Minas Gerais, Brazil
| | - Rejane Vale Gonçalves
- Physical Therapy Department. School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Minas Gerais, Brazil
| | - Ana Cristina Resende Camargos
- Graduate program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Minas Gerais, Brazil
| | - Hércules Ribeiro Leite
- Graduate program in Rehabilitation Sciences, School of Physical Education, Physical Therapy and Occupational Therapy, Universidade Federal de Minas Gerais, Minas Gerais, Brazil
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Fitzgeraldson E, Kay-Lambkin F, Harding N, McNaughton KM, Triandafilidis Z, Heath J, Lyford B, Charnley J, Fitzpatrick S. Supports and Interventions for Carers of a Person with Depressive or Anxiety Symptomology: A Systematic Review. EUROPES JOURNAL OF PSYCHOLOGY 2022; 18:476-493. [PMID: 36605087 PMCID: PMC9780730 DOI: 10.5964/ejop.6407] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/24/2021] [Accepted: 09/03/2021] [Indexed: 12/05/2022]
Abstract
An increasing body of research attests to the capacity of evidence-based interventions to improve outcomes for informal carers. A review of suitable supports and interventions for carers of a person with depressive or anxiety symptomology is timely. This systematic review explores intervention suitability evidence for this carer group. Searches for relevant primary studies were conducted in six databases across a 15-year timeframe (October 2004-October 2019). Studies were assessed and compared narratively and thematically. Qualitative themes were synthesised with quantitative studies to explore the extent to which carer preferences were embedded in interventions. The initial literature search produced 13,183 studies. Six studies-three randomised controlled trials (RCTs) and three mixed-method studies-were included following a double-blinded screening process, a review of reference lists and risk of bias assessment. Included studies contributed either intervention efficacy or acceptability evidence. The synthesis of qualitative themes with quantitative studies found that carer-specific needs and targeted psychoeducation were featured in interventions from all six quantitative studies. Current evidence for appropriate supports and interventions for this carer group is limited. The review uncovers a lack of interventions for carers of a person with anxiety symptomology and limited intervention suitability evidence for carers of a person with depressive symptomology. More research is needed to explore the needs and preferences of this carer group, and how best to support them.
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Affiliation(s)
| | - Frances Kay-Lambkin
- University of Newcastle, Newcastle, Australia,NHMRC Centre for Research Excellence in Mental Health & Substance Abuse, Macquarie University, Sydney, Australia,Hunter Medical Research Institute, Newcastle, Australia,Centre for Brain and Mental Health Priority Research Centre, University of Newcastle, Newcastle, Australia,Society for Mental Health Research, Victoria, Australia,International Society for Research on Internet Interventions, Sanford, NC, USA
| | - Natasha Harding
- University of Newcastle, Newcastle, Australia,Everymind, Newcastle, Australia
| | - Kimie M. McNaughton
- University of Newcastle, Newcastle, Australia,Hunter Medical Research Institute, Newcastle, Australia,Centre for Brain and Mental Health Priority Research Centre, University of Newcastle, Newcastle, Australia
| | - Zoi Triandafilidis
- University of Newcastle, Newcastle, Australia,Centre for Brain and Mental Health Priority Research Centre, University of Newcastle, Newcastle, Australia
| | - Jacinta Heath
- Child and Adolescent Mental Health Service, Hunter New England Health, Sydney, Australia
| | - Bronte Lyford
- University of Newcastle, Newcastle, Australia,Everymind, Newcastle, Australia
| | - Janine Charnley
- University of Newcastle, Newcastle, Australia,Hunter Medical Research Institute, Newcastle, Australia,Centre for Brain and Mental Health Priority Research Centre, University of Newcastle, Newcastle, Australia,Society for Mental Health Research, Victoria, Australia
| | - Sally Fitzpatrick
- University of Newcastle, Newcastle, Australia,Everymind, Newcastle, Australia,Centre for Emotional Health, Macquarie University, Sydney, Australia
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5
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Morsa M, De Andrade V, Alcaraz C, De La Tribonnière X, Rattaz C, Baghdadli A. A scoping review of education and training interventions in Autism Spectrum Disorder. PATIENT EDUCATION AND COUNSELING 2022; 105:2850-2859. [PMID: 35618551 DOI: 10.1016/j.pec.2022.05.012] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Revised: 05/15/2022] [Accepted: 05/16/2022] [Indexed: 06/15/2023]
Abstract
OBJECTIVE Autism Spectrum Disorder (ASD) is a chronic neurodevelopmental disorder. Living with ASD requires that individuals and parents develop skills in order to cope with daily life. Education interventions are recommended to support them. This study aims to get an overview of education and training interventions in ASD. METHODS A scoping review of international literature was conducted. RESULTS 43 articles were analyzed. Four main types of intervention stand out: support groups, parental training; psychoeducation; therapeutic patient education. However, the majority of publications is focused on the parents rather than on individuals living with ASD, and the needs assessments identified focused on general needs rather than educational needs. CONCLUSION While educational interventions for parents and individuals with ASD are now encouraged, considerable heterogeneity is observed. But this variety is not based on a reasoned approach to matching supply and needs. Future studies could focus more on the educational needs of individuals with ASD. PRACTICE IMPLICATIONS Overview of education and training interventions in ASD help health care providers to better understand the strengths and limitations of their interventions.
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Affiliation(s)
- Maxime Morsa
- Université Sorbonne Paris Nord, Laboratoire Educations et Promotion de la santé, LEPS, UR 3412, F-93430, Villetaneuse, France.
| | - Vincent De Andrade
- Université Sorbonne Paris Nord, Laboratoire Educations et Promotion de la santé, LEPS, UR 3412, F-93430, Villetaneuse, France
| | - Céline Alcaraz
- CRA-LR, CeAND - University Hospital Center of Montpellier, France
| | - Xavier De La Tribonnière
- Transversal Patient Education Unit (UTEP), University Hospital Center of Montpellier, France; University of Montpellier School of Medicine, France
| | - Cécile Rattaz
- CRA-LR, CeAND - University Hospital Center of Montpellier, France
| | - Amaria Baghdadli
- CRA-LR, CeAND - University Hospital Center of Montpellier, France; University of Montpellier School of Medicine, France; CESP Laboratory INSERM, France
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6
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Frey E, Bonfiglioli C, Brunner M, Frawley J. Parents' Use of Social Media as a Health Information Source for Their Children: A Scoping Review. Acad Pediatr 2022; 22:526-539. [PMID: 34906742 DOI: 10.1016/j.acap.2021.12.006] [Citation(s) in RCA: 31] [Impact Index Per Article: 15.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 08/10/2021] [Revised: 12/08/2021] [Accepted: 12/08/2021] [Indexed: 12/19/2022]
Abstract
BACKGROUND Parents are increasingly using social media to inform health decisions for their children. OBJECTIVE This scoping review examines 1) How do parents use social media to find health information for their children? 2) What motivates parents to engage with social media to seek health information for their children? 3) How do parents seek to understand and evaluate the health information they find on social media, and how does social media impact parental health information-seeking? METHODS Scopus, CINAHL, Medline, PubMed, and Embase databases were searched, with open date parameters. Peer-reviewed studies that examined parents' and responsible caregivers' use of social media as a source of health information for their children (aged <18 years) were included. RESULTS The 42 included studies spanned 2011 to 2020. More than half (n = 24, 57%) were published in 2019 and 2020. Parents use social media for information about specific health concerns both before and after a medical diagnosis for their child. Parents are motivated to engage with social media as they seek out extensive information based on lived experience from other parents, as well as social support and community. CONCLUSION This scoping review reveals parents' motivation to use social media for health information, and how that can interact with, and impose on, clinical practice. It is important for those who provide pediatric health care to both understand and accommodate this permanent shift facilitated by social media, when working with parents who are seeking health information when making health decisions for their children.
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Affiliation(s)
- Erika Frey
- School of Public Health, Faculty of Health (E Frey and J Frawley), University of Technology Sydney, Australia.
| | - Catriona Bonfiglioli
- School of Communication, Faculty of Arts and Social Science (C Bonfiglioli), University of Technology Sydney, Australia
| | - Melissa Brunner
- Sydney School of Health Sciences, Faculty of Medicine and Health (M Brunner), The University of Sydney, Australia
| | - Jane Frawley
- School of Public Health, Faculty of Health (E Frey and J Frawley), University of Technology Sydney, Australia
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Colombet C, Alcaraz C, de la Tribonnière X, Morsa M, Rattaz C, Baghdadli A. Self-reported needs of caregivers of people with Autism Spectrum Disorder. J Autism Dev Disord 2022:10.1007/s10803-022-05499-x. [PMID: 35441919 DOI: 10.1007/s10803-022-05499-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/22/2022] [Indexed: 11/24/2022]
Abstract
OBJECTIVES Autism spectrum disorder (ASD) has a major impact on caregivers. We aimed to describe caregivers' perceptions concerning their level of knowledge about ASD and their needs to better adapt education and training programs. METHODS This was a descriptive cross-sectional study conducted through a declarative and self-administered survey in France. RESULTS 1,013 individuals answered the questionnaire in 2020. If most caregivers felt they had sufficient knowledge about ASD, they still expressed a high level of needs regarding acquiring knowledge, identifying available resources, and finding social/emotional support. CONCLUSIONS This study highlights the high level of needs of caregivers and their expectations of improving their knowledge and skills to help the person with ASD.
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Affiliation(s)
- Claire Colombet
- Centre de Ressource Autisme Languedoc-Roussillon et Centre d'excellence sur l'autisme et les troubles neuro-développementaux, CHU Montpellier, Montpellier, France.
| | - Céline Alcaraz
- Centre de Ressource Autisme Languedoc-Roussillon et Centre d'excellence sur l'autisme et les troubles neuro-développementaux, CHU Montpellier, Montpellier, France
| | - Xavier de la Tribonnière
- Unité transversale d'éducation du patient (UTEP), CHU Montpellier, Montpellier, France.,Faculté de Médecine, Université de Montpellier, Montpellier, France
| | - Maxime Morsa
- Laboratoire Education et Pratiques de Santé (UR3412), Université Paris Sorbonne Paris Nord, Bobigny, France
| | - Cécile Rattaz
- Centre de Ressource Autisme Languedoc-Roussillon et Centre d'excellence sur l'autisme et les troubles neuro-développementaux, CHU Montpellier, Montpellier, France
| | - Amaria Baghdadli
- Centre de Ressource Autisme Languedoc-Roussillon et Centre d'excellence sur l'autisme et les troubles neuro-développementaux, CHU Montpellier, Montpellier, France.,Faculté de Médecine, Université de Montpellier, Montpellier, France.,Université Paris-Saclay, UVSQ, Inserm, CESP, Team DevPsy, 94807, Villejuif, France
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Self-Directed Web-Based Parent-Mediated Interventions for Autistic Children: A systematic review. REVIEW JOURNAL OF AUTISM AND DEVELOPMENTAL DISORDERS 2022. [DOI: 10.1007/s40489-022-00307-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
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Turgeon S, Lanovaz MJ. Perceptions of Behavior Analysis in France: Accuracy and Tone of Posts in an Internet Forum on Autism. BEHAVIOR AND SOCIAL ISSUES 2021. [DOI: 10.1007/s42822-021-00057-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/28/2022]
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Hermaszewska S, Sin J. End-user perspectives on the development of an online intervention for parents of children on the autism spectrum. AUTISM : THE INTERNATIONAL JOURNAL OF RESEARCH AND PRACTICE 2021; 25:1234-1245. [PMID: 33423522 PMCID: PMC8264643 DOI: 10.1177/1362361320984895] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
LAY ABSTRACT Parent caregivers play an essential role in the lives of individuals on the autism spectrum. The demands of caregiving can have negative effects on the mental and physical wellbeing of parents. Different types of formal support have been developed to help parents to cope with caregiving; however, many parents struggle to access services due to limited availability and busy schedules. The Internet could offer parents more accessible and flexible support. We asked 17 parents what content they would like to include in an online resource. Parents told us about their experiences trying to access and use existing formal support and websites. They overwhelmingly supported the development of an online resource informed by their suggestions. Parents emphasised the need for easier access to information through educational components and direct access to healthcare professionals online. Parents also wanted help with finding existing services and reliable, locally relevant information. Parents stressed the need for a safe environment to meet and chat with other parents online. This research forms the first stage in the development process of an online health resource for parents.
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Affiliation(s)
| | - Jacqueline Sin
- University of Reading, UK
- City, University of London, UK
- St George’s, University of London, UK
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11
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Abstract
PurposeThis study aims to explore the gap between information needs and services for autism in China.Design/methodology/approachThe gap is revealed by investigating the status quo of autism information needs and services. The authors extracted categories and subcategories of information needs through content analysis of academic documents and then supplemented the subcategories through text mining of an online forum. Meanwhile, categories and subcategories of information services were extracted through content analysis of autism websites. Finally, the authors matched the two to explore the gap and designed a quantitative index to measure it.FindingsA total of eight and ten categories of information needs and services are extracted, respectively. In total, six categories of information needs can be partly matched, but nearly half of the subcategories failed. Huge gaps in economic support, sociality and policy mechanisms categories are observed through the quantitative index and medium gaps in social resource services and employment categories while almost no gaps in psychological/emotional counseling, rehabilitation skills training and professional knowledge/information categories.Originality/valueThis study takes a deep insight into the gap between autism information needs and services in China, providing evidences and suggestions for information providers to improve their services. Academic documents and online forum data are adopted to avoid the impact of stigmatization, which provides a multi-source data analysis approach for the information needs of special groups.
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Goh JX, Aishworiya R, Ho RCM, Wang W, He HG. A qualitative study exploring experiences and support needs of parents of children with autism spectrum disorder in Singapore. J Clin Nurs 2021; 30:3268-3280. [PMID: 33969552 DOI: 10.1111/jocn.15836] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/09/2021] [Revised: 04/08/2021] [Accepted: 04/13/2021] [Indexed: 11/30/2022]
Abstract
AIMS AND OBJECTIVE To explore the experiences and support needs of parents of children with recently diagnosed autism spectrum disorder (ASD) in Singapore. BACKGROUND Raising a child with ASD is challenging for parents, especially in the initial period following the diagnosis. Limited studies have focused on parents' perspectives. DESIGN A qualitative descriptive design study. METHODS Thirteen parents were recruited from a developmental and behavioural paediatric outpatient clinic of a tertiary hospital in Singapore from October-December 2018. Adult parents, who were primary caregivers of 2-10-year-old children diagnosed with ASD in the preceding 3 months to 2 years, were recruited. Semi-structured individual face-to-face interviews were conducted based on an interview guide. Thematic analysis was used to analyse the data. Consolidated Criteria for Reporting Qualitative Studies (COREQ) checklist was used for reporting. RESULTS Common themes were analysed using constant comparative method to generate results. Four themes emerged after 13 interviews: (1) adjusting psychologically, (2) changing lifestyle, (3) contending with hurdles to services and (4) needing informational, tangible and emotional support. CONCLUSIONS Findings suggested a need for more formal support networks, targeted resource platforms and accessibility of services to help support parents better after receiving a diagnosis of ASD in their child. RELEVANCE TO CLINICAL PRACTICE Enhancing current healthcare and social policies to improve the provision of standardised and targeted information to parents, establishing formal support networks, facilitating access to childcare services, and involving domestic helpers/nannies as dedicated caregivers and trainers could better support parents.
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Affiliation(s)
- Jing Xuan Goh
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.,Division of Nursing, National University Hospital, Singapore, Singapore
| | - Ramkumar Aishworiya
- Khoo Teck Puat-National University Children's Medical Institute, National University Health System, Singapore, Singapore.,Department of Paediatrics, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore
| | - Roger Chun Man Ho
- Department of Psychological Medicine, National University Hospital, Singapore, Singapore.,National University Health System, Singapore, Singapore
| | - Wenru Wang
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.,National University Health System, Singapore, Singapore
| | - Hong-Gu He
- Alice Lee Centre for Nursing Studies, Yong Loo Lin School of Medicine, National University of Singapore, Singapore, Singapore.,National University Health System, Singapore, Singapore
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Rabba AS, Dissanayake C, Barbaro J. Development of a Web-Based Resource for Parents of Young Children Newly Diagnosed With Autism: Participatory Research Design. JMIR Pediatr Parent 2020; 3:e15786. [PMID: 32996890 PMCID: PMC7557446 DOI: 10.2196/15786] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2020] [Revised: 06/27/2020] [Accepted: 07/20/2020] [Indexed: 11/23/2022] Open
Abstract
BACKGROUND The internet provides an ideal avenue to share information, advice, and support regarding autism. However, many websites lack quality control and rarely provide a one-stop resource for families to access necessary, evidence-based information. OBJECTIVE This study aims to use participatory action research (PAR) with end users (ie, parents) and clinicians to develop a web-based resource (Pathways Beyond Diagnosis) to improve timely access to quality, evidence-based information, and support for families after their child is diagnosed with autism. METHODS The PAR approach involves 4 phases: (1) cooperative researcher-stakeholder planning, (2) cooperative researcher-stakeholder-based action, (3) stakeholder observation, and (4) cooperative researcher-stakeholder reflection. A total of 15 participants (parents, n=3; clinicians, n=9; and researchers, n=3) attended individual or group participatory design workshops. This was followed by the translation of knowledge and ideas generated during the workshops to produce mockups of webpages and content, rapid prototyping, and one-on-one consultations with end users to assess the usability of the website developed. RESULTS A total of 3 participatory design workshops were held with the participants, each followed by a knowledge translation session. At the end of the PAR cycle, an alpha prototype of the website was built and a series of one-on-one end user consultation sessions were conducted. The PAR cycle revealed the importance of 6 key topic areas (understanding autism, accessing services, support, gaining funding, putting it all together, and looking into the future) associated with the time of diagnosis, which were incorporated into the beta version of the website. CONCLUSIONS The development of the Pathways Beyond Diagnosis website using PAR ensures that families have ready access to practical and evidence-based information following a young child's diagnosis. The website guides families to access relevant, reputable, and evidence-based information in addition to summarizing key challenges encountered after diagnosis (ie, grief, sharing the diagnosis) and the importance of self-care.
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Affiliation(s)
- Aspasia Stacey Rabba
- Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Australia.,Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Australia
| | - Cheryl Dissanayake
- Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Australia.,Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Australia
| | - Josephine Barbaro
- Olga Tennison Autism Research Centre, La Trobe University, Melbourne, Australia.,Cooperative Research Centre for Living with Autism (Autism CRC), Brisbane, Australia
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Weissheimer G, Santana JM, Ruthes VBTNM, Mazza VDA. Necessary Information for the Families of Children with Autism Spectrum Disorder: An Integrative Review. AQUICHAN 2020. [DOI: 10.5294/aqui.2020.20.2.8] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/23/2022] Open
Abstract
Objective: To identify the available evidence on the necessary information for the families of children with Autism Spectrum Disorder (ASD).
Method: An integrative literature review carried out in six databases with specific descriptors for each one. Studies published on the theme between January 2014 and February 2020 available in full and free of charge were selected. For synthesis and analysis of data, thematic categorization was performed. 41 articles were included.
Results: Two thematic categories were obtained. In the first category (“need for information”), the families’ lack of knowledge about ASD (treatment, how to deal with the child’s behavior, and future perspectives), rights of the child with ASD, and resources to obtain information were identified. The second category (“information support sources accessed by the families”) comprised informal sources (family members, friends, neighbors, and parents of children with ASD), formal sources (professionals and institutions), the Internet, and other resources (books, workshops, podcasts). Positive and negative aspects were found in the use of these sources.
Conclusions: A pattern of information requested by the family was verified, as well as sources used to obtain it. These data are relevant to support the organization of sources of informational support for the families and the community.
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Caton S, Koivunen ER, Allison C. Internet use for family carers of people with intellectual disabilities: A literature review and thematic synthesis. JOURNAL OF INTELLECTUAL DISABILITIES : JOID 2019; 23:446-468. [PMID: 31496385 DOI: 10.1177/1744629519874214] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/10/2023]
Abstract
Being a family carer can be rewarding but can also lead to mental and physical exhaustion as well as feelings of social exclusion and isolation. Research has shown that the use of the Internet and online forums can provide an immediate place to find information and reassurance and that forum use can be an empathetic place to share experiences and seek emotional support. This article details a systematic literature search of research on carers of people with intellectual disabilities and/or autism using the Internet. A thematic synthesis of the resulting papers identified that online forums give carers a sense of agency by providing a place to go for informational support that may not be elsewhere. Carers also enjoyed the safe community of solidarity and emotional support that online forums provide. An important finding is the lack of published papers in this area with the inclusion of just eight papers.
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Affiliation(s)
- Sue Caton
- Manchester Metropolitan University, UK
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16
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Gibson AN, Martin JD. Re‐situating information poverty: Information marginalization and parents of individuals with disabilities. J Assoc Inf Sci Technol 2019. [DOI: 10.1002/asi.24128] [Citation(s) in RCA: 37] [Impact Index Per Article: 7.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022]
Affiliation(s)
- Amelia N. Gibson
- School of Information and Library ScienceUniversity of North Carolina at Chapel Hill Chapel Hill NC, 27599
| | - John D. Martin
- School of Information and Library ScienceUniversity of North Carolina at Chapel Hill Chapel Hill NC, 27599
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Gentles SJ, Nicholas DB, Jack SM, McKibbon KA, Szatmari P. Parent engagement in autism-related care: a qualitative grounded theory study. Health Psychol Behav Med 2018; 7:1-18. [PMID: 34040836 PMCID: PMC8114413 DOI: 10.1080/21642850.2018.1556666] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/30/2018] [Accepted: 12/02/2018] [Indexed: 12/28/2022] Open
Abstract
Parents of children with autism assume substantial responsibility for navigating intervention to address autism-related concerns, including involvement in therapy. Little is known, from the perspective of these parents, regarding how to best engage and support them in this navigating process as it evolves over the child's development. In this article, we present findings from a large qualitative study that investigated how parents of children with autism navigate intervention, to construct an in-depth theoretical account of how this group comes to be engaged in individual-level care. Using grounded theory methods and a symbolic interactionist framework, we analyzed select documents and 45 intensive interviews conducted with 32 mothers and 9 expert professionals from urban and rural regions of Ontario, Canada. Parent-defined concerns are the central impetus for the core process of navigating intervention, labeled using parents' language making your own way. We describe how this process is analogous to engaging in care. Four meaning-making processes - defining concerns, informing the self, seeing what is involved, and adapting emotionally - all interacting in an ongoing fashion, together account for parents' evolving readiness and motivation for taking action to navigate intervention. We illustrate how parents' readiness and motivation for navigating intervention (and thus for engagement) evolves over a generalized trajectory, according to three highly overlapping processes experienced by most parents: coming to understand their child has autism, going into high gear, and easing off. These findings indicate multiple empirical conditions and factors affecting engagement that service planners and professionals will likely want to consider when seeking parent involvement as a means to improve outcomes in autism. Additionally, theoretical aspects are relevant to the developing understanding of how healthcare consumers in general become engaged in individual care, with implications for patient-centered care.
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Affiliation(s)
- Stephen J. Gentles
- Health Information Research Unit, and Offord Centre for Child Studies, McMaster University, Hamilton, Canada
| | | | - Susan M. Jack
- School of Nursing, McMaster University, Hamilton, Canada
| | - K. Ann McKibbon
- Health Information Research Unit, McMaster University, Hamilton, Canada
| | - Peter Szatmari
- Department of Psychiatry and Behavioural Neurosciences, Offord Centre for Child Studies, Hamilton, Canada
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