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Baena S, Jiménez L, Bejarano S, Hidalgo V. Perceived Impact, Needs, and Resources of Grandparents of Children and Adolescents on the Autism Spectrum: A Qualitative Study. J Autism Dev Disord 2024:10.1007/s10803-024-06537-6. [PMID: 39242472 DOI: 10.1007/s10803-024-06537-6] [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] [Accepted: 08/22/2024] [Indexed: 09/09/2024]
Abstract
Grandparents play different roles in families of children and adolescents on the autism spectrum. They are frequently engaged in caregiving tasks with the person on the autism spectrum, providing emotional and instrumental support to the family. However, despite their frequent involvement and the importance of their role in the family, there are few studies that address the experiences of these grandparents, particularly in the Spanish and southern Europe context. This study explores the impact and needs of having a grandchild on the autism spectrum and the resources that grandparents have and use to face the difficulties that arise. A semi-structured interview was carried out with 17 grandparents of children and adolescents on the autism spectrum. We conducted a coding reliability thematic analysis of the impact and used a quantitative content analysis of grandparents' needs and resources. Results indicated three main aspects related to the impact: personal growth, wanting to help and not being able to, and suffering at three levels: for themselves, their sons and daughters, and grandchildren. Grandparents perceived needs in four contexts: their own needs, the needs of the nuclear family, the needs of the person on the autism spectrum, and the needs of society. The most frequent needs were informational and management of behavioral difficulties. In the resources, the most frequently used strategies were religious beliefs and informal support seeking. It is essential to address the quality of parents-grandparents' relationships, and include grandparents in intervention programmes, as a way of addressing grandparents' needs.
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Affiliation(s)
- Sofía Baena
- Department of Psychology, Universidad Loyola Andalucía, Seville, Spain
| | - Lucía Jiménez
- Department of Developmental and Educational Psychology, Universidad de Sevilla, Seville, Spain.
| | - Sonia Bejarano
- Department of Developmental and Educational Psychology, Universidad de Sevilla, Seville, Spain
| | - Victoria Hidalgo
- Department of Developmental and Educational Psychology, Universidad de Sevilla, Seville, Spain
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Tebar-Yébana S, Navarro-Mateu D, Gómez-Domínguez MT, Gómez-Dominguez V. Educational inclusion and satisfaction of families of students with intellectual disabilities: a bibliometric study. Front Psychol 2024; 15:1335168. [PMID: 38586293 PMCID: PMC10995399 DOI: 10.3389/fpsyg.2024.1335168] [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: 11/08/2023] [Accepted: 03/11/2024] [Indexed: 04/09/2024] Open
Abstract
This bibliometric study scrutinizes the corpus of scientific output within the Web of Science pertaining to familial satisfaction among parents raising children with intellectual disabilities, focusing specifically on the milieu of educational inclusion. The analysis discerns a discernible ascension in scholarly interest in this domain, encapsulating 77 papers emanating from 75 journals, incorporating an aggregate of 3,497 cited references. Our investigation delineated 354 researchers across 39 nations, underscoring the transnational purview of this scholarly endeavor. The United States emerged as the pre-eminent contributor, with Canada and the United Kingdom following suit. Collaboration on an international scale was notably led by the US, with the UK and Australia trailing in tandem. Prominent institutions were identified for their scholarly output; the University of Kansas led with four papers, followed closely by Monash University, University of California Los Angeles, and University of California Riverside, each contributing three papers. Of particular note, the University of Kansas accrued 250 global citations (TGCS). A total of 75 journals were encompassed in this study. The Journal of Intellectual Disability Research emerged as the vanguard with four published papers, closely trailed by Child Care Health and Development and Exceptional Children. Notably, the latter boasted the highest impact factor (JCR = 4.09; Q1). In summation, this review proffers a meticulous and expansive overview of extant scholarship concerning the experiences of families rearing children with disabilities within the inclusive education framework.
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Affiliation(s)
- Susana Tebar-Yébana
- Doctoral School, Catholic University of Valencia San Vicente Mártir, Valencia, Spain
- Department of Specific Educational Needs and Attention to Diversity, Faculty of Education Sciences, Catholic University of Valencia San Vicente Mártir, Valencia, Spain
| | - Diego Navarro-Mateu
- Department of Specific Educational Needs and Attention to Diversity, Faculty of Education Sciences, Catholic University of Valencia San Vicente Mártir, Valencia, Spain
| | - María Teresa Gómez-Domínguez
- Department of Specific Educational Needs and Attention to Diversity, Faculty of Education Sciences, Catholic University of Valencia San Vicente Mártir, Valencia, Spain
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3
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Desquenne Godfrey G, Downes N, Cappe E. A Systematic Review of Family Functioning in Families of Children on the Autism Spectrum. J Autism Dev Disord 2024; 54:1036-1057. [PMID: 36626001 DOI: 10.1007/s10803-022-05830-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 11/11/2022] [Indexed: 01/11/2023]
Abstract
This article aims to review the literature on family functioning in the field of autism. The search was conducted in August 2021 in PubMed, PsycINFO, and PubPsy and sixty-two articles were included. Studies were published in English between 1980 and 2021 and provided quantitative data from validated measures of family functioning in families with an official diagnosis of autism. Results showed that family functioning appeared more problematic for families of autistic children than non-autistic ones. Difficulties were correlated with more caregiver demand and less resources. Interventional results varied. The findings highlight the importance of considering family functioning when providing care for autistic children and their families. Limitations and implications for future research are discussed.Prospero registration number: CRD42022297696.
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Affiliation(s)
- Gwendoline Desquenne Godfrey
- Université Paris Cité, Laboratoire de Psychopathologie et Processus de Santé, F-92100, Boulogne-Billancourt, France
| | - Naomi Downes
- Université Paris Cité, Laboratoire de Psychopathologie et Processus de Santé, F-92100, Boulogne-Billancourt, France
| | - Emilie Cappe
- Université Paris Cité, Laboratoire de Psychopathologie et Processus de Santé, F-92100, Boulogne-Billancourt, France.
- Institut universitaire de France (IUF), Paris, France.
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4
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Sánchez Gómez MC, Martín-Sevillano R, Martín-Cilleros MV, Marcos JJM, García-Peñalvo FJ. Nurturing Grandchildren With Down Syndrome: A Qualitative Study on Grandparents' Needs Using Digital Tools †. Front Psychol 2021; 12:661205. [PMID: 34589016 PMCID: PMC8473883 DOI: 10.3389/fpsyg.2021.661205] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/30/2021] [Accepted: 08/09/2021] [Indexed: 11/18/2022] Open
Abstract
Grandparents who have grandchildren with disabilities are an underrepresented group in existing research related to the field. This qualitative phenomenological study’s general purpose is to analyze, from a personal perspective, the situations and needs of grandparents who have grandchildren with Down syndrome. The participants’ ages range from 65 to 85, and the ages of their grandchildren with Down syndrome range from 3 to 21 years. All participants had one grandchild with a disability, except for two, who each had two. A sociodemographic questionnaire was administered, and individual interviews were conducted, using open questions, through phone and/or video calls. An analysis of the participants’ speech was carried out, which implied the development of a system of meta-categories and categories. This analysis was developed manually, given the COVID-19 environment. The results indicate a substantial change from negative feelings caused by the knowledge of the diagnosis to feelings related to positive experiences expressed currently. The participants see themselves as a fundamental source of support (informal, instrumental, practical, social, emotional, and economic) for their families and, mainly, for their grandchildren with Down syndrome. A need for information and training was observed when the grandparents talked about first being informed of the diagnosis and their concerns about the future of these grandchildren and their siblings. They made social demands, such as greater government involvement or more significant opportunities to access resources and rights for their grandchildren. The results are discussed, as are possible future research directions.
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Affiliation(s)
- María C Sánchez Gómez
- Department of Didactics, Organization and Research Methods, University of Salamanca, Salamanca, Spain
| | - Rocío Martín-Sevillano
- Department of Didactics, Organization and Research Methods, University of Salamanca, Salamanca, Spain
| | - María V Martín-Cilleros
- Department of Didactics, Organization and Research Methods, University of Salamanca, Salamanca, Spain
| | - J J Mena Marcos
- Department of Didactics, Organization and Research Methods, University of Salamanca, Salamanca, Spain
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Novak-Pavlic M, Abdel Malek S, Rosenbaum P, Macedo LG, Di Rezze B. A scoping review of the literature on grandparents of children with disabilities. Disabil Rehabil 2021; 44:3326-3348. [PMID: 33478262 DOI: 10.1080/09638288.2020.1857850] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/22/2022]
Abstract
PURPOSE The objectives of this review were to: (a) explore the extent and nature of available research on non-custodial grandparents of children with physical, intellectual, or neurodevelopmental disabilities and (b) descriptively summarize the research findings from those studies. METHODS We followed the five-stage scoping review methodology to identify relevant studies from four databases: Medline, CINAHL, Embase, and PsycINFO. Primary, peer-reviewed studies that explored grandparent-related topics in the context of childhood disability were included. RESULTS Thirty-one studies were identified and analyzed. All of the studies followed non-experimental and qualitative study designs. In the last decade, there has been a growing interest in research on this population (n = 15). Grandparents varied considerably in age, education, employment status, and living arrangements (n = 4680). Grandmothers represented the vast majority of the population (82%). We grouped the grandparent-related findings from the individual reports into four categories: 1. Adjustment to grandchild's disability, 2. Roles, 3. Perceptions, and 4. Experiences. CONCLUSION Grandparents of children with disabilities are a heterogeneous population that experiences unique challenges in their grandparenting role. Future studies on this topic should be oriented toward high-quality, experimental study designs that take into consideration cultural, religious and demographic factors. Grandparents' involvement in healthcare should be encouraged.IMPLICATIONS FOR REHABILITATIONGrandparents of children with developmental disabilities who are not primary caregivers to their grandchild(ren) are significant family members in many families.They face unique challenges in adapting to their grandchild's disability and interacting with professionals regarding their grandchild's disability and functioning.Although there is considerable heterogeneity within this population, most grandparents share the experiences of gradual emotional adjustment to their grandchild's disability, active family involvement, positive perceptions of their family and grandchild's disability and lack of services for them.There are no identified interventions in the research literature that aimed to support grandparents of children with disabilities.
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Affiliation(s)
- Monika Novak-Pavlic
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Canada.,School of Rehabilitation Science, McMaster University, Hamilton, Canada
| | - Sandra Abdel Malek
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Canada.,School of Rehabilitation Science, McMaster University, Hamilton, Canada
| | - Peter Rosenbaum
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Canada.,Department of Paediatrics, McMaster University, Hamilton, Canada
| | - Luciana G Macedo
- School of Rehabilitation Science, McMaster University, Hamilton, Canada
| | - Briano Di Rezze
- CanChild Centre for Childhood Disability Research, McMaster University, Hamilton, Canada.,School of Rehabilitation Science, McMaster University, Hamilton, Canada
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Waltereit J, Czieschnek C, Albertowski K, Roessner V, Waltereit R. Family and Developmental History of Individuals With Autism Spectrum Disorder: Importance of the Clinical Diagnostic Interview for Diagnosis in Adolescents. An Explorative Study. Front Psychiatry 2021; 12:703023. [PMID: 34764892 PMCID: PMC8575716 DOI: 10.3389/fpsyt.2021.703023] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/30/2021] [Accepted: 09/20/2021] [Indexed: 11/29/2022] Open
Abstract
Background: Diagnosis of autism spectrum disorder (ASD) can be made early in childhood, but also later in adolescence or adulthood. In the latter cases, concerns about an individual's behavior typically lead to consultation of a mental health professional (MHP). As part of the initial clinical examination by the MHP, a clinical diagnostic interview is performed, in order to obtain the patient's history, and may lead to the hypothesis of ASD. We were here interested to study family and developmental history as key parts of the patient's history. The aim of the study was to investigate empirical differences between adolescents with ASD and adolescent control persons in family and developmental history. Method: Clinical diagnostic interview items addressing family and developmental history were adopted from their regular use at several university hospitals and in leading textbooks. Parents of male adolescents with normal intelligence and an ASD diagnosis (n = 67) and parents of male adolescents without psychiatric diagnosis (n = 51) between the age of 12 and 17 years were investigated. Data were operationalized into three categories: 0 = normal behavior, 1 = minor pathological behavior, and 2 = major pathological behavior. Differences were analyzed by multiple t-test of two-way ANOVA. Results: Adolescents with ASD expressed a profile of items significantly differing from control persons. Comparison of significant items with the empirical ASD literature indicated robust accordance. Conclusions: Our findings support the importance and feasibility of the clinical diagnostic interview of family and developmental history for initiation of the diagnostic process of ASD in adolescents.
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Affiliation(s)
- Johanna Waltereit
- Department of Child and Adolescent Psychiatry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.,Department of Child and Adolescent Psychiatry, University Medical Center Göttingen, Göttingen, Germany
| | - Charlotte Czieschnek
- Department of Child and Adolescent Psychiatry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Katja Albertowski
- Department of Child and Adolescent Psychiatry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Veit Roessner
- Department of Child and Adolescent Psychiatry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany
| | - Robert Waltereit
- Department of Child and Adolescent Psychiatry, Medical Faculty Carl Gustav Carus, Technische Universität Dresden, Dresden, Germany.,Department of Child and Adolescent Psychiatry, University Medical Center Göttingen, Göttingen, Germany
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7
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Zakirova Engstrand R, Roll-Pettersson L, Westling Allodi M, Hirvikoski T. Needs of Grandparents of Preschool-Aged Children with ASD in Sweden. J Autism Dev Disord 2020; 50:1941-1957. [PMID: 30825081 PMCID: PMC7261267 DOI: 10.1007/s10803-019-03946-w] [Citation(s) in RCA: 12] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
Little is known about needs of grandparents of young children with autism in family and community settings. This study investigated perceived needs of grandparents of preschool-aged children diagnosed with ASD in the cultural context of Sweden. Participants were 120 grandparents of children enrolled into autism intervention programs provided by the public disability services in Stockholm. The Grandparents' Needs Survey and the SDQ Impact supplement were used to collect data. Grandparents expressed most needs in topic areas of information and childcare. No significant relations were found between grandparents' demographics and perceptions of needs; grandparents' needs were predicted by their perceived burden. The findings provide insight into understanding of grandparents' needs essential for planning and provision of quality family-centered early intervention services.
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Affiliation(s)
| | - Lise Roll-Pettersson
- Department of Special Education, Stockholm University, 106 91, Stockholm, Sweden
| | - Mara Westling Allodi
- Department of Special Education, Stockholm University, 106 91, Stockholm, Sweden
| | - Tatja Hirvikoski
- Department of Women's and Children's Health, Pediatric Neuropsychiatry Unit, Center for Neurodevelopmental Disorders at Karolinska Institutet (KIND), Karolinska Institutet, Stockholm, Sweden
- Habilitation & Health, Stockholm County Council, Stockholm, Sweden
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8
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Prendeville P, Kinsella W. The Role of Grandparents in Supporting Families of Children with Autism Spectrum Disorders: A Family Systems Approach. J Autism Dev Disord 2019; 49:738-749. [PMID: 30229360 DOI: 10.1007/s10803-018-3753-0] [Citation(s) in RCA: 13] [Impact Index Per Article: 2.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/28/2022]
Abstract
A family systems approach is required to identify the needs of families of children with autism. This paper explores how grandparents support children with autism and their parents using a family systems perspective. A thematic analysis of eighteen semi-structured interviews was conducted with participants from nine families, capturing experiences of both parents' and grandparents'. Themes identified were family recalibrating; strengthening the family system; and current needs and future concerns of grandparents. The views of families indicated the overwhelming need to acknowledge the grandparental role in supporting families that strengthen the family system by supporting the needs of a child with autism. Findings revealed that grandfathers have a calming role in these families where children have significant behavioural difficulties.
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Affiliation(s)
- P Prendeville
- Enable Ireland Children's Services, Lavanagh House, Cork, Ireland. .,School of Education, University College Dublin, Dublin, Ireland.
| | - W Kinsella
- School of Education, University College Dublin, Dublin, Ireland
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9
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Yang X, Artman-Meeker K, Roberts CA. Grandparents of Children With Intellectual and Developmental Disabilities: Navigating Roles and Relationships. INTELLECTUAL AND DEVELOPMENTAL DISABILITIES 2018; 56:354-373. [PMID: 30273523 DOI: 10.1352/1934-9556-56.5.354] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/08/2023]
Abstract
Grandparents can play critical roles in the lives of children with intellectual and developmental disabilities and their families. However, current research and understanding around grandparent roles and experiences is limited. The purpose of this qualitative study was to examine the roles and experiences of grandparents supporting children with disabilities. In this article, the voices of grandparents with diverse experiences are presented. Key themes that emerged were the role of the grandparent, boundaries in roles and space, navigating family dynamics, and the general experiences of grandparenting. These findings have implications for the types of supports provided to grandparents and for practitioners working with families who have actively involved grandparents.
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Affiliation(s)
- Xueyan Yang
- Xueyan Yang, Kathleen Artman-Meeker, and Carly A. Roberts, University of Washington
| | | | - Carly A Roberts
- Xueyan Yang, Kathleen Artman-Meeker, and Carly A. Roberts, University of Washington
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10
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Hillman JL, Wentzel MC, Anderson CM. Grandparents' Experience of Autism Spectrum Disorder: Identifying Primary Themes and Needs. J Autism Dev Disord 2018; 47:2957-2968. [PMID: 28688077 DOI: 10.1007/s10803-017-3211-4] [Citation(s) in RCA: 23] [Impact Index Per Article: 3.8] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
Abstract
Limited information is available regarding the first person perspective of grandparents of children with Autism Spectrum Disorders (ASD). In the present study, 1870 grandparents of a child with ASD participated in a nationwide, online, anonymous, 30-minute survey and responded to open-ended questions including their "greatest challenges and greatest joys" as the grandparent of a child on the autism spectrum. A grounded theory approach to qualitative analysis revealed four overarching categories: a Desire for Connection, Barriers to Care, Celebration of Progress, and Personal Reactions. Despite the presence of significant challenges grandparents often experienced positivity in their role, and engaged in radical acceptance of their grandchild as well as transformative insight and advocacy. Specific recommendations are offered to help address grandparents' needs and capitalize upon their resilience.
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Affiliation(s)
- Jennifer L Hillman
- Berks College, The Pennsylvania State University, Penn State Berks, Franco 119, Tulpehocken Road, Reading, PA, 19610, USA.
| | - Michele C Wentzel
- Berks College, The Pennsylvania State University, Penn State Berks, Franco 119, Tulpehocken Road, Reading, PA, 19610, USA
| | - Connie M Anderson
- College of Health Professions, Towson University, 8000 York Road, Towson, MD, 21252, USA
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11
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Morrison J, Chunsuwan I, Bunnag P, Gronholm PC, Lockwood Estrin G. Thailand's national universal developmental screening programme for young children: action research for improved follow-up. BMJ Glob Health 2018; 3:e000589. [PMID: 29564160 PMCID: PMC5859813 DOI: 10.1136/bmjgh-2017-000589] [Citation(s) in RCA: 10] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/01/2017] [Revised: 12/01/2017] [Accepted: 12/12/2017] [Indexed: 11/22/2022] Open
Abstract
Introduction In low-income and middle-income countries, it is estimated that one in every three preschool-age children are failing to meet cognitive or socioemotional developmental milestones. Thailand has implemented a universal national developmental screening programme (DSPM) for young children to enable detection of developmental disorders and early intervention that can improve child health outcomes. DSPM implementation is being hampered by low attendance at follow-up appointments when children fail the initial screening. Methods Action research, using qualitative methods was conducted with 19 caregivers, 5 health workers and 1 chief at two Health Promotion Hospitals to explore the factors affecting attendance at follow-up appointments. Transcripts and notes were analysed using descriptive content analysis. Findings were then discussed with 48 health workers, managers, researchers and policymakers. Results The high workload of health workers during busy vaccination clinics, and inadequate materials prevented clear communication with caregivers about the screening, how to stimulate child development and the screening result. Caregivers, particularly grandparents, had a lack of understanding about how to stimulate child development, and did not fully understand failed screening results. Caregivers felt blamed for not stimulating their child’s development, and were either worried that their child was severely disabled, or they did not believe the screening result and therefore questioned its usefulness. This led to a lack of attendance at follow-up appointments. Conclusion Task-sharing, mobile health (mhealth), community outreach and targeted interventions for grandparent caregivers might increase awareness about child development and screening, and allow health workers more time to communicate effectively. Sharing best practices, communication training and mentoring of DSPM workers coupled with mhealth job aids could also improve caregiver attendance at follow-up. Engagement of caregivers in understanding the barriers to attendance at follow-up and engagement of stakeholders in the design and implementation of interventions is important to ensure their effectiveness.
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Affiliation(s)
- Joanna Morrison
- Institute for Global Health, University College London, London, UK
| | - Issarapa Chunsuwan
- Department of Pediatrics, Faculty of Medicine, Developmental and Behavioral Pediatrics, Thammasat University, Pathum Thani, Thailand
| | - Petch Bunnag
- Department of Family Medicine, Faculty of Medicine, Thammasat University, Pathum Thani, Thailand
| | - Petra C Gronholm
- Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Georgia Lockwood Estrin
- Section of Women's Mental Health, Health Service and Population Research Department, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
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Kahana E, Lee JE, Kahana J, Goler T, Kahana B, Shick S, Burk E, Barnes K. Childhood Autism and Proactive Family Coping: Intergenerational Perspectives. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2015. [DOI: 10.1080/15350770.2015.1026759] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
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13
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Hirvikoski T, Jonsson U, Halldner L, Lundequist A, de Schipper E, Nordin V, Bölte S. A Systematic Review of Social Communication and Interaction Interventions for Patients with Autism Spectrum Disorder. Scand J Child Adolesc Psychiatr Psychol 2015. [DOI: 10.21307/sjcapp-2015-016] [Citation(s) in RCA: 5] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/11/2022] Open
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Fujiwara T. Socioeconomic status and the risk of suspected autism spectrum disorders among 18-month-old toddlers in Japan: a population-based study. J Autism Dev Disord 2014; 44:1323-31. [PMID: 24202730 DOI: 10.1007/s10803-013-1988-3] [Citation(s) in RCA: 19] [Impact Index Per Article: 1.9] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/07/2023]
Abstract
The association between family socioeconomic status (SES) and the suspected autism spectrum disorder (ASD) status of 18-month-old toddlers was investigated using a population-based sample in Japan, which has a universal healthcare system and a mandatory health checkup system for toddlers. Questionnaires including SES measurements and modified checklist for autism in toddlers were mailed to all families with 18-month-old toddlers in Chiba, a city near Tokyo (N = 6,061; response rate: 64%). The results of logistic regression analysis (which were adjusted for potential confounders) indicated that low maternal education, but not paternal education or family income, were associated with having suspected ASD offspring. Lower maternal education was associated with an increased risk of autistic traits in Japan.
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Affiliation(s)
- Takeo Fujiwara
- Department of Social Medicine, National Research Institute for Child Health and Development, 2-10-1 Okura, Setagaya-ku, Tokyo, 157-8535, Japan,
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15
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Fujiwara T, Kawachi I. Are maternal social networks and perceptions of trust associated with suspected autism spectrum disorder in offspring? A population-based study in Japan. PLoS One 2014; 9:e101359. [PMID: 24983630 PMCID: PMC4077823 DOI: 10.1371/journal.pone.0101359] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/17/2013] [Accepted: 06/02/2014] [Indexed: 12/20/2022] Open
Abstract
Objective To investigate the associations of maternal social networks and perceptions of trust with the prevalence of suspected autism spectrum disorders in 18-month-old offspring in Japan. Methods Questionnaires included measurements of maternal social networks (number of relatives or friends they could call upon for assistance), maternal perceptions of trust, mutual assistance (i.e. individual measures of “cognitive social capital”), and social participation (i.e. individual measures of “structural social capital”) as well as the Modified Checklist for Autism in Toddlers to detect suspected autism spectrum disorder (ASD). These tools were mailed to all families with 18-month-old toddlers in Chiba, a city near Tokyo (N = 6061; response rate: 64%). The association between social capital or social network indicators and suspected ASD were analyzed, adjusted for covariates by logistic regression analysis. Results Low maternal social trust was found to be significantly positively associated with suspected ASD in toddlers compared with high maternal social trust (adjusted odds ratio [OR]: 1.82, 95% confidence interval [CI]: 1.38 to 2.40); mutual aid was also significantly positively related (low vs. high: OR, 1.82, 95% CI: 1.38 to 2.40). However, maternal community participation showed U-shape association with suspected ASD of offspring. Maternal social network showed consistent inverse associations with suspected ASD of offspring, regardless of the type of social connection (e.g., relatives, neighbors, or friends living outside of their neighborhood). Conclusions Mothers' cognitive social capital and social networks, but not structural social capital, might be associated with suspected ASD in offspring.
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Affiliation(s)
- Takeo Fujiwara
- Department of Social Medicine, National Research Institute for Child Health and Development, Setagaya-ku, Tokyo, Japan
- * E-mail:
| | - Ichiro Kawachi
- Department of Society and Behavioral Sciences, Harvard School of Public Health, Boston, Massachusetts, United States of America
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16
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L’aide à l’aidant en pédiatrie. Arch Pediatr 2013; 20:1176-1178. [DOI: 10.1016/j.arcped.2013.08.013] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/24/2013] [Accepted: 08/06/2013] [Indexed: 11/17/2022]
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17
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D'Astous V, Wright SD, Wright CA, Diener ML. Grandparents of Grandchildren With Autism Spectrum Disorders: Influences on Engagement. JOURNAL OF INTERGENERATIONAL RELATIONSHIPS 2013. [DOI: 10.1080/15350770.2013.782744] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
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