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胎儿酒精谱系障碍诊断服务及其他:家庭的结局。

A fetal alcohol spectrum disorder diagnostic service and beyond: Outcomes for families.

机构信息

University of the Sunshine Coast, Australia.

University of the Sunshine Coast, Australia.

出版信息

Res Dev Disabil. 2019 Oct;93:103428. doi: 10.1016/j.ridd.2019.103428. Epub 2019 Jul 26.

DOI:10.1016/j.ridd.2019.103428
PMID:31357176
Abstract

BACKGROUND

Fetal alcohol spectrum disorder (FASD) is of significant concern for Australians for many reasons, one being Australia's drinking culture which increases the potential for FASD to occur.

AIMS

The current study aimed to explore the lived experiences of Australian caregivers who received a FASD diagnosis for a child in their care, usingthe Australian Guide to the Diagnosis of FASD.

METHODS AND PROCEDURES

Semi-structured interviews were conducted with seven caregivers whose children were assessed for FASD by a multidisciplinary team. Interviews explored how families experienced the FASD diagnostic process, and sought insight into outcomes for families following diagnosis, particularly in relation to accessing supports and services.

OUTCOMES AND RESULTS

Through thematic analysis, five overarching themes were identified: (1) receiving a FASD diagnosis had a positive impact; (2) caregivers' evaluation of assessment process; (3) positive support services relative to FASD; (4) ongoing difficulties regardless of diagnosis; and (5) need for societal knowledge of FASD.

CONCLUSIONS AND IMPLICATIONS

Given the global need for standardised FASD diagnostic procedures and accurate reporting of prevalence rates, the current study provides a contribution to the emerging diagnostic FASD literature, and insight into families' experiences who have children diagnosed with FASD.

WHAT THIS PAPER ADDS

This study provides additional information to the developing pool of literature attempting to create a typical profile of FASD. Most importantly, this paper highlights the implementation of the Australian Guide to the Diagnosis of FASD, and evaluates caregivers' experiences of their child's FASD assessment process, within a public FASD diagnostic service, using the revised guidelines.

摘要

背景

由于多种原因,胎儿酒精谱系障碍(FASD)令澳大利亚人非常关注,其中一个原因是澳大利亚的饮酒文化增加了发生 FASD 的可能性。

目的

本研究旨在使用澳大利亚 FASD 诊断指南,探索接受过儿童 FASD 诊断的澳大利亚照顾者的生活体验。

方法和程序

对由多学科小组评估患有 FASD 的儿童的 7 名照顾者进行了半结构式访谈。访谈探讨了家庭如何体验 FASD 诊断过程,并深入了解了家庭在诊断后的结果,特别是在获得支持和服务方面。

结果和结论

通过主题分析,确定了五个总体主题:(1)接受 FASD 诊断具有积极影响;(2)照顾者对评估过程的评估;(3)与 FASD 相关的积极支持服务;(4)持续存在的困难,无论是否进行诊断;(5)需要全社会了解 FASD。

鉴于全球对标准化 FASD 诊断程序和准确报告流行率的需求,本研究为新兴的 FASD 诊断文献做出了贡献,并深入了解了被诊断患有 FASD 的儿童的家庭的经验。

本文增添的内容

本研究为试图创建 FASD 典型特征的不断发展的文献库提供了更多信息。最重要的是,本文强调了澳大利亚 FASD 诊断指南的实施,并评估了照顾者在公共 FASD 诊断服务中使用修订指南对其子女进行 FASD 评估过程的体验。

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