Valderrama Alena, Courcy Isabelle, Weis-Heitner Lindsay, Forgeot d'Arc Baudouin
CHU Sainte-Justine ; Département de médecine sociale et préventive, École de santé publique de l'Université de Montréal, Centre de recherche du CHU Sainte-Justine.
Département de sociologie, Université du Québec à Montréal ; Centre de recherche et de partage des savoirs InterActions, CIUSSS Nord-de-l'Île-de-Montréal.
Sante Ment Que. 2020 Spring;45(1):127-145.
Objectives Informing parents whose child has just been diagnosed with Autism Spectrum Disorder (ASD) is a major challenge. The purpose of this research is to identify the informational needs of parents of children recently diagnosed with ASD as well as the barriers and facilitators encountered in their search for information. Methods Qualitative research using the focus group method was conducted with three groups of parents of young children or adolescents diagnosed with ASD within the last two years. Parents were recruited through a hospital clinic. Two groups were parents with one or more risk factors related to low health literacy: single parenthood, low level of schooling, unemployment, recent immigration. A qualitative content analysis was conducted to explore the process of searching for information on autism. Based on the theoretical framework of health literacy, various components were analyzed in terms of access, understanding, interpretation, and use of information for decision-making. Results The results display that there is a general lack of information on autism, as well as concerns about the quality of the information found on the Internet. All parents expressed difficulty understanding the information they found on their own or in the resources, they were offered. They also shared a desire to access sources of information that present autism in a positive way. The use of information for decision-making was limited. In addition, the obstacles encountered while searching for information revealed the importance of social support. Many of the parents reported feeling stigmatized and judged by others because of their child's behavior. Conclusions The results demonstrate the need to respond to the real informational needs of parents and to adapt the resources used during the diagnosis period, particularly for those with lower literacy levels. In addition, the way of communicating about the diagnosis needs to be reviewed. In order to address these literacy issues, it is important to offer various forms of social support in combination with informational support. In order to reduce psychological distress, it is necessary to provide support when announcing the diagnosis and raise awareness about autism to reduce the stigma experienced by autistic persons and their loved ones.
目标 告知刚刚被诊断出患有自闭症谱系障碍(ASD)的孩子的父母是一项重大挑战。本研究的目的是确定近期被诊断出患有ASD的孩子的父母的信息需求,以及他们在寻求信息过程中遇到的障碍和促进因素。方法 采用焦点小组法对三组在过去两年内被诊断出患有ASD的幼儿或青少年的父母进行了定性研究。通过医院诊所招募父母。两组是具有一个或多个与低健康素养相关风险因素的父母:单亲家庭、低学历、失业、近期移民。进行了定性内容分析,以探索寻找自闭症信息的过程。基于健康素养的理论框架,从信息获取、理解、解释以及用于决策的信息使用等方面分析了各个组成部分。结果 结果显示,普遍缺乏关于自闭症的信息,并且对在互联网上找到的信息质量存在担忧。所有父母都表示难以理解他们自己找到的或所提供资源中的信息。他们还表示希望获取以积极方式呈现自闭症的信息来源。用于决策的信息使用有限。此外,在寻找信息时遇到的障碍揭示了社会支持的重要性。许多父母报告说,由于孩子的行为,他们感到被他人污名化和评判。结论 结果表明需要回应父母的实际信息需求,并调整诊断期间使用的资源,特别是对于那些识字水平较低的父母。此外,需要重新审视关于诊断的沟通方式。为了解决这些识字问题,重要的是结合信息支持提供各种形式的社会支持。为了减轻心理困扰,在宣布诊断时提供支持并提高对自闭症的认识以减少自闭症患者及其亲人所经历的污名是必要的。