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了解自闭症及感觉统合困难儿童家庭的支持经历:一项定性研究。

Understanding the support experiences of families of children with autism and sensory processing difficulties: A qualitative study.

作者信息

Milosevic Sarah, Brookes-Howell Lucy, Randell Elizabeth, Williams-Thomas Rhys, Delport Sue, Busse Monica, Gillespie David, Ahuja Alka S, McKigney Anne Marie, Glarou Eleni, McNamara Rachel

机构信息

Centre for Trials Research, Cardiff University, Cardiff, UK.

School of Healthcare Sciences, Cardiff University, Cardiff, UK.

出版信息

Health Expect. 2022 Jun;25(3):1118-1130. doi: 10.1111/hex.13465. Epub 2022 Mar 18.

Abstract

BACKGROUND

Support, such as information, advice and therapies, can play a vital role in the lives of families of autistic children. However, little is known about the support experiences of UK parents and carers.

AIM

To explore experiences of and access to support for families of children with autism and sensory processing difficulties, from the perspective of parents and carers.

METHODS

Semi-structured, timeline-assisted interviews were conducted with parents/carers of 30 children aged 5-11, exploring experiences of support. Framework analysis was used to identify themes in the interview data.

RESULTS

Support varied widely and was not accessed equitably. Specialist autism support, together with support from other parents and voluntary organizations, was perceived as more useful than statutory and nonspecialist provision. Unmet support needs included an ongoing point of contact for information and advice for parents, and access to direct therapy and specialist mental health provision for children.

CONCLUSIONS

Findings emphasize the need for a clear pathway of support following autism diagnosis, autism-specific training for professional service providers and specialist provision tailored to the needs of autistic children.

PATIENT OR PUBLIC CONTRIBUTION

An advisory group of four parents of children with autism provided feedback on study procedures and materials, including participant information sheets and timeline completion instructions.

摘要

背景

诸如信息、建议和治疗等支持在自闭症儿童家庭的生活中可以发挥至关重要的作用。然而,对于英国父母和照料者的支持经历却知之甚少。

目的

从父母和照料者的角度,探索自闭症及感觉统合困难儿童家庭获得支持的经历。

方法

对30名5至11岁儿童的父母/照料者进行了半结构化的、时间线辅助访谈,探讨支持经历。采用框架分析法确定访谈数据中的主题。

结果

支持差异很大,且获取不均。自闭症专项支持以及来自其他父母和志愿组织的支持,被认为比法定和非专项服务更有用。未得到满足的支持需求包括为父母提供持续的信息和建议联络点,以及为儿童提供直接治疗和专项心理健康服务。

结论

研究结果强调自闭症诊断后需要有明确的支持途径,为专业服务提供者提供自闭症专项培训,并根据自闭症儿童的需求提供专项服务。

患者或公众贡献

一个由四名自闭症儿童家长组成的咨询小组对研究程序和材料提供了反馈,包括参与者信息表和时间线填写说明。

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