Traduction partielle: G.M.
Autism. 2013 Oct 8.
Réflexions des parents sur les expériences de participation à un essai contrôlé randomisé d'une intervention comportementale pour les nourrissons à risque de troubles du spectre autistique
Source
University of North Carolina at Chapel Hill, USA.Abstract
Background:Despite
the mounting evidence of efficacy of early intervention for children
with autism spectrum disorders, there is little research that considers
the various perceptions and resources with which parents respond to the
pressures and opportunities associated with participation in early
intervention. Research is particularly lacking surrounding experiences
of parents with infants who are at risk of autism spectrum disorders but
do not (yet) have a diagnosed condition.
Objectives
This qualitative study aimed to explore the experiences of caregivers following their participation in a randomized controlled trial of Adapted Responsive Teaching, a parent-infant relationship-focused intervention for infants at risk of autism spectrum disorders in a community sample. Parents were randomized into either the treatment group, in which they participated in the Adapted Responsive Teaching intervention, or the community services group, in which they were provided with information regarding local early intervention services and were encouraged, but not required to, seek community services as part of their inclusion in the randomized controlled trial.
Methods
Semistructured interviews were conducted with families following the completion of the randomized controlled trial. Participants consisted of 13 mothers and 4 fathers. Five dyads were interviewed together for a total of 14 families. Child ages ranged from 39 to 46 months at the time of interview. Analysis was conducted on 14 interviews from 10 families who were randomized into the treatment group and 4 families randomized into the community services group. Analysis was informed by a thematic analysis approach, which involved a systematic process of coding and theme identification both across and within groups.
Result
Themes that emerged across groups included Working against all odds, Value of the personal relationship, Getting the ball rolling, and Getting dad on board. One broad theme represented the data within the groups: Win-win (Adapted Responsive Teaching group) and Navigating amidst ambiguity (community services group).
Les enseignements tirés de ces entrevues peuvent servir à affiner et améliorer les modèles d'intervention et d'améliorer les services d'intervention précoce pour les familles.
Pmid: 24104508
Objectives
This qualitative study aimed to explore the experiences of caregivers following their participation in a randomized controlled trial of Adapted Responsive Teaching, a parent-infant relationship-focused intervention for infants at risk of autism spectrum disorders in a community sample. Parents were randomized into either the treatment group, in which they participated in the Adapted Responsive Teaching intervention, or the community services group, in which they were provided with information regarding local early intervention services and were encouraged, but not required to, seek community services as part of their inclusion in the randomized controlled trial.
Methods
Semistructured interviews were conducted with families following the completion of the randomized controlled trial. Participants consisted of 13 mothers and 4 fathers. Five dyads were interviewed together for a total of 14 families. Child ages ranged from 39 to 46 months at the time of interview. Analysis was conducted on 14 interviews from 10 families who were randomized into the treatment group and 4 families randomized into the community services group. Analysis was informed by a thematic analysis approach, which involved a systematic process of coding and theme identification both across and within groups.
Result
Themes that emerged across groups included Working against all odds, Value of the personal relationship, Getting the ball rolling, and Getting dad on board. One broad theme represented the data within the groups: Win-win (Adapted Responsive Teaching group) and Navigating amidst ambiguity (community services group).
Conclusions
Cette étude met en lumière les expériences personnelles et les influences contextuelles qui affectent les familles qui participent à l'essai contrôlé randomisé à travers l'identification précoce du statut à «risque» de troubles du spectre autistique de leurs enfants.Les enseignements tirés de ces entrevues peuvent servir à affiner et améliorer les modèles d'intervention et d'améliorer les services d'intervention précoce pour les familles.
Pmid: 24104508
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