Advances in Neurodevelopmental Disorders最新文献

{"title":"In the Eye of the Beholder: Visualizing Strengths, Burdens and Desires Through the Lens of Neurodivergent Children, Their Parents, and Professionals Using the Yucel Method","authors":"Gabriëlle Mercera,&nbsp;Thomas Kalis,&nbsp;Jessica Vervoort-Schel,&nbsp;Xavier Moonen","doi":"10.1007/s41252-024-00411-3","DOIUrl":"10.1007/s41252-024-00411-3","url":null,"abstract":"<div><h3>Objectives</h3><p>In mental healthcare, there is a growing emphasis on one’s strengths and context instead of focusing primarily on individual deficiencies, pathologies, risks, and negative emotions. Using the visual and tactile Yucel method, this study gains insight into strengths, burdens, and desires of neurodivergent children in residential care and their parents from different perspectives.</p><h3>Methods</h3><p>In this qualitative study, a total of 45 interviews with the Yucel method were conducted with nine neurodivergent children, their parents, and involved professionals. All built a constellation of the child and family’s strengths, burdens, and desires using the Yucel method. To explore if by applying this visual and tactile method additional information is provided to that gathered in the standard diagnostic process, the information of the Yucel method was compared to the information found in the multidisciplinary reports of the children.</p><h3>Results</h3><p>Thematic analysis showed that besides common mentioned strengths (e.g., mother, sports and activities) and burdens (mental health problems), differences in the informants' perspectives were found. Parents mentioned strengths and burdens that were not addressed by other informants and a diversity in needs was found. The comparison of the results from the interviews with the Yucel method with the information in the multidisciplinary reports showed that the Yucel method provided additional information.</p><h3>Conclusions</h3><p>The Yucel method brought more strengths and perspectives into view than diagnostics as usual in the first three months of residential care. This study contributes to the knowledge regarding personal, strength-based, and family-oriented diagnostics in mental healthcare of neurodivergent children and their families.</p></div>","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 2","pages":"315 - 329"},"PeriodicalIF":1.5,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41252-024-00411-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145143020","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Support Preferences and Clinical Decision Support Systems (CDSS) in the Clinical Care of Autistic Children: Stakeholder Perspectives","authors":"Rhylee Sulek,&nbsp;Julia Robertson,&nbsp;Emma Goodall,&nbsp;Alan Wee-Cheung Liew,&nbsp;Sarah Pillar,&nbsp;Gemma Upson,&nbsp;Andrew J. O. Whitehouse,&nbsp;Rachelle Wicks,&nbsp;David Trembath","doi":"10.1007/s41252-024-00410-4","DOIUrl":"10.1007/s41252-024-00410-4","url":null,"abstract":"<div><h3>Objectives</h3><p>Clinical decision support systems (CDSS) are increasingly utilised within healthcare settings to enhance decision making. However, few studies have investigated their application in the context of clinical services for autistic people, with no research to date exploring the perspectives of the key stakeholders who are, or in the future may be, impacted by their use. Given the importance of stakeholder perspectives in ensuring that CDSSs are relevant, feasible, and acceptable to those who use them, the aim of this study was to examine the views of key stakeholders in relation to support preferences and a proposed CDSS intended to aide in the selection of the most appropriate supports for autistic children.</p><h3>Method</h3><p>Using a co-designed, mixed-methods approach, 20 participants comprising autistic adults, parents of autistic children, and practitioners providing services to autistic children were invited to participate in focus groups, or an open-ended online survey, to explore views regarding support provision and any opportunities, barriers, recommendations, and support for the use of CDSSs in clinical practice.</p><h3>Results</h3><p>Participants highlighted potential benefits of using a CDSS in clinical practice, such as creating efficiencies and consistency in decision making when selecting therapies and supports, provided it was part of a holistic approach to working with autistic children. Potential barriers largely centred on concerns about the safety of data to be utilised within the system.</p><h3>Conclusions</h3><p>The findings indicate that CDSS have the potential to play a valuable role in selecting supports for autistic children, providing appropriate safeguarding occurs.</p></div>","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 2","pages":"355 - 365"},"PeriodicalIF":1.5,"publicationDate":"2024-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41252-024-00410-4.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141674511","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Parent-Mediated Naturalistic Interventions with the Addition of Speech-Generating Devices on Vocalizations of Children with Autism Spectrum Disorder and Complex Communication Needs","authors":"Weili Yuan,&nbsp;Michael Dunn","doi":"10.1007/s41252-024-00408-y","DOIUrl":"10.1007/s41252-024-00408-y","url":null,"abstract":"<div><h3>Objectives</h3><p>Many school-aged children with autism spectrum disorders (ASD) are functionally nonverbal or minimally verbal and need ongoing speech intervention to improve their vocalizations. Research has demonstrated the effectiveness of integrating speech-generating devices (SGDs) with evidence-based practices to facilitate natural speech development in children with ASD. However, little is known about the extent to which the impact of the procedural fidelity of caregiver-delivered naturalistic intervention on the expressive language of children with ASD, particularly in the context of comprehensive interventions incorporating SGDs.</p><h3>Methods</h3><p>The current study employed a multiple probe design to examine language outcomes in four children aged 3–6 years old who progressed in parent-mediated interventions involving SGDs. The study aims to evaluate the implementation fidelity of naturalistic developmental interventions, delivered by caregivers after receiving one-on-one training and coaching on an intervention package that involves SGDs and other EBPs. After caregivers met the implementation criteria, researchers continued to assess the speech changes in the child participants.</p><h3>Results</h3><p>The results suggest that the training could facilitate parents’ acquisition of interventional strategies. A positive functional relation was identified between parents’ implementation fidelity of intervention strategies and children’s speech gains. The Tau-U statistical analysis revealed a large effect size, indicating the statistical significance of the intervention’s impact on the dependent variables.</p><h3>Conclusions</h3><p>Leveraging the elements of naturalistic developmental intervention and integrating SGDs with EBPs, parents have the capacity to deliver effective routine interventions to improve the natural speech of children with ASD and speech impairment.</p></div>","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 2","pages":"297 - 314"},"PeriodicalIF":1.5,"publicationDate":"2024-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145145656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Health Practitioner Attitudes to Psychosocial Treatments in ADHD: Impact of Country, Age, Profession, and Beliefs","authors":"Haffiezhah An-Nadiah Azlan,&nbsp;Paul G. Overton,&nbsp;Eleanor J. Dommett","doi":"10.1007/s41252-024-00409-x","DOIUrl":"10.1007/s41252-024-00409-x","url":null,"abstract":"<div><h3>Objectives</h3><p>Attention deficit hyperactivity disorder (ADHD) affects around 7% of children/adolescents and 3% of adults. Treatment guidelines propose a combination of pharmacological and non-pharmacological approaches. Despite this, research has focused on the use of medication, including how this varies between countries, with differences found between high-income countries (HIC) and low- and middle-income countries (LMIC). Studies have also identified that the role of practitioners is critical with their clinical ambivalence around ADHD impacting treatment. The present study aimed to examine the views of practitioners towards psychosocial treatments for ADHD in the UK (HIC) and Malaysia (LMIC).</p><h3>Methods</h3><p>Data was collected from health practitioners in the UK and Malaysia using an online survey to assess (i) demographics and employment characteristics, (ii) practitioners’ attitudes to psychosocial treatments for ADHD, and (iii) practitioners’ beliefs about ADHD.</p><h3>Results</h3><p>Respondents in Malaysia held more positive attitudes towards psychosocial interventions, despite having similar beliefs about the condition. Furthermore, attitude to psychosocial interventions was predicted by age of the practitioner, their qualification, and belief in ADHD as a real condition with biological markers.</p><h3>Conclusions</h3><p>This study has revealed some cross-cultural differences in attitudes towards non-pharmacological treatment for ADHD and provides a starting point for future research to move beyond examination of decision-making for pharmacological treatments only.</p></div>","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 1","pages":"157 - 167"},"PeriodicalIF":1.3,"publicationDate":"2024-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41252-024-00409-x.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143423430","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Scoping Review of Communication Abilities of Children with Rett Syndrome in Daily Routine: A Communication Partners’ Perspectives","authors":"Louiza Voniati,&nbsp;Rafaella Georgiou,&nbsp;Andri Papaleontiou,&nbsp;Angeliki Tsapara,&nbsp;Angelos Papadopoulos,&nbsp;Dionysios Tafiadis","doi":"10.1007/s41252-024-00407-z","DOIUrl":"10.1007/s41252-024-00407-z","url":null,"abstract":"<div><h3>Objectives</h3><p>Rett syndrome, a rare genetic disorder, may impact language development and be associated with severe communication deficits. Communication partners, such as parents and health professionals involved in children’s daily lives with RTT, are the most relevant for understanding their communication needs. This article aimed to provide an overview of the identification of communication abilities in children with RTT in their daily routine from the perspectives of communication partners who interact with individuals diagnosed with RTT.</p><h3>Methods</h3><p>A scoping review was used to comprehensively search and gather evidence from existing literature on how communication partners understand, define, and classify the communication abilities of children with RTT in their daily routines. The quality of each selected study was assessed using the modified critical appraisal skills program (CASP) checklist.</p><h3>Results</h3><p>This scoping review revealed specific communication abilities in children with RTT as described by the communication partners interacting with them daily. Accurate assessment outcomes rely on the communication partners’ perspectives on the communication skills of children with RTT.</p><h3>Conclusions</h3><p>This review highlights the need for future studies to support and identify preassigned communicative acts in the communication assessment of children with RTT.</p></div>","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 2","pages":"185 - 194"},"PeriodicalIF":1.5,"publicationDate":"2024-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145144173","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Use of Preferred Stimuli as Receptive Identification Targets for Children with Autism Spectrum Disorder","authors":"Jennifer Ninci,&nbsp;Mandy Rispoli,&nbsp;Stephanie Gerow,&nbsp;Emily Gregori","doi":"10.1007/s41252-024-00406-0","DOIUrl":"10.1007/s41252-024-00406-0","url":null,"abstract":"<div><h3>Objectives</h3><p>Individuals with autism spectrum disorder (ASD), in addition to core deficits in social communication, tend to devote attention to a restricted range of environmental events. Embedded interest interventions are used to establish one’s motivation to participate in low-preferred or neutral activities. We designed this single-case research study to evaluate the use of interests as receptive identification targets for children with ASD in the context of an intervention with added components as needed.</p><h3>Methods</h3><p>We compared the use of high- versus low-preferred receptive identification targets on receptive identification acquisition, stimulus generalization, and generalization to labels. We also evaluated ancillary variables (i.e., eye gaze, response attempts, and challenging behaviors) to examine if embedding interests acted to establish motivation for task engagement. An adapted alternating treatment design was used with changing conditions and reversal design.</p><h3>Results</h3><p>Two children acquired more high-preferred receptive identification targets in fewer trials overall compared to low-preferred targets, one of whom only showed marginal improvements in the HP condition relative to the LP condition. A third participant had no improvements in either condition. All participants demonstrated increased engagement in the high-preferred condition relative to the low-preferred condition. Participants who mastered targets showed some improvements in generalization probes, primarily for HP targets.</p><h3>Conclusions</h3><p>Practitioners may consider beginning with high-preferred targets in receptive identification programs for children with ASD, but side effects should be monitored in tandem with acquisition outcomes.</p></div>","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 1","pages":"140 - 156"},"PeriodicalIF":1.3,"publicationDate":"2024-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141370337","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Sex Differences in Autism Symptoms and Mental Health Difficulties in Adolescents with Rare Genetic Disorders","authors":"Ingrid S. Tien,&nbsp;Stian Orm,&nbsp;Jeffrey J. Wood,&nbsp;Erik Winther Skogli,&nbsp;Krister W. Fjermestad","doi":"10.1007/s41252-024-00405-1","DOIUrl":"10.1007/s41252-024-00405-1","url":null,"abstract":"<div><h3>Objectives</h3><p>Adolescents with rare genetic disorders often display autism traits and mental health difficulties. Sex differences have been identified for mental health symptoms, including comorbidity with autism difficulties, among autistic youth. However, these sex differences may differ with rare genetic ethology and have yet to be examined in rare genetic disorders. Therefore, the aim of this study was to examine sex differences in mental health difficulties and autism symptoms among adolescents with rare genetic disorders.</p><h3>Method</h3><p>Adolescents with rare genetic disorders (<i>N</i> = 93 <i>M</i>_age = 13.2 years, SD = 2.4, 60.2% females, 39.8% males) were assessed with parent-reports on the Child Behavior Checklist, the Social Communication Questionnaire, and the Social Responsiveness Scale.</p><h3>Results</h3><p>Males displayed more total autism characteristics and externalizing difficulties compared with females (Hedges <i>g</i> = 0.44-0.71). Within autism subdomains, males displayed more restrictive and repetitive behaviors and social communication difficulties compared with females (Hedges <i>g</i> = 0.43-0.63). In examining interaction effects, females were found to have a stronger relationship between restrictive and repetitive behaviors and total mental health and externalizing behaviors than males on the Social Communication Questionnaire.</p><h3>Conclusions</h3><p>The sex differences typically found with idiopathic autism could be extended to a sample of adolescents with a known genetic likelihood of autism traits. Among adolescents with rare genetic conditions, autism symptoms may be more strongly associated with mental health difficulties in females compared with males.</p></div>","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 1","pages":"130 - 139"},"PeriodicalIF":1.3,"publicationDate":"2024-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141270982","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Correction to: A Prospective, Longitudinal Study of Caregiver-Reported Adaptive Skills and Function of Individuals with HNRNPH2-related Neurodevelopmental Disorder","authors":"Thomas J. Davis,&nbsp;Rachel Salazar,&nbsp;Sarah Beenders,&nbsp;Amelia Boehme,&nbsp;Nicole M. LaMarca,&nbsp;Jennifer M. Bain","doi":"10.1007/s41252-024-00404-2","DOIUrl":"10.1007/s41252-024-00404-2","url":null,"abstract":"","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 2","pages":"381 - 381"},"PeriodicalIF":1.5,"publicationDate":"2024-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41252-024-00404-2.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141280948","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Collateral Child and Parent Effects of Behavioral Sleep Interventions for Children with Rare Genetic Neurodevelopmental Conditions","authors":"Emma C. Woodford,&nbsp;Laurie K. McLay,&nbsp;Karyn G. France,&nbsp;Neville M. Blampied,&nbsp;Catherine E. Swan","doi":"10.1007/s41252-024-00399-w","DOIUrl":"10.1007/s41252-024-00399-w","url":null,"abstract":"<div><h3>Objectives</h3><p>This study, following Woodford et al. (2024), investigated the collateral child and parent effects of function-based behavioral sleep interventions for 21 children with rare genetic neurodevelopmental conditions (RGNC).</p><h3>Methods</h3><p>Measures completed by parents at pre- and post-intervention assessed change in children’s internalizing and externalizing symptoms, health-related quality of life, behavioral strengths and difficulties, as well as parental sleep, relationship quality, and mental health symptoms. Data were analysed using modified Brinley plots and effect size estimates.</p><h3>Results</h3><p>Results demonstrate modest collateral benefits across child emotional and behavioral difficulties and health-related quality of life, and maternal anxiety and stress symptoms and sleep quality. There was minimal improvement in parent ratings of child externalizing symptoms and physical health-related quality of life, parent relationship satisfaction and all paternal outcome measures. There was no statistically significant relationship between changes in collateral outcomes and sleep problem severity.</p><h3>Conclusions</h3><p>Findings underscore the diverse potential benefits of improved sleep and highlight the need for further prioritisation of sleep services and research in RGNC.</p></div>","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 2","pages":"281 - 296"},"PeriodicalIF":1.5,"publicationDate":"2024-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41252-024-00399-w.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141001670","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Behavioral Sleep Interventions for Children with Rare Genetic Neurodevelopmental Conditions: A Retrospective Analysis of Overall Outcomes for 26 Cases","authors":"Emma C. Woodford,&nbsp;Karyn G. France,&nbsp;Neville M. Blampied,&nbsp;Ursula Hanning,&nbsp;Catherine E. Swan,&nbsp;Laurie K. McLay","doi":"10.1007/s41252-024-00403-3","DOIUrl":"10.1007/s41252-024-00403-3","url":null,"abstract":"<div><h3>Objectives</h3><p>Sleep difficulties are highly prevalent among children with rare genetic neurodevelopmental conditions (RGNC) such as Angelman and Smith-Magenis syndromes. Behavioral interventions are commonly used in the treatment of sleep difficulties in children; however, research is limited in children with RGNC. This study evaluated the overall effectiveness and acceptability of function-based behavioral sleep interventions for children with RGNC.</p><h3>Methods</h3><p>Data was collated from a series of experimental single-case research studies with 26 children (18 months to 19 years of age) with a range of RGNC, who received a behavioral sleep intervention. Intervention strategies included circadian (e.g., sleep/wake rescheduling), antecedent (e.g., sleep hygiene), and/or consequence (e.g., positive reinforcement of sleep-conducive behavior and modified extinction) modifications implemented by parents. Clinicians provided support for parents mostly via telehealth methods. Overall outcomes were examined using modified Brinley plots and effect size estimates. The effect of age, gender, and a range of psychological variables on intervention response was also examined.</p><h3>Results</h3><p>Improvements in sleep problem severity were observed for 24/26 participants, and gains were maintained at long-term follow-up for 13/16. Interestingly, 50% of the children achieved clinically significant change with less restrictive strategies (e.g., circadian, antecedent and positive reinforcement strategies), suggesting extinction procedures may be used as the last option in a sequence of interventions. Parents generally perceived interventions to be acceptable. There was minimal evidence of any differential response to intervention as a function of age, gender, or psychological variables.</p><h3>Conclusions</h3><p>Results suggest function-based behavioral interventions offer an effective and socially valid method for treating sleep disturbance in children with RGNC.</p></div>","PeriodicalId":36163,"journal":{"name":"Advances in Neurodevelopmental Disorders","volume":"9 2","pages":"265 - 280"},"PeriodicalIF":1.5,"publicationDate":"2024-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://link.springer.com/content/pdf/10.1007/s41252-024-00403-3.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141004588","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}