Frontiers in Child and Adolescent Psychiatry最新文献

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Exit interviews from two randomised placebo-controlled phase 3 studies with caregivers of young children with autism spectrum disorder 针对自闭症谱系障碍幼儿照顾者的两项第 3 期随机安慰剂对照研究的离职访谈
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-06-05 DOI: 10.3389/frcha.2024.1236340
Natalia Hawken, Bruno Falissard, Carl Choquet, Clement Francois, Jean Tardu, Ramona Schmid
{"title":"Exit interviews from two randomised placebo-controlled phase 3 studies with caregivers of young children with autism spectrum disorder","authors":"Natalia Hawken, Bruno Falissard, Carl Choquet, Clement Francois, Jean Tardu, Ramona Schmid","doi":"10.3389/frcha.2024.1236340","DOIUrl":"https://doi.org/10.3389/frcha.2024.1236340","url":null,"abstract":"Autism spectrum disorder (ASD) is characterised by difficulty with social communication and restricted, repetitive patterns of behaviour. This study aimed to improve understanding of the ASD patient experience with the treatment (bumetanide) regarding the changes in core symptoms and to assess changes considered as meaningful. To achieve this, qualitative interviews were conducted with caregivers of patients in two phase 3 clinical trials (NCT03715153; NCT03715166) of a novel ASD treatment.Caregivers were invited to participate in one interview after completion of the pivotal phase 3 study; for those of them who continued treatment after study completion, a second interview was held 3 months after trial completion. The interviews were conducted by qualitative researchers and followed a semi-structured interview guide. The interviews focused on patients’ ASD symptoms and their impact on their daily life before enrolment, and on any symptom changes patients experienced during the trial.Out of the 13 eligible patients’ caregivers, 11 were interviewed up to two times at clinical sites in the UK, Spain, and Italy. The caregivers reported impairments in a wide range of skills: deficits in communication and social interaction; restricted, repetitive patterns of behaviour, interests, or activities; and cognitive, emotional, and motor impairments. Compared to before the trial initiation, caregivers also reported improvements in the following domains: communication, interaction with others, cognition, aggression, emotions, repetitive movements, eating, and sleeping.The exit interviews provided a rich source of qualitative data, allowing a deeper understanding of caregivers’ and patients’ experience of the disease and allowing us to understand what constitutes a meaningful change. These data also helped identify important experiences that may inform the patient-reported outcome measurement strategy for future trials in ASD.","PeriodicalId":502988,"journal":{"name":"Frontiers in Child and Adolescent Psychiatry","volume":"17 S2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141383383","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}
引用次数: 0
Feasibility, acceptability, and perceived benefits of a creative arts intervention for elementary school children living with speech, language and communication disorders 为患有言语、语言和交流障碍的小学生提供创意艺术干预的可行性、可接受性和可感知的益处
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-06-05 DOI: 10.3389/frcha.2024.1322860
T. Léger-Goodes, C. M. Herba, Z. Moula, A. Mendrek, K. Hurtubise, J. Piché, M. Gilbert, M. Bernier, K. Simons, N. Bélanger, J. Smith, C. Malboeuf-Hurtubise
{"title":"Feasibility, acceptability, and perceived benefits of a creative arts intervention for elementary school children living with speech, language and communication disorders","authors":"T. Léger-Goodes, C. M. Herba, Z. Moula, A. Mendrek, K. Hurtubise, J. Piché, M. Gilbert, M. Bernier, K. Simons, N. Bélanger, J. Smith, C. Malboeuf-Hurtubise","doi":"10.3389/frcha.2024.1322860","DOIUrl":"https://doi.org/10.3389/frcha.2024.1322860","url":null,"abstract":"Children with speech, language, and communication disorders require specialized support in response to their emotional expression challenges. Not only is such support key for their development, but it is also essential for their mental well-being. Art making emerges as a valuable tool for enabling these children to convey emotions both verbally and non-verbally, fostering a positive self-concept. School-based arts interventions have the potential to improve self-concept and emotional expression, and more generally, the quality of life. However, there is limited empirical evidence regarding the feasibility, acceptability, and perceived effectiveness of a manualized, school-based creative arts intervention for this specific group.This study aimed to develop and evaluate the feasibility, acceptability, and perceived benefits of an art-based intervention for elementary school students with speech, language, and communication disorders, using qualitative methods to obtain diverse perspectives.The findings indicate that the intervention was feasible and well received, as reported by teachers, students, and facilitators. Participants also discussed potential positive outcomes, including emotional expression, emotional growth, and fulfilment of autonomy, competence, and relatedness needs. Students found the workshops conducive to sharing emotions and took pride in the creative process. Teachers gained deeper insights into their students, fostering positive classroom relationships. Observational data triangulated these findings.This innovative project suggests that art-based interventions can potentially benefit students’ emotional expression, but further experimental studies are needed to substantiate these effects.","PeriodicalId":502988,"journal":{"name":"Frontiers in Child and Adolescent Psychiatry","volume":"332 5","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141386543","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}
引用次数: 0
Prevalence of co-occurring conditions among youths receiving treatment with primary anxiety, ADHD, or depressive disorder diagnoses 接受主要焦虑症、多动症或抑郁症诊断治疗的青少年中并发症的发生率
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-04-16 DOI: 10.3389/frcha.2024.1340480
Orrin D. Ware, Lisa D. Zerden, Jacquelynn F. Duron, Yanfeng Xu, Lauren P. McCarthy, Sarah Verbiest, Jenny Afkinich, Qiana Brown, Denise Yookong Williams, T. Goings
{"title":"Prevalence of co-occurring conditions among youths receiving treatment with primary anxiety, ADHD, or depressive disorder diagnoses","authors":"Orrin D. Ware, Lisa D. Zerden, Jacquelynn F. Duron, Yanfeng Xu, Lauren P. McCarthy, Sarah Verbiest, Jenny Afkinich, Qiana Brown, Denise Yookong Williams, T. Goings","doi":"10.3389/frcha.2024.1340480","DOIUrl":"https://doi.org/10.3389/frcha.2024.1340480","url":null,"abstract":"Anxiety disorders, depressive disorders, and attention-deficit/hyperactivity disorder (ADHD) are some of the most common conditions that youths (<18 years old) receive mental health treatment for. These conditions are associated with high-risk substance use or substance use disorders (SUDs). This study sought to identify the proportion of youths (<18 years old) with anxiety disorders, depressive disorders, or ADHD as a primary diagnosis in community mental health centers (CMHCs) having co-occurring high-risk substance use or a SUD.Analysis included binary logistic regression models using the Mental Health Client-Level Data 2017–2019 datasets which contains annual cross-sectional administrative data from mental health treatment facilities. The final sample included n = 458,888 youths with an anxiety disorder as a primary diagnosis, n = 570,388 youths with a depressive disorder as a primary diagnosis, and n = 945,277 youths with ADHD as a primary diagnosis.In the subsample with anxiety as a primary diagnosis, approximately 5% of youth had high-risk substance use or a SUD. Approximately 10% of youth with depression as a primary diagnosis had high-risk substance use or a SUD. Among youth with ADHD as a primary diagnosis, 5% had high-risk substance use or a SUD. Odds of having a co-occurring high-risk substance use or SUD differed based on the youth’s age, race and ethnicity, gender, and other mental health diagnoses.Effective care for this high-need youth population at CMHCs will require mental health clinicians to possess knowledge and skills related to substance use treatment.","PeriodicalId":502988,"journal":{"name":"Frontiers in Child and Adolescent Psychiatry","volume":"45 S211","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140694878","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}
引用次数: 0
Blueprint for destigmatizing depression and increasing openness to treatment among adolescents using brief social contact-based videos: a qualitative study 利用基于社会接触的简短视频消除青少年对抑郁症的污名化并提高其对治疗的开放性的蓝图:一项定性研究
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-04-11 DOI: 10.3389/frcha.2024.1386284
Madeline J. DiGiovanni, Samantha Jankowski, Lisa B. Dixon, Andrés Martin, D. Amsalem
{"title":"Blueprint for destigmatizing depression and increasing openness to treatment among adolescents using brief social contact-based videos: a qualitative study","authors":"Madeline J. DiGiovanni, Samantha Jankowski, Lisa B. Dixon, Andrés Martin, D. Amsalem","doi":"10.3389/frcha.2024.1386284","DOIUrl":"https://doi.org/10.3389/frcha.2024.1386284","url":null,"abstract":"Depression is a major public health concern for adolescents, who exhibit low rates of connection to care despite significant needs. Although barriers to help-seeking such as stigma are well documented, interventions to address stigma and to increase help-seeking behavior are insufficient. Dissemination of short videos in social media offer a promising approach, but designing effective stimuli requires better insight into adolescents’ perspectives of their own experiences, barriers, and possible interventions.We conducted 20 semi-structured interviews with adolescents recruited online via RecruitMe, a Columbia University clinical research registry, to explore their perceptions of depression stigma, barriers to care, the role of schools, and the role of brief video interventions. Thematic analysis guided our analytic approach.We developed a model consisting of three major domains: (1) Barriers to Help-Seeking, which depicts participants debating their locus of control, naming social, parental, and peer stigma, and acknowledging systemic barriers; (2) Importance of School Systems, in which participants elaborated on the role of schools filling unmet needs and the importance of being taken care of; and (3) Role of Social Media Videos, characterized by adolescents who are seeking legitimacy, finding cultural authenticity, and working towards creating an accessible blueprint for better mental healthcare.We provide insights into adolescents’ perceptions of help-seeking for depression and what nuances they would hope to see reflected in future interventions, most notably school-based interventions and peer social media videos. Our study offers a steppingstone towards the creation of brief, social contact-based video interventions focused on destigmatizing depression and promoting openness to treatment among adolescents.","PeriodicalId":502988,"journal":{"name":"Frontiers in Child and Adolescent Psychiatry","volume":"14 6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140713169","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}
引用次数: 0
Prevalence and factors associated with suicidal ideation and attempts among mentally ill patients in the psychiatry OPD at St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia 埃塞俄比亚亚的斯亚贝巴圣保罗医院千禧医学院精神科手术室精神病患者自杀倾向和自杀未遂的发生率及相关因素
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-04-10 DOI: 10.3389/frcha.2024.1342257
Awol Dawud Mohammed, Takele Menna, Mohammed Ayalew, T. Teshome, Mikiyas Alayu, Neamin Tesfay
{"title":"Prevalence and factors associated with suicidal ideation and attempts among mentally ill patients in the psychiatry OPD at St. Paul's Hospital Millennium Medical College, Addis Ababa, Ethiopia","authors":"Awol Dawud Mohammed, Takele Menna, Mohammed Ayalew, T. Teshome, Mikiyas Alayu, Neamin Tesfay","doi":"10.3389/frcha.2024.1342257","DOIUrl":"https://doi.org/10.3389/frcha.2024.1342257","url":null,"abstract":"Every year, more than 800,000 people die due to suicide (one person every 40 s), ranking as the second leading cause of death next to traffic accidents in individuals aged 15–29 years. The objective of this study was to assess the prevalence and factors associated with suicidal ideation and attempts among mentally ill patients.An institutional-based, cross-sectional study was conducted between December 2019 and January 2020. Data were collected using a convenient sampling technique until the required sample size was achieved. The total sample size was 385. The Suicidal Behavior Questionnaire-Revised (SBQ-R), Oslo Social Support Scale, and self-prepared to assess suicide were used. Data collection was carried out by psychiatry professionals through face-to face interviews. Data were analyzed, and bivariate and multivariable logistic regression analyses were conducted using Statistical Package for the Social Sciences (SPSS) version 23.A total of 385 patients participated in the study. Of these, 216 (56%) were men. The prevalence of suicide ideation was 255 (66.2%). The odds of suicidal ideation and attempt was almost three times higher [adjusted odds ratio (AOR) = 2.79, 95% confidence interval (CI) 1.11–6.98]; among patients who felt hopeless, the OR was around two times higher (AOR = 2.44, 95% CI 1.17–5.08); among patients who had a family history of suicide, the OR was almost three times higher (AOR = 2.56, 95% CI 1.00–6.53); among patients who stopped their medication, the OR was approximately two times higher (AOR = 2.25, 95% CI 1.14–4.46); the OR of suicidal ideation and attempts was almost six and four times higher (AOR = 5.86, 95% CI 1.30–26.41; and AOR = 3.61, 95% CI 1.01–12.88) among patients who were educated to primary and secondary level, respectively.In this study, carried out in Ethiopia, suicidal ideation and attempts were more common among men than women. The prevalence of suicidal ideation and attempts showed a significant public health issue among hospital-attending and chronic mentally ill adolescents, which requires a large emphasis. We recommend that suicide prevention needs to involve non-governmental and non-profit organizations, universities, and civil society at different levels.","PeriodicalId":502988,"journal":{"name":"Frontiers in Child and Adolescent Psychiatry","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140716429","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}
引用次数: 0
Association between the use of mobile touchscreen devices and the quality of parent-child interaction in preschoolers 学龄前儿童使用移动触摸屏设备与亲子互动质量之间的关系
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-03-27 DOI: 10.3389/frcha.2024.1330243
Krisztina Liszkai-Peres, Zsófia Budai, Adrienn Kocsis, Z. Jurányi, Á. Pogány, György Kampis, Ádám Miklósi, Veronika Konok
{"title":"Association between the use of mobile touchscreen devices and the quality of parent-child interaction in preschoolers","authors":"Krisztina Liszkai-Peres, Zsófia Budai, Adrienn Kocsis, Z. Jurányi, Á. Pogány, György Kampis, Ádám Miklósi, Veronika Konok","doi":"10.3389/frcha.2024.1330243","DOIUrl":"https://doi.org/10.3389/frcha.2024.1330243","url":null,"abstract":"The early use of mobile touchscreen devices (MTSDs), including smartphones and tablets, may reduce the frequency and quality of social interactions between children and parents, which could impact their relationship and have negative consequences on children's socio-cognitive development. In this study, we applied a parental questionnaire and a behavioral observational method in a laboratory setting (free and structured play sessions) to examine the association between preschool MTSD use and the quantity and quality of parent–child relationships. Our findings revealed that preschoolers who regularly use MTSDs (n = 47, aged 4–7 years, engaging in MTSD use for at least 2 h per week) are spending less time with their parents and exhibited lower quality interactions compared to non-users (n = 25). However, shared offline leisure time with parents serves as a protective factor among MTSD-users. Furthermore, our study demonstrated a positive association between parents' and children's media use. The results suggest that preschool MTSD use may have unfavorable effects on parent–child interactions, both in terms of quantity and quality. Alternatively, lower quantity and quality of parent–child interaction may lead to higher MTSD use in the child. Based on the results, the importance of engaging in sufficient offline family interactions besides digital media use should be emphasized to parents of preschoolers, and health organizations and governments should include this in their recommendations and policies concerning childhood digital media use.","PeriodicalId":502988,"journal":{"name":"Frontiers in Child and Adolescent Psychiatry","volume":"28 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140377123","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}
引用次数: 0
Helping parents to cope with infant regulatory disorders 帮助父母应对婴儿调节障碍
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-03-26 DOI: 10.3389/frcha.2024.1322962
Ian St James-Roberts, Clare Llewellyn
{"title":"Helping parents to cope with infant regulatory disorders","authors":"Ian St James-Roberts, Clare Llewellyn","doi":"10.3389/frcha.2024.1322962","DOIUrl":"https://doi.org/10.3389/frcha.2024.1322962","url":null,"abstract":"The term Regulatory Disorders (RDs) refers to infants and young children who cry a lot, have poorly organised sleep-waking, or whose feeding is impaired. The characteristic they share is a failure to acquire autonomous self-control of these key behaviours, which most children develop in the first postnatal year. The concept of RDs is helpful in highlighting this question of how infant self-regulation is, or isn't, accomplished, in drawing these characteristics together and distinguishing them from others, and in focusing research and clinical attention on a common, but relatively neglected, set of concerns for families. The main focus for research into RDs has been on the nature and causes of the infant behaviours involved. Here, the aim is to highlight the part played by parents, since that is central to the provision of clinical services for RDs. Three points are made. (1) The contributions of parents include: detection and monitoring of RDs; generating the resulting healthcare service costs; maintaining their own wellbeing, since that is in their infant’s best interest; delivering interventions to help infants and families, which are almost always provided by parents. Parenting may be involved in maintaining RDs in some cases. (2) Substantial differences exist between infant RD cases in the behaviours involved, the age at which they present, the complexity and severity of the RD, and in their persistence over time and age. Most cases have one, rather than all three RDs, making them the most common type seen by clinicians. Evidence is summarised that interventions tailored to fit the RD involved can be effective in these cases. Multiple and sustained RDs are much rarer, but associated with greater risk of long-term psychological and behavioural impairments. They are a priority, but less is known about the contributions of parenting and child factors to these cases. (3) The focus on parents with infants requires joined-up paediatric and adult mental health services. After summarising three main requirements for such services, an example designed to fulfil these requirements is described to illustrate what a service for supporting families with RDs might look like.","PeriodicalId":502988,"journal":{"name":"Frontiers in Child and Adolescent Psychiatry","volume":"121 46","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140380059","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}
引用次数: 0
The Study of Adolescent Resilience (SOAR): a research protocol 青少年复原力研究(SOAR):研究方案
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-03-19 DOI: 10.3389/frcha.2024.1346726
Karen Tannenbaum, H. McMaster
{"title":"The Study of Adolescent Resilience (SOAR): a research protocol","authors":"Karen Tannenbaum, H. McMaster","doi":"10.3389/frcha.2024.1346726","DOIUrl":"https://doi.org/10.3389/frcha.2024.1346726","url":null,"abstract":"Adolescence is a particularly sensitive period of development for military-connected youth, given the socioemotional and physical changes that occur against the backdrop of the military career of their parent(s). Military-connected adolescents face unique stressors relative to their civilian counterparts, such as military relocations, parental absence due to deployments and trainings, and parental military-related physical and mental injury. These stressors may change family dynamics and disrupt social support networks, which can have lasting implications for adolescent health and well-being. At present, very little is known about how the current generation of military-connected adolescents are faring regarding their psychological and physical health, academic achievement, and educational or career aspirations. As part of the Biden-Harris Administration's commitment to military families, the U.S. Department of Defense pledged to address these major knowledge gaps by supporting the Study of Adolescent Resilience (SOAR). SOAR's longitudinal design provides a powerful tool for evaluating the effects of military family life on adolescent well-being into early adulthood.SOAR is embedded within the larger Millennium Cohort Study, the first U.S. population-based prospective study to investigate long-term health effects of military service among active duty service members. Nearly 40,000 Millennium Cohort participants with adolescent children were invited to complete a web-based self-report survey that included items across interpersonal, socioenvironmental, and health domains, among others. Military parents provided referral information for their adolescent child and another primary parental figure, when available, to be invited to SOAR. This approach allowed survey data to be linked between these three family members (service member, spouse, and adolescent) to promote a comprehensive, family systems-based understanding of military-connected adolescent experiences and determinants of health, risk, and resilience.Research findings will shed light on the enduring impact of military life on adolescents and the nature of associations between military-specific experiences and psychosocial health and well-being. Further, this research will assess modifiable risk and protective factors that may elucidate differences in military-connected adolescent psychosocial development and physical health, academic achievement, and educational and military career aspirations over time.Findings gleaned from this research will be used to inform existing policy and programs designed to promote adolescent resilience.","PeriodicalId":502988,"journal":{"name":"Frontiers in Child and Adolescent Psychiatry","volume":"5 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140229432","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}
引用次数: 0
Intervention in autism based on Early Start Denver Model in a multiethnic immigrant setting—experiences of preschool staff involved in its implementation 在多民族移民环境中根据丹佛早期起步模式干预自闭症--参与实施的学前教育工作人员的经验
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-03-13 DOI: 10.3389/frcha.2024.1341729
Petra Linnsand, G. Nygren, Jonas Hermansson, Christopher Gillberg, Emilia Carlsson
{"title":"Intervention in autism based on Early Start Denver Model in a multiethnic immigrant setting—experiences of preschool staff involved in its implementation","authors":"Petra Linnsand, G. Nygren, Jonas Hermansson, Christopher Gillberg, Emilia Carlsson","doi":"10.3389/frcha.2024.1341729","DOIUrl":"https://doi.org/10.3389/frcha.2024.1341729","url":null,"abstract":"Early interventions for young children with autism have been shown to enhance developmental outcomes. However, opportunities for targeted interventions in autism, both in care and preschool, are often lacking, particularly in immigrant communities. The early start denver model (ESDM) stands as one of the most well-established intervention models, including improvement in core developmental domains and reduction of maladaptive behaviours, also delivered in preschool settings. An intervention program based on the ESDM was implemented in collaboration with parents, preschool staff, and health care professionals locally in a multiethnic immigrant and socioeconomically disadvantaged area in Gothenburg, Sweden.The present study aimed to describe a low intensity intervention program based on the ESDM for young children with autism in a multiethnic immigrant setting and capture the experiences of the preschool staff involved in implementing the program.Fifteen preschool professionals were interviewed through focus group interviews. Data were analyzed using content analysis. The interviews focused on capturing the crucial factors in the intervention program and to get more in-depth information about the intervention program's influence on the children with autism, their parents, the preschool staff, and preschool activities.Central components of the intervention program were emphasized by the preschool staff. These encompassed contextual prerequisites, such as the preschool staff's participation in intervention program fostered by the local environment and features linked to the ESDM methodology. The preschool staff emphasized that shared objectives and regular network meetings as fundamental components of the model. They also underscored the seamless alignment between the ESDM and the preschool curriculum emphasizing how ESDM strategies could be easily integrated into the preschool's daily routines. The staff's experience indicated that the implementation of ESDM enriched the learning experiences of children with autism and yielded benefits to their parents, fellow peers in the preschool, and the preschool staff.The intervention program based on the ESDM presents a promising model for young children with autism in a multiethnic immigrant setting. Several critical factors based on the preschool staff's experiences were essential for implementation: contextual prerequisites such as organizational support, close collaboration with healthcare professionals, good competence among preschool staff, and the ESDM itself.","PeriodicalId":502988,"journal":{"name":"Frontiers in Child and Adolescent Psychiatry","volume":"3 5‐6","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"140247528","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}
引用次数: 0
Through each other's eyes: initial results and protocol for the co-design of an observational measure of adolescent-parent interaction using first-person perspective 通过彼此的眼睛:利用第一人称视角共同设计青少年与父母互动观察测量方法的初步结果和规程
Frontiers in Child and Adolescent Psychiatry Pub Date : 2024-03-04 DOI: 10.3389/frcha.2023.1214890
Nicky Wright, Rebecca M. Pearson, Danielle Crook, Alice Bond, Tom Jewell
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