What supports do autistic adolescents and adults need? Perspectives of self-reporting adults and caregivers.

IF 1.6 4区 医学 Q2 REHABILITATION Australian Occupational Therapy Journal Pub Date : 2024-07-17 DOI:10.1111/1440-1630.12979
Jessica Hill, Jodie Copley, Sophie Donovan, Jill Ashburner, Jennifer Taylor, Natasha Bobir
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Survey two included 41 items and was distributed to self-reporting autistic adults. Surveys sought closed and open-ended responses about the support needs of autistic individuals living in Australia. Quantitative data were analysed as counts and frequencies of responses, whereas short-answer responses were analysed through content analysis.</p><p><strong>Community and consumer involvement: </strong>There was no consumer or community involvement in the completion of this project.</p><p><strong>Results: </strong>A total of 68 caregivers of autistic adolescents or adults and 59 self-reporting adults completed the survey resulting in 127 responses. Quantitative data from both autistic adolescents' and adults' closed-answer responses showed that the highest support needs were for supporting participation in employment and supporting health and wellbeing. Content analysis of open-ended responses, performed separately for each participant group, revealed six categories: employment, promoting independence, supporting positive social and communication experiences, supporting health and wellbeing, caregiver support, and promoting autism acceptance.</p><p><strong>Conclusion: </strong>Results highlight that autistic individuals and their caregivers have a diverse range of priorities, all of which align with the scope of occupational therapy practice. Differences between the priorities of autistic individuals and their caregivers highlight the importance of therapists providing person and family-centred approaches tailored towards both the autistic person's and their caregiver's needs.</p><p><strong>Plain language summary: </strong>Increasingly, autistic adolescents and adults are accessing occupational therapy services. However, limited information exists regarding the type of supports that are important to them. 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Abstract

Introduction: Increasingly, autistic adolescents and adults are accessing occupational therapy. However, limited evidence exists on the type of supports that are important to them. Examining the patterns of supports valued by autistic adolescents and adults will inform the design of occupational therapy services. Therefore, this study aimed to identify what supports autistic adolescents and adults believed to be the most important.

Methods: This study involved two anonymous online surveys. Survey one involved 54 items and was distributed to caregivers of autistic adolescents and/or adults. Survey two included 41 items and was distributed to self-reporting autistic adults. Surveys sought closed and open-ended responses about the support needs of autistic individuals living in Australia. Quantitative data were analysed as counts and frequencies of responses, whereas short-answer responses were analysed through content analysis.

Community and consumer involvement: There was no consumer or community involvement in the completion of this project.

Results: A total of 68 caregivers of autistic adolescents or adults and 59 self-reporting adults completed the survey resulting in 127 responses. Quantitative data from both autistic adolescents' and adults' closed-answer responses showed that the highest support needs were for supporting participation in employment and supporting health and wellbeing. Content analysis of open-ended responses, performed separately for each participant group, revealed six categories: employment, promoting independence, supporting positive social and communication experiences, supporting health and wellbeing, caregiver support, and promoting autism acceptance.

Conclusion: Results highlight that autistic individuals and their caregivers have a diverse range of priorities, all of which align with the scope of occupational therapy practice. Differences between the priorities of autistic individuals and their caregivers highlight the importance of therapists providing person and family-centred approaches tailored towards both the autistic person's and their caregiver's needs.

Plain language summary: Increasingly, autistic adolescents and adults are accessing occupational therapy services. However, limited information exists regarding the type of supports that are important to them. Understanding what supports are valued by autistic adolescents and adults will support occupational therapists deliver effective and individualised services. Therefore, this study aimed to identify what supports autistic adolescents and adults believed to be the most important to them. This study involved two anonymous online surveys. Survey one was completed by caregivers of autistic adolescents and/or adults. Survey two was completed by self-reporting autistic adults. Surveys included both open-ended and closed-answer responses to better understand the support needs of autistic individuals living in Australia. A total of 68 caregivers of autistic adolescents or adults and 59 self-reporting adults completed the survey resulting in 127 responses. Closed-answer response questions from both the caregivers and self-reporting autistic adolescents and adults showed that the highest support needs were for supporting participation in employment and supporting health and wellbeing. Open-ended response questions revealed six main priorities including, employment, promoting independence, supporting positive social and communication experiences, supporting health and wellbeing, caregiver support, and promoting autism acceptance. This study found that autistic individuals and their caregivers have a diverse range of priorities, all of which align with the scope of occupational therapy. Further, participant responses highlight the importance of therapists providing person and family-centred approaches tailored towards both the autistic person's and their caregiver's needs.

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自闭症青少年和成人需要哪些支持?自述成人和照顾者的观点。
简介越来越多的自闭症青少年和成年人开始接受职业治疗。然而,有关对他们而言重要的支持类型的证据却很有限。研究自闭症青少年和成人所重视的支持模式将为职业治疗服务的设计提供参考。因此,本研究旨在确定自闭症青少年和成人认为哪些支持是最重要的:本研究涉及两项匿名在线调查。调查一包括 54 个项目,发放给自闭症青少年和/或成人的照顾者。调查二包括 41 个项目,发放给自我报告的成年自闭症患者。调查寻求有关澳大利亚自闭症患者支持需求的封闭式和开放式回答。定量数据以计数和回答频率的形式进行分析,而简答回答则通过内容分析进行分析:社区和消费者参与:本项目的完成没有消费者或社区的参与:共有 68 名自闭症青少年或成人的照顾者和 59 名自我报告的成人完成了调查,共收到 127 份回复。从自闭症青少年和成人的封闭式回答中获得的定量数据显示,支持参与就业和支持健康与幸福的支持需求最高。对每个参与者群体的开放式回答分别进行了内容分析,结果显示了六个类别:就业、促进独立、支持积极的社交和沟通体验、支持健康和幸福、照顾者支持以及促进对自闭症的接受:研究结果表明,自闭症患者及其照顾者的优先事项多种多样,所有这些优先事项都符合职业疗法的实践范围。自闭症患者及其照护者优先考虑事项之间的差异凸显了治疗师根据自闭症患者及其照护者的需求提供以个人和家庭为中心的方法的重要性。然而,有关对他们来说重要的支持类型的信息却很有限。了解自闭症青少年和成人重视哪些支持将有助于职业治疗师提供有效的个性化服务。因此,本研究旨在确定自闭症青少年和成人认为哪些支持对他们最重要。本研究涉及两项匿名在线调查。调查一由自闭症青少年和/或成人的照顾者填写。调查二由自我报告的自闭症成人完成。调查包括开放式和封闭式回答,以便更好地了解生活在澳大利亚的自闭症患者的支持需求。共有 68 名自闭症青少年或成人的照顾者和 59 名自我报告的成人完成了调查,共收到 127 份回复。来自照顾者和自我报告的自闭症青少年和成人的封闭式回答问题显示,最大的支持需求是支持参与就业和支持健康与福利。开放式回答问题显示了六个主要优先事项,包括就业、促进独立、支持积极的社交和沟通体验、支持健康和幸福、照顾者支持以及促进对自闭症的接受。本研究发现,自闭症患者及其照顾者的优先事项多种多样,所有这些优先事项都与职业疗法的范围相一致。此外,参与者的回答还强调了治疗师针对自闭症患者及其照顾者的需求,提供以个人和家庭为中心的方法的重要性。
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来源期刊
CiteScore
2.80
自引率
16.70%
发文量
69
审稿时长
6-12 weeks
期刊介绍: The Australian Occupational Therapy Journal is a leading international peer reviewed publication presenting influential, high quality innovative scholarship and research relevant to occupational therapy. The aim of the journal is to be a leader in the dissemination of scholarship and evidence to substantiate, influence and shape policy and occupational therapy practice locally and globally. The journal publishes empirical studies, theoretical papers, and reviews. Preference will be given to manuscripts that have a sound theoretical basis, methodological rigour with sufficient scope and scale to make important new contributions to the occupational therapy body of knowledge. AOTJ does not publish protocols for any study design The journal will consider multidisciplinary or interprofessional studies that include occupational therapy, occupational therapists or occupational therapy students, so long as ‘key points’ highlight the specific implications for occupational therapy, occupational therapists and/or occupational therapy students and/or consumers.
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