墨西哥裔美国看护者对自闭症青少年文化适应性过渡规划方案的看法

IF 2.5 4区 医学 Q2 HEALTH POLICY & SERVICES Journal of Policy and Practice in Intellectual Disabilities Pub Date : 2022-10-04 DOI:10.1111/jppi.12442
Janeth Aleman-Tovar, Meghan M. Burke, Edwin Monárrez
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引用次数: 1

摘要

对于自闭症谱系障碍(ASD)患者及其家庭来说,从青春期过渡到成年是困难的,因为他们必须学会驾驭复杂的成人残疾服务提供系统。对于患有自闭症谱系障碍的拉丁裔(与白人)家庭来说,这一时期尤其困难,因为他们在获得服务时面临着系统性障碍(例如语言和文化差异)。为了支持拉丁裔家庭,有效和符合文化需求的支持(例如,针对不同文化的项目)至关重要。为此,本研究的目的是描述一个过渡计划项目(即ASSIST)对拉丁裔自闭症青年家庭的文化适应性。首先,我们使用生态效度框架(Bernal et al., 1995)和文化敏感性(CS)模型(Resnicow et al., 1999)对课程进行文化调整。然后,我们向8名照顾自闭症青少年的墨西哥裔美国人提供了适应文化的课程。具体而言,我们对每位参与者进行了三次单独访谈(共24次访谈),以检查他们对六个文化适应课程的看法。根据他们的反馈,我们对课程进行了调整。总体而言,与会者报告了对适应文化的课程的积极看法,但提出了以下建议:包括与混合家庭有关的信息,增加有关监护的信息,并使用借用特定术语的翻译技术。在此基础上,讨论了研究和实践的意义。
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Mexican–American caregivers' perceptions of a culturally adapted transition planning program for youth with autism

The transition from adolescence to adulthood is difficult for individuals with autism spectrum disorder (ASD) and their families because they must learn to navigate the complex adult disability service delivery system. For Latinx (vs. White) families of youth with ASD, this period is especially difficult because of the systemic barriers (e.g., language and cultural differences) they face when accessing services. To support Latinx families, effective and culturally responsive supports (e.g. culturally tailored programs) are critical. To this end, the purpose of this study is to describe the cultural adaptation of a transition planning program (i.e., ASSIST) for Latinx families of youth with ASD. First, we culturally adapted the curriculum using the Ecological Validity Framework (Bernal et al., 1995) and the Cultural Sensitivity (CS) model (Resnicow et al., 1999). Then, we presented the culturally adapted curriculum to eight Mexican–American caregivers of youth with ASD. Specifically, we conducted three individual interviews with each participant (N = 24 interviews altogether) to examine their perceptions of the six sessions of the culturally adapted curriculum. Based on their feedback, changes were made to the curriculum. Overall, participants reported positive perceptions of the culturally adapted curriculum, but suggested the following recommendations: include information related to mixed-status families, add information about guardianship, and use the translation technique of borrowing for specific terms. Based on the findings, implications for research and practice are discussed.

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来源期刊
CiteScore
4.10
自引率
5.90%
发文量
38
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