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Harrison AJ, Naqvi NC, Smit AK, Kumar PN, Muhammad NA, Saade S, Yu L, Cappe E, Low HM, Chan SJ, de Bildt A. Assessing Autism Knowledge Across the Global Landscape Using the ASK-Q. J Autism Dev Disord 2023:10.1007/s10803-023-05936-5. [PMID: 36892718 DOI: 10.1007/s10803-023-05936-5] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2023] [Indexed: 03/10/2023]
Abstract
Substantial variability exists with regard to autism service provision around the world. Service disparities observed in many low- and middle-income countries may be driven, in part, by limited autism knowledge; however, measurement limitations have made it difficult to quantify autism knowledge across countries. The current study uses the autism stigma and knowledge questionnaire (ASK-Q) to quantify autism knowledge and stigma between different countries and demographics. The current study compiled data from 6830 participants collected using adapted versions of the ASK-Q administered in 13 different countries, representing four different continents. Structural equation modeling was used to examine how autism knowledge varied across country and individual factors. Results reveal cross country variability with a large, 17-point difference between the countries with the highest knowledge (Canada) and the lowest knowledge (Lebanon). As expected, countries with higher economies had higher levels of knowledge. We also documented differences based on country worldview, participant occupation, gender, age, and education level. These results help to identify specific regions and populations that might most need greater information about autism.
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Affiliation(s)
- Ashley J Harrison
- Educational Psychology Department, University of Georgia, Athens, GA, 30606, USA.
- Department of Educational Psychology, University of Georgia, Aderhold Hall 110 Carlton Street, Athens, GA, 30602, USA.
| | - Nilofer C Naqvi
- Department of Psychology, Iona University, New Rochelle, NY, 10801, USA
| | - Anne K Smit
- Department of Child and Adolescent Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
- Accare Child Study Center, Groningen, The Netherlands
| | - Prisha Nanda Kumar
- Educational Psychology Department, University of Georgia, Athens, GA, 30606, USA
| | - Noor Azimah Muhammad
- Department of Family Medicine, Faculty of Medicine, Universiti Kebangsaan Malaysia. Jalan Yaacob Latiff, 56000, Cheras, Kuala Lumpur, Malaysia
| | - Sabine Saade
- Psychology Department, American University of Beirut, Beirut, 1107 2020, Lebanon
| | - Luodi Yu
- Center for Autism Research, School of Education, Guangzhou University, Wenyi Bldg, Guangzhou, China
| | - Emilie Cappe
- Laboratoire de Psychopathologie et Processus de Santé, Université Paris Cité, 92100, Boulogne-Billancourt, France
- Institut Universtaire de France (IUF), Paris, France
| | - Hui Min Low
- School of Education Studies, Universiti Sains Malaysia, Penang, Malaysia
| | - Sarah-Jane Chan
- Manggatal Health Clinic, Ministry of Health Malaysia, Putrajaya, Malaysia
| | - Annelies de Bildt
- Department of Child and Adolescent Psychiatry, University Medical Center Groningen, University of Groningen, Groningen, The Netherlands
- Accare Child Study Center, Groningen, The Netherlands
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Snijder MIJ, Dietz C, van Andel M, Ruiter ELM, Buitelaar JK, Oosterling IJ. Social COmmunication Program supported by E-health (SCOPE) for infants and toddlers at elevated likelihood of autism spectrum disorder: study design of a cluster randomized controlled trial. BMC Psychiatry 2022; 22:772. [PMID: 36482453 PMCID: PMC9733381 DOI: 10.1186/s12888-022-04351-x] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/07/2022] [Accepted: 10/29/2022] [Indexed: 12/13/2022] Open
Abstract
BACKGROUND Although the importance of early detection and early intervention of autism spectrum disorders (ASD) is widely recognized, multiple barriers exist in accessing early intervention services. As an alternative to these barriers, the SCOPE project presents a new, easy accessible and blended intervention called BEAR (Blended E-health for children at eArly Risk). This paper describes this BEAR intervention and study design of an ongoing two arm cluster randomized controlled trial (RCT). METHODS BEAR (Blended E-health for children at eArly Risk) is a blended e-health intervention, based on evidence-based naturalistic developmental behavioral interventions (NDBI's) and can be offered to parents and infants/toddlers at high likelihood for ASD. During the ongoing RCT, N = 88 high risk infants and toddlers will be cluster randomized over the BEAR intervention and care-as-usual (CAU) conditions. The finalized version of the intervention protocol and study design are presented in this paper. The primary outcome measure is joint engagement measured by the Joint Engagement Rating Inventory (JERI) during videotaped parent-child interaction. Secondary outcome measures include severity of ASD symptoms, global level of adaptive functioning, parental well-being, parental skills and satisfaction with healthcare. Also, costs will be estimated from society's perspective. Assessments take place at the start of the study (T1), after eight weeks (T2) and after six months (T3) and include behavioral home observations and parental questionnaires. DISCUSSION The SCOPE project aims to contribute to improved early identification and timely start of suitable interventions for infants and toddlers at elevated likelihood for ASD. This ongoing RCT will offer insight in the feasibility, short-term and six months effects of the innovative BEAR intervention. It is estimated that inclusion for the trial (N = 88) is completed in spring 2023. TRIAL REGISTRATION Dutch Trial Register, NTR7695. Registered at December 17th, 2018, www.trialregister.nl .
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Affiliation(s)
- Michelle I. J. Snijder
- grid.461871.d0000 0004 0624 8031Karakter Child and Adolescent Psychiatry University Centre, Nijmegen, the Netherlands ,grid.5590.90000000122931605Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboudumc, Nijmegen, The Netherlands
| | - Claudine Dietz
- grid.461871.d0000 0004 0624 8031Karakter Child and Adolescent Psychiatry University Centre, Nijmegen, the Netherlands
| | - Mieke van Andel
- grid.461871.d0000 0004 0624 8031Karakter Child and Adolescent Psychiatry University Centre, Nijmegen, the Netherlands
| | | | - Jan K. Buitelaar
- grid.461871.d0000 0004 0624 8031Karakter Child and Adolescent Psychiatry University Centre, Nijmegen, the Netherlands ,grid.5590.90000000122931605Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboudumc, Nijmegen, The Netherlands
| | - Iris J. Oosterling
- grid.461871.d0000 0004 0624 8031Karakter Child and Adolescent Psychiatry University Centre, Nijmegen, the Netherlands
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Dursun OB, Turan B, Öğütlü H, Binici NC, Örengül AC, Alataş E, Özdemir RM, Taşlıbeyaz E, Karaman S, Mukaddes NM, on behalf of Turkish Autism Workgroup, Alkaşi A, Bozkurt A, Güneş A, Çevikaslan A, Erol A, Kiliçoğlu AG, Karayağmurlu A, Beşenek AM, Aral A, Adanir AS, Birdir A, Mustan AT, Karaboğa AEÇ, Çiçek AU, Arman A, Ayaz AB, Büyükaslan A, Ay B, Ayik B, Karabucak B, Şahin B, Kalayci BM, Ocakoğlu BK, Özgür BG, Özcan BG, Karakpici B, Tumba C, İnce C, Tanıdır C, Mutlu C, Ceylan C, Kaya C, Achmet CCC, Aslan C, Yalvaç ÇT, Yektaş Ç, Bilginer Ç, Çildir DA, Yıldız D, Sapmaz D, Ayyıldız D, Varmış DA, Güntepe D, Yılmaz D, Kaba D, Karagöz D, Kınay D, Türe ES, Topçu E, Şentürk E, İşeri E, Özen E, Taşyürek E, Atabay E, Çöp E, Güney E, Güzel E, Aşıkhasanoglu EÖ, Demirdöğen EŞ, Çelebi F, Özbek F, Durmuş FB, Ari F, Yıldırım F, Gümüştaş F, Güven G, Yücel Gİ, Coşun GN, Ulaş G, Bulut GÇ, Ayaz G, Karaçetin G, Dinç GŞ, Kara H, Harmancı H, Toz Hİ, Aykutlu HC, Kandemir H, Güneş H, Genç HA, Gül H, Doğru H, Adaletli H, Kılıç HT, Aktaş H, Esin İS, Erdoğan İ, Kaya İ, Çimen İD, Kirtil İY, Nalbant K, Tarakçıoğlu MC, Çakır M, Kara MZ, Kinik MF, Karadağ M, Sertçelik M, Şahin M, Keleş M, Topal M, Terzioğlu MA, Çolpan M, Demirtaş ME, Onat M, Usta MB, Coşkun M, Gülşen M, Erkan MC, Bahalı MK, Demir N, Çetin NK, Kilit N, Ayaz N, Çetin NY, Nilüfer, Aliyev O, Demir N, Şimşek NE, Ünaldi N, Soylu N, Bilgin N, Fındık OTP, Yüzügüldü O, Demir O, Kocaman O, Tuncer ÖF, Küçük Ö, Üneri Ö, Çoban ÖG, Yalçin Ö, Hekim Ö, Keskiner Ö, Uzun Ö, Algedik P, Yılmaz R, Bostan R, Sanberk S, Gün SE, Yilmaz S, Aksu S, Özkan S, Hesapçioğlu ST, Erden S, Arslan SC, Çelenay S, Kala S, Nasiroğlu S, Karakoç S, Çiçek S, Hocaoğlu S, Avcil S, Derin S, Yilmaz SS, Fırat S, Eray Ş, Kilinçel Ş, Coşkun Ş, Uysal T, Kadak T, Karaosman T, Mutluer T, Soylemez TE, Kalyoncu T, Fidan T, Kaytanli U, Gündoğdu Ü, Gündüz Y, Torun YT, Yulaf Y, Güleş Z, Babadaği Z. A new model for recognition, referral, and follow‐up of autism spectrum disorder: A nationwide program. Autism Res 2022. [DOI: 10.1002/aur.2813] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/10/2022]
Affiliation(s)
- Onur Burak Dursun
- General Directorate of Health Services, Autism, Mental Special Needs and Rare Diseases Department Turkish Ministry of Health Ankara Turkey
| | - Bahadır Turan
- Department of Child and Adolescent Psychiatry Karadeniz Technical University Trabzon Turkey
| | - Hakan Öğütlü
- Department of Child and Adolescent Psychiatry Ankara City Hospital Ankara Turkey
| | - Nagihan Cevher Binici
- Department of Child and Adolescent Psychiatry Dr. Behcet Uz Child Disease and Pediatric Surgery Training and Research Hospital Izmır Turkey
| | | | - Esra Alataş
- General Directorate of Public Health Turkish Ministry of Health Ankara Turkey
| | - Rabia Madan Özdemir
- General Directorate of Health Services, Autism, Mental Special Needs and Rare Diseases Department Turkish Ministry of Health Ankara Turkey
| | - Elif Taşlıbeyaz
- Faculty of Computer and Instructional Technologies Education Erzincan University Erzincan Turkey
| | - Selçuk Karaman
- Department of Management and Information Systems Hacı Bayram Veli University Ankara Turkey
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Snijder MIJ, Langerak IPC, Kaijadoe SPT, Buruma ME, Verschuur R, Dietz C, Buitelaar JK, Oosterling IJ. Parental Experiences with Early Identification and Initial Care for their Child with Autism: Tailored Improvement Strategies. J Autism Dev Disord 2021; 52:3473-3485. [PMID: 34468907 PMCID: PMC9296376 DOI: 10.1007/s10803-021-05226-y] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/27/2021] [Indexed: 10/26/2022]
Abstract
Whereas it is well documented how parents experience the diagnostic process of their child with autism spectrum disorder (ASD), less is known about parental experiences with the course of the early identification process and first steps in receiving care for their child with ASD symptoms. This mixed-method study investigated these experiences as well as barriers and improvement strategies regarding early detection in the Netherlands. A parental survey (N = 45) showed that, on average, initial concerns started at 22 months. A focus group (N = 10) revealed multiple barriers and proposed strategies of improvement in three domains: "Knowledge and Expertise", "Attention to Parental Needs" and "System and Organization". Strategies to improve early identification will be discussed based on parental perspectives and professional perspectives.
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Affiliation(s)
- Michelle I J Snijder
- Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, Nijmegen, 6525 GC, The Netherlands. .,Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboudumc, Nijmegen, The Netherlands.
| | | | - Shireen P T Kaijadoe
- Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, Nijmegen, 6525 GC, The Netherlands
| | | | | | - Claudine Dietz
- Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, Nijmegen, 6525 GC, The Netherlands
| | - Jan K Buitelaar
- Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, Nijmegen, 6525 GC, The Netherlands.,Department of Cognitive Neuroscience, Donders Institute for Brain, Cognition and Behaviour, Radboudumc, Nijmegen, The Netherlands
| | - Iris J Oosterling
- Karakter Child and Adolescent Psychiatry University Centre, Reinier Postlaan 12, Nijmegen, 6525 GC, The Netherlands
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