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Adherence to behavioral treatments and parent stress in families of children with ASD / Aimee K. ROVANE in Research in Autism Spectrum Disorders, 77 (September 2020)
[article]
Titre : Adherence to behavioral treatments and parent stress in families of children with ASD Type de document : Texte imprimé et/ou numérique Auteurs : Aimee K. ROVANE, Auteur ; Robert M. HOCK, Auteur ; Stacy-Ann A. JANUARY, Auteur Article en page(s) : 101609 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Parents Treatment adherence Behavior treatment Treatment demands Treatment effectiveness Treatment relevance Index. décimale : PER Périodiques Résumé : Background Recent studies suggest that parent involvement with behavioral treatment for behavior problems may reduce parent stress in families with a child with autism spectrum disorder (ASD). However, it is not known whether high treatment adherence to protocols is associated with reduced parent stress nor what perceptions of treatment may moderate this relation. Method The current study examined the relation between parents’ adherence to behavioral treatments and parent stress, and whether parents’ perceptions toward treatment moderate this association. Participants were 190 mothers, fathers, or caregivers of a child with ASD. A bivariate correlation matrix examined associations between each variable, and three separate linear regression models regressed parent stress on treatment adherence, perceptions of treatment, and the interaction of the two. Covariates included child age and severity of behavior problems. Results Treatment adherence had a significant negative relation with parent stress. Treatment demandingness, but neither treatment relevance nor treatment effectiveness, emerged as a moderator for the association between treatment adherence and parent stress. Conclusions Evidence was found for an association between treatment adherence and parent stress with partial support that perceptions of treatment moderate the association. Specifically, high treatment adherence was associated with lower parent stress, and the effect was most pronounced when treatment demandingness was low. These findings have implications for clinicians and treatment providers who are well-positioned to monitor and address parent attitudes to aid positive treatment outcomes for both the child and the parent. Moreover, clinicians can consider the impact of treatment demandingness on the whole family system. En ligne : https://doi.org/10.1016/j.rasd.2020.101609 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432
in Research in Autism Spectrum Disorders > 77 (September 2020) . - 101609[article] Adherence to behavioral treatments and parent stress in families of children with ASD [Texte imprimé et/ou numérique] / Aimee K. ROVANE, Auteur ; Robert M. HOCK, Auteur ; Stacy-Ann A. JANUARY, Auteur . - 101609.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 77 (September 2020) . - 101609
Mots-clés : Autism spectrum disorder Parents Treatment adherence Behavior treatment Treatment demands Treatment effectiveness Treatment relevance Index. décimale : PER Périodiques Résumé : Background Recent studies suggest that parent involvement with behavioral treatment for behavior problems may reduce parent stress in families with a child with autism spectrum disorder (ASD). However, it is not known whether high treatment adherence to protocols is associated with reduced parent stress nor what perceptions of treatment may moderate this relation. Method The current study examined the relation between parents’ adherence to behavioral treatments and parent stress, and whether parents’ perceptions toward treatment moderate this association. Participants were 190 mothers, fathers, or caregivers of a child with ASD. A bivariate correlation matrix examined associations between each variable, and three separate linear regression models regressed parent stress on treatment adherence, perceptions of treatment, and the interaction of the two. Covariates included child age and severity of behavior problems. Results Treatment adherence had a significant negative relation with parent stress. Treatment demandingness, but neither treatment relevance nor treatment effectiveness, emerged as a moderator for the association between treatment adherence and parent stress. Conclusions Evidence was found for an association between treatment adherence and parent stress with partial support that perceptions of treatment moderate the association. Specifically, high treatment adherence was associated with lower parent stress, and the effect was most pronounced when treatment demandingness was low. These findings have implications for clinicians and treatment providers who are well-positioned to monitor and address parent attitudes to aid positive treatment outcomes for both the child and the parent. Moreover, clinicians can consider the impact of treatment demandingness on the whole family system. En ligne : https://doi.org/10.1016/j.rasd.2020.101609 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432 Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders / Lisa A. CROEN in Journal of Autism and Developmental Disorders, 47-11 (November 2017)
[article]
Titre : Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Lisa A. CROEN, Auteur ; N. SHANKUTE, Auteur ; M. DAVIGNON, Auteur ; M. L. MASSOLO, Auteur ; C. YOSHIDA, Auteur Article en page(s) : p.3347-3357 Langues : Anglais (eng) Mots-clés : Applied behavior analysis (ABA) Demographic factors Treatment adherence intervention Index. décimale : PER Périodiques Résumé : This study investigates demographic and clinical factors associated with initiation, continuation, and adherence to behavioral health treatment (BHT) among children with autism spectrum disorder. Among 293 insured children referred for applied behavior analysis (ABA) based BHT, 23% never initiated treatment. Among those initiating treatment, 31% discontinued treatment within 1 year of treatment initiation, and only 15% received 80% or more of recommended treatment hours. Younger age at referral to treatment, private health insurance, and receiving more than 10 h/week of BHT were associated with treatment engagement. Co-occurring psychiatric and medical conditions were related to treatment discontinuation among children 5 years or older. These findings suggest specific subgroups that may benefit from additional support with engaging in recommended behavioral health treatment. En ligne : http://dx.doi.org/10.1007/s10803-017-3247-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=324
in Journal of Autism and Developmental Disorders > 47-11 (November 2017) . - p.3347-3357[article] Demographic and Clinical Characteristics Associated with Engagement in Behavioral Health Treatment Among Children with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Lisa A. CROEN, Auteur ; N. SHANKUTE, Auteur ; M. DAVIGNON, Auteur ; M. L. MASSOLO, Auteur ; C. YOSHIDA, Auteur . - p.3347-3357.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 47-11 (November 2017) . - p.3347-3357
Mots-clés : Applied behavior analysis (ABA) Demographic factors Treatment adherence intervention Index. décimale : PER Périodiques Résumé : This study investigates demographic and clinical factors associated with initiation, continuation, and adherence to behavioral health treatment (BHT) among children with autism spectrum disorder. Among 293 insured children referred for applied behavior analysis (ABA) based BHT, 23% never initiated treatment. Among those initiating treatment, 31% discontinued treatment within 1 year of treatment initiation, and only 15% received 80% or more of recommended treatment hours. Younger age at referral to treatment, private health insurance, and receiving more than 10 h/week of BHT were associated with treatment engagement. Co-occurring psychiatric and medical conditions were related to treatment discontinuation among children 5 years or older. These findings suggest specific subgroups that may benefit from additional support with engaging in recommended behavioral health treatment. En ligne : http://dx.doi.org/10.1007/s10803-017-3247-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=324 Rates and Predictors of Adherence to Psychotropic Medications in Children with Autism Spectrum Disorders / Sarah L. LOGAN in Journal of Autism and Developmental Disorders, 44-11 (November 2014)
[article]
Titre : Rates and Predictors of Adherence to Psychotropic Medications in Children with Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Sarah L. LOGAN, Auteur ; Laura A. CARPENTER, Auteur ; R. Scott LESLIE, Auteur ; Kelly S. HUNT, Auteur ; Elizabeth GARRETT-MAYER, Auteur ; Jane CHARLES, Auteur ; Joyce S. NICHOLAS, Auteur Article en page(s) : p.2931-2948 Langues : Anglais (eng) Mots-clés : Psychotropics Treatment adherence Public health surveillance Autism Index. décimale : PER Périodiques Résumé : Medication adherence in children is poor, particularly among those with chronic or mental health disorders. However, adherence has not been fully assessed in autism spectrum disorders (ASDs). The validated proportion of days covered method was used to quantify adherence to psychotropic medication in Medicaid-eligible children who met diagnostic criteria for ASD between 2000 and 2008 (N = 628). Among children prescribed attention deficit hyperactivity disorder (ADHD) medications, antidepressants, or antipsychotics, 44, 40 and 52 % were adherent respectively. Aggressive behaviors and abnormalities in eating, drinking, and/or sleeping, co-occurring ADHD, and the Medication Regimen Complexity Index were the most significant predictors of adherence rather than demographics or core deficits of ASD. Identifying barriers to adherence in ASD may ultimately lead to improved treatment outcomes. En ligne : http://dx.doi.org/10.1007/s10803-014-2156-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=241
in Journal of Autism and Developmental Disorders > 44-11 (November 2014) . - p.2931-2948[article] Rates and Predictors of Adherence to Psychotropic Medications in Children with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Sarah L. LOGAN, Auteur ; Laura A. CARPENTER, Auteur ; R. Scott LESLIE, Auteur ; Kelly S. HUNT, Auteur ; Elizabeth GARRETT-MAYER, Auteur ; Jane CHARLES, Auteur ; Joyce S. NICHOLAS, Auteur . - p.2931-2948.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 44-11 (November 2014) . - p.2931-2948
Mots-clés : Psychotropics Treatment adherence Public health surveillance Autism Index. décimale : PER Périodiques Résumé : Medication adherence in children is poor, particularly among those with chronic or mental health disorders. However, adherence has not been fully assessed in autism spectrum disorders (ASDs). The validated proportion of days covered method was used to quantify adherence to psychotropic medication in Medicaid-eligible children who met diagnostic criteria for ASD between 2000 and 2008 (N = 628). Among children prescribed attention deficit hyperactivity disorder (ADHD) medications, antidepressants, or antipsychotics, 44, 40 and 52 % were adherent respectively. Aggressive behaviors and abnormalities in eating, drinking, and/or sleeping, co-occurring ADHD, and the Medication Regimen Complexity Index were the most significant predictors of adherence rather than demographics or core deficits of ASD. Identifying barriers to adherence in ASD may ultimately lead to improved treatment outcomes. En ligne : http://dx.doi.org/10.1007/s10803-014-2156-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=241 The Impact of Delays on Parents’ Perceptions of Treatments for Problem Behavior / Nathan A. CALL in Journal of Autism and Developmental Disorders, 45-4 (April 2015)
[article]
Titre : The Impact of Delays on Parents’ Perceptions of Treatments for Problem Behavior Type de document : Texte imprimé et/ou numérique Auteurs : Nathan A. CALL, Auteur ; Andrea R. REAVIS, Auteur ; Courtney E. MCCRACKEN, Auteur ; Scott E. GILLESPIE, Auteur ; Mindy C. SCHEITHAUER, Auteur Article en page(s) : p.1013-1025 Langues : Anglais (eng) Mots-clés : Delay discounting Problem behavior Parent decision making Treatment adherence Index. décimale : PER Périodiques Résumé : Parent engagement in behavioral interventions is critical for treatments to succeed. Parental decision-making regarding treatments can be impacted by systematic biases, such as the tendency to discount the value of delayed benefits, or “delay discounting”. This study examined the impact of delay discounting on parents’ perceptions of treatment for their children’s problem behavior. Seventeen caregivers of children with a developmental disability who displayed problem behaviors completed assessments in two conditions: a monetary reward paradigm and a paradigm related to treatment outcomes. Fifteen of 17 participants displayed patterns of choice-making suggesting discounting of delayed treatment outcomes. If corroborated in larger samples, our methods could afford clinicians a way to optimize their approach to caregivers to maximize the benefits of treatment. En ligne : http://dx.doi.org/10.1007/s10803-014-2257-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258
in Journal of Autism and Developmental Disorders > 45-4 (April 2015) . - p.1013-1025[article] The Impact of Delays on Parents’ Perceptions of Treatments for Problem Behavior [Texte imprimé et/ou numérique] / Nathan A. CALL, Auteur ; Andrea R. REAVIS, Auteur ; Courtney E. MCCRACKEN, Auteur ; Scott E. GILLESPIE, Auteur ; Mindy C. SCHEITHAUER, Auteur . - p.1013-1025.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 45-4 (April 2015) . - p.1013-1025
Mots-clés : Delay discounting Problem behavior Parent decision making Treatment adherence Index. décimale : PER Périodiques Résumé : Parent engagement in behavioral interventions is critical for treatments to succeed. Parental decision-making regarding treatments can be impacted by systematic biases, such as the tendency to discount the value of delayed benefits, or “delay discounting”. This study examined the impact of delay discounting on parents’ perceptions of treatment for their children’s problem behavior. Seventeen caregivers of children with a developmental disability who displayed problem behaviors completed assessments in two conditions: a monetary reward paradigm and a paradigm related to treatment outcomes. Fifteen of 17 participants displayed patterns of choice-making suggesting discounting of delayed treatment outcomes. If corroborated in larger samples, our methods could afford clinicians a way to optimize their approach to caregivers to maximize the benefits of treatment. En ligne : http://dx.doi.org/10.1007/s10803-014-2257-9 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=258