Acceptability and feasibility of the World Health Organization's Caregiver Skills Training implemented in the Italian National Health System / Erica SALOMONE in Autism, 26-4 (May 2022)  

Public ISBD [article]  inAutism > 26-4 (May 2022) . - p.859-874 Titre : Acceptability and feasibility of the World Health Organization's Caregiver Skills Training implemented in the Italian National Health System Type de document : Texte imprimé et/ou numérique Auteurs : Erica SALOMONE, Auteur ; Camilla FERRANTE, Auteur ; Arianna SALANDIN, Auteur ; Federica FERRARA, Auteur ; Elisabetta TORCHIO, Auteur ; Giulia FOLETTI, Auteur ; Sabrina GHERSI, Auteur ; CST Italy TEAM, Auteur ; WHO CST TEAM, Auteur ; Laura PACIONE, Auteur ; Chiara SERVILI, Auteur Article en page(s) : p.859-874 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Caregivers/education  Child  Family  Feasibility Studies  Humans  World Health Organization  World Health Organization Caregiver Skills Training  autism spectrum disorders  family functioning and support  interventions ? psychosocial/behavioural  neurodevelopmental disorders  parent-mediated  parenting skills programme  pre-school children  qualitative research Index. décimale : PER Périodiques Résumé : Across the globe, children with neurodevelopmental disorders, including autism, have limited access to care through public services. To improve access to care the World Health Organization developed a novel, open-access programme: the Caregiver Skills Training programme. The Caregiver Skills Training consists of nine group sessions and three individual home visits, focused on training the caregiver on how to use everyday play and home routines as opportunities for learning and development. We implemented Caregiver Skills Training in public child neuropsychiatry services in Italy and examined with questionnaires and focus groups how feasible it was to deliver the programme in public health settings and how acceptable and relevant it was for caregiver users. We found that the Caregiver Skills Training was largely considered acceptable and relevant for families and feasible to deliver. We discuss potential solutions to address the specific implementation challenges that were identified, such as strategies to improve training of interventionists and overcome barriers to caregiver participation. En ligne : https://dx.doi.org/10.1177/13623613211035228 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473 [article] Acceptability and feasibility of the World Health Organization's Caregiver Skills Training implemented in the Italian National Health System [Texte imprimé et/ou numérique] / Erica SALOMONE, Auteur ; Camilla FERRANTE, Auteur ; Arianna SALANDIN, Auteur ; Federica FERRARA, Auteur ; Elisabetta TORCHIO, Auteur ; Giulia FOLETTI, Auteur ; Sabrina GHERSI, Auteur ; CST Italy TEAM, Auteur ; WHO CST TEAM, Auteur ; Laura PACIONE, Auteur ; Chiara SERVILI, Auteur . - p.859-874. Langues : Anglais (eng) in Autism > 26-4 (May 2022) . - p.859-874 Mots-clés : Autism Spectrum Disorder  Caregivers/education  Child  Family  Feasibility Studies  Humans  World Health Organization  World Health Organization Caregiver Skills Training  autism spectrum disorders  family functioning and support  interventions ? psychosocial/behavioural  neurodevelopmental disorders  parent-mediated  parenting skills programme  pre-school children  qualitative research Index. décimale : PER Périodiques Résumé : Across the globe, children with neurodevelopmental disorders, including autism, have limited access to care through public services. To improve access to care the World Health Organization developed a novel, open-access programme: the Caregiver Skills Training programme. The Caregiver Skills Training consists of nine group sessions and three individual home visits, focused on training the caregiver on how to use everyday play and home routines as opportunities for learning and development. We implemented Caregiver Skills Training in public child neuropsychiatry services in Italy and examined with questionnaires and focus groups how feasible it was to deliver the programme in public health settings and how acceptable and relevant it was for caregiver users. We found that the Caregiver Skills Training was largely considered acceptable and relevant for families and feasible to deliver. We discuss potential solutions to address the specific implementation challenges that were identified, such as strategies to improve training of interventionists and overcome barriers to caregiver participation. En ligne : https://dx.doi.org/10.1177/13623613211035228 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=473

Annual Research Review: Achieving universal health coverage for young children with autism spectrum disorder in low- and middle-income countries: a review of reviews / Gauri DIVAN in Journal of Child Psychology and Psychiatry, 62-5 (May 2021)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 62-5 (May 2021) . - p.514-535 Titre : Annual Research Review: Achieving universal health coverage for young children with autism spectrum disorder in low- and middle-income countries: a review of reviews Type de document : Texte imprimé et/ou numérique Auteurs : Gauri DIVAN, Auteur ; Supriya BHAVNANI, Auteur ; Kathy LEADBITTER, Auteur ; Ceri ELLIS, Auteur ; Jayashree DASGUPTA, Auteur ; Amina ABUBAKAR, Auteur ; Mayada ELSABBAGH, Auteur ; Syed Usman HAMDANI, Auteur ; Chiara SERVILI, Auteur ; Vikram PATEL, Auteur ; Jonathan GREEN, Auteur Article en page(s) : p.514-535 Langues : Anglais (eng) Mots-clés : Autism  detection gap  low- and middle-income countries  low-resource settings  scoping review  treatment gap Index. décimale : PER Périodiques Résumé : BACKGROUND: Autism presents with similar prevalence and core impairments in diverse populations. We conducted a scoping review of reviews to determine key barriers and innovative strategies which can contribute to attaining universal health coverage (UHC), from early detection to effective interventions for autism in low- and middle-income countries (LAMIC). METHODS: A systematic literature search of review articles was conducted. Reviews relevant to the study research question were included if they incorporated papers from LAMIC and focused on children ( En ligne : http://dx.doi.org/10.1111/jcpp.13404 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445 [article] Annual Research Review: Achieving universal health coverage for young children with autism spectrum disorder in low- and middle-income countries: a review of reviews [Texte imprimé et/ou numérique] / Gauri DIVAN, Auteur ; Supriya BHAVNANI, Auteur ; Kathy LEADBITTER, Auteur ; Ceri ELLIS, Auteur ; Jayashree DASGUPTA, Auteur ; Amina ABUBAKAR, Auteur ; Mayada ELSABBAGH, Auteur ; Syed Usman HAMDANI, Auteur ; Chiara SERVILI, Auteur ; Vikram PATEL, Auteur ; Jonathan GREEN, Auteur . - p.514-535. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 62-5 (May 2021) . - p.514-535 Mots-clés : Autism  detection gap  low- and middle-income countries  low-resource settings  scoping review  treatment gap Index. décimale : PER Périodiques Résumé : BACKGROUND: Autism presents with similar prevalence and core impairments in diverse populations. We conducted a scoping review of reviews to determine key barriers and innovative strategies which can contribute to attaining universal health coverage (UHC), from early detection to effective interventions for autism in low- and middle-income countries (LAMIC). METHODS: A systematic literature search of review articles was conducted. Reviews relevant to the study research question were included if they incorporated papers from LAMIC and focused on children ( En ligne : http://dx.doi.org/10.1111/jcpp.13404 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=445

Pilot Randomized Controlled Trial of the WHO Caregiver Skills Training in Public Health Services in Italy / Erica SALOMONE in Journal of Autism and Developmental Disorders, 52-10 (October 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-10 (October 2022) . - p.4286-4300 Titre : Pilot Randomized Controlled Trial of the WHO Caregiver Skills Training in Public Health Services in Italy Type de document : Texte imprimé et/ou numérique Auteurs : Erica SALOMONE, Auteur ; Michele SETTANNI, Auteur ; Helen MCCONACHIE, Auteur ; Katharine SUMA, Auteur ; Federica FERRARA, Auteur ; Giulia FOLETTI, Auteur ; Arianna SALANDIN, Auteur ; WHO CST TEAM, Auteur ; Chiara SERVILI, Auteur ; Lauren B. ADAMSON, Auteur Article en page(s) : p.4286-4300 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Caregiver skills training  Parenting education  Parent–Child relations  Public health  Randomized controlled trial  responsible for the views expressed in this article and they do not necessarily  represent the views, decisions or policies of the institutions with which they  are affiliated. Index. décimale : PER Périodiques Résumé : Parents of children with ASD (N=86; mean age 44.8 months; 67 boys) were randomized to either WHO Caregiver Skills Training (CST) delivered in public health settings in Italy or enhanced treatment-as-usual. Primary blinded outcomes were 3-months post-intervention change scores of autism severity and engagement during caregiver-child interaction. CST was highly acceptable to caregivers and feasibly delivered by trained local clinicians. Intention-to-treat analysis showed a large and significant effect on parent skills supporting joint engagement and a smaller significant effect on flow of interaction. Expected changes in child autism severity and joint engagement did not meet statistical significance. Analysis of secondary outcomes showed a significant effect on parenting stress, self-efficacy, and child gestures. Strategies to improve the effectiveness of CST are discussed. En ligne : http://dx.doi.org/10.1007/s10803-021-05297-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486 [article] Pilot Randomized Controlled Trial of the WHO Caregiver Skills Training in Public Health Services in Italy [Texte imprimé et/ou numérique] / Erica SALOMONE, Auteur ; Michele SETTANNI, Auteur ; Helen MCCONACHIE, Auteur ; Katharine SUMA, Auteur ; Federica FERRARA, Auteur ; Giulia FOLETTI, Auteur ; Arianna SALANDIN, Auteur ; WHO CST TEAM, Auteur ; Chiara SERVILI, Auteur ; Lauren B. ADAMSON, Auteur . - p.4286-4300. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-10 (October 2022) . - p.4286-4300 Mots-clés : Autism spectrum disorders  Caregiver skills training  Parenting education  Parent–Child relations  Public health  Randomized controlled trial  responsible for the views expressed in this article and they do not necessarily  represent the views, decisions or policies of the institutions with which they  are affiliated. Index. décimale : PER Périodiques Résumé : Parents of children with ASD (N=86; mean age 44.8 months; 67 boys) were randomized to either WHO Caregiver Skills Training (CST) delivered in public health settings in Italy or enhanced treatment-as-usual. Primary blinded outcomes were 3-months post-intervention change scores of autism severity and engagement during caregiver-child interaction. CST was highly acceptable to caregivers and feasibly delivered by trained local clinicians. Intention-to-treat analysis showed a large and significant effect on parent skills supporting joint engagement and a smaller significant effect on flow of interaction. Expected changes in child autism severity and joint engagement did not meet statistical significance. Analysis of secondary outcomes showed a significant effect on parenting stress, self-efficacy, and child gestures. Strategies to improve the effectiveness of CST are discussed. En ligne : http://dx.doi.org/10.1007/s10803-021-05297-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=486

Supporting Caregivers Remotely During a Pandemic: Comparison of WHO Caregiver Skills Training Delivered Online Versus in Person in Public Health Settings in Italy / Paola SORGATO ; Mariachiara FIORAVANTI ; Laura PACIONE ; Giuseppe Maurizio ARDUINO ; Sabrina GHERSI ; Maria Luisa SCATTONI ; Camilla CHIESA ; Donatella ELIA ; Elisabetta GONELLA ; Sara RIZZO ; Arianna SALANDIN ; Felicity L. BROWN ; Stephanie Shire ; Chiara SERVILI ; Erica SALOMONE ; C. S. T. Italy TEAM ; WHO CST TEAM in Journal of Autism and Developmental Disorders, 54-2 (February 2024)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 54-2 (February 2024) . - p.765-784 Titre : Supporting Caregivers Remotely During a Pandemic: Comparison of WHO Caregiver Skills Training Delivered Online Versus in Person in Public Health Settings in Italy Type de document : Texte imprimé et/ou numérique Auteurs : Paola SORGATO, Auteur ; Mariachiara FIORAVANTI, Auteur ; Laura PACIONE, Auteur ; Giuseppe Maurizio ARDUINO, Auteur ; Sabrina GHERSI, Auteur ; Maria Luisa SCATTONI, Auteur ; Camilla CHIESA, Auteur ; Donatella ELIA, Auteur ; Elisabetta GONELLA, Auteur ; Sara RIZZO, Auteur ; Arianna SALANDIN, Auteur ; Felicity L. BROWN, Auteur ; Stephanie Shire, Auteur ; Chiara SERVILI, Auteur ; Erica SALOMONE, Auteur ; C. S. T. Italy TEAM, Auteur ; WHO CST TEAM, Auteur Article en page(s) : p.765-784 Index. décimale : PER Périodiques Résumé : Feasibility, acceptability and effectiveness data of a virtual adaptation of the WHO Caregiver Skills Training (CST; n?=?25) were compared with those of a pilot RCT of CST delivered in person (n?=?43) against treatment as usual (TAU; n?=?43). Virtual CST was delivered with high levels of integrity, but received lower ratings in some caregiver- and facilitator-rated acceptability and feasibility dimensions. Qualitative analysis identified both benefits (flexibility, convenience, clinical usefulness) and challenges, (technological issues, distraction from family members, emotional distance). Virtual and in-person CST improved significantly more on caregiver competence than TAU; there were no other significant effects. Potential for use of virtual CST as a clinical response in contexts where in-person delivery is not possible is discussed. En ligne : https://doi.org/10.1007/s10803-022-05800-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520 [article] Supporting Caregivers Remotely During a Pandemic: Comparison of WHO Caregiver Skills Training Delivered Online Versus in Person in Public Health Settings in Italy [Texte imprimé et/ou numérique] / Paola SORGATO, Auteur ; Mariachiara FIORAVANTI, Auteur ; Laura PACIONE, Auteur ; Giuseppe Maurizio ARDUINO, Auteur ; Sabrina GHERSI, Auteur ; Maria Luisa SCATTONI, Auteur ; Camilla CHIESA, Auteur ; Donatella ELIA, Auteur ; Elisabetta GONELLA, Auteur ; Sara RIZZO, Auteur ; Arianna SALANDIN, Auteur ; Felicity L. BROWN, Auteur ; Stephanie Shire, Auteur ; Chiara SERVILI, Auteur ; Erica SALOMONE, Auteur ; C. S. T. Italy TEAM, Auteur ; WHO CST TEAM, Auteur . - p.765-784. in Journal of Autism and Developmental Disorders > 54-2 (February 2024) . - p.765-784 Index. décimale : PER Périodiques Résumé : Feasibility, acceptability and effectiveness data of a virtual adaptation of the WHO Caregiver Skills Training (CST; n?=?25) were compared with those of a pilot RCT of CST delivered in person (n?=?43) against treatment as usual (TAU; n?=?43). Virtual CST was delivered with high levels of integrity, but received lower ratings in some caregiver- and facilitator-rated acceptability and feasibility dimensions. Qualitative analysis identified both benefits (flexibility, convenience, clinical usefulness) and challenges, (technological issues, distraction from family members, emotional distance). Virtual and in-person CST improved significantly more on caregiver competence than TAU; there were no other significant effects. Potential for use of virtual CST as a clinical response in contexts where in-person delivery is not possible is discussed. En ligne : https://doi.org/10.1007/s10803-022-05800-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=520

Treatment mechanism of the WHO caregiver skills training intervention for autism delivered in community settings / Katharine SUMA ; Lauren B. ADAMSON ; Helen MCCONACHIE ; Chiara SERVILI ; Erica SALOMONE in Autism Research, 17-1 (January 2024)  

Public ISBD [article]  inAutism Research > 17-1 (January 2024) . - p.182-194 Titre : Treatment mechanism of the WHO caregiver skills training intervention for autism delivered in community settings Type de document : Texte imprimé et/ou numérique Auteurs : Katharine SUMA, Auteur ; Lauren B. ADAMSON, Auteur ; Helen MCCONACHIE, Auteur ; Chiara SERVILI, Auteur ; Erica SALOMONE, Auteur Article en page(s) : p.182-194 Index. décimale : PER Périodiques Résumé : Abstract This study examined the mechanism of effect of the WHO Caregiver Skills Training (CST) through secondary analysis of a pilot RCT conducted in community settings. Participants were 86 caregivers (77% mothers) of children with ASD (78% male, mean age: 44.8?months) randomized to CST (n?=?43) or treatment as usual (n?=?43). The primary outcomes, measured at baseline (t1), immediately post-intervention (t2), and 3?months post-intervention (t3), were derived from the coding of caregiver-child free play interactions with the Brief Observation of Social-Communication Change (BOSCC) and the Joint Engagement Rating Inventory scale (JERI). At t3 positive treatment main effects had been observed for caregiver skills supportive of the interaction and for flow of the interaction (JERI), albeit only non-significant changes in the expected direction for child outcomes: autism phenotypic behaviors (BOSCC), joint engagement and availability to interact (JERI). This study tested the theory of change of CST, hypothesizing that the intervention would lead to an improvement on all child and dyad outcomes through an increase in the caregiver skills supportive of the interaction. Serial mediation analyses revealed that the effect of the intervention was significantly influenced by change in caregiver skills. Participation in the intervention led to notable increases in caregiver skills at t2 and t3, which subsequently contributed to improvements at t3 in flow of the interaction, autism phenotypic behavior, joint engagement, and availability to interact. We confirmed our a priori hypothesis showing that change in caregiver skills significantly mediated the effect of treatment on the dyad primary outcome, as well as on the other child outcomes that had shown non-significant changes in the expected direction. Implications for intervention design and policy making in the context of public health services are discussed. En ligne : https://doi.org/10.1002/aur.3058 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519 [article] Treatment mechanism of the WHO caregiver skills training intervention for autism delivered in community settings [Texte imprimé et/ou numérique] / Katharine SUMA, Auteur ; Lauren B. ADAMSON, Auteur ; Helen MCCONACHIE, Auteur ; Chiara SERVILI, Auteur ; Erica SALOMONE, Auteur . - p.182-194. in Autism Research > 17-1 (January 2024) . - p.182-194 Index. décimale : PER Périodiques Résumé : Abstract This study examined the mechanism of effect of the WHO Caregiver Skills Training (CST) through secondary analysis of a pilot RCT conducted in community settings. Participants were 86 caregivers (77% mothers) of children with ASD (78% male, mean age: 44.8?months) randomized to CST (n?=?43) or treatment as usual (n?=?43). The primary outcomes, measured at baseline (t1), immediately post-intervention (t2), and 3?months post-intervention (t3), were derived from the coding of caregiver-child free play interactions with the Brief Observation of Social-Communication Change (BOSCC) and the Joint Engagement Rating Inventory scale (JERI). At t3 positive treatment main effects had been observed for caregiver skills supportive of the interaction and for flow of the interaction (JERI), albeit only non-significant changes in the expected direction for child outcomes: autism phenotypic behaviors (BOSCC), joint engagement and availability to interact (JERI). This study tested the theory of change of CST, hypothesizing that the intervention would lead to an improvement on all child and dyad outcomes through an increase in the caregiver skills supportive of the interaction. Serial mediation analyses revealed that the effect of the intervention was significantly influenced by change in caregiver skills. Participation in the intervention led to notable increases in caregiver skills at t2 and t3, which subsequently contributed to improvements at t3 in flow of the interaction, autism phenotypic behavior, joint engagement, and availability to interact. We confirmed our a priori hypothesis showing that change in caregiver skills significantly mediated the effect of treatment on the dyad primary outcome, as well as on the other child outcomes that had shown non-significant changes in the expected direction. Implications for intervention design and policy making in the context of public health services are discussed. En ligne : https://doi.org/10.1002/aur.3058 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=519

World Health Organisation-Caregiver Skills Training (WHO-CST) Program: Feasibility of Delivery by Non-Specialist Providers in Real-world Urban Settings in India / Koyeli SENGUPTA in Journal of Autism and Developmental Disorders, 53-4 (April 2023)  

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