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 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] / 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

A multimethod approach to assessing motor skills in boys and girls with autism spectrum disorder / Alessandro CRIPPA in Autism, 25-5 (July 2021)  

Public ISBD [article]  inAutism > 25-5 (July 2021) . - p.1481-1491 Titre : A multimethod approach to assessing motor skills in boys and girls with autism spectrum disorder Type de document : texte imprimé Auteurs : Alessandro CRIPPA, Auteur ; Francesco CRAIG, Auteur ; Silvia BUSTI CECCARELLI, Auteur ; Maddalena MAURI, Auteur ; Silvia GRAZIOLI, Auteur ; Nicoletta SCIONTI, Auteur ; Alice CREMASCOLI, Auteur ; Camilla FERRANTE, Auteur ; Chiara VISIOLI, Auteur ; Gian Marco MARZOCCHI, Auteur ; Massimo MOLTENI, Auteur ; Maria NOBILE, Auteur Article en page(s) : p.1481-1491 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Child  Female  Humans  Male  Motor Skills  Quality of Life  Sex Factors  kinematics  motion capture  sex differences Index. décimale : PER Périodiques Résumé : Motor peculiarities are often reported in children with autism spectrum disorder and may predict subsequent adaptive functioning and quality of life. Although the sex bias in the prevalence of the disorder is well documented, little is known about differences in motor profile in males and females with autism spectrum disorder. Our goal was to study differences in motor functioning of boys and girls with autism spectrum disorder aged 3-11 years compared with typically developing children. Their motor performances were evaluated using a multimethod approach, including standardized motor tests, caregiver reports, and a detailed motion capture analysis of a simple reach-to-drop movement. We found that, irrespective of sex, children with autism spectrum disorder had worse scores than typically developing children on standardized tests and on caregiver reports. Interestingly, girls with autism spectrum disorder, but not boys, presented altered motor anticipation in reach-to-drop. Our findings emphasize the need for more sex-specific assessment of motor function in autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361321995634 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] A multimethod approach to assessing motor skills in boys and girls with autism spectrum disorder [texte imprimé] / Alessandro CRIPPA, Auteur ; Francesco CRAIG, Auteur ; Silvia BUSTI CECCARELLI, Auteur ; Maddalena MAURI, Auteur ; Silvia GRAZIOLI, Auteur ; Nicoletta SCIONTI, Auteur ; Alice CREMASCOLI, Auteur ; Camilla FERRANTE, Auteur ; Chiara VISIOLI, Auteur ; Gian Marco MARZOCCHI, Auteur ; Massimo MOLTENI, Auteur ; Maria NOBILE, Auteur . - p.1481-1491. Langues : Anglais (eng) in Autism > 25-5 (July 2021) . - p.1481-1491 Mots-clés : Autism Spectrum Disorder  Child  Female  Humans  Male  Motor Skills  Quality of Life  Sex Factors  kinematics  motion capture  sex differences Index. décimale : PER Périodiques Résumé : Motor peculiarities are often reported in children with autism spectrum disorder and may predict subsequent adaptive functioning and quality of life. Although the sex bias in the prevalence of the disorder is well documented, little is known about differences in motor profile in males and females with autism spectrum disorder. Our goal was to study differences in motor functioning of boys and girls with autism spectrum disorder aged 3-11 years compared with typically developing children. Their motor performances were evaluated using a multimethod approach, including standardized motor tests, caregiver reports, and a detailed motion capture analysis of a simple reach-to-drop movement. We found that, irrespective of sex, children with autism spectrum disorder had worse scores than typically developing children on standardized tests and on caregiver reports. Interestingly, girls with autism spectrum disorder, but not boys, presented altered motor anticipation in reach-to-drop. Our findings emphasize the need for more sex-specific assessment of motor function in autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361321995634 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

A multimethod approach to assessing motor skills in boys and girls with autism spectrum disorder / Alessandro CRIPPA in Autism, 26-5 (July 2022)  

Public ISBD [article]  inAutism > 26-5 (July 2022) . - p.1481-1491 Titre : A multimethod approach to assessing motor skills in boys and girls with autism spectrum disorder Type de document : texte imprimé Auteurs : Alessandro CRIPPA, Auteur ; Francesco CRAIG, Auteur ; Silvia BUSTI CECCARELLI, Auteur ; Maddalena MAURI, Auteur ; Silvia GRAZIOLI, Auteur ; Nicoletta SCIONTI, Auteur ; Alice CREMASCOLI, Auteur ; Camilla FERRANTE, Auteur ; Chiara VISIOLI, Auteur ; Gian Marco MARZOCCHI, Auteur ; Massimo MOLTENI, Auteur ; Maria NOBILE, Auteur Article en page(s) : p.1481-1491 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Child  Female  Humans  Male  Motor Skills  Quality of Life  Sex Factors  autism spectrum disorder  kinematics  motion capture  sex differences Index. décimale : PER Périodiques Résumé : Motor peculiarities are often reported in children with autism spectrum disorder and may predict subsequent adaptive functioning and quality of life. Although the sex bias in the prevalence of the disorder is well documented, little is known about differences in motor profile in males and females with autism spectrum disorder. Our goal was to study differences in motor functioning of boys and girls with autism spectrum disorder aged 3-11years compared with typically developing children. Their motor performances were evaluated using a multimethod approach, including standardized motor tests, caregiver reports, and a detailed motion capture analysis of a simple reach-to-drop movement. We found that, irrespective of sex, children with autism spectrum disorder had worse scores than typically developing children on standardized tests and on caregiver reports. Interestingly, girls with autism spectrum disorder, but not boys, presented altered motor anticipation in reach-to-drop. Our findings emphasize the need for more sex-specific assessment of motor function in autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361321995634 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=484 [article] A multimethod approach to assessing motor skills in boys and girls with autism spectrum disorder [texte imprimé] / Alessandro CRIPPA, Auteur ; Francesco CRAIG, Auteur ; Silvia BUSTI CECCARELLI, Auteur ; Maddalena MAURI, Auteur ; Silvia GRAZIOLI, Auteur ; Nicoletta SCIONTI, Auteur ; Alice CREMASCOLI, Auteur ; Camilla FERRANTE, Auteur ; Chiara VISIOLI, Auteur ; Gian Marco MARZOCCHI, Auteur ; Massimo MOLTENI, Auteur ; Maria NOBILE, Auteur . - p.1481-1491. Langues : Anglais (eng) in Autism > 26-5 (July 2022) . - p.1481-1491 Mots-clés : Autism Spectrum Disorder  Child  Female  Humans  Male  Motor Skills  Quality of Life  Sex Factors  autism spectrum disorder  kinematics  motion capture  sex differences Index. décimale : PER Périodiques Résumé : Motor peculiarities are often reported in children with autism spectrum disorder and may predict subsequent adaptive functioning and quality of life. Although the sex bias in the prevalence of the disorder is well documented, little is known about differences in motor profile in males and females with autism spectrum disorder. Our goal was to study differences in motor functioning of boys and girls with autism spectrum disorder aged 3-11years compared with typically developing children. Their motor performances were evaluated using a multimethod approach, including standardized motor tests, caregiver reports, and a detailed motion capture analysis of a simple reach-to-drop movement. We found that, irrespective of sex, children with autism spectrum disorder had worse scores than typically developing children on standardized tests and on caregiver reports. Interestingly, girls with autism spectrum disorder, but not boys, presented altered motor anticipation in reach-to-drop. Our findings emphasize the need for more sex-specific assessment of motor function in autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361321995634 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=484

Scaling Up Caregiver Support for Autism in Public Health Care: Adoption, Implementation Pace and Sustainability of a Train-the-Trainer Model for the WHO Caregiver Skills Training in Italy / Erica SALOMONE in Autism, 30-9 (September 2026)  

Public ISBD [article]  inAutism > 30-9 (September 2026) . - p.2381-2400 Titre : Scaling Up Caregiver Support for Autism in Public Health Care: Adoption, Implementation Pace and Sustainability of a Train-the-Trainer Model for the WHO Caregiver Skills Training in Italy Type de document : texte imprimé Auteurs : Erica SALOMONE, Auteur ; Giulia DE LEONARDIS, Auteur ; Camilla FERRANTE, Auteur ; Francesca STARTARI, Auteur ; Letizia GILA, Auteur ; null NULL, Auteur ; Maria Luisa SCATTONI, Auteur Article en page(s) : p.2381-2400 Langues : Anglais (eng) Mots-clés : WHO caregiver skills training  train-the-trainer  cascade training  implementation science  autism  CFIR Index. décimale : PER Périodiques Résumé : Train-the-Trainer (TTT) models can scale parent-mediated interventions (PMIs) in public health care, yet evidence on large-scale implementation remains limited. This study reports the implementation of an adapted TTT model for the WHO Caregiver Skills Training (CST) within the Italian National Health Service, evaluating adoption, acceptability, feasibility and sustainability. Twenty-eight clinicians from 10 Regions undertook the four-phase TTT. A mixed-methods design combined surveys with focus groups, analyzed using the Consolidated Framework for Implementation Research (CFIR). Twenty trainees (71%) qualified as Master Trainers (MTs), and 17 of these (85%) trained facilitators; 60% of MTs achieved full fidelity within the expected timeline. Satisfaction ratings were high, whereas feasibility ratings were mid-range. Implementation inhibitors clustered in the CFIR Inner setting (available resources, leadership engagement), Outer setting (lack of formal recognition), and Process (training model’s intensity structure) domains. Accelerators included Characteristics of individuals (motivation, readiness to change), Intervention characteristics (responsiveness to families’ needs, accessibility) and Inner Setting features (integration within existing care pathways). Overall, the adapted TTT was acceptable and supported early adoption and fidelity; however, lower feasibility for select capacity-building components and multilevel barriers indicate that sustained integration will require stronger organizational support and policy endorsement. Proposed adaptations offer an adaptable framework for global efforts to expand caregiver support within public health systems.Lay Abstract Families of autistic children often benefit from programs that teach caregivers practical skills to support their child’s development. However, these programs can be hard to implement in public health systems due to a shortage of trained professionals and because interventions may not align with existing service structures. To overcome these challenges, the Italian National Institute of Health has implemented the World Health Organization’s Caregiver Skills Training (CST) program through initiatives funded by the National Autism Fund. To ensure the program could be effectively adopted within the Italian public health context, we applied a “Train-the-Trainer” model. This approach trains experienced clinicians to become “Master Trainers,” who in turn train other professionals to deliver the program to families, supporting scalability and sustainability within the system. In our study, 28 clinicians from 10 regions of Italy took part in a four-step training process. Most (20 trainees) completed the program successfully, and many (17 trainees) went on to train facilitators. Surveys and focus groups examined how well the program was taken up, how acceptable it felt, how doable it was in routine services, and what might help it last. Trainers reported high satisfaction with the program, although some faced difficulties such as limited institutional support. Factors that helped implementation included strong motivation and the program’s perceived usefulness for families. Barriers included organizational challenges and the need for formal recognition of the program. Overall, this approach looks promising for bringing CST into public services, but durable, wider use will require stronger organizational support and policy endorsement. The proposed adjustments offer a practical path to expand caregiver support and offer methods that can be transferred to public health systems in other countries. En ligne : https://dx.doi.org/10.1177/13623613261469910 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=592 [article] Scaling Up Caregiver Support for Autism in Public Health Care: Adoption, Implementation Pace and Sustainability of a Train-the-Trainer Model for the WHO Caregiver Skills Training in Italy [texte imprimé] / Erica SALOMONE, Auteur ; Giulia DE LEONARDIS, Auteur ; Camilla FERRANTE, Auteur ; Francesca STARTARI, Auteur ; Letizia GILA, Auteur ; null NULL, Auteur ; Maria Luisa SCATTONI, Auteur . - p.2381-2400. Langues : Anglais (eng) in Autism > 30-9 (September 2026) . - p.2381-2400 Mots-clés : WHO caregiver skills training  train-the-trainer  cascade training  implementation science  autism  CFIR Index. décimale : PER Périodiques Résumé : Train-the-Trainer (TTT) models can scale parent-mediated interventions (PMIs) in public health care, yet evidence on large-scale implementation remains limited. This study reports the implementation of an adapted TTT model for the WHO Caregiver Skills Training (CST) within the Italian National Health Service, evaluating adoption, acceptability, feasibility and sustainability. Twenty-eight clinicians from 10 Regions undertook the four-phase TTT. A mixed-methods design combined surveys with focus groups, analyzed using the Consolidated Framework for Implementation Research (CFIR). Twenty trainees (71%) qualified as Master Trainers (MTs), and 17 of these (85%) trained facilitators; 60% of MTs achieved full fidelity within the expected timeline. Satisfaction ratings were high, whereas feasibility ratings were mid-range. Implementation inhibitors clustered in the CFIR Inner setting (available resources, leadership engagement), Outer setting (lack of formal recognition), and Process (training model’s intensity structure) domains. Accelerators included Characteristics of individuals (motivation, readiness to change), Intervention characteristics (responsiveness to families’ needs, accessibility) and Inner Setting features (integration within existing care pathways). Overall, the adapted TTT was acceptable and supported early adoption and fidelity; however, lower feasibility for select capacity-building components and multilevel barriers indicate that sustained integration will require stronger organizational support and policy endorsement. Proposed adaptations offer an adaptable framework for global efforts to expand caregiver support within public health systems.Lay Abstract Families of autistic children often benefit from programs that teach caregivers practical skills to support their child’s development. However, these programs can be hard to implement in public health systems due to a shortage of trained professionals and because interventions may not align with existing service structures. To overcome these challenges, the Italian National Institute of Health has implemented the World Health Organization’s Caregiver Skills Training (CST) program through initiatives funded by the National Autism Fund. To ensure the program could be effectively adopted within the Italian public health context, we applied a “Train-the-Trainer” model. This approach trains experienced clinicians to become “Master Trainers,” who in turn train other professionals to deliver the program to families, supporting scalability and sustainability within the system. In our study, 28 clinicians from 10 regions of Italy took part in a four-step training process. Most (20 trainees) completed the program successfully, and many (17 trainees) went on to train facilitators. Surveys and focus groups examined how well the program was taken up, how acceptable it felt, how doable it was in routine services, and what might help it last. Trainers reported high satisfaction with the program, although some faced difficulties such as limited institutional support. Factors that helped implementation included strong motivation and the program’s perceived usefulness for families. Barriers included organizational challenges and the need for formal recognition of the program. Overall, this approach looks promising for bringing CST into public services, but durable, wider use will require stronger organizational support and policy endorsement. The proposed adjustments offer a practical path to expand caregiver support and offer methods that can be transferred to public health systems in other countries. En ligne : https://dx.doi.org/10.1177/13623613261469910 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=592

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