Autistic young people?s experiences of remote psychological interventions during COVID-19 / Lucy ADAMS in Autism, 27-6 (August 2023)  

Public ISBD [article]  inAutism > 27-6 (August 2023) . - p.1616-1627 Titre : Autistic young people?s experiences of remote psychological interventions during COVID-19 Type de document : Texte imprimé et/ou numérique Auteurs : Lucy ADAMS, Auteur ; Nicoletta ADAMO, Auteur ; Matthew J HOLLOCKS, Auteur ; Jennifer WATSON, Auteur ; Aylana BREWSTER, Auteur ; Lucia VALMAGGIA, Auteur ; Emma JEWITT, Auteur ; Jodie EDWARDS, Auteur ; Maisie KRISSON, Auteur ; Emily SIMONOFF, Auteur Article en page(s) : p.1616-1627 Langues : Anglais (eng) Mots-clés : adolescents;autism spectrum disorders;psychological interventions;telepsychiatry Index. décimale : PER Périodiques Résumé : Telepsychiatry has been rapidly adopted to help control the spread of coronavirus. Clinicians have raised concerns over this for individuals diagnosed with autism spectrum disorder. The remote delivery of psychological interventions in particular requires further attention as their in-person delivery has autism spectrum disorder-associated challenges which overlap with the challenges of telepsychiatry broadly (i.e. beyond autism spectrum disorder). Autistic service-users (aged 15-18 years, n=6) and clinicians working with this client group (n=8) were therefore interviewed about their experience of remote psychological interventions during the pandemic. The sample size was determined using preregistered thematic saturation calculations. Thematic analysis of responses identified challenges/barriers, benefits, facilitators, and factors perceived to cause variability in experiences of remote delivery. These broadly echoed those identified in existing literature, but their underlying reasons had not been explored before and some were novel. Novel findings mostly surrounded difficulties navigating a new social system online, and the intensity of the social interaction feeling reduced remotely. Themes were broadly the same between young people and clinicians, aside from subtle differences. For example, young people provided distinct reasons for some of the perceived benefits. Most participants advocated for the provision of hybrid delivery post-pandemic. Implications of findings are discussed.Lay abstractRecently, therapy has been delivered at a distance (i.e. remotely) to help control the spread of coronavirus. Clinicians have voiced concerns that remote delivery is unsuitable for certain individuals, including those who are autistic, but they have also highlighted potential benefits for autistic individuals. Benefits include some individuals feeling more comfortable receiving therapy at home. This is the first study to interview autistic individuals about their experience of remote therapy. Participants were six young people aged 15-18 years and eight clinicians. Participants described their experience of remote delivery, including challenges, benefits, and suggestions. Most of these supported previous research findings, but some were new or provided further insight into those already identified. A newly identified challenge was knowing online social etiquette. All participants found aspects of the experience challenging, but all identified benefits and most voiced that remote sessions should be offered to young people. Participants further identified individual characteristics that may make someone less suited to remote delivery (e.g. shyness). They also identified ways of making the experience of remote delivery easier (e.g. sitting with a pet). Young people?s and clinicians' views were similar overall, with only subtle differences. For example, young people uniquely voiced that remote delivery was similar to in-person, that benefits were hard to identify, and provided distinct reasons for the social interaction feeling less intense remotely. Findings may be used to improve remote delivery, for guiding future research, and as a case for continuing to offer it to those who may most benefit. En ligne : http://dx.doi.org/10.1177/13623613221142730 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=509 [article] Autistic young people?s experiences of remote psychological interventions during COVID-19 [Texte imprimé et/ou numérique] / Lucy ADAMS, Auteur ; Nicoletta ADAMO, Auteur ; Matthew J HOLLOCKS, Auteur ; Jennifer WATSON, Auteur ; Aylana BREWSTER, Auteur ; Lucia VALMAGGIA, Auteur ; Emma JEWITT, Auteur ; Jodie EDWARDS, Auteur ; Maisie KRISSON, Auteur ; Emily SIMONOFF, Auteur . - p.1616-1627. Langues : Anglais (eng) in Autism > 27-6 (August 2023) . - p.1616-1627 Mots-clés : adolescents;autism spectrum disorders;psychological interventions;telepsychiatry Index. décimale : PER Périodiques Résumé : Telepsychiatry has been rapidly adopted to help control the spread of coronavirus. Clinicians have raised concerns over this for individuals diagnosed with autism spectrum disorder. The remote delivery of psychological interventions in particular requires further attention as their in-person delivery has autism spectrum disorder-associated challenges which overlap with the challenges of telepsychiatry broadly (i.e. beyond autism spectrum disorder). Autistic service-users (aged 15-18 years, n=6) and clinicians working with this client group (n=8) were therefore interviewed about their experience of remote psychological interventions during the pandemic. The sample size was determined using preregistered thematic saturation calculations. Thematic analysis of responses identified challenges/barriers, benefits, facilitators, and factors perceived to cause variability in experiences of remote delivery. These broadly echoed those identified in existing literature, but their underlying reasons had not been explored before and some were novel. Novel findings mostly surrounded difficulties navigating a new social system online, and the intensity of the social interaction feeling reduced remotely. Themes were broadly the same between young people and clinicians, aside from subtle differences. For example, young people provided distinct reasons for some of the perceived benefits. Most participants advocated for the provision of hybrid delivery post-pandemic. Implications of findings are discussed.Lay abstractRecently, therapy has been delivered at a distance (i.e. remotely) to help control the spread of coronavirus. Clinicians have voiced concerns that remote delivery is unsuitable for certain individuals, including those who are autistic, but they have also highlighted potential benefits for autistic individuals. Benefits include some individuals feeling more comfortable receiving therapy at home. This is the first study to interview autistic individuals about their experience of remote therapy. Participants were six young people aged 15-18 years and eight clinicians. Participants described their experience of remote delivery, including challenges, benefits, and suggestions. Most of these supported previous research findings, but some were new or provided further insight into those already identified. A newly identified challenge was knowing online social etiquette. All participants found aspects of the experience challenging, but all identified benefits and most voiced that remote sessions should be offered to young people. Participants further identified individual characteristics that may make someone less suited to remote delivery (e.g. shyness). They also identified ways of making the experience of remote delivery easier (e.g. sitting with a pet). Young people?s and clinicians' views were similar overall, with only subtle differences. For example, young people uniquely voiced that remote delivery was similar to in-person, that benefits were hard to identify, and provided distinct reasons for the social interaction feeling less intense remotely. Findings may be used to improve remote delivery, for guiding future research, and as a case for continuing to offer it to those who may most benefit. En ligne : http://dx.doi.org/10.1177/13623613221142730 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=509

Examining clinicians? concerns delivering telemental health interventions directly to autistic individuals during COVID-19 / Lucy ADAMS in Research in Autism Spectrum Disorders, 94 (June 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 94 (June 2022) . - 101956 Titre : Examining clinicians? concerns delivering telemental health interventions directly to autistic individuals during COVID-19 Type de document : Texte imprimé et/ou numérique Auteurs : Lucy ADAMS, Auteur ; Nicoletta ADAMO, Auteur ; Matthew J. HOLLOCKS, Auteur ; Lucia VALMAGGIA, Auteur ; Aylana BREWSTER, Auteur ; Jennifer WATSON, Auteur ; Maisie KRISSON, Auteur ; Emily SIMONOFF, Auteur Article en page(s) : 101956 Langues : Anglais (eng) Mots-clés : Telepsychiatry  ASD  Telehealth  Mental health interventions Index. décimale : PER Périodiques Résumé : Background The COVID-19 pandemic necessitated the adoption of telemental health (TMH). Pre-pandemic, clinicians had voiced many TMH concerns, but these had not been investigated with respect to autism spectrum disorder (ASD) even with it being known that there are distinct ASD-associated challenges for in-person mental health interventions. Method A convenience sample of (n = 55) clinicians completed an online survey regarding their perspectives of adopting TMH interventions in ASD, with closed- and open-answered questions. Quantitative and qualitative data were analysed descriptively/inferentially and via Content Analysis, respectively. Results Multiple clinicians endorsed each TMH challenges/barrier previously identified as concerns in the non-ASD literature. However, overall levels of concern over challenges/barriers were low, and challenges were more likely to be predicted than experienced and considered to be case/presentation specific. Challenges that were considered ASD-specific included the exacerbation of those associated with in-person delivery in ASD, alongside difficulties with trust and appropriate remote social behaviour. On average, clinicians indicated a preference for 50% TMH interventions post-pandemic. Clinicians? perceived technological competence and extent of professional experience with ASD were not significantly associated with levels of concern, nor number of experienced challenges, with TMH interventions in ASD. Conclusion In support of the existing TMH literature, challenges/barriers were more likely to be predicted than experienced and were considered to be case/presentation-specific, though this may be more variable in ASD owing to the well-established marked heterogeneity in this population. Remote provision of interventions exacerbated in-person ASD-associated challenges, as predicted, but clinician-level factors appeared not to impact TMH perceptions. En ligne : https://doi.org/10.1016/j.rasd.2022.101956 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476 [article] Examining clinicians? concerns delivering telemental health interventions directly to autistic individuals during COVID-19 [Texte imprimé et/ou numérique] / Lucy ADAMS, Auteur ; Nicoletta ADAMO, Auteur ; Matthew J. HOLLOCKS, Auteur ; Lucia VALMAGGIA, Auteur ; Aylana BREWSTER, Auteur ; Jennifer WATSON, Auteur ; Maisie KRISSON, Auteur ; Emily SIMONOFF, Auteur . - 101956. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 94 (June 2022) . - 101956 Mots-clés : Telepsychiatry  ASD  Telehealth  Mental health interventions Index. décimale : PER Périodiques Résumé : Background The COVID-19 pandemic necessitated the adoption of telemental health (TMH). Pre-pandemic, clinicians had voiced many TMH concerns, but these had not been investigated with respect to autism spectrum disorder (ASD) even with it being known that there are distinct ASD-associated challenges for in-person mental health interventions. Method A convenience sample of (n = 55) clinicians completed an online survey regarding their perspectives of adopting TMH interventions in ASD, with closed- and open-answered questions. Quantitative and qualitative data were analysed descriptively/inferentially and via Content Analysis, respectively. Results Multiple clinicians endorsed each TMH challenges/barrier previously identified as concerns in the non-ASD literature. However, overall levels of concern over challenges/barriers were low, and challenges were more likely to be predicted than experienced and considered to be case/presentation specific. Challenges that were considered ASD-specific included the exacerbation of those associated with in-person delivery in ASD, alongside difficulties with trust and appropriate remote social behaviour. On average, clinicians indicated a preference for 50% TMH interventions post-pandemic. Clinicians? perceived technological competence and extent of professional experience with ASD were not significantly associated with levels of concern, nor number of experienced challenges, with TMH interventions in ASD. Conclusion In support of the existing TMH literature, challenges/barriers were more likely to be predicted than experienced and were considered to be case/presentation-specific, though this may be more variable in ASD owing to the well-established marked heterogeneity in this population. Remote provision of interventions exacerbated in-person ASD-associated challenges, as predicted, but clinician-level factors appeared not to impact TMH perceptions. En ligne : https://doi.org/10.1016/j.rasd.2022.101956 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=476

Practitioner Review: Continuity of mental health care from childhood to adulthood for youths with ADHD  -  who, how and when? / Nicoletta ADAMO in Journal of Child Psychology and Psychiatry, 65-11 (November 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-11 (November 2024) . - p.1526-1537 Titre : Practitioner Review: Continuity of mental health care from childhood to adulthood for youths with ADHD  -  who, how and when? Type de document : Texte imprimé et/ou numérique Auteurs : Nicoletta ADAMO, Auteur ; Swaran P. SINGH, Auteur ; Sven BÖLTE, Auteur ; David COGHILL, Auteur ; Jeffrey H. NEWCORN, Auteur ; Valeria PARLATINI, Auteur ; Diane PURPER-OUAKIL, Auteur ; Juliane RAUSCH, Auteur ; Luis ROHDE, Auteur ; Paramala SANTOSH, Auteur ; Tobias BANASCHEWSKI, Auteur ; Jan K. BUITELAAR, Auteur Article en page(s) : p.1526-1537 Langues : Anglais (eng) Mots-clés : ADHD  transition  service continuity Index. décimale : PER Périodiques Résumé : Many youths with attention-deficit/hyperactivity disorder (ADHD) experience significant long-term impairment and may develop concurrent mental and somatic health difficulties as adults. This is associated with burden and costs for the individual and society which could be prevented through continued support in youth. Yet, only few young people transition to adult mental health services for ongoing care in different countries worldwide. We provide an overview on current transition practices, highlighting the gaps in knowledge and the barriers to effective service transitioning, while considering the large geographical variation in available guidelines and service provision. For ease of use, this review is organized in a question-and-answer format covering different aspects of the transition process and considering both service users' and clinicians' perspectives. Consensus is needed to identify those that require continued care, the optimal timing to arrange transition, and the most suitable services. Finally, we discuss cost-effectiveness of transition practices, consider examples of best practice, and propose recommendations on how to improve transitional care, including the importance of service users' input into transition planning. En ligne : https://doi.org/10.1111/jcpp.14036 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537 [article] Practitioner Review: Continuity of mental health care from childhood to adulthood for youths with ADHD  -  who, how and when? [Texte imprimé et/ou numérique] / Nicoletta ADAMO, Auteur ; Swaran P. SINGH, Auteur ; Sven BÖLTE, Auteur ; David COGHILL, Auteur ; Jeffrey H. NEWCORN, Auteur ; Valeria PARLATINI, Auteur ; Diane PURPER-OUAKIL, Auteur ; Juliane RAUSCH, Auteur ; Luis ROHDE, Auteur ; Paramala SANTOSH, Auteur ; Tobias BANASCHEWSKI, Auteur ; Jan K. BUITELAAR, Auteur . - p.1526-1537. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-11 (November 2024) . - p.1526-1537 Mots-clés : ADHD  transition  service continuity Index. décimale : PER Périodiques Résumé : Many youths with attention-deficit/hyperactivity disorder (ADHD) experience significant long-term impairment and may develop concurrent mental and somatic health difficulties as adults. This is associated with burden and costs for the individual and society which could be prevented through continued support in youth. Yet, only few young people transition to adult mental health services for ongoing care in different countries worldwide. We provide an overview on current transition practices, highlighting the gaps in knowledge and the barriers to effective service transitioning, while considering the large geographical variation in available guidelines and service provision. For ease of use, this review is organized in a question-and-answer format covering different aspects of the transition process and considering both service users' and clinicians' perspectives. Consensus is needed to identify those that require continued care, the optimal timing to arrange transition, and the most suitable services. Finally, we discuss cost-effectiveness of transition practices, consider examples of best practice, and propose recommendations on how to improve transitional care, including the importance of service users' input into transition planning. En ligne : https://doi.org/10.1111/jcpp.14036 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=537

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