Dépouillements

Interrelation of food selectivity, oral sensory sensitivity, and nutrient intake in children with autism spectrum disorder: A scoping review / Maizatul Naqiah ZULKIFLI in Research in Autism Spectrum Disorders, 93 (May 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 93 (May 2022) . - 101928 Titre : Interrelation of food selectivity, oral sensory sensitivity, and nutrient intake in children with autism spectrum disorder: A scoping review Type de document : Texte imprimé et/ou numérique Auteurs : Maizatul Naqiah ZULKIFLI, Auteur ; Masne KADAR, Auteur ; Michael FENECH, Auteur ; Nur Hana HAMZAID, Auteur Article en page(s) : 101928 Langues : Anglais (eng) Mots-clés : Children  Autism spectrum disorder  Food selectivity  Oral sensory sensitivity  Nutrient intake Index. décimale : PER Périodiques Résumé : Background Food selectivity is an emerging health concern among children with autism spectrum disorder (ASD). Food selectivity is used to describe food refusal, limited food choices, and/or food fussiness. Method We used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA)-Scoping Review Guidelines to systematically identify the relationship between food selectivity and oral sensory sensitivity and the possible consequences of food selectivity on nutrient intake in children with ASD.Thirty studies were included in the review based on search terms from three online databases. Results Assessment of food selectivity, oral sensory sensitivity, and nutrient intake was found to be focused primarily on the parent-report technique. Only a handful of studies have used Cronbach?s alpha to measure the psychometric properties. Twenty-one of the included studies reported a higher rate of food selectivity in children with ASD than typically developing (TD) children. Notably, several studies (n =7) have identified oral hypersensitivity (e.g., taste/smell) as a significant risk factor for food aversion and/or limited variety in children with ASD. Compared with TD children, the ASD group significantly consumed significantly fewer fruits/vegetables (n = 8). The intake of micronutrients, including vitamin A, vitamin B6, folate, vitamin B12, vitamin C, vitamin D, calcium, iron, and zinc that associates with food selectivity, was also low (n=13). Conclusion Implementation of screening and assessment protocols using valid and reliable instruments to identify food selectivity and oral sensory sensitivity is crucial for the medical evaluations of children with ASD. En ligne : https://doi.org/10.1016/j.rasd.2022.101928 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Interrelation of food selectivity, oral sensory sensitivity, and nutrient intake in children with autism spectrum disorder: A scoping review [Texte imprimé et/ou numérique] / Maizatul Naqiah ZULKIFLI, Auteur ; Masne KADAR, Auteur ; Michael FENECH, Auteur ; Nur Hana HAMZAID, Auteur . - 101928. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 93 (May 2022) . - 101928 Mots-clés : Children  Autism spectrum disorder  Food selectivity  Oral sensory sensitivity  Nutrient intake Index. décimale : PER Périodiques Résumé : Background Food selectivity is an emerging health concern among children with autism spectrum disorder (ASD). Food selectivity is used to describe food refusal, limited food choices, and/or food fussiness. Method We used the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA)-Scoping Review Guidelines to systematically identify the relationship between food selectivity and oral sensory sensitivity and the possible consequences of food selectivity on nutrient intake in children with ASD.Thirty studies were included in the review based on search terms from three online databases. Results Assessment of food selectivity, oral sensory sensitivity, and nutrient intake was found to be focused primarily on the parent-report technique. Only a handful of studies have used Cronbach?s alpha to measure the psychometric properties. Twenty-one of the included studies reported a higher rate of food selectivity in children with ASD than typically developing (TD) children. Notably, several studies (n =7) have identified oral hypersensitivity (e.g., taste/smell) as a significant risk factor for food aversion and/or limited variety in children with ASD. Compared with TD children, the ASD group significantly consumed significantly fewer fruits/vegetables (n = 8). The intake of micronutrients, including vitamin A, vitamin B6, folate, vitamin B12, vitamin C, vitamin D, calcium, iron, and zinc that associates with food selectivity, was also low (n=13). Conclusion Implementation of screening and assessment protocols using valid and reliable instruments to identify food selectivity and oral sensory sensitivity is crucial for the medical evaluations of children with ASD. En ligne : https://doi.org/10.1016/j.rasd.2022.101928 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Social attention and autism in early childhood: Evidence on behavioral markers based on visual scanning of emotional faces with eye-tracking methodology / Julia VACAS in Research in Autism Spectrum Disorders, 93 (May 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 93 (May 2022) . - 101930 Titre : Social attention and autism in early childhood: Evidence on behavioral markers based on visual scanning of emotional faces with eye-tracking methodology Type de document : Texte imprimé et/ou numérique Auteurs : Julia VACAS, Auteur ; Adoración ANTOLI, Auteur ; Araceli SÁNCHEZ-RAYA, Auteur ; Carolina PÉREZ-DUEÑAS, Auteur ; Fátima CUADRADO, Auteur Article en page(s) : 101930 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorders  Social attention  Behavioral markers  Emotions  Eye-tracking  Early intervention Index. décimale : PER Périodiques Résumé : Background Children with autism spectrum disorders (ASD) demonstrate distinctive scanning of faces, which has been suggested as an obstacle to social expertise, hindering their lifelong social relationships. Method This study aimed at comparing social attention in young children with and without ASD (N = 34). We designed two eye-tracking paired preference tasks to assess the effects of emotional expression and the actor?s gender (Experiment 1) and actor?s age (Experiment 2) on the visual scanning pattern of faces in both groups. Results Data analysis yielded three behavioral markers in the ASD group: (1) late orientation to angry faces, (2) late orientation to child faces, and (3) superficial facial processing (shorter visits). Conclusions Clinical and research implications are discussed regarding potential markers that could contribute to early diagnosis and intervention. En ligne : https://doi.org/10.1016/j.rasd.2022.101930 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Social attention and autism in early childhood: Evidence on behavioral markers based on visual scanning of emotional faces with eye-tracking methodology [Texte imprimé et/ou numérique] / Julia VACAS, Auteur ; Adoración ANTOLI, Auteur ; Araceli SÁNCHEZ-RAYA, Auteur ; Carolina PÉREZ-DUEÑAS, Auteur ; Fátima CUADRADO, Auteur . - 101930. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 93 (May 2022) . - 101930 Mots-clés : Autism Spectrum Disorders  Social attention  Behavioral markers  Emotions  Eye-tracking  Early intervention Index. décimale : PER Périodiques Résumé : Background Children with autism spectrum disorders (ASD) demonstrate distinctive scanning of faces, which has been suggested as an obstacle to social expertise, hindering their lifelong social relationships. Method This study aimed at comparing social attention in young children with and without ASD (N = 34). We designed two eye-tracking paired preference tasks to assess the effects of emotional expression and the actor?s gender (Experiment 1) and actor?s age (Experiment 2) on the visual scanning pattern of faces in both groups. Results Data analysis yielded three behavioral markers in the ASD group: (1) late orientation to angry faces, (2) late orientation to child faces, and (3) superficial facial processing (shorter visits). Conclusions Clinical and research implications are discussed regarding potential markers that could contribute to early diagnosis and intervention. En ligne : https://doi.org/10.1016/j.rasd.2022.101930 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Autism disclosure ? The decisions autistic adults make / Armita FARSINEJAD in Research in Autism Spectrum Disorders, 93 (May 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 93 (May 2022) . - 101936 Titre : Autism disclosure ? The decisions autistic adults make Type de document : Texte imprimé et/ou numérique Auteurs : Armita FARSINEJAD, Auteur ; Ailsa RUSSELL, Auteur ; Catherine BUTLER, Auteur Article en page(s) : 101936 Langues : Anglais (eng) Mots-clés : Autism  Disclosure  Stigmatised identities  Social identity Index. décimale : PER Périodiques Résumé : Background Autistic people face dilemmas regarding whether to disclose their autism due to the potential negative consequences. While there have been studies examining the issue of disclosure, a small but growing number have specifically investigated how autistic adults make decisions to disclose. The aim of the study was to understand the perspective of autistic adults about the decisions behind disclosure. Methods This cross-sectional mixed methods study recruited 30 autistic adults who completed an online survey. The online survey included free response text spaces to answer questions about disclosure. An inductive approach using thematic analysis was used for the analyses of the survey responses. Participants also completed two self report measures about how strongly they identify with an autism identity and how positively they view this identity. Results Themes of informed judgement and raising awareness appeared central to how decisions were made to disclose Autism. Participants did not strongly identify with the diagnostic label, nor did they feel particularly negative towards the label. Conclusion Misconceptions and stigma about autism can inhibit individuals from disclosing and can contribute to poorer mental health. Thus, educating the public is vital to reduce negative misconceptions of autism to not only better understand Autism but to help raise awareness so that autism can be discussed without fear of stigmatisation. En ligne : https://doi.org/10.1016/j.rasd.2022.101936 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Autism disclosure ? The decisions autistic adults make [Texte imprimé et/ou numérique] / Armita FARSINEJAD, Auteur ; Ailsa RUSSELL, Auteur ; Catherine BUTLER, Auteur . - 101936. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 93 (May 2022) . - 101936 Mots-clés : Autism  Disclosure  Stigmatised identities  Social identity Index. décimale : PER Périodiques Résumé : Background Autistic people face dilemmas regarding whether to disclose their autism due to the potential negative consequences. While there have been studies examining the issue of disclosure, a small but growing number have specifically investigated how autistic adults make decisions to disclose. The aim of the study was to understand the perspective of autistic adults about the decisions behind disclosure. Methods This cross-sectional mixed methods study recruited 30 autistic adults who completed an online survey. The online survey included free response text spaces to answer questions about disclosure. An inductive approach using thematic analysis was used for the analyses of the survey responses. Participants also completed two self report measures about how strongly they identify with an autism identity and how positively they view this identity. Results Themes of informed judgement and raising awareness appeared central to how decisions were made to disclose Autism. Participants did not strongly identify with the diagnostic label, nor did they feel particularly negative towards the label. Conclusion Misconceptions and stigma about autism can inhibit individuals from disclosing and can contribute to poorer mental health. Thus, educating the public is vital to reduce negative misconceptions of autism to not only better understand Autism but to help raise awareness so that autism can be discussed without fear of stigmatisation. En ligne : https://doi.org/10.1016/j.rasd.2022.101936 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Reading enhancements for students with autism spectrum disorder: A matched randomized pilot experimental study / Michael SOLIS in Research in Autism Spectrum Disorders, 93 (May 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 93 (May 2022) . - 101937 Titre : Reading enhancements for students with autism spectrum disorder: A matched randomized pilot experimental study Type de document : Texte imprimé et/ou numérique Auteurs : Michael SOLIS, Auteur ; Colleen REUTEBUCH, Auteur ; Sharon VAUGHN, Auteur ; Zaira JIMENEZ, Auteur Article en page(s) : 101937 Langues : Anglais (eng) Mots-clés : Autism  Reading comprehension  Vocabulary  Experimental study Index. décimale : PER Périodiques Résumé : Background For students with autism spectrum disorder (ASD), improving reading comprehension is critical for increasing both their opportunities for successful postsecondary experiences including attending college and obtaining meaningful employment. The purpose of this pilot study was to investigate the effects of a multicomponent reading intervention on the vocabulary and reading outcomes of middle grade students with ASD. Method We conducted a matched randomized pilot experimental study for students with ASD in grades 3?8 (N = 28) identified by their district personnel as having reading difficulties (i.e., not passing state reading test). An independent researcher matched participants according to symptom severity and reading fluency and then randomly assigned a member of each pair to treatment or comparison condition. Participants in treatment condition were provided 1:1 instruction for 23?30 sessions (M = 27) of 30 min each four to five days per week. Instructional components included (a) vocabulary instruction; (b) fluency with text, and (c) reading comprehension. In this pilot study, data were analyzed using repeated measures multilevel models in HLM 7. Due to the associated low statistical power to detect effects, the small sample size, and the exploratory nature of the study, we selected an alpha level of 0.10. Data were modeled as student-level variables classifying students based on their ASD symptomology from mild (level 1) to severe (level 3). Results The multicomponent intervention was associated with significant gains in WJ-PC scores of 22.62 (se = 8.19, df = 3, p = .070) for students at GARS severity level 1. Significant gains favoring the intervention were also detected on vocabulary score of 10.19 (se = 2.78, df = 3, p = .035) and for students rated at GARS severity level 1 and for students rated at GARS severity level 2 [vocabulary score 5.46 (se = 1.60, df = 3, p = .042)]. Significant effects were not detected for scores on a standardized measure of reading and fluency (TOSREC), and a researcher-developed measure of reading comprehension. Conclusions This pilot study shows enough promise to warrant future studies employing larger sample sizes and fully powered randomized control trial (RCT) studies. Although growth is modest and appears to be limited to participants who are in the mid to higher range of the autism spectrum, considering the large percentage of students with ASD in the mid to higher range, this study contributes to the development of evidence-based practices. We interpret the findings as having implications for future research with larger sample sizes and in providing initial guidance on instruction for consideration by practitioners. En ligne : https://doi.org/10.1016/j.rasd.2022.101937 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Reading enhancements for students with autism spectrum disorder: A matched randomized pilot experimental study [Texte imprimé et/ou numérique] / Michael SOLIS, Auteur ; Colleen REUTEBUCH, Auteur ; Sharon VAUGHN, Auteur ; Zaira JIMENEZ, Auteur . - 101937. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 93 (May 2022) . - 101937 Mots-clés : Autism  Reading comprehension  Vocabulary  Experimental study Index. décimale : PER Périodiques Résumé : Background For students with autism spectrum disorder (ASD), improving reading comprehension is critical for increasing both their opportunities for successful postsecondary experiences including attending college and obtaining meaningful employment. The purpose of this pilot study was to investigate the effects of a multicomponent reading intervention on the vocabulary and reading outcomes of middle grade students with ASD. Method We conducted a matched randomized pilot experimental study for students with ASD in grades 3?8 (N = 28) identified by their district personnel as having reading difficulties (i.e., not passing state reading test). An independent researcher matched participants according to symptom severity and reading fluency and then randomly assigned a member of each pair to treatment or comparison condition. Participants in treatment condition were provided 1:1 instruction for 23?30 sessions (M = 27) of 30 min each four to five days per week. Instructional components included (a) vocabulary instruction; (b) fluency with text, and (c) reading comprehension. In this pilot study, data were analyzed using repeated measures multilevel models in HLM 7. Due to the associated low statistical power to detect effects, the small sample size, and the exploratory nature of the study, we selected an alpha level of 0.10. Data were modeled as student-level variables classifying students based on their ASD symptomology from mild (level 1) to severe (level 3). Results The multicomponent intervention was associated with significant gains in WJ-PC scores of 22.62 (se = 8.19, df = 3, p = .070) for students at GARS severity level 1. Significant gains favoring the intervention were also detected on vocabulary score of 10.19 (se = 2.78, df = 3, p = .035) and for students rated at GARS severity level 1 and for students rated at GARS severity level 2 [vocabulary score 5.46 (se = 1.60, df = 3, p = .042)]. Significant effects were not detected for scores on a standardized measure of reading and fluency (TOSREC), and a researcher-developed measure of reading comprehension. Conclusions This pilot study shows enough promise to warrant future studies employing larger sample sizes and fully powered randomized control trial (RCT) studies. Although growth is modest and appears to be limited to participants who are in the mid to higher range of the autism spectrum, considering the large percentage of students with ASD in the mid to higher range, this study contributes to the development of evidence-based practices. We interpret the findings as having implications for future research with larger sample sizes and in providing initial guidance on instruction for consideration by practitioners. En ligne : https://doi.org/10.1016/j.rasd.2022.101937 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Understanding discrepancy in autism epidemiology in view of underpinning genetic architecture: Lessons learnt from studies in consanguineous populations / Ahmed B. IDRIS in Research in Autism Spectrum Disorders, 93 (May 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 93 (May 2022) . - 101944 Titre : Understanding discrepancy in autism epidemiology in view of underpinning genetic architecture: Lessons learnt from studies in consanguineous populations Type de document : Texte imprimé et/ou numérique Auteurs : Ahmed B. IDRIS, Auteur ; Watfa AL-MAMARI, Auteur ; Reem ABDULRAHIM, Auteur ; Abeer ALSAYEGH, Auteur Article en page(s) : 101944 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : This short commentary aims to shed light on the discrepancy in the epidemiological findings and underlying genetic architecture of Autism Spectrum Disorder (ASD) between demographically distinct populations; consanguineous and non-consanguineous. Here we discuss the effect of advanced paternal age as a risk factor acting as a proxy for potential underlying genetic mechanisms. On that account, this narrative postulates that disparity might possibly be explained in the context of the differences in genetic makeup and abundance of recessive mutations in the highly consanguineous populations. En ligne : https://doi.org/10.1016/j.rasd.2022.101944 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Understanding discrepancy in autism epidemiology in view of underpinning genetic architecture: Lessons learnt from studies in consanguineous populations [Texte imprimé et/ou numérique] / Ahmed B. IDRIS, Auteur ; Watfa AL-MAMARI, Auteur ; Reem ABDULRAHIM, Auteur ; Abeer ALSAYEGH, Auteur . - 101944. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 93 (May 2022) . - 101944 Index. décimale : PER Périodiques Résumé : This short commentary aims to shed light on the discrepancy in the epidemiological findings and underlying genetic architecture of Autism Spectrum Disorder (ASD) between demographically distinct populations; consanguineous and non-consanguineous. Here we discuss the effect of advanced paternal age as a risk factor acting as a proxy for potential underlying genetic mechanisms. On that account, this narrative postulates that disparity might possibly be explained in the context of the differences in genetic makeup and abundance of recessive mutations in the highly consanguineous populations. En ligne : https://doi.org/10.1016/j.rasd.2022.101944 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Friendship interventions and measurements in children with ASD: A systematic review / Ya-Chih CHANG in Research in Autism Spectrum Disorders, 93 (May 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 93 (May 2022) . - 101947 Titre : Friendship interventions and measurements in children with ASD: A systematic review Type de document : Texte imprimé et/ou numérique Auteurs : Ya-Chih CHANG, Auteur ; Michelle DEAN, Auteur Article en page(s) : 101947 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Friendships  Social skills  Peer relationships Index. décimale : PER Périodiques Résumé : Background Friendships are vital to children's social well-being and overall development, and they can also serve as a protector factor from peer victimization and bullying. For children with ASD, friendship development can be an area of challenge. Friendship interventions may help children and adolescents with ASD in developing the skills for making and keeping friends. Method This systematic review examined friendship interventions for children and adolescents with autism spectrum disorder (ASD). It also explored measures of friendship skills in children with ASD. Twenty-seven studies met the inclusion criteria: (a) experimental intervention studies focused on improving friendships of individuals with ASD, (b) the measurement of friendship outcomes, and (c) strong or acceptable methodological ratings. Results Fifteen unique interventions were tested across the 27 studies. Thirteen interventions included strategies specifically focused on improving (making and maintaining) friendships in the participants with ASD. Friendship interventions were primarily focused on behaviorally based social skills building and varied in implementation settings. Friendship measures included the use of parent reports, child and adolescent surveys and questionnaires, peer nominations, and sociometric ratings. Conclusion The results highlighted the benefit of including targeted friendship-building strategies in social and friendship interventions and the value of multiple perspectives when measuring friendship. The findings of the study can influence how families and practitioners collaborate to support children and adolescents with ASD in the development and maintenance of their friendships. En ligne : https://doi.org/10.1016/j.rasd.2022.101947 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Friendship interventions and measurements in children with ASD: A systematic review [Texte imprimé et/ou numérique] / Ya-Chih CHANG, Auteur ; Michelle DEAN, Auteur . - 101947. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 93 (May 2022) . - 101947 Mots-clés : Autism spectrum disorder  Friendships  Social skills  Peer relationships Index. décimale : PER Périodiques Résumé : Background Friendships are vital to children's social well-being and overall development, and they can also serve as a protector factor from peer victimization and bullying. For children with ASD, friendship development can be an area of challenge. Friendship interventions may help children and adolescents with ASD in developing the skills for making and keeping friends. Method This systematic review examined friendship interventions for children and adolescents with autism spectrum disorder (ASD). It also explored measures of friendship skills in children with ASD. Twenty-seven studies met the inclusion criteria: (a) experimental intervention studies focused on improving friendships of individuals with ASD, (b) the measurement of friendship outcomes, and (c) strong or acceptable methodological ratings. Results Fifteen unique interventions were tested across the 27 studies. Thirteen interventions included strategies specifically focused on improving (making and maintaining) friendships in the participants with ASD. Friendship interventions were primarily focused on behaviorally based social skills building and varied in implementation settings. Friendship measures included the use of parent reports, child and adolescent surveys and questionnaires, peer nominations, and sociometric ratings. Conclusion The results highlighted the benefit of including targeted friendship-building strategies in social and friendship interventions and the value of multiple perspectives when measuring friendship. The findings of the study can influence how families and practitioners collaborate to support children and adolescents with ASD in the development and maintenance of their friendships. En ligne : https://doi.org/10.1016/j.rasd.2022.101947 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Melatonin dispensing and polypharmacy rates for New Zealand children with autism or attention deficit hyperactivity disorders: A nationwide pharmacoepidemiological study / Laurie K. MCLAY in Research in Autism Spectrum Disorders, 93 (May 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 93 (May 2022) . - 101948 Titre : Melatonin dispensing and polypharmacy rates for New Zealand children with autism or attention deficit hyperactivity disorders: A nationwide pharmacoepidemiological study Type de document : Texte imprimé et/ou numérique Auteurs : Laurie K. MCLAY, Auteur ; Nicholas J. BOWDEN, Auteur ; Matthew J. F. EGGLESTON, Auteur ; Hiran THABREW, Auteur ; Rhiannon BRAUND, Auteur ; Philip J. SCHLUTER, Auteur Article en page(s) : 101948 Langues : Anglais (eng) Mots-clés : Autism  Attention deficit hyperactivity disorder  Melatonin  Sleep  Polypharmacy Index. décimale : PER Périodiques Résumé : Background Chronic insomnia is common in children with autism and Attention Deficit Hyperactivity Disorder (ADHD). Melatonin is often used to treat childhood insomnia. However, it may interact with other medications being used to manage other symptoms. This pharmacoepidemiological study examined the rates of general and psychotropic polypharmacy among children with autism and/or ADHD, stratified by melatonin dispensing. The impact of sociodemographic and child characteristics on such dispensing was also examined. Method Linked national health and pharmaceutical administrative data for children aged 0?18 years in 2019 was utilized. Overall and melatonin dispensing stratified polypharmacy rates were calculated. Ordinal logistic regression models were employed to compare groups and adjust for confounders. Results Data were acquired for 10,209 children with autism (18.5% were dispensed melatonin), 5970 with ADHD (22.3% were dispensed melatonin), 2064 with autism and ADHD (29.9% were dispensed melatonin), and 1156,296 without a diagnosis of autism or ADHD (a control group; 0.5% dispensed melatonin). Relative to controls, rates of melatonin dispensing and polypharmacy were higher in children with autism and ADHD, and highest among those with both conditions. Children dispensed melatonin experienced the greatest rates of polypharmacy, especially if they had both autism and ADHD. Conclusions Children with autism and ADHD experience significant medication burden and potentially adverse interactions between psychotropic and sleep-related medication, raising important questions regarding their clinical care. En ligne : https://doi.org/10.1016/j.rasd.2022.101948 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Melatonin dispensing and polypharmacy rates for New Zealand children with autism or attention deficit hyperactivity disorders: A nationwide pharmacoepidemiological study [Texte imprimé et/ou numérique] / Laurie K. MCLAY, Auteur ; Nicholas J. BOWDEN, Auteur ; Matthew J. F. EGGLESTON, Auteur ; Hiran THABREW, Auteur ; Rhiannon BRAUND, Auteur ; Philip J. SCHLUTER, Auteur . - 101948. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 93 (May 2022) . - 101948 Mots-clés : Autism  Attention deficit hyperactivity disorder  Melatonin  Sleep  Polypharmacy Index. décimale : PER Périodiques Résumé : Background Chronic insomnia is common in children with autism and Attention Deficit Hyperactivity Disorder (ADHD). Melatonin is often used to treat childhood insomnia. However, it may interact with other medications being used to manage other symptoms. This pharmacoepidemiological study examined the rates of general and psychotropic polypharmacy among children with autism and/or ADHD, stratified by melatonin dispensing. The impact of sociodemographic and child characteristics on such dispensing was also examined. Method Linked national health and pharmaceutical administrative data for children aged 0?18 years in 2019 was utilized. Overall and melatonin dispensing stratified polypharmacy rates were calculated. Ordinal logistic regression models were employed to compare groups and adjust for confounders. Results Data were acquired for 10,209 children with autism (18.5% were dispensed melatonin), 5970 with ADHD (22.3% were dispensed melatonin), 2064 with autism and ADHD (29.9% were dispensed melatonin), and 1156,296 without a diagnosis of autism or ADHD (a control group; 0.5% dispensed melatonin). Relative to controls, rates of melatonin dispensing and polypharmacy were higher in children with autism and ADHD, and highest among those with both conditions. Children dispensed melatonin experienced the greatest rates of polypharmacy, especially if they had both autism and ADHD. Conclusions Children with autism and ADHD experience significant medication burden and potentially adverse interactions between psychotropic and sleep-related medication, raising important questions regarding their clinical care. En ligne : https://doi.org/10.1016/j.rasd.2022.101948 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475

Parent coaching intervention for children with suspected autism spectrum disorder: Cost analysis / Kate TSIPLOVA in Research in Autism Spectrum Disorders, 93 (May 2022)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 93 (May 2022) . - 101949 Titre : Parent coaching intervention for children with suspected autism spectrum disorder: Cost analysis Type de document : Texte imprimé et/ou numérique Auteurs : Kate TSIPLOVA, Auteur ; Jathishinie JEGATHISAWARAN, Auteur ; Pat MIRENDA, Auteur ; Karen KALYNCHUK, Auteur ; Paola COLOZZO, Auteur ; Veronica SMITH, Auteur ; Wendy J. UNGAR, Auteur Article en page(s) : 101949 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Parent coaching  Toddlers  Service use  Cost analysis Index. décimale : PER Périodiques Résumé : Background Parent coaching interventions for young children suspected of having autism spectrum disorder (ASD) have shown promise. The objectives were to measure the costs of parent coaching and the pre-diagnosis utilization of services and treatments related to autism and to compare costs between families who received parent coaching (PC) and those who received enhanced community treatment (ECT). Methods This analysis was conducted prospectively alongside a randomized comparative effectiveness trial of a PC intervention in British Columbia, Canada. Twenty-four participants were randomly assigned to the PC group and received 24 weeks of coaching support and 25 participants were assigned to the ECT group. Families in both groups also received health, education and community services. Parent-reported service utilization was collected for the 6 months prior to initiation of parent coaching and for the period coinciding with receipt of one of the two interventions. Services were costed from the public payer (i.e., provincial government) and societal perspectives; the latter included out-of-pocket family costs, parental time losses due to caregiving, and public payer costs. Results Families in the PC group used fewer services than did those in the ECT group. The estimated incremental mean cost per family over two time periods for PC compared to ECT was $2515 CAD (95% CI: ? 1302, 5071) from the public payer perspective and $6994 CAD (95% CI: ? 4395, 19,299) from the societal perspective. Conclusions The findings can be used to inform funding and policy decision-making to enhance the treatment options available for young children awaiting an ASD diagnosis. En ligne : https://doi.org/10.1016/j.rasd.2022.101949 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475 [article] Parent coaching intervention for children with suspected autism spectrum disorder: Cost analysis [Texte imprimé et/ou numérique] / Kate TSIPLOVA, Auteur ; Jathishinie JEGATHISAWARAN, Auteur ; Pat MIRENDA, Auteur ; Karen KALYNCHUK, Auteur ; Paola COLOZZO, Auteur ; Veronica SMITH, Auteur ; Wendy J. UNGAR, Auteur . - 101949. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 93 (May 2022) . - 101949 Mots-clés : Autism spectrum disorder  Parent coaching  Toddlers  Service use  Cost analysis Index. décimale : PER Périodiques Résumé : Background Parent coaching interventions for young children suspected of having autism spectrum disorder (ASD) have shown promise. The objectives were to measure the costs of parent coaching and the pre-diagnosis utilization of services and treatments related to autism and to compare costs between families who received parent coaching (PC) and those who received enhanced community treatment (ECT). Methods This analysis was conducted prospectively alongside a randomized comparative effectiveness trial of a PC intervention in British Columbia, Canada. Twenty-four participants were randomly assigned to the PC group and received 24 weeks of coaching support and 25 participants were assigned to the ECT group. Families in both groups also received health, education and community services. Parent-reported service utilization was collected for the 6 months prior to initiation of parent coaching and for the period coinciding with receipt of one of the two interventions. Services were costed from the public payer (i.e., provincial government) and societal perspectives; the latter included out-of-pocket family costs, parental time losses due to caregiving, and public payer costs. Results Families in the PC group used fewer services than did those in the ECT group. The estimated incremental mean cost per family over two time periods for PC compared to ECT was $2515 CAD (95% CI: ? 1302, 5071) from the public payer perspective and $6994 CAD (95% CI: ? 4395, 19,299) from the societal perspective. Conclusions The findings can be used to inform funding and policy decision-making to enhance the treatment options available for young children awaiting an ASD diagnosis. En ligne : https://doi.org/10.1016/j.rasd.2022.101949 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475