UPSI Digital Repository (UDRep)
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UPSI Digital Repository (UDRep)
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| Abstract : Universiti Pendidikan Sultan Idris |
| Purpose: The developmental, individual-difference and relationship (DIR)/Floortime? approach is a commonly used parent-implemented intervention with children with autism spectrum disorder (ASD). Currently, no evidence is available about the intervention?s implementation and utility in Malaysia. The aim of this paper is to investigate the applicability and impact of implementing the parent-implemented home-based DIR/Floortime? intervention program for children with ASD and their parents in a Malaysian context from parents? perspectives. Design/methodology/approach: A qualitative study using semi-structured interviews with eight mothers and four fathers of children with ASD was conducted. The interviews were analysed using qualitative content analysis. Findings: Five themes were developed. Theme 1 described the implementation of DIR/Floortime? intervention; Theme 2 reported challenges parents faced when implementing the intervention; Theme 3 explored parents? perspective on play; Theme 4 explained the improvements and changes in children with ASD and parents? abilities and skills; and Theme 5 reported parents? comments and suggestions about the intervention program. Research limitations/implications: Involvement of a limited number of participants and an absence of baseline data limits the interpretation of the impacts of the DIR/Floortime? program?s implementation by parents with their children with ASD. Originality/value: Utilization of DIR/Floortime? intervention is practical and appropriate in the Malaysian context. From the parents? perspective, the DIR/Floortime? approach was beneficial for children with ASD and parents? skill development and well-being. Further refinement to the program and involvement of participants from various cultural backgrounds are recommended. A greater emphasis for parents on child-led interaction style and play with children are also recommended. ? 2020, Emerald Publishing Limited. |
| References |
Bendixen, R. M., Elder, J. H., Donaldson, S., Kairalla, J. A., Valcante, G., & Ferdig, R. E. (2011). Effects of a father-based in-home intervention on perceived stress and family dynamics in parents of children with autism. American Journal of Occupational Therapy, 65(6), 679-687. doi:10.5014/ajot.2011.001271 Casenhiser, D. M., Shanker, S. G., & Stieben, J. (2013). Learning through interaction in children with autism: Preliminary data from asocial-communication-based intervention. Autism, 17(2), 220-241. doi:10.1177/1362361311422052 Christensen, L., Maenner, J., Bilder, D., Constantino, N., Daniels, J., Durkin, S., . . . Dietz, P. (2019). Prevalence and characteristics of autism spectrum disorder among children aged 4 years — early autism and developmental disabilities monitoring network, seven sites, united states, 2010, 2012, and 2014. MMWR Surveillance Summaries, 68(2), 1-19. doi:10.15585/mmwr.ss6802a1 Dingfelder, H. E., & Mandell, D. S. (2011). Bridging the research-to-practice gap in autism intervention: An application of diffusion of innovation theory. Journal of Autism and Developmental Disorders, 41(5), 597-609. doi:10.1007/s10803-010-1081-0 Dionne, M., & Martini, R. (2011). Floor time play with a child with autism: A single-subject study. Canadian Journal of Occupational Therapy, 78(3), 196-203. doi:10.2182/cjot.2011.78.3.8 Falk, N. H., Norris, K., & Quinn, M. G. (2014). The factors predicting stress, anxiety and depression in the parents of children with autism. Journal of Autism and Developmental Disorders, 44(12), 3185-3203. doi:10.1007/s10803-014-2189-4 Farver, J. A. M., & Wimbarti, S. (1995). Indonesian children's play with their mothers and older siblings. Child Development, 66(5), 1493-1503. doi:10.1111/j.1467-8624.1995.tb00947.x Giallo, R., & Gavidia-Payne, S. (2006). Child, parent and family factors as predictors of adjustment for siblings of children with a disability. Journal of Intellectual Disability Research, 50(12), 937-948. doi:10.1111/j.1365-2788.2006.00928.x Ginn, N. C., Clionsky, L. N., Eyberg, S. M., Warner-Metzger, C., & Abner, J. -. (2017). Child-directed interaction training for young children with autism spectrum disorders: Parent and child outcomes. Journal of Clinical Child and Adolescent Psychology, 46(1), 101-109. doi:10.1080/15374416.2015.1015135 Greenspan, S. I. (1992). Infancy and Early Childhood: The Practice of Clinical Assessment and Intervention with Emotional and Developmental Challenges, Retrieved from www.scopus.com Greenspan, S. I. (1992). Reconsidering the diagnosis and treatment of very young children with autistic spectrum or pervasive developmental disorder. Zero to Three, 13(2), 1-9. Retrieved from www.scopus.com Greenspan, S. I., & Wieder, S. (1997). Developmental patterns and outcomes in infants and children with disorders in relating and communicating: A chart review of 200 cases of children with autistic spectrum diagnoses. Journal of Developmental and Learning Disorders, 1(1), 87-141. Retrieved from www.scopus.com Greenspan, S. I., & Wieder, S. (2006). Engaging autism: Using the floortime approach to help children relate, communicate, and think. Engaging Autism: Using the Floortime Approach to Help Children Relate, Communicate, and Think, Retrieved from www.scopus.com Hodgetts, S., Savage, A., & McConnell, D. (2013). Experience and outcomes of stepping stones triple P for families of children with autism. Research in Developmental Disabilities, 34(9), 2572-2585. doi:10.1016/j.ridd.2013.05.005 Ilias, K., Liaw, J. H. J., Cornish, K., Park, M. S. -., & Golden, K. J. (2017). Wellbeing of mothers of children with “A-U-T-I-S-M” in malaysia: An interpretative phenomenological analysis study. Journal of Intellectual and Developmental Disability, 42(1), 74-89. doi:10.3109/13668250.2016.1196657 Kadar, M., McDonald, R., & Lentin, P. (2015). Malaysian occupational therapists' practices with children and adolescents with autism spectrum disorder. British Journal of Occupational Therapy, 78(1), 33-41. doi:10.1177/0308022614561237 Keen, D., Couzens, D., Muspratt, S., & Rodger, S. (2010). The effects of a parent-focused intervention for children with a recent diagnosis of autism spectrum disorder on parenting stress and competence. Research in Autism Spectrum Disorders, 4(2), 229-241. doi:10.1016/j.rasd.2009.09.009 Keenan, B. M., Newman, L. K., Gray, K. M., & Rinehart, N. J. (2016). Parents of children with ASD experience more psychological distress, parenting stress, and attachment-related anxiety. Journal of Autism and Developmental Disorders, 46(9), 2979-2991. doi:10.1007/s10803-016-2836-z Kuhlthau, K., Payakachat, N., Delahaye, J., Hurson, J., Pyne, J. M., Kovacs, E., & Tilford, J. M. (2014). Quality of life for parents of children with autism spectrum disorders. Research in Autism Spectrum Disorders, 8(10), 1339-1350. doi:10.1016/j.rasd.2014.07.002 Liao, S. -., Hwang, Y. -., Chen, Y. -., Lee, P., Chen, S. -., & Lin, L. -. (2014). Home-based DIR/Floortime™ intervention program for preschool children with autism spectrum disorders: Preliminary findings. Physical and Occupational Therapy in Pediatrics, 34(4), 356-367. doi:10.3109/01942638.2014.918074 Nikmat, A. W., Ahmad, M., Oon, N. L., & Razali, S. (2008). Stress and psychological wellbeing among parents of children with autism spectrum disorder. ASEAN Journal of Psychiatry, 9(2), 65-72. Retrieved from www.scopus.com Pajareya, K., & Nopmaneejumruslers, K. (2011). A pilot randomized controlled trial of DIR/Floortime™ parent training intervention for pre-school children with autistic spectrum disorders. Autism, 15(5), 563-577. doi:10.1177/1362361310386502 Ramachandram, S. (2019). Clinical characteristics and demographic profile of children with autism spectrum disorder (asd) at child development clinic (cdc), penang hospital, malaysia. Medical Journal of Malaysia, 74(5), 372-376. Retrieved from www.scopus.com Schreier, M. (2012). Qualitative Content Analysis in Practice, Retrieved from www.scopus.com Shire, S. Y., Gulsrud, A., & Kasari, C. (2016). Increasing responsive Parent–Child interactions and joint engagement: Comparing the influence of parent-mediated intervention and parent psychoeducation. Journal of Autism and Developmental Disorders, 46(5), 1737-1747. doi:10.1007/s10803-016-2702-z Solomon, R., Van Egeren, L. A., Mahoney, G., Huber, M. S. Q., & Zimmerman, P. (2014). PLAY project home consultation intervention program for young children with autism spectrum disorders: A randomized controlled trial. Journal of Developmental and Behavioral Pediatrics, 35(8), 475-485. doi:10.1097/DBP.0000000000000096 Stadnick, N. A., Stahmer, A., & Brookman-Frazee, L. (2015). Preliminary effectiveness of project ImPACT: A parent-mediated intervention for children with autism spectrum disorder delivered in a community program. Journal of Autism and Developmental Disorders, 45(7), 2092-2104. doi:10.1007/s10803-015-2376-y Stahmer, A. C., Brookman-Frazee, L., Rieth, S. R., Stoner, J. T., Feder, J. D., Searcy, K., & Wang, T. (2017). Parent perceptions of an adapted evidence-based practice for toddlers with autism in a community setting. Autism, 21(2), 217-230. doi:10.1177/1362361316637580 Tellegen, C. L., & Sanders, M. R. (2014). A randomized controlled trial evaluating a brief parenting program with children with autism spectrum disorders. Journal of Consulting and Clinical Psychology, 82(6), 1193-1200. doi:10.1037/a0037246 Tobin, G. A., & Begley, C. M. (2004). Methodological rigour within a qualitative framework. Journal of Advanced Nursing, 48(4), 388-396. doi:10.1111/j.1365-2648.2004.03207.x Wieder, S. (2017). The power of symbolic play in emotional development through the DIR lens. Topics in Language Disorders, 37(3), 259-281. doi:10.1097/TLD.0000000000000126 Wong, C., Odom, S. L., Hume, K., Cox, A. W., Fettig, A., Kucharczyk, S., & Schultz, T. R. (2013). Evidence-Based Practices for Children, Youth, and Young Adults with Autism Spectrum Disorder, Retrieved from www.scopus.com |
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