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Parent Perceptions of Care Received by Children With an Autism Spectrum Disorder
Sarah Russell1, Cynthia Ricci McCloskey1
1St. John Fisher College, School of Nursing, Rochester, NY.
Journal of Pediatric Nursing
|January 4, 2016
Summary
Parents of children with autism spectrum disorder (ASD) report unmet needs and dissatisfaction with primary care. Many PCPs struggle to manage ASD-specific issues, highlighting a need for more family-centered care models.
Area of Science:
- Neurodevelopmental Disorders
- Genetics and Genomics
- Public Health
Background:
- Autism spectrum disorder (ASD) prevalence is rising, impacting families and primary care providers (PCPs).
- Children with ASD face higher risks of unmet healthcare needs and lower care satisfaction.
- Existing literature lacks full explanation for persistent care gaps in ASD management.
Purpose of the Study:
- To explore parent insights into the lived experiences of raising children with ASD.
- To identify perceived deficiencies in primary care for children with ASD.
- To inform the development of more comprehensive, family-centered care models.
Main Methods:
- Qualitative study involving 11 parents of children with ASD.
- Interpretive Phenomenological Analysis (IPA) to examine lived experiences.
- Measure of Process of Care (MPOC-20) to assess parent perceptions of care.
Main Results:
- Parents utilize PCPs for general health but often find them ill-equipped for ASD-specific concerns.
- Many parents lack expected support for behavioral management and resource identification.
- Significant unaddressed needs exist in home/school behavioral support and community/mental health resources.
Conclusions:
- Parent perceptions reveal critical practice deficiencies in primary care for ASD.
- A family-centered approach is needed to address the complex needs of children with ASD.
- Integrating parent insights can build more effective and supportive care models for ASD.
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