Predictive Analysis of Parent Activation and Autism
John McGrew1, Yue Yu2, Lisa Ruble3
1Department of Psychology, Indiana University Purdue University Indianapolis, 402 N. Blackford St., LD124, Indianapolis, IN, 46202, USA.
Journal of Autism and Developmental Disorders
|May 3, 2023
Summary
Parent activation in families with autistic children remained stable over time. Different assessment methods yielded varied results, with a two-factor subscale approach showing the strongest effects on child outcomes.
Area of Science:
- Child Psychology
- Autism Spectrum Disorder Research
- Healthcare Management
Background:
- Parent activation, defined as belief, knowledge, and persistence in managing care, is linked to better outcomes.
- Understanding parent activation is crucial for supporting families with autistic children.
- Previous research primarily focused on patient activation, with less attention to parent activation dynamics.
Purpose of the Study:
- To examine parent activation in families with autistic children over time.
- To investigate associations between baseline activation, changes in activation, and treatment/outcomes.
- To compare parent activation and outcomes across demographic groups and using different assessment methods.
Main Methods:
- Longitudinal study examining parent activation in families with autistic children.
- Utilized three assessment approaches: Guttman scale and two factor subscales (Activated and Passive).
- Analyzed associations between baseline activation, changes in activation, and child outcomes, controlling for demographics.
Main Results:
- Parent activation levels remained consistent over time, contrary to expectations.
- The two-factor subscale approach yielded stronger effect sizes than the Guttman scale.
- Baseline 'Activated' factor correlated with improved child outcomes, while 'Passive' factor correlated with poorer outcomes.
- No significant differences in outcomes were found based on race, ethnicity, or family income.
Conclusions:
- Parent activation may differ from patient activation, requiring further investigation in autism populations.
- The choice of assessment method significantly impacts findings on parent activation and child outcomes.
- Future research should focus on refining measurement tools and understanding the nuances of parent activation in autism.
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