An evaluation of the online post-diagnostic groups facilitated by the autism spectrum condition service at Gloucestershire Health and Care NHS

2021 ◽  
Vol ahead-of-print (ahead-of-print) ◽  
Author(s):  
Victoria Anne Hatton ◽  
Ming Xuan Lee

Purpose Autism spectrum condition (ASC) is a lifelong developmental condition. According to research, it is recommended that those diagnosed with ASC should be offered post-diagnosis support to explore their diagnosis (Punshow, Skirrow and Murphy, 2009). The ASC Diagnostic Assessment Service at Gloucestershire Health Care (GHC) NHS Foundation Trust offers an assessment service to adults (18+) located within Gloucestershire. All those who receive a diagnosis are then invited to a 7-week post-diagnostic group facilitated by the multidisciplinary team. This service evaluation aimed to evaluate the aforementioned group so that it can be improved upon and thus provide a better service for future clients. Design/methodology/approach In total, 14 participants (6 males, 8 females) were interviewed for the purpose of this evaluation following their attendance at these groups. Findings The interview transcripts then underwent thematic analysis with four themes identified; “Autistic Community”, “Experience of Being Part of an Online Group”, “Opportunity for Consolidation”, and “Design Considerations and Improvements”. Further sub-themes were also identified. Overall, the service evaluation identified that the group provided a platform for sharing experiences and gaining a sense of belonging. It also highlighted that individuals have different preferences for whether groups should be facilitated online or face-to-face, and also different preferences for the duration of sessions. Further analysis also revealed the suggestion that the final session, for family and friends, should be optional so that those without a support network, do not need to attend as this caused unease in some. Further findings were also identified. Originality/value To the authors’ knowledge, existing articles have only focused on the evaluation of the availability of post-diagnostic provision and autistic individuals’ general impression of it rather than an in-depth evaluation of a specific type of support.

2019 ◽  
Vol 13 (2) ◽  
pp. 112-122
Author(s):  
Misbahu S. Zubair ◽  
David Brown ◽  
Thomas Hughes-Roberts ◽  
Matthew Bates

Purpose Personae are simple tools for describing users, their characteristics and their goals. They are valuable tools when designing for a specific group of users, such as children with autism spectrum condition (ASC). The purpose of this paper is to propose, validate and revise a methodology for creating accurate, data grounded personae for children with ASC. Design/methodology/approach The proposed method is based mainly on Cooper et al.’s (2007) persona construction method. It proposes gathering and analysing qualitative data from users and experts to either create a new persona or extend an existing one. The method is then applied to create personae for the design of a visual programming tool for children with ASC. Based on the results of the application, observations and lessons learnt, a revised version of the method is proposed. Findings The method’s combined use of user data and expert knowledge produced a set of personae that have been well reviewed by experts so far. The method’s use of a questionnaire to validate personae also produced relevant qualitative feedback. On review, possible downsides of extending existing personae were identified. Therefore, a revised method was introduced, eliminating the need to extend existing personae, and stressing the importance of utilising user data, expert knowledge and feedback. Originality/value This paper addresses the need for a well-defined method for creating data grounded personae that accurately describe the characteristics and goals of children with ASC. Such personae can be used to design and develop more accessible and usable products.


Autism ◽  
2021 ◽  
pp. 136236132199372
Author(s):  
Kate Seers ◽  
Rachel C Hogg

There is currently a paucity of literature exploring the experiences of women on the autism spectrum. It is imperative research is conducted to capture the experiences of women on the autism spectrum and ensure appropriate support is provided to this cohort. Drawing upon a social constructionist framework, this qualitative research study sought to understand how psychological and socio-cultural constructions of autism spectrum condition and gender influence the well-being of women on the autism spectrum. Eight participants engaged in a semi-structured interview, with thematic analysis conducted to demonstrate the impact of gender roles and social expectations on the women’s identity and autism spectrum condition expression. The research highlighted the changing understandings of autism spectrum condition across a woman’s lifespan and the process and impact of resisting hegemonic autism spectrum condition categorisation. The findings demonstrate that social constructions of gender and stereotypical understandings of autism spectrum condition, which prioritise a deficit, medical model, have significant consequences for women’s well-being and subjectivity. The women experienced challenging formative years, but with diagnosis and the evolution and acceptance of their identities, they were able to resist negative narratives of autism spectrum condition, embrace their strengths and develop adaptive coping strategies. It is hoped this article generates insights for societal and clinical recognition to better support women on the autism spectrum. Lay abstract Most autism spectrum condition research addresses the neurological and biological causes of autism spectrum condition, focusing upon deficits associated with autism spectrum condition and behavioural interventions designed to minimise these deficits. Little is known about the lived experiences of adult women on the autism spectrum and how they navigate social expectations around gender, autism spectrum condition and gendered understandings of autism spectrum condition. The lived experiences of eight women on the AS will be shared here, with attention to how gendered expectations influence women’s experiences of autism spectrum condition, their sense of self and well-being. Findings showed these women struggled to reconcile the expectations of others, particularly early in life. The women had difficultly conforming to stereotypical ideals of femininity, yet as they aged, they felt less need to conform, valuing their unique style and behaviours. The women also rejected deficit-oriented descriptions of autism spectrum condition generated by the medical community, preferring to focus on their strengths and unique characteristics. It is hoped this article helps psychologists and the wider community to understand and meet the needs of women on the AS.


2018 ◽  
Vol 85 (2) ◽  
pp. 146-154 ◽  
Author(s):  
Jason W. Lunden ◽  
Madel Durens ◽  
Andre W. Phillips ◽  
Michael W. Nestor

Autism ◽  
2021 ◽  
pp. 136236132110597
Author(s):  
Annabeth P Groenman ◽  
Carolien Torenvliet ◽  
Tulsi A Radhoe ◽  
Joost A Agelink van Rentergem ◽  
Hilde M Geurts

Autism spectrum conditions were once seen as a predominantly male condition. This has caused a paucity of information on common events in the lives of women, such as menstruation and menopause. Some smaller studies indicate that autistic women might suffer from increased difficulties surrounding these events. This study aims to investigate whether autistic women experience more frequent premenstrual dysphoric disorder, and increased complaints surrounding menopause. In partly overlapping samples (premenstrual dysphoric disorder, n = 70, nASC = 28, ncomparisons = 42; menopause, n = 65, nASC = 30, ncomparisons = 35), we investigated premenstrual dysphoric disorder prevalence and menopausal complaints. In 70 individuals, we did not find an increased prevalence of premenstrual dysphoric disorder in autistic women (14.3%) compared with non-autistic women (9.5%). In 65 women aged 40 years and above, we found that autistic women did experience higher levels of menopausal complaints. In autistic women, higher menopausal complaints were associated with higher levels of depression and autistic traits. In non-autistic women, menopausal complaints were associated with increased inattention, hyperactivity/impulsivity (i.e. attention deficit hyperactivity disorder traits), and depression. With this work, we show the important role that major reproductive milestones can have in an autistic woman’s life. Lay abstract Autism spectrum conditions were once seen as a predominantly male condition, but this has caused research to have little focus on women. Therefore, little is known about menstruation and menopause in autism spectrum conditions. Some smaller studies indicate that autistic individuals might suffer from increased difficulties surrounding these events. This study aimed to investigate whether autistic women experience more frequent premenstrual dysphoric disorder, causing extreme physical, emotional, and functional impairment. In a partly overlapping sample, we also examined whether women with autism spectrum condition experience increased complaints surrounding menopause. We did not find an increased prevalence of premenstrual dysphoric disorder in autism spectrum conditions (14.3%) compared with non-autistic women (9.5%). Those with autism spectrum conditions did experience increased menopausal complaints. These menopausal complaints were associated with higher levels of depression and autistic traits. In non-autistic women, menopausal complaints were associated with increased inattention, hyperactivity/impulsivity (i.e. attention deficit hyperactivity disorder traits), and depression. With this work, we show the important role that major reproductive milestones can have in an autistic woman’s life.


2020 ◽  
Vol 1 (2) ◽  
pp. 109
Author(s):  
Ni Putu Adelia Kesumaningsari

Abstract—The present study examined Empathizing-Systemizing Theory (E-S Theory) in Indonesian Children. E-S Theory has known as a theory that is attempted to explain the cluster of both the social and non-social features in autism spectrum conditions. Children’s version of the Empathy Quotient (EQ-C) and the Systemizing Quotient (SQ-C) were administered to 372 Indonesia parents who had typically developed children aged 4-11 years old (boys = 182, girls = 190). The results showed that the girls scored higher that boys on EQ-C . In the case of SQ-C, there were no differences between boys and girls. However, the proportion of cognitive style shows clear individual differences between boys and girls. The proportion of participants with empathizing dominant cognitive sytle was shown higher by girls than boys, which distributed to E and Extreme E brain types, while the proportion of systemizing dominant cognitive styles is higher in boys whom brain types spread across the Type S and Extreme S categories. This study explaining inherited biological factors of autism and  underscore the vulnerability among  boys to develop autism spectrum condition if compared to girls. Keywords: Empathizing Quotient (EQ), extreme male brain of autism, sex, Systemizing Quotient (SQ)   Abstrak—Penelitian ini bertujuan untuk menguji teori Empathizing-Systemizing (E-S Theory) pada konteks anak Indonesia. E-S Theory dikenal sebagai sebuah teori yang digunakan untuk melihat gugus fitur sosial dan non-sosial kondisi spektrum autisme. Subjek penelitian ini adalah 372 orang tua Indonesia dengan anak berusia 4-11 tahun (anak laki-laki = 182, perempuan = 190), M usia = 7 Tahun, SD= 2.423 yang diminta untuk mengisi skala Empathizing Quotient (EQ) dan Systemizing Quotient (SQ). Hasil penelitian menunjukkan bahwa bahwa tingkat empati anak perempuan lebih tinggi daripada tingkat empati anak laki-laki. Dalam hal mensistemasi tidak ditemukan adanya perbedaan kemampuan antara anak laki-laki dan perempuan. Namun, proporsi gaya kognitif menunjukkan adanya perbedaan individual yang signifikan antara anak laki-laki dan perempuan. Gaya kognitif dominan berempati lebih tinggi pada anak perempuan, yang tersebar pada kategori tipe otak E dan Ekstrim E, sedangkan proporsi gaya kognitif mensistemasi lebih tinggi pada anak laki-laki dengan tipe otak yang tersebar pada kategori Tipe S dan Ekstrim S.  Hasil penelitian ini memberikan bukti adanya faktor biologis bawaan dari autism ditinjau dari jenis kelamin dan menunjukkan kerentanan bawaan anak laki-laki terhadap kondisi autism jika dibandingkan dengan anak perempuan. Kata kunci: Empathizing Quotient (EQ), extreme male brain of autism, jenis kelamin, Systemizing Quotient (SQ)


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