Parents’ experiences of professionals’ involvement for children with extreme demand avoidance.

Objectives:Pathological demand avoidance (PDA) is characterized by an extreme difficulty in tolerating everyday demands, with a range of ‘socially manipulative’ strategies used to avoid demands. Children also display poor social identity, impulsivity, and obsessive behavior. While research and knowl...

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Publicado en:International Journal of Developmental Disabilities Vol. 64; no. 1; pp. 16 - 25
Autores principales: Gore Langton, Emma, Frederickson, Norah
Formato: forms research tables/charts Journal Article
Publicado: Taylor & Francis Ltd Jan2018
Acceso en línea:Ver este registro en EBSCOhost
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      jtl: International Journal of Developmental Disabilities
      issn: 20473869
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      dt: Jan2018
      vid: 64
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      pub: Taylor & Francis Ltd
      place: Philadelphia, Pennsylvania
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        10.1080/20473869.2016.1204743
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        atl: Parents’ experiences of professionals’ involvement for children with extreme demand avoidance.
      aug:
        au:
          Gore Langton, Emma
          Frederickson, Norah
        affil: Educational Psychology Group, Department of Psychology, University College London, 26 Bedford Way, LondonWC1H 0AP, UK
      sug:
        subj:
          Parental Attitudes
          Professional Role
          Autism Spectrum Disorder In Infancy and Childhood
          Human
          Questionnaires
          Sensitivity and Specificity
          Thematic Analysis
          Extended Family
          Child
          Patient Satisfaction
          Psychological Well-Being
          Child: 6-12 years
      ab: Objectives:Pathological demand avoidance (PDA) is characterized by an extreme difficulty in tolerating everyday demands, with a range of ‘socially manipulative’ strategies used to avoid demands. Children also display poor social identity, impulsivity, and obsessive behavior. While research and knowledge about PDA is slowly growing, families continue to encounter considerable difficulties in ensuring their children’s needs are understood and met by health and education services. This study explored what parents of children with extreme demand avoidance valued about professionals’ input. Methods:Parents of 42 children who scored above the cut-off on a standardized measure with validated sensitivity and specificity for PDA responded to questionnaire items asking them to identify professionals’ involvement and helpfulness. They were also asked what had characterized the most helpful professional involvement. Thematic analysis was used to identify the key themes in parents’ responses. Results:Families tended to have high levels of professional involvement. Most professionals were experienced as helpful by the majority of parents. Three main themes were identified as characterizing helpful involvement: enabling access to services and resources, concrete outcomes such assessments and management strategies, and professional-level factors such as skills and qualities. Conclusions:Parents felt positive about practitioners who had listened to their experiences, made efforts to understand the child, and provided or arranged for help. Parents found involvement most helpful when it resulted in comprehensive assessment, appropriate intervention, practical advice and management strategies, and a focus on the well-being of all family members. The overall ratings of helpfulness are encouraging, and the specific feedback about what is most helpful could be of value in shaping services.
      pubtype: Academic Journal
      doctype:
        forms
        research
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      ougenre: Article
    language: English
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