Abstract
After being wrongfully blamed for their child’s disturbances, French parents of a child with autism spectrum disorder (ASD) are now perceived as essential partners of care professionals. This shift in perspective has encouraged the development of parent training programs in the field of autism. In this paper, we present three programs currently implemented in France for parents of a child with ASD. We investigated their social validity, from the parents’ perspective. All three programs showed good social validity: attendance rate was good and parents were satisfied. In France, like elsewhere, more parents should be given the opportunity to participate in such programs to help them deal with the specific challenges of raising a child with ASD.
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References
Adrien, J.-L., Roux, S., Couturier, G., Malvy, J., Guerin, P., Debuly, S., et al. (2001). Towards a new functional assessment of autistic dysfunction in children with developmental disorders: The behaviour function inventory. Autism, 5(3), 249–264. https://doi.org/10.1177/1362361301005003003.
American Psychiatric Association. (2003). Diagnostic and statistical manual of mental disorders (DSM-IV-TR) (2nd ed.). American Psychiatric Pub.
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (DSM-V®). American Psychiatric Pub.
Baghdadli, A., Beuzon, S., Bursztejn, C., Constant, J., Desguerre, I., Rogé, B., et al. (2006). Recommandations pour la pratique clinique du dépistage et du diagnostic de l’autisme et des troubles envahissants du développement. Archives de Pédiatrie, 13(4), 373–378. https://doi.org/10.1016/j.arcped.2005.12.011.
Baird, G., Simonoff, E., Pickles, A., Chandler, S., Loucas, T., Meldrum, D., & Charman, T. (2006). Prevalence of disorders of the autism spectrum in a population cohort of children in South Thames: the Special Needs and Autism Project (SNAP). The Lancet, 368(9531), 210–215. https://doi.org/10.1016/S0140-6736(06)69041-7.
Baker-Ericzén, M. J., Hurlburt, M. S., Brookman-Frazee, L., Jenkins, M. M., & Hough, R. L. (2010). Comparing child, parent, and family characteristics in usual care and empirically supported treatment research samples for children with disruptive behavior disorders. Journal of Emotional and Behavioral Disorders, 18(2), 82–99. https://doi.org/10.1177/1063426609336956.
Banach, M., Iudice, J., Conway, L., & Couse, L. J. (2010). Family support and empowerment: Post autism diagnosis support group for parents. Social Work with Groups, 33(1), 69–83.
Barthélémy, C., Adrien, J.-L., Roux, S., Garreau, B., Perrot, A., & Lelord, G. (1992). Sensitivity and specificity of the Behavioral Summarized Evaluation (BSE) for the assessment of autistic behaviors. Journal of Autism and Developmental Disorders, 22(1), 23–31. https://doi.org/10.1007/BF01046400.
Bearss, K., Burrell, T. L., Stewart, L., & Scahill, L. (2015a). Parent training in autism spectrum disorder: What’s in a name? Clinical Child and Family Psychology Review, 18(2), 170–182. https://doi.org/10.1007/s10567-015-0179-5.
Bearss, K., Johnson, C., Smith, T., Lecavalier, L., Swiezy, N., Aman, M., et al. (2015b). Effect of parent training vs parent education on behavioral problems in children with autism spectrum disorder: A randomized clinical trial. JAMA, 313(15), 1524–1533. https://doi.org/10.1001/jama.2015.3150.
Bitsika, V., & Sharpley, C. (2000). Development and testing of the effects of support groups on the well-being of parents with autism-II: Specific stress management techniques. Journal of Applied Health Behaviour, 2(1), 8–15.
Brookman-Frazee, L., Stahmer, A., Baker-Ericzen, M. J., & Tsai, K. (2006). Parenting interventions for children with autism spectrum and disruptive behavior disorders: Opportunities for cross-fertilization. Clinical Child and Family Psychology Review, 9(3–4), 181–200. https://doi.org/10.1007/s10567-006-0010-4.
Cappe, E., Albert-Benaroya, S., Downes, N., Allard Ech-Chouikh, J., De Gaulmyn, A., Luperto, L., et al. (in revision). Preliminary results of the effects of a psychoeducational program on stress and quality of life among French parents of a child with autism spectrum disorder.
Cappe, E., & Boujut, E. (2016). L’approche écosystémique pour une meilleure compréhension des défis de l’inclusion scolaire des élèves ayant un trouble du spectre de l’autisme. ANAE, 143–4 vol 28, 391–401.
Cappe, E., Chatenoud, C., & Paquet, A. (2014). Les caractéristiques des personnes ayant un TSA et des autres membres de la famille influençant l’adaptabilité familiale. In La famille et la personne ayant un trouble du spectre de l’autisme. Comprendre: soutenir et agir autrement. Montréal: Editions Nouvelles.
Cappe, E., Wolff, M., Bobet, R., & Adrien, J.-L. (2011). Quality of life: a key variable to consider in the evaluation of adjustment in parents of children with autism spectrum disorders and in the development of relevant support and assistance programmes. Quality of Life Research: An International Journal of Quality of Life Aspects of Treatment, Care and Rehabilitation. https://doi.org/10.1007/s11136-011-9861-3.
Chamak, B., Bonniau, B., Oudaya, L., & Ehrenberg, A. (2011). The autism diagnostic experiences of French parents. Autism, 15(1), 83–97. https://doi.org/10.1177/1362361309354756.
Clément, C., & Schaeffer, E. (2010). Évaluation de la validité sociale des interventions menées auprès des enfants et adolescents avec un TED. Revue de Psychoéducation, 39(2), 207–218.
Dardas, L. A., & Ahmad, M. M. (2014). Quality of life among parents of children with autistic disorder: A sample from the Arab world. Research in Developmental Disabilities, 35(2), 278–287.
Davis, N. O., & Carter, A. S. (2008). Parenting stress in mothers and fathers of toddlers with autism spectrum disorders: Associations with child characteristics. Journal of Autism and Developmental Disorders, 38(7), 1278–1291. https://doi.org/10.1007/s10803-007-0512-z.
Derguy, C., M’Bailara, K., Michel, G., Roux, S., & Bouvard, M. (2016). The need for an ecological approach to parental stress in autism spectrum disorders: the combined role of individual and environmental factors. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-016-2719-3.
Derguy, C., Michel, G., M’Bailara, K., Roux, S., & Bouvard, M. (2015). Assessing needs in parents of children with autism spectrum disorder: A crucial preliminary step to target relevant issues for support programs. Journal of Intellectual and Developmental Disability, 40(2), 1–11. https://doi.org/10.3109/13668250.2015.1023707.
Derguy, C., Pingault, S., Poumeyreau, M., & M’bailara, K. (2017). L’éducation thérapeutique: un modèle pertinent pour accompagner les parents d’enfant avec un Trouble du Spectre de l’Autisme ? Education Thérapeutique du Patient -. Therapeutic Patient Education, 9(2), 20203. https://doi.org/10.1051/tpe/2017013.
Derguy, C., Poumeyreau, M., Pingault, S., & M’bailara, K. (2018). Un programme d’éducation thérapeutique destiné à des parents d’enfant avec un TSA: résultats préliminaires concernant l’efficacité du programme ETAP. L’Encéphale. https://doi.org/10.1016/j.encep.2017.07.004.
Durlak, J. A. (2010). The importance of doing well in whatever you do: A commentary on the special section, “Implementation research in early childhood education. Early Childhood Research Quarterly, 25(3), 348–357. https://doi.org/10.1016/j.ecresq.2010.03.003.
Durlak, J. A., & DuPre, E. P. (2008). Implementation Matters: A Review of research on the influence of implementation on program outcomes and the factors affecting implementation. American Journal of Community Psychology, 41(3–4), 327–350. https://doi.org/10.1007/s10464-008-9165-0.
Eyberg, S. (1993). Consumer satisfaction measures for assessing parent training programs. In L. VandeCreek, S. Knapp & T. L. Jackson (Eds.), Innovations in clinical practice: A source book (Vol. 12, pp. 377–382). Sarasota: Professional Resource Press/Professional Resource Exchange.
Feinstein, A. (2011). A history of autism: Conversations with the pioneers. New York: Wiley.
Fitzgerald, M. (2017). The clinical utility of the ADI-R and ADOS in diagnosing autism. The British Journal of Psychiatry, 211(2), 117–117. https://doi.org/10.1192/bjp.211.2.117.
Gendreau, G. (2001). Jeunes en difficulté et intervention psychoéducative. Montréal: Sciences et Culture.
Giallo, R., Wood, C. E., Jellett, R., & Porter, R. (2011). Fatigue, wellbeing and parental self-efficacy in mothers of children with an autism spectrum disorder. Autism. https://doi.org/10.1177/1362361311416830.
Greenberg, J. S., Seltzer, M. M., Hong, J., & Orsmond, G. I. (2006). Bidirectional effects of expressed emotion and behavior problems and symptoms in adolescents and adults with autism. American Journal of mental Retardation: AJMR, 111(4), 229–249. https://doi.org/10.1352/0895-8017(2006)111%5B229:BEOEEA%5D2.0.CO;2.
Hardy, M. C. (2008). Lorsque les competences des uns valorisent celles des autres. En Pratique, 9, 9–10.
Haute Authorité de Santé. (2018). Trouble du spectre de l’autisme. Signes d’alerte, repérage, diagnostic et évaluation chez l’enfant et l’adolescent. Recommandations de bonne pratique. Annexe 4.
Haute Autorité de Santé. (2007a). Education thérapeutique du patient: Définition, finalités et organisation.
Haute Autorité de Santé. (2007b). Education thérapeutique du patient. Comment élaborer un programme spécifique d’une maladie chronique.
Haute Autorité de Santé. (2012). Auto-évaluation annuelle d’un programme d’éducation thérapeutique du patient. Guide pour les coordonnateurs et les équipes.
Haute Autorité de Santé, & Agence nationale de l’évaluation et de la qualité des établissements et services sociaux et médico-sociaux. (2012). In Recommandation de bonne pratique. Autisme et Troubles envahissant du développement: interventions éducatives et thérapeutiques coordonnées chez l’enfant et l’adolescent. Saint-Denis La Plaine: Haute Autorité de Santé.
Howlin, P., & Moore (1997). Diagnosis in autism: A survey of over 1200 patients in the UK. Autism, 1(2), 135–162. https://doi.org/10.1177/1362361397012003.
Ilg, J., Jebrane, A., Paquet, A., Rousseau, M., Dutray, B., Wolgensinger, L., & Clément, C. (2018). Evaluation of a French parent-training program in young children with autism spectrum disorder. Psychologie Française. https://doi.org/10.1016/j.psfr.2016.12.004.
Johnson, N., Frenn, M., Feetham, S., & Simpson, P. (2011). Autism spectrum disorder: Parenting stress, family functioning and health-related quality of life. Families, Systems, & Health, 29(3), 232–252. https://doi.org/10.1037/a0025341.
Kazdin, A. E. (2000). Perceived barriers to treatment participation and treatment acceptability among antisocial children and their families. Journal of Child & Family Studies, 9(2), 157–174.
Kazdin, A. E., French, N. H., & Sherick, R. B. (1981). Acceptability of alternative treatments for children: Evaluations by inpatient children, parents, and staff. Journal of Consulting and Clinical Psychology, 49(6), 900–907.
Kazdin, A. E., Siegel, T. C., & Bass, D. (1992). Cognitive problem-solving skills training and parent management training in the treatment of antisocial behavior in children. Journal of Consulting and Clinical Psychology, 60(5), 733–747.
Kelley, M. L., Heffer, R. W., Gresham, F. M., & Elliott, S. N. (1989). Development of a modified treatment evaluation inventory. Journal of Psychopathology and Behavioral Assessment, 11(3), 235–247. https://doi.org/10.1007/BF00960495.
Krieger, A.-E., Saïas, T., & Adrien, J.-L. (2013). Promouvoir le partenariat parents–professionnels dans la prise en charge des enfants atteints d’autisme. L’Encéphale, 39(2), 130–136. https://doi.org/10.1016/j.encep.2012.06.002.
Lee, G. K., Lopata, C., Volker, M. A., Thomeer, M. L., Nida, R. E., Toomey, J. A., et al. (2009). Health-related quality of life of parents of children with high-functioning autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 24(4), 227–239.
Lelord, G., Barthélémy, C., Martineau, J., Bruneau, N., et al. (1991). Free acquisition, free imitation, physiological curiosity and exchange and development therapies in autistic children. Brain Dysfunction, 4(6), 335–347.
Lelord, G., Laffont, F., Jusseaume, P., & Stephant, J. L. (1973). Comparative study of conditioning of averaged evoked responses by coupling sound and light in normal and autistic children. Psychophysiology, 10(4), 415–425. https://doi.org/10.1111/j.1469-8986.1973.tb00799.x.
Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (2000). The autism diagnostic observation schedule—Generic: A standard measure of social and communication deficits associated with the spectrum of autism. Journal of Autism and Developmental Disorders, 30(3), 205–223. https://doi.org/10.1023/A:1005592401947.
Naud, J., & Sinclair, F. (2003). EcoFamille: Programme de Valorisation du Developpement du Jeune Enfant Dans le Cadre de la Vie Familiale: Guide D’animation. Cheneliere/McGraw-Hill.
Osborne, L. A., McHugh, L., Saunders, J., & Reed, P. (2008). A possible contra-indication for early diagnosis of Autistic Spectrum Conditions: Impact on parenting stress. Research in Autism Spectrum Disorders, 2(4), 707–715. https://doi.org/10.1016/j.rasd.2008.02.005.
Papageorgiou, V., & Kalyva, E. (2010). Self-reported needs and expectations of parents of children with autism spectrum disorders who participate in support groups. Research in Autism Spectrum Disorders, 4(4), 653–660. https://doi.org/10.1016/j.rasd.2010.01.001.
Paquet, A., McKinnon, S., Clément, C., & Rousseau, M. (2017). Traduction et adaptation du TEI-SF afin de documenter l’acceptabilité sociale de l’intervention comportementale intensive. http://www.em-consulte.com/en/article/1109038/data/revues/12691763/unassign/S1269176317300044/. Accessed 19 December 2017.
Philip, C. (2009). Autisme et parentalité. Paris: Dunod.
Pickles, A., Couteur, A. L., Leadbitter, K., Salomone, E., Cole-Fletcher, R., Tobin, H., et al. (2016). Parent-mediated social communication therapy for young children with autism (PACT): Long-term follow-up of a randomised controlled trial. The Lancet, 388(10059), 2501–2509. https://doi.org/10.1016/S0140-6736(16)31229-6.
Rattaz, C., Alcaraz-Darrou, C., & Baghdadli, A. (2016). Évaluation des effets d’un groupe d’accompagnement parental sur le stress et la qualité de vie après l’annonce du diagnostic de Trouble du Spectre Autistique (TSA) chez leur enfant. Annales Médico-Psychologiques, Revue Psychiatrique, 174(8), 644–650. https://doi.org/10.1016/j.amp.2015.10.023.
Rogé, B. (1989). Adaptation Française de l’échelle d’évaluation de l’autisme infantile (C.A.R.S.). Issy-les-Moluineaux: Editions d’Applications Psychotechniques.
Rogé, B. (1998). The development of services for autistic persons and training for professionals: The situation in France. In R. Jordan & S. Powell (Eds.), Guide on education of children and youth with autism (pp. 115–119). Paris: UNESCO.
Roper, S. O., Allred, D. W., Mandleco, B., Freeborn, D., & Dyches, T. (2014). Caregiver burden and sibling relationships in families raising children with disabilities and typically developing children. Families, Systems & Health: The Journal of Collaborative Family Healthcare, 32(2), 241–246. https://doi.org/10.1037/fsh0000047.
Rutter, M., Le Couteur, A., & Lord, C. (2003). ADI-R: Autism Diagnostic Interview Revised—Manual. Los Angeles, CA: Western Psychological Services.
Sankey, C., & Cappe, E. (2017). Beyond autism spectrum disorder: Parental skills within my reach: Evaluation of a psycho-educative program intended for parents of a child with autism spectrum disorder. In ABAI’s Ninth International Conference, Paris, France, November 14–15.
Sankey, C., Girard, S., & Cappe, E. (in revision). Evaluation of the implementation process and social validity of a support program for parents of child with Autism Spectrum Disorder.
Schopler, E., Reichler, R. J., & Renner, B. R. (1986). The Childhood Autism Rating Scale (CARS). Los Angeles: Western Psychological Services.
Schreibman, L., Dawson, G., Stahmer, A. C., Landa, R., Rogers, S. J., McGee, G. G., et al. (2015). Naturalistic developmental behavioral interventions: Empirically validated treatments for autism spectrum disorder. Journal of Autism and Developmental Disorders, 45(8), 2411–2428. https://doi.org/10.1007/s10803-015-2407-8.
Schultz, T. R., Schmidt, C. T., & Stichter, J. P. (2011). A review of parent education programs for parents of children with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 26(2), 96–104. https://doi.org/10.1177/1088357610397346.
Smith, L. E., Greenberg, J. S., & Mailick, M. R. (2014). The family context of autism spectrum disorders: Influence on the behavioral phenotype and quality of life. Child and Adolescent Psychiatric Clinics of North America, 23(1), 143–155. https://doi.org/10.1016/j.chc.2013.08.006.
Smith, T., Scahill, L., Dawson, G., Guthrie, D., Lord, C., Odom, S., et al. (2007). Designing research studies on psychosocial interventions in autism. Journal of Autism and Developmental Disorders, 37(2), 354–366. https://doi.org/10.1007/s10803-006-0173-3.
Stahmer, A. C., Schreibman, L., & Cunningham, A. B. (2011). Toward a technology of treatment individualization for young children with autism spectrum disorders. Brain Research, 1380, 229–239. https://doi.org/10.1016/j.brainres.2010.09.043.
Stipanicic, A., Couture, G., Rivest, C., & Rousseau, M. (2014). Développement des modèles théoriques d’un programme destiné à des parents d’enfants présentant un trouble du spectre de l’autisme. Journal on Developmental Disabilities, 20(3), 19–29.
Ventola, P. E., Kleinman, J., Pandey, J., Barton, M., Allen, S., Green, J., et al. (2006). Agreement among four diagnostic instruments for autism spectrum disorders in toddlers. Journal of Autism and Developmental Disorders, 36(7), 839–847. https://doi.org/10.1007/s10803-006-0128-8.
Wolf, M. M. (1978). Social validity: The case for subjective measurement or how applied behavior analysis is finding its heart. Journal of Applied Behavior Analysis, 11(2), 203–214. https://doi.org/10.1901/jaba.1978.11-203.
World Health Organization. (2003). Skills for health. Geneva: WHO.
World Health Organization Regional Office for Europe. (1998). Therapeutic patient education: continuing education programmes for health care providers in the field of prevention of chronic diseases: Report of a WHO working group. Accessed 24 January, 2018, from http://www.who.int/iris/handle/10665/108151.
Zigmond, A. S., & Snaith, R. P. (1983). The hospital anxiety and depression scale. Acta Psychiatrica Scandinavica, 67(6), 361–370. https://doi.org/10.1177/1362361301005003003.
Acknowledgments
Authors would like to thank the parents who took part in the three programs as well as all their clinical partners. More particularly, authors are grateful to: For Beyond ASD: the Centre Universitaire de Pédopsychiatrie du CHRU de Tours, in particular Pr. Frédérique Bonnet-Brilhault, Dr. Joëlle Malvy and Julie Allard Ech Chouikh, and the Centre de Ressources pour l’Autisme de Haute Normandie, in particular Dr. Antoine Rosier and Romain Taton. For ETAP: the Centre Ressources Autisme Aquitaine, in particular Pr. Manuel Bouvard and the Child psychiatry department of Robert Debré Hospital (Paris), in particular Pr. Richard Delorme and Marion Poumeyreau, as well as Katia M’bailara and Solenne Pingault for sharing their expertise in Therapeutic Education and ASD. For ABC: The Centre Hospitalier Spécialisé de Rouffach, in particular Dr. Benoît Dutray and Laure Wolgensinger, for sharing their expertise in Therapeutic Education and ASD and for the implementation of pilot groups.
Funding
Research for Beyond ASD received financial support from the Caisse Nationale de Solidarité pour l’Autonomie (CNSA) through the 2014 call for projects of the Institut de Recherche en Santé Publique (IRESP). Research for ETAP received financial support from the French ministry of higher education and research and from the Orange Foundation (Grant No. 2013 028). Research for ABC received financial support from the Centre Hospitalier Spécialisé de Rouffach (France) and from the Ecole Supérieure du Professorat et de l’Education of the Université de Strasbourg.
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CS coordinated and drafted the manuscript; CD conceived and coordinated the study regarding the ETAP program and helped draft the manuscript; CC and JI conceived and coordinated the study regarding the ABC program and helped draft the manuscript; ÉC had the idea of the manuscript, conceived and coordinated the study regarding the Beyond ASD program, and supervised and helped draft the manuscript. All authors read and approved the final manuscript.
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For all three programs, participants were given the necessary information and gave their informed consent to take part in the study. In addition, all procedures performed were in accordance with the ethical standards of the respective institutional and/or national research committees and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.
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Sankey, C., Derguy, C., Clément, C. et al. Supporting Parents of a Child with Autism Spectrum Disorder: The French Awakening. J Autism Dev Disord 49, 1142–1153 (2019). https://doi.org/10.1007/s10803-018-3800-x
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DOI: https://doi.org/10.1007/s10803-018-3800-x