[pt] vidências de validade da Phone Screening Interview (PSI-TEA) para rastreio do Transtorno do Espectro Autista em um serviço de psiquiatria infanto-juvenil. O estudo teve como objetivo ampliar a validação da Phone Screening Interview (PSI-TEA), uma triagem telefônica para rastreio de sintomas de TEA. No primeiro estudo, foi verificada a confiabilidade comparando as médias da pontuação total da aplicação presencial (4,03) e telefônica (3,95), sem diferença significativa (t(59)= -0,52; p= .600). A análise de concordância entre os itens apontou três itens com valores muito baixos, levando à modificação de algumas perguntas. Diante desta discordância, foi verificado que a ordem de aplicação das entrevistas não impactaria nos resultados, com fortes correlações (r=.822 e r= .825). No segundo estudo, foi investigado o poder discriminativo da PSI para diferenciar crianças com e sem diagnóstico de TEA, apresentando sensibilidade de 1,00, especificidade 0,52. O instrumento mostrou-se confiável, podendo ser utilizado de forma remota, por diferentes avaliadores, sem impacto em sua eficiência na detecção de sintomas de TEA quando comparada a sua forma presencial. / [en] The study aimed to extend the validation of the Phone Screening Interview (PSI-TEA), a telephone screening for symptoms of ASD. In the first study, reliability was verified by comparing the mean total scores of the face-to-face (4.03) and telephone (3.95) application, with no significant difference (t(59)= -0.52; p= .600). . The agreement analysis between the items indicated three items with lower values, leading to the modification of some questions. In view of this disagreement, it was verified that the order in which the interviews were applied would not impact the results, with strong correlations (r=.822 and r= .825). In the second study, the discriminative power of the PSI to differentiate between children with and without a diagnosis of ASD was investigated, presenting a sensitivity of 0.91, specificity 0.73. The instrument proved to be reliable and can be used remotely, by different evaluators, with no impact on its efficiency in detecting ASD symptoms when compared to its face-to-face form.

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<p>  </p> <p><strong>Abstract</strong></p> <p>According to the Center for Disease Control, approximately one in 44 children are identified with Autism Spectrum Disorder or ASD at the age of 8 in the United States (Centers for Disease Control, 2022). As the number of children with ASD is increasing, so do the concerns of early childhood educators about how to help them (Schafer Whitby et. al, 2015). The generally accepted criteria for ASD includes a deficit in communication and/or language, restricted and/or repetitive interests, indicators started manifesting young, the symptoms cause diminished functioning. Communication difficulties in children with ASD can be challenging for educators to handle (Grygas Coogle et al., 2018). Educators in a general education early childhood classroom may not be prepared to handle the influx of students with ASD due to their lack of knowledge and skills about appropriate communication strategies.</p> <p><br></p> <p>The master’s degree special project contains two separate elements: a survey and the development of a handbook. The purpose of the IRB approved study was to investigate common communication strategies and research-based strategies being used with students with ASD in an early childhood setting. The survey sought licensed teachers’ responses on their levels of understanding about communication strategies and recommendations for future professional learning and training materials. </p> <p>Twelve early childhood educators (PreK-2) from one urban elementary school, in a midwestern state were sent the anonymous 11 question Qualtrics survey, including rating questions and open-ended questions. Nine educators completed the survey. The results revealed teachers’ lack of familiarity and knowledge about communication strategies for students with ASD. All nine participants answered they had no previous specific training on ASD and communication strategies in college and zero hours of professional learning on communication strategies for students with ASD during the current school year. Educators also rated themselves as poorly or moderately prepared to teach children with ASD and their communication deficits. Not a single participant rated themselves as well prepared or very well prepared.</p> <p><br></p> <p>The study results and previously published research indicated the need for the professional learning handbook to provide early childhood educators with research-proven communication strategies written in a teacher friendly manner. The special project handbook has six sections: play strategies, environmental adaptation, visual supports, motivation, sensory integration, and collaboration with parents. ASD is multifaceted and complex for educators, and many of their struggles are rooted in the area of communication. These strategies were designed for students with ASD but can also be applied with all students.</p>

Utbildning är en viktig faktor för att bryta socialt utanförskap bland barn och unga. Syftet med studien var att undersöka hur ungdomars studie- och arbetsmöjligheter påverkas av diagnosen autismspektrumstörning samt hur det kommunala aktivitetsansvaret i en utvald kommun arbetar med denna målgrupp. Fem semistrukturerade intervjuer genomfördes med handledare inom det kommunala aktivitetsansvaret. Resultatet analyserades utifrån stämplingsteorin samt KASAM och det salutogena perspektivet. Resultatet visade att personer med autismspektrumstörning kan utsättas för uteslutning från sociala sammanhang samt mobbning till följd av avvikande beteende. Faktorer som den sociala miljön samt bristande stöd och anpassning kan leda till minskad närvaro i skolan samt till psykisk ohälsa för ungdomarna. Resultat visade även att den ökade frånvaron kan leda till att ungdomarna blir hemmasittare, vilket kan leda till socialt utanförskap. Personer med autismspektrumstörning har ett behov av fler möjligheter till anpassning samt utökad lärarkompetens gällande autismspektrumstörning. / Education is an important factor in breaking social exclusion among children and young people. The purpose of the study was to investigate how young people's study and work opportunities are affected by the diagnosis of autism spectrum disorder and how the municipal activity responsibility in a selected municipality works with this target group. Five semi-structured interviews were conducted with mentors within the municipal activity responsibility. The result was analyzed based on the stamping theory as well as Sense of coherence (SOC) and the salutogenic perspective. The results showed that people with autism spectrum disorder can be exposed to exclusion from social contexts and bullying as a result of deviant behaviour. Factors such as the social environment as well as a lack of support and adaptation can lead to reduced attendance at school and to mental illness for the young people. Results also showed that the increased absence can lead to the young people becoming homemakers, which can lead to social exclusion. People with autism spectrum disorder have a need for more opportunities for adaptation as well as increased teacher competence regarding autism spectrum disorder.

The prevalence of autism spectrum disorder (ASD) has increased two percent from 2012–2014 (Centers for Disease Control and Prevention, 2018) and the Centers of Disease Control and Prevention (CDC) has considered ASD to be a major health concern. The demands of caring for a child with developmental disabilities, including ASD can be overwhelming and the caregivers are experiencing heightened levels of stress in comparison to rearing typically developing children (Argumedes, Lanovaz, & Larivée, 2017; Lindo, Kliemann, Combes, & Frank, 2017). There is a need for more family support to implement more effective coping strategies to deal with the maladaptive functioning of the child with ASD (Hall, & Graff, 2011). The WE C.A.R.E. 2 Program is a nine-week evidence-based community pilot program that will provide an inclusive opportunity with additional family support and effective coping strategies e.g., breathing techniques, yoga postures and positive coping cognitions (e.g., positive self-talk and reappraisals) to decrease the stress levels of caregivers and promote healthy behaviors and healthy child development with the support and training from trained facilitators and a network of caregivers. This individualized plan will tailor to the needs of each dyad to create the necessary mechanisms of change (behavior, cognition, physiological, and sensory modulation) among the children and adults in the yoga group. The professional collaboration of different disciplines (occupational therapy, yoga therapist and teacher) will provide the appropriate modifications to the environment and provide the necessary input for the “just right” experience for a positive outcome.

Childhood obesity has many negative impacts on health and occurs due to genetic, environmental, and contextual factors (U.S. Department of Health and Human Services and U.S. Department of Agriculture [HHS and USDA], 2015). A major concern for this population of children is the resulting adverse effects on motor development, including challenges reaching appropriate developmental milestones impacting overall development and participation in daily activities (Cataldo et al., 2016). Occupational therapy practitioners can address multiple areas which contribute to this problem, including motor development and body functions, feeding and healthy meal preparation skills, family routines and activities of daily living, as well as contextual and cultural factors (American Occupational Therapy Association [AOTA], 2020). WHOLE Family is an online family based approach directed at positively impacting childhood obesity and motor development through a holistic approach.

The author examined current literature supporting the use of innovative, music-based interventions to support young children with autism spectrum disorder and other developmental disabilities engage in the things that they want, need, and desire to do. The author introduced Song-based Interventions for Navigating Gains in Occupational Therapy (SING-OT), as an innovative, music-based educational intervention program designed to support the engagement, participation, and performance needs of young children with disabilities. SING-OT uses an evidenced-supported, client-centered, and interests and strengths-driven approach. This proposed multi-phase program focuses on improving knowledge on the literature connecting evidence to song-based interventions and providing access to uniquely composed, occupation-inspired songs, that support children’s performance and participation needs. Additionally, conducting an initial feasibility study that assesses the effectiveness of task completion in a common personal hygiene and grooming task within the preschool setting was recommended. Future developments extend to improving caregiver health and wellness outcomes through training opportunities. The author provided a comprehensive program evaluation plan that highlights key stakeholders, a proposal for a single-subject study design, and implications of the program. The SING-OT program can be utilized as (1) an additional intervention tool for practicing occupational therapy practitioners and other professionals, (2) an avenue for interprofessional collaboration, and (3) a vehicle for improving the occupational performance outcomes among young children with disabilities.

Autism often makes children struggle to interact with peers, including initiating, responding, and maintaining social interactions in social settings. They may frequently miss opportunities to engage with peers; they get alienated and tend to appear outside peer activities, restricting opportunities for developing relationships. The time that a child spends in preschool and with peers is crucial for their social skills to develop. Over time, their peers will have a more significant influence on them. This systematic literature review aimed to describe the preschool-based intervention for children with Autism to increase their peer interaction. The search was conducted using three databases (ERIC, PsycINFO, and Web of Science), and seven studies were then selected that met predefined inclusion criteria. The current review includes different interventions such as Peer-mediated intervention, preferred Activities with Peer Support, iPod Touch™, Technology as Communication Devices, and Peer-Mediated LEGO® Play intervention. The seven selected articles conducted an intervention to improve peer interaction of children with Autism. The majority of the reviewed studies found that peer interaction interventions improved the social interaction of children with Autism.  As the limitation of the study, the lack of research focusing on preschool-based children with autism spectrum disorders and the interventions available to them were highlighted.

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