Autism Spectrum Disorder (ASD) affects one out of every 68 children in the United States. The disorder is characterized by persistent deficits in social communication, social interaction, and restricted, repetitive patterns of behavior, interest, or activities that together limit and impair everyday functioning. Research has shown that the use of visual resources, such as video modeling procedures, can support individuals with ASD to acquire and maintain a variety of daily living skills leading to enhanced levels of independence. / Includes bibliography. / Dissertation (Ph.D.)--Florida Atlantic University, 2015. / FAU Electronic Theses and Dissertations Collection

Occupational Therapy is amongst the top three interventions sought for young children with ASD in South Africa. Due to scarce local research on OT for ASD, this study explored the nature as well as perceptions of OTs on intervention for ASD. Using a qualitative exploratory study design, semi-structured interviews were conducted with twenty OTs in public and private health, as well as special needs education. Thematic analysis was used to analyse transcribed data. OTs descriptions and perceptions of assessment, direct and indirect intervention as well as challenges facing families and undergraduate and qualified OTs in South Africa were explored. Assessment for ASD utilised play based skilled observations with limited use of standardised tests. Developmental approaches were preferred to behavioural ones, with the majority of OTs referencing the Sensory Integration (SI) framework for assessment and therapy, even if they were not SI certified practitioners. The value of SI in reframing a child’s behaviour for parents was significant. The South African Model of Creative Ability was a unique local application to practice for ASD. Intervention in education was most ASD specific, including AAC and visual approaches due to a comprehensive programme and greater levels of team collaboration. A family focussed practice was most evident in private and public health. Direct individual therapy was predominant, with all sectors struggling to provide the intensity of therapy recommended for ASD, due to unique contextual challenges. Undergraduate training is insufficient preparation for working with ASD and a need for local OT specialists was identified. Implications for research and practice are discussed. / M.O.T. University of KwaZulu-Natal, Durban 2013.

Denna studie har genomförts i syfte att öka kunskapen om psykosocial utvevckling hos barn med autismdiagnos i relation till aktiviteter med hästar. Studien är kvalitativ, baserad på fem intervjuer av föräldrar och det ingår fältobservationer. Intervjuerna har bearbetats enligt induktiv tematisk analys och redovisas under tre teman relaterade till barnens samspel med sin omvärld. Resultatet visar att aktiviteten med hästar inverkar positivt  på barnens vilja och förmåga att samspela och kommunicera med omvärlden. Färdigheterna visar sig i samspel med barn såväl som med vuxna, både inom familjen och i andra sammanhang. Studiens resultat visar överensstämmelse med tidigare forskning, samt att aktivitetens mångfassetterade innehåll och effekter synliggörs. Resultat som överraskar är erfarenheter av barnens annorlunda relation och kommunikation med hästar, samt iakttagelser av ridningens omedelbara effekter på barnen. Forskning föreslås ur ett familjeperspektiv där barnets röst lyfts fram, samt fortsatt forskning på ridningens fysiologiska effekter i relation till socialt interagerande. / This study has been conducted in order to increase knowledge about psychosocial development in children with autism diagnosis in relationship to activities with horses. The study is qualitative, based on five interviews with parents and includes field observations. The interviews have been processed according to inductive thematic analysis and are reported under three themes related to the childrens interaction with their environment. The result shows that the activity with horses has positive impact on the children's desire and ability to interact and communicate with the outside world. The skills manifests in interaction with children as well as with adults, both within the family and in other settings. The result of the study indicates conformity with previous research, and the event's multi-facetted content and effects are made visible. Surprising results are experiences of the children's different relationship and communication with horses, and observations of the immediate impact on the children when riding. Research from a family perspective highligtening the voice of the child is proposed, as well as further research on physiological effects of horseback riding in reltionship to social interacting.

University of Macau / Faculty of Social Sciences and Humanities / Department of Psychology

Under federal law, students with disabilities have the right to be educated in classrooms with students without disabilities. For students with autism, social, communication, and behavioral deficits make inclusion difficult. The severity of deficits change over time, and therefore, so too do the effects of these deficits upon inclusion. Although most research indicates autism symptoms improve with age, some studies suggest symptoms worsen, thereby affecting classroom placement. Students with autism use a multitude of interventions, most of which are not evidenced-based. Behavioral interventions are among the small number of treatments that can decrease autism severity and foster inclusion. However, behavioral interventions have not been compared to other widely used treatments, and in practice, they are rarely used in isolation. The purpose of the present study was threefold. First, relations between age, and autism severity were examined. Second, the study investigated whether relations between autism severity and time spent in regular education classrooms differed according to age. Third, it investigated types of treatments students used, and whether using behavioral treatments moderated relations between age, autism severity and amount of time in regular education classrooms. Using a national database (Interactive Autism Network), data about the severity of social, communication and behavior deficits, treatment type, and amount of time spent in regular education classrooms were extracted from school-age students (n = 2646) with autism. The results of the study showed that as age increased, social deficits increased. Furthermore, younger students, and students with more severe social impairment spent less time in regular education classrooms. Age also predicted use of behavioral treatment, and students who used behavioral treatment spent more time in special education classrooms. The findings of this study reflect the current climate of autism knowledge, which emphasizes early, intensive intervention. Consequently, students who were younger, and used behavioral treatments, were likely to be in special education classrooms that could maximize individualization, and associated treatment benefits. This is important, as social deficits increase with age, and reduce the amount of time students spend in inclusive classrooms. Additional studies are needed to further understand how behavioral treatment, compared to or used in conjunction with other commonly used treatments, affects inclusion. / Department of Educational Psychology

Aim: The aim of the study is to gain deeper understanding into the lived experiences of parents at a stimulation centre in KwaZulu-Natal, South Africa, and the coping strategies they employ in caring for their children with Autism Spectrum Disorder (ASD). Significance: As literature has focused on international studies this study has provided deeper understanding of the lived experiences and coping strategies of parents of children with ASD in a local setting within South Africa. Experiences across the age spectrum of children, gendered differences in coping and the meaning behind having a child with ASD provides a unique outlook on ASD as opposed to literature that focuses on other areas. Methods: Eleven parents participated in semi-structured interviews. These interviews were triad, dyad or one-on-one interviews. Interviews were audiotaped and transcribed verbatim once completed. Thematic analysis was used to analyze the data and extract themes. Findings: The lived experiences of parents included stressful and devastating experiences as well as positive meaning. Daily challenges were navigated by positive and negative coping strategies with gendered differences in coping being evident. Parents expressed mixed feelings about the benefits of support groups and provided a road map of advice for other parents of children with ASD. Conclusion: Parents of children with ASD undergo enormous stress and emotional upheaval in caring for their children. However in addition to negative experiences, they gain some positive meaning and see it as character building. Their experiences provide useful information for other parents undergoing the same journey. / Thesis (M.O.T.)-University of KwaZulu-Natal, Durban, 2013.

This diploma thesis provide a comprehensive list of information about the attitudes of parents towards education of children with autism spectrum disorders. The aim of this thesis is to determine how the parents receive a diagnosis of autism of their children and how they determine the access to education for their children as well. The theoretical part is based on literature, there are defined basic information about autism spectrum disorder, division of autism, causes symptoms of autism and finally information about parents with disabled children. This issue is focused to main autism spectrum disorders. There is mentioned technical assistance to families with ASD. Qualitative research, phenomenological approach and semi-structured interview designed to attitudes of parents of children with autism spectrum disorder. Are used in the empirical part. Research shows the acceptance and coping with a diagnosis of autism, and changes to the education of children with ASD. Practical part was created on the basis of theoretical knowledge, my personal experience and research questions. Thesis seeks a comprehensive and updated overview of the attitudes of parents towards education of children with autism spectrum disorder. KEYWORDS Autism Spectrum Disorder, Parents, Childres with autism spectrum disorder,...

The thesis concerns the topic of parental care for children with autism spectrum disorder. In the theoretical part there are described the main areas in which the autistic spectrum disorders manifest and the description of particular disorders. Next chapter describes this issue from point of view of parental care, it describes the difficulty of the situation, the impact on the lives of parents and whole families, factors affecting the adaptation to the situation and its overall management. The qualitative study was chosen for the research. The sample is composed of 11 mothers of children with autism spectrum disorder. Data for study was collected by half-structured interviews and supplemented by Logo-test. The results of study describe the impact of care for a child with autism spectrum disorder to the lives of parents, emotions in different situations, stressing and supporting aspects of the situation, scarce factors and external factors which the most affect the situation of parents. It seems that the situation causes numerous of changes in the lives of parents and affects their values and attitude to life. Difficulty of the situation is perceived in the area of time managment, psychological, physical and financial area. In the same time there are strong supporting factors, mainly family and...

Background. The experience of parenting children with Autism Spectrum Disorder (ASD) is generally understood to encompass higher levels of parenting stress relative to families of typically developing children and, in many instances, when viewed in comparison to children with other disabilities. Emerging evidence suggests that when children with ASD present with elevated attention problems, parents may be more likely to engage in harsh parenting during dyadic interactions (Donnelly, 2015). Despite this, few studies have examined the relationship between attention problems and observed parenting in families of children with ASD, which has been well-described in the literature as a particularly challenging context for parents. This dissertation investigated the relationship between child attention and observed parenting behaviors in a community sample of mothers of children with ASD in early childhood. The extent and nature of this relationship was further explored by observing whether parenting stress and depression played a role in mediating this relationship, and by investigating whether the relationship varied by child behavior and level of functioning. Parenting behaviors were directly observed across three dyadic tasks selected to approximate naturalistic situations in which parents and their children interact. It was hypothesized that increased attention problems would be linked to greater parenting stress, decreased positive parenting, and increased harsh parenting. Increased understanding of how attention problems relate to parenting within an ASD population will inform the selection and design of interventions uniquely suited to meet the needs of children and their families. Methods. This sample of 42 mother-child dyads included children with ASD attending a specialized preschool, where they received Applied Behavior Analysis educational programming. Child participants ranged in age from two years, six months to five years, six months, and all diagnostic classifications were corroborated through the Autism Diagnostic Observation Schedule, Second Edition (Lord et al., 2012). Parent and child behaviors during dyadic interactions were video recorded and then coded using the Psychological Multifactor Care Scale — ASD Adapted Preschool Version (Brassard, Donnelly, Hart, & Johnson, 2016). These direct observations of parent and child behavior were used to examine quality of parenting, child negativity toward the mother, and child engagement in tasks during parent-child interactions. Following the interaction, mothers completed a number of self-report measures assessing demographic characteristics, Parenting Stress Index, Fourth Edition, Short Form (PSI-4: SF; Abidin, 2012, maternal depressive symptoms on the PHQ9 (Kroenke, Spitzer, & Williams, 2001), and the Attention Problems scale on the Child Behavior Checklist (Achenbach & Rescorla, 2001). Classroom teachers completed the Communication domain of the Vineland Adaptive Behavior Scales –Third Edition (Vineland-3; Sparrow, Cicchetti, & Saulnier, 2016). Results. Children with ASD and clinically elevated attention problems (n = 19) had signifiantly lower verbal ability, more CBCL aggression, and their mothers reported signficantly more stress than children with ASD only (n = 23). Observed child engagement was significntly correlated with CBCL attention problems in the overall sample (r = -.42, p<.01), although the groups (ASD only v. ASD plus elevated attention problems) did not differ significantly (p < .06). Increased attention problems were significantly negatively related to positive parenting in this sample, even when ASD severity and verbal ability were controlled. Although a mediation model failed to support a model where attention problems predicted differences in observed parenting through parenting stress, reverse models showed increased positive parenting predicted decreased child attention problems through its effect on parenting stress. The role of maternal depressive symptoms as a mediator of this relationship was unsupported. Perhaps unsurprisingly, observed child behavior was found to be an important factor in understanding parenting behavior; however, the nature of its role was multifaceted. While observed child negativity was directly linked to lower levels of positive parenting, it moderated the relationship between child attention problems and harsh parenting, as mediated by parenting stress. In particular, attention problems were positively linked to greater stress, but this stress was more likely to be accompanied by a greater increase in harsh parenting behavior when children demonstrated negativity toward their mothers. The relationship between child attention problems and positive parenting varied by child verbal ability. For children with higher verbal ability, attention problems were linked to a drop in positive parenting, while this relationship was unsupported in children with underdeveloped communication skills. Conclusions. Child attention problems are a powerful predictor of parenting stress and less positive parenting. While it was expected that variation in attention problems would predict differences in parenting, reverse models showed more promise in identifying and defining the relationship between these variables, where mothers who exhibited more harsh parenting and less positive parenting experienced higher levels of parenting stress and their children demonstrated increased attentional problems and decreased engagement during dyadic interactions. The strength of this relationship varied according to observed child negativity and level of functioning. Clinical implications for practitioners and future directions for research investigating parenting children with ASD are discussed.

The token economy is a widely used and versatile motivational system within applied behavior analysis. Moreover, token reinforcement procedures have been shown to be highly effective in the treatment of children with autism spectrum disorder (ASD). In the experimental analysis of behavior, token reinforcement contingencies are conceptualized as three interconnected schedule components: (1) the token-production schedule, (2) the exchange-production schedule, and (3) the token-exchange schedule. Basic work with nonhuman subjects has demonstrated that the exchange-production schedule is the primary driver of performance in these arrangements, and that variable-ratio exchange-production results in reduced pre-ratio pausing and greater overall rates of responding relative to fixed-ratio exchange-production schedules. However, little applied research has been conducted to assess the generality of these findings within applied settings. The purpose of this study was to determine if fixed- and variable-ratio token exchange-production schedules would exert differential effects on pre-ratio pausing and overall rates of responding for three children with ASD during a free-operant sorting task. The results showed that pre-ratio pausing and overall rates of responding were not differentially effected by the fixed- and variable-ratio exchange-production schedules. Discrepancies between the experimental work and the current study are discussed along with additional limitations.