Main Article Content
Purpose: 1) to compare autistic symptoms among autistic preschoolers before and after using the enhancing family caregiving ability program, and 2) to compare autistic symptoms among autistic preschoolers using the enhancing family caregiving ability program and those received usual nursing care.
Design: Quasi-experimental research
Methods: Research sample consisted of forty Autistic children, aged 3-6 and family receiving services in the outpatient clinic of Yuwaprasartwaithayopathum hospital, selected by inclusion criteria, were matched pair by sex of autistic children and type of medicine which autistic children received in the same type, then, equally randomly assigned to an experimental group and a control group with 20 subjects in each group. The experimental group received the enhancing family caregiving ability program for 4 weeks. The control group received usual nursing care. The experimental instruments included the Enhancing Family Cargiving Abilty Program and the autism caring manual for family. Data were collected using the autistic symptoms assessment scale and the empowerment assessment scale. Its CVI were .92 and .80, respectively. Their Cronbach’s alpha coefficients were .96 and .89, respectively. The t-test was used in data analysis.
Findings: 1) The mean score of autistic symptoms after using the enhancing family caregiving program was significantly lower than those before, at the .01 level. 2) The mean score of autistic symptoms who received the enhancing family caregiving program was significantly decreased more than such mean score of autistic children who received usual nursing care, at the .01 level.
Conclusion: The result of this study support that the enhancing family caregiving program can reduce the autistic symptom among autistic preschoolers.
ลิขสิทธิ์ของบทความที่ตีพิมพ์เป็นของวารสารพยาบาลศาสตร์ จุฬาลงกรณ์มหาวิทยาลัย ทั้งฉบับตีพิมพ์เป็นรูปเล่มและเอกสารออนไลน์
Elsabbagh M, Divan G, Koh YJ, Kim YS, Kauchali S, Marcín C, et al. Global prevalence of autism and other
pervasive developmental disorders. Autism research 2012; 5(3): 160-79.
Zablotsky B, Black LI, Maenner MJ, Schieve LA, Blumberg SJ. Estimated prevalence of autism and other developmental disabilities following questionnaire changes in the 2014 National Health
Interview Survey [Internet]. 2015 [cited 2017 Dec 20].
Available from: https://www.cdc.gov/ncbddd/autism/ data.html.
Carter AS, Black DO, Tewani S, Connolly CE, Kadlec MB, Tager-Flusberg H. Sex differences in toddlers with autism spectrum disorders. Journal of autism and developmental disorders 2007; 37(1): 86-97.
American Psychiatric Association. Diagnostic and statistical manual of mental disorders (DSM-5). 5th ed. Washington, D.C.: American Psychiatric Pub; 2013.
Rimland B, Edelson SM. Autism treatment evaluation checklist (ATEC). SanDiego: Autism Research Institute; 2000. Retrieved October, 23; 2006.
Zablotsky B, Bramlett M, Blumberg SJ. Factors associated with parental rating of condition severity for children with autism spectrum disorder. Disability and Health Journal 2015; 8(4): 626-34.
Steinman GD, Mankuta D, Zuckerman R, Gray F. The cause of autism: Concepts and Misconceptions. New York: Baffin Book Publishing; 2014.
Missouri Autism Guidelines Initiative. Autism spectrum disorders: Guide to evidencebased interventions: Missouri Foundation for Health: St. Louis and Springfiled, MO; 2012.
Siriratlekha T. The manaul of caring for patients with autism spectrum disorder. 5 ed. Bangkok: National office of Buddhism; 2012.
Oono IP, Honey EJ, McConachie H. Parentmediated early intervention for young children with autism spectrum disorders (ASD). Evidence‐Based Child Health: A Cochrane Review Journal 2013; 8(6): 2380-479.
Meirsschaut M, Roeyers H, Warreyn P. Parenting in families with a child with autism spectrum disorder and a typically developing child: Mothers’ experiences and cognitions. Research in Autism Spectrum Disorders 2010; 4(4): 661-9.
Stillman W. Empowered autism parenting: celebrating (and defending) your child's place in the world. San Francisco: Jossey Bass; 2009.
Webster M, Whitmeyer JM. Applications of theories of group processes. SociologicalTheory 2001; 19(3): 250-70.
Lewin K. Frontiers in group dynamics: Concept, method and reality in social science; social equilibria and social change. Human relations 1947; 1(1):5-41.
Ebrahimi H, Malek A, Babapoor J, Abdorrahmani N. Empowerment of mothers in raising and caring of child
with autism spectrum disorder. International research journal of applied and basic sciences 2013; 4(10): 3109-13.
Miller JF. Coping with chronic illness: overcoming powerlessness. 2nd ed. Philadelphia: Davis; 2000.
Gibson. The process of empowerment in mothers of chronically ill children. Journal of advanced nursing 1995; 21(6):1201-10.
Suprajitno S. EFFECT OF FAMILY EMPOWERMENT IN ENHANCING THE CAPABILITIES OF CHILDREN WITH
AUTISM. Belitung Nursing Journal 2017; 3(5): 533-40.
Myers SM, Johnson CP. Management of Children With Autism Spectrum Disorders. Pediatrics 2007; 120(5). 1162-82.