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Acceptability and feasibility of a parent-mediated social-communication therapy for young autistic children in Brazil: A qualitative implementation study of Paediatric Autism Communication Therapy.

Authors
  • Brandi Gomes Godoy, Priscilla1
  • McWilliams, Lorna2
  • Rodrigues da Silveira, Leticia1
  • de Cesaro Revers Biasão, Mirian1
  • Speggiorin Pereira Alarcão, Fernanda1
  • Seda, Leonardo1
  • Generoso Campoli, Renata1
  • Liang, Holan3
  • Divan, Gauri4
  • Leadbitter, Kathy2
  • Green, Jonathan2, 5
  • Shephard, Elizabeth1, 6
  • 1 Universidade de São Paulo, Brazil. , (Brazil)
  • 2 The University of Manchester, UK.
  • 3 UCL Great Ormond Street Institute of Child Health, UK.
  • 4 Sangath, India. , (India)
  • 5 Royal Manchester Children's Hospital, UK.
  • 6 King's College London, UK.
Type
Published Article
Journal
Autism : the international journal of research and practice
Publication Date
Jan 01, 2024
Volume
28
Issue
1
Pages
123–137
Identifiers
DOI: 10.1177/13623613221144501
PMID: 36588298
Source
Medline
Keywords
Language
English
License
Unknown

Abstract

Parents of autistic children and health professionals who work with autistic children in Brazil had positive views about introducing Paediatric Autism Communication Therapy as a therapy for autistic children in Brazil. The parents and clinicians also mentioned some difficulties about using Paediatric Autism Communication Therapy in Brazil. We made adaptations to Paediatric Autism Communication Therapy to address these difficulties. Paediatric Autism Communication Therapy is a therapy to support the development of social and communication skills for autistic children aged 2-10 years. The therapy is conducted with the autistic child's parent. Paediatric Autism Communication Therapy has not been used in Brazil before. There are few therapy options available for autistic children in Brazil and we believed that Paediatric Autism Communication Therapy may be useful. We asked three groups of people in Brazil about their views of Paediatric Autism Communication Therapy, after explaining how the therapy works. Group 1 included 18 parents of autistic children aged 2-10 years. Group 2 included 20 health professionals such as psychologists who work with autistic children. Group 3 included 15 parents of autistic children aged 2-7 years who received the Paediatric Autism Communication Therapy. We learned that parents and clinicians felt that Paediatric Autism Communication Therapy would be a beneficial therapy for autistic children in Brazil. We also found out about the challenges of using Paediatric Autism Communication Therapy in Brazil. We used these findings to make small cultural adaptations to Paediatric Autism Communication Therapy to make it more suitable for Brazil.

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