CAREGIVERS’ ROLES IN ENHANCING SOCIO-COMMUNICATION SKILLS IN CHILDREN WITH AUTISM SPECTRUM DISORDER IN A SELECTED NON-GOVERNMENTAL ORGANIZATION FOR PARENTS OF CHILDREN WITH AUTISM SPECTRUM DISORDER, NAIROBI COUNTY, KENYA

Magdalen N. Mukewa, George Mathenge Wairungu

Abstract


Caregivers (parents and guardians) of children with ASD play an integral role in early intervention for children with autism spectrum disorder (ASD) since they spend more time interacting and providing formal care for their children; they are supposed to provide early diagnosis and ongoing intervention to mitigate socio-communication challenges for their children. Some caregivers, however, lack knowledge and expertise on their roles in this resulting in miscommunication, unmet needs, and frustration. The purpose of this study was to establish caregivers’ extent of involvement in Speech and Language Pathology Services (SLP) in enhancing the socio-communication skills of children with ASD. The study was guided by Structural Functional Theory (SFT) by Comte. The study adopted a descriptive survey design with a mixed-method research approach. It targeted a population of 38 respondents comprising of thirty-six caregivers, one occupational therapist from a nongovernmental organization of parents with ASD, and one Speech and Language Pathologist (SLP) outside a nongovernmental organization. The study employed a purposive sampling technique, and the pilot study was undertaken among caregivers of children with ASD b with the same characteristics as the target population. The key research instruments were questionnaires and face-to-face interviews. Quantitative data from closed-ended items were examined and coded. This was followed by analysis with the aid of SPSS version 26. The data was reported usinge descriptive statistics. Qualitative data we read repeatedly to establish patterns and then themes. It was reported narratively. Conclusions were drawn and necessary recommendations were made based on research findings. The research found that caregivers’ involvement was critical in enhancing the acquisition of socio-communication skills. The study recommends government and non-governmental organizations of parents with ASD children promote more caregiver participation by creating more awareness of SLP services, recruiting more SLPs locally, offering comprehensive training, and coaching caregivers on SLP strategies.

 

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roles, caregivers, communication skills, collaboration, participation, engagement, involvement, speech and language pathologists, ASD

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References


Al-Hemiary, N. J., Cucchi, A., Al-Nuaimi, A. S., Al-Saffar, H., & Al-Ani, K. (2020). Inter-personal versus content: assessment of communication skills in Iraqi physicians. Heliyon, 6(10), e05145. https://doi.org/10.1016/j.heliyon.2020.e05145

Alli, A., Abdoola, S., Mupawose, (2015). A parent journey in the world of Autism. South African Journal Child Health: 9:81-84

American Speech and Hearing Association (ASHA) Convention (2016). Philadelphia, Pennsylvania. Retrieved from https://www.emedevents.com/c/medical-conferences-2016/american-speech-language-hearing-association-asha-convention-2016

American Speech-language-hearing Association (ASHA) (2020b). Hanen Centre. Retrieved from https://www.asha.org/

Anderson Nordahl-Hansen, Logan Hart, Roald A. Qien (2018). The scientific study of Parents and caregivers of kids with ASD; Journal of Autism and Developmental Studies. 48 (976-979)

Azhagairi, M., Mishra. S., Joshi, S.& Srivastava, A. (2021). An integrated System for initial prediction of ASD. Int J Performability Eng, Vol. 17 Issue (6): 504-510. Retrieved from https://www.ijpe-online.com/www.ijpe-online.com/EN/10.23940/ijpe.21.06.p2.504510

Birt, L., Scott, S., Cavers, D., Campbell, C., & Walter, F. (2016). Member Checking: A Tool to Enhance Trustworthiness or Merely a Nod to Validation?. Qualitative health research, 26(13), 1802–1811. https://doi.org/10.1177/1049732316654870

Bowman, K. S., Suarez, V. D., & Weiss, M. J. (2021). Standards for Interprofessional Collaboration in the Treatment of Individuals With Autism. Behavior analysis in practice, 14(4), 1191–1208. https://doi.org/10.1007/s40617-021-00560-0

Brown, A., Ma, G., Miranda, J. Castille, D., Broken, T., Jones, P., Airhenbwa, C., Farhat, T., Zhu, L., Trinh-Shevin, C (2019). Structural interventions to eliminate disparities. Journal of Public Health. 1091:572-575, Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6356131/

Christian, M. A., Samms-Vaughan, M., Lee, M., Bressler, J., Hessabi, M., Grove, M. L., ... & Rahbar, M. H. (2018). Maternal exposures associated with autism spectrum disorder in Jamaican children. Journal of autism and developmental disorders, 48, 2766-2778.

Cloete L., & Obaingwa, E. (2019). Challenges to accessing crucial services in the management of children having ASDs: Caregiver’s perspective in Kenya. Open Journal of Pediatrics and Child Health. Retrieved from https://www.peertechzpublications.org/articles/OJPCH-4-118.php

Cloete, L. G., & Obaigwa, E. O. (2019). Lived experiences of caregivers of children with autism spectrum disorder in Kenya. African journal of disability, 8, 435. https://doi.org/10.4102/ajod.v8i0.435

Cummins C., Pellicano, E., & Crane, L. (2020). Autistic adult views of their communication skills and needs. Int J Lang Commun Disord. 2020 Sep;55(5):678-689. doi: 10.1111/1460-6984.12552. Retrieved from https://pubmed.ncbi.nlm.nih.gov/32618026/

De Vries, P. D. (2016). Thinking globally to meet local needs: ASD in Africa and other low–resource environments. Current Opinion in Neurology. 29:130-136 Retrieved from https://www.semanticscholar.org/paper/Thinking-globally-to-meet-local-needs%3A-autism-in-Vries/58d3def7682a65b53b42018993adcfdf81138c4c

Denworth, L. (2018). Social communication in autism explained. Retrieved from https://www.spectrumnews.org/news/social-communication-autism-explained/?format=pdf

Douglas, S. N., & Geder, H. K. (2019). A strategy to support the communication of students with ASD. Intervention in schools and clinics, 55(i), 32-38. https://doi.org/10:1177/1053451219833021

Duvekot, Jorieke; ten Hoopen, Leontina W; Hakaart-Van Roijen, Leona; Brouwer, Werner B.F; de Nijs Pieter F.A.; Grease-Lord Kristin; Hillegers, Manon. H.J. (2020). Kids with ASD and their caregivers: Capturing Health-related and care-related quality of life. Journal of Autism and Developmental Disorder (50)263-227). Retrieved from https://pubmed.ncbi.nlm.nih.gov/31625009/

Eze, D., & Ugoji, A. (2018). Autism in Africa: The Critical Need for Life Saving Awareness. Journal of Education Leadership and Policy Studies. Special Issue on Leadership for Individuals with Special Needs. Retrieved from https://files.eric.ed.gov/fulltext/EJ1227555.pdf

Fewster D. L., Gurayah T. (2015). First port of call: facing the parents of autism spectrum disorder. South African Family Practice 57(1): 31–34.

Gona, J. K., Newton, C. R., Rimba K., Mapenzi, R., Kihara, M &, Abubakar. A. (2016). Challenges and coping strategies of parents of children with autism in the Kenyan Coast. Rural Remote Health. Apr-Jun; 16(2):3517. Retrieved from https://pubmed.ncbi.nlm.nih.gov/27098766/

Hampton L. H., Kaiser A., P. (2016). Intervention effects on Spoken-Language outcomes for Children with Autism. A systematic review and meta-analysis. PMID:27120988 Retrieved from https://onlinelibrary.wiley.com/doi/10.1111/jir.12283

Hatch, J. A 2002. Doing Qualitative Research in Education Settings. United States of America: State University of New York Press.

Hyman L. S., Susan E, & Myers, S. (2020). Identification, Evaluation, and management of kids with ASD. Council on Children with Disabilities section on Developmental and Behavioral Pediatrics. NIH. PM.D:31843864. PM. D:31843864.

Iadarola, S., Pérez-Ramos, J., Smith, T., & Dozier, A. (2019). Understanding stress in parents of children with autism spectrum disorder: A focus on under-represented families. International journal of developmental disabilities, 65(1), 20–30. https://doi.org/10.1080/20473869.2017.1347228

Khoza-Shangase, K., Moroe, N., Neille, J., & Edwards, A. (2022). The impact of COVID-19 on speech-language and hearing professions in low- and middle-income countries: Challenges and opportunities explored. The South African Journal of Communication Disorders = Die Suid-Afrikaanse tydskrif vir Kommunikasieafwykings, 69(2), e1–e15. https://doi.org/10.4102/sajcd.v69i2.937

Khoza-Shangaze, K., Moroe, N., & Neille, J. (2021). Speech-Language Pathology and Audiology in South Africa. Int J Telerehabil; 13(1): e6376., Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8287713/

Kruk, M. E., Gage, A. D., Arsenault, C., Jordan, K., Leslie, H. H., Roder-DeWan, S., Adeyi, O., Barker, P., Daelmans, B., Doubova, S. V., English, M., García-Elorrio, E., Guanais, F., Gureje, O., Hirschhorn, L. R., Jiang, L., Kelley, E., Lemango, E. T., Liljestrand, J., Malata, A., … Pate, M. (2018). High-quality health systems in the Sustainable Development Goals era: time for a revolution. The Lancet. Global health, 6(11), e1196–e1252. https://doi.org/10.1016/S2214-109X(18)30386-3

Lacano, T., Trembath, D., & Erickson, S. (2016). The role augmentative and alternative communication for children with autism: Current status and future trends. Neuropsychiatr Dis Treat. 2016; 12: 2349–2361. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5036660/#:~:text=Over%20recent%20decades%20there%20has,as%20repetitive%20and%20restricted%20behaviors

Ladarola, S. et al. (2020). Mind the gap: an intervention to support caregivers with a new ASD diagnosis is feasible and acceptable. Pilot and Feasibility Studies Volume 6 (124), https://pilotfeasibilitystudies.biomedcentral.com/articles/10.1186/s40814-020-00662-6

Larkin, T., Friberg, J., Emily, K., Smith, B., Jenkins, B. (2019). Caregivers’ strategies for communication in children with Autism in Spanish Developing countries. http://doi-org/10.1177/239694157737418, Retrived from https://ir.library.illinoisstate.edu/cgi/viewcontent.cgi?article=1014&context=giscsd

Lima Antão, J. Y. F., Oliveira, A. S. B., Almeida Barbosa, R. T., Crocetta, T. B., Guarnieri, R., Arab, C., Massetti, T., Antunes, T. P. C., Silva, A. P. D., Bezerra, Ĺ. M. P., Mello Monteiro, C. B., & Abreu, L. C. (2018). Instruments for augmentative and alternative communication for children with autism spectrum disorder: a systematic review. Clinics (Sao Paulo, Brazil), 73, e497. https://doi.org/10.6061/clinics/2017/e497

Lok, J., Qi Xin., Carols, S. (2021). Using More Than Words with Chinese Families; A case-control study. Academic Unit of Human Communication, Development and Information Sciences. Retrieved from https://www.researchgate.net/publication/356751090_Using_the_More_Than_Words_Program_With_Chinese_Families_A_Case-Control_Study

Mamah, D., Mutiso, V., Gitonga, I., Tele, A., & Ndetei, D. M. (2022). A population-based survey of autistic traits in Kenyan adolescents and young adults. The South African journal of psychiatry : SAJP : the journal of the Society of Psychiatrists of South Africa, 28, 1694. https://doi.org/10.4102/sajpsychiatry.v28i0.1694

Manmeet Kaur & Tathgur Kang (2021). Challenges of the caregivers in managing a child with ASD. Qualitative research article Indian J Psychol Med. 2021 Sep; 43(5): 416–421. https://doi:org/10:1177/0254717621100769

Masaba, B. B., Taiswa, J., & Mmusi-Phetoe, R. M. (2021). Challenges of caregivers having children with autism in Kenya: Systematic review. Iranian journal of nursing and midwifery research, 26(5), 373. Retrieved from https://pubmed.ncbi.nlm.nih.gov/34703774/

Masai F. (2020). Caregivers experiences while communicating with Autistic children. Retrieved from https://researchjournali.com/view.php?id=4256

McCombes, S. (2022). Descriptive Research /Definition, Types, Methods & Examples. Retrieved from https://www.scribbr.com/methodology/descriptive-research/

Njoroge, M., Nyakundi, A., Ulrike, M., Kija, E., Karia, M. (2017). Navigating communication Difficulties Faced by children with Autism. A handbook of communication Disabilities and Language Development in Sub-Saharan Africa. Retrieved from http://dspace.pacuniversity.ac.ke:8080/xmlui/bitstream/handle/123456789/1415/Navigating%20Communication%20%20Difficulties%20Faced%20by%20Children%20with%20Autism%20Springer.pdf?sequence=1

Obure A. (2018). Caregivers’ involvement in intervention program for children with speech and language disorders. Retrieved from https://ir-library.ku.ac.ke/bitstream/handle/123456789/19025/Caregivers%E2%80%99%20Involvement%20in%20Intervention%20Programs%20for%20Children.pdf?sequence=1&isAllowed=y

Ochuka, E., & Wairungu, G. M. (2024). Sensory Processing Disorder in Autism Spectrum Disorder: What Speech Therapist Should Know. European Journal of Science, Innovation and Technology, 3(6), 447-456. Retrieved from https://ejsit-journal.com/index.php/ejsit/article/view/349

Pillay, M., & Kathard, H. (2018). Renewing our cultural borderlands: Equitable Population Innovations for Communication (EPIC). Topics in Language Disorders, 38(2), 143–160. 10.1097/TLD.0000000000000151 [CrossRef] [Google Scholar]

Porter, K. L., Oetting, J. B., & Pecchioni, L. (2020). Caregivers' Perceptions of Speech-Language Pathologist Talk About Child Language and Literacy Disorders. American journal of speech-language pathology, 29(4), 2049–2067. https://doi.org/10.1044/2020_AJSLP-20-00049

Reinhard S. C., Given B., Petlick N. H., et al. (2008) Supporting Family Caregivers in Providing Care. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); Apr. Chapter 14. Available from: https://www.ncbi.nlm.nih.gov/books/NBK2665/

Siron, N. H. (2015). "Where's the support?": An Exploratory Studyof stress and burden on caregivers of individuals with a chronicillness. Walden Dissertations and Doctoral Studies, 1469. https://scholarworks.waldenu.edu/dissertations/1469

Staley, B., Hickey, E., Rochus, D., Musasizi, D, J & Gibson R., (2021). Success and challenges of speech-language therapy service provision in Western Kenya. South African Journal of Communication Disorders. 68(1). Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8517751/

Strunk, J., Leisen, M., & Schubert, C. (2017). Using a multidisciplinary approach with children diagnosed with autism spectrum disorder. Journal of inter-professional education & practice, 8, 60-68. Retrieved from https://daneshyari.com/article/preview/5569408.pdf

Swanson M. R. (2020). The role of caregiver speech in supporting language development in infants and toddlers with autism spectrum disorder. Development and psychopathology, 32(4), 1230–1239. https://doi.org/10.1017/S0954579420000838

Wairungu, D. G. (2020). Applied Behavior Analysis as an Intervention Strategy in Learners with Autism Spectrum Disorder. International journal of researh and scientifi innovation vol 7, issue 8.




DOI: http://dx.doi.org/10.46827/ejse.v10i1.5200

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