Healthcare Providers' Perspectives on Autistic Adolescents Transitioning to Independent Driving.

Autor: McDonald CC; School of Nursing, University of Pennsylvania, 418 Curie Blvd. Claire Fagin Hall, Room 414, Philadelphia, PA, USA. mcdonalc@nursing.upenn.edu.; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA. mcdonalc@nursing.upenn.edu.; Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA. mcdonalc@nursing.upenn.edu., Labows C; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Myers RK; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Division of Emergency Medicine, Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA., Sartin E; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.; School of Public Health, University of Alabama at Birmingham, Birmingham, AL, USA., Yerys BE; Center for Autism Research, Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Department of Psychiatry, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA., Carey ME; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Mollen CJ; Division of Emergency Medicine, Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.; PolicyLab, Children's Hospital of Philadelphia, Philadelphia, PA, USA., Curry AE; Center for Injury Research and Prevention, Children's Hospital of Philadelphia, Philadelphia, PA, USA.; Division of Emergency Medicine, Department of Pediatrics, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, USA.
Jazyk: angličtina
Zdroj: Journal of autism and developmental disorders [J Autism Dev Disord] 2024 Nov 15. Date of Electronic Publication: 2024 Nov 15.
DOI: 10.1007/s10803-024-06626-6
Abstrakt: Licensure is an option for some autistic adolescents and families that increases mobility by enabling independent travel to employment, school, and social activities. The objective of this study was to identify current strategies used by healthcare providers (HCPs) in their guidance to autistic adolescents and families on the transition to independent driving. Semi-structured interviews were conducted with 15 HCPs. The team's previous research, literature review and expert feedback informed the development of the interview guide. A content analysis approach was used in the coding of transcripts, nine of which were double coded. Study team members reviewed coded transcripts, provided and discussed narrative summaries, and identified themes. Interviews were conducted with physicians, social workers, psychologists, therapist and a nurse practitioner. HCP identified their perceptions of autistic adolescents' strengths and weaknesses to be addressed in their individualized approaches. They described using clinical interactions as time to address licensure and driving, but also referred to specialists as needed. HCPs described using existing resources, but also provided a wish list of future resources. HCPs use an individualized approach for guidance in the transition to independent driving, considering the unique needs of autistic adolescent patients and families. These HCPs identified a clear need for tailored resources and guidance they can use in support of independent driving when appropriate for their patients and families.
Competing Interests: Declarations Ethical Approval The study was determined to be exempt of oversight by the Children’s Hospital of Philadelphia Institutional Review Board (Approval #18-015740) with a waiver of written documentation of consent. The study was determined to meet exemption criteria per 45 CFR 46.104(d)2. Competing Interests Dr. Yerys serves as an Associate Editor of the Journal of Autism and Development Disabilities. None of the other authors have real or perceived potential conflicts of.
(© 2024. The Author(s).)
Databáze: MEDLINE
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