A Systematic Review of Healthcare Professionals’ Knowledge, Self-Efficacy and Attitudes Towards Working with Autistic People

Corden, Kirsten; Brewer, Rebecca; Cage, Eilidh

doi:10.1007/s40489-021-00263-w

Cited by 60 publications

(28 citation statements)

References 77 publications

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“…Indeed, those who worked directly with autistic people had significantly higher knowledge, which suggests that experience is invaluable for deepening knowledge of autistic people's needs. This supports previous literature (20). Further, knowledge differed according to professional group, with psychologists, doctors and AHPs having higher knowledge compared to social care workers and nurses.…”

Section: Levels Of and Differences In Knowledge And Self-efficacysupporting

confidence: 89%

“…First, participants' knowledge was relatively high with 89.8% of questions answered correctly, comparable with the studies we replicated with psychiatrists (91.2% ( 8)) and GPs (89.4% ( 9)). A systematic review of general healthcare professionals' knowledge indicated that studies using different measures indicated knowledge could range from 47-71% (20).…”

Section: Levels Of and Differences In Knowledge And Self-efficacymentioning

confidence: 99%

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“Autism is everyone’s business”: Autism knowledge and self-efficacy amongst NHS Scotland mental health professionals

Myers¹,

Cage²

2022

Preprint

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Background:Autistic people have many mental health needs and are likely to encounter mental health professionals if seeking help. It is important these professionals have strong knowledge and high self-efficacy regarding providing care for autistic people. Aims:We aimed to examine knowledge, self-efficacy and views of mental health professionals working in NHS Scotland towards autistic people. Method:We used a mixed-methods online survey, completed by 153 mental health professionals working in NHS Scotland. Results:Participants’ autism knowledge scores were high, while self-efficacy scores were modest. There were also differences in knowledge and self-efficacy according to profession, training and whether participants had worked directly with autistic people. Autism knowledge was predicted by self-efficacy. Self-efficacy was predicted by autism knowledge, level of contact, directly working with autistic people, and having received autism training. Thematic analysis of qualitative responses indicated that many professionals had good awareness of features of accessible care for autistic people but were constrained by systemic issues within the NHS. Some also expressed negative attitudes, but there was an overall sense that while specialist pathways are needed, all mental health professionals require training about autistic people’s needs.Conclusions:If there is to be a positive change in the mental health services provided to autistic people, there needs to be a focus on providing training for all staff working in mental health, as well as funding for specialist pathways for autistic people experiencing mental health difficulties. Working together and listening to autistic people is critical in this change.

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Section: Levels Of and Differences In Knowledge And Self-efficacysupporting

confidence: 89%

Section: Levels Of and Differences In Knowledge And Self-efficacymentioning

confidence: 99%

“Autism is everyone’s business”: Autism knowledge and self-efficacy amongst NHS Scotland mental health professionals

Myers¹,

Cage²

2022

Preprint

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“…Además, con previo consentimiento de los pacientes, otras personas de su entorno pueden colaborar en llevar a cabo las actividades entre sesiones. tivas y estigmatizantes hacia el autismo que a su vez influyen en la práctica clínica (Corden et al, 2021). Se debe asegurar que todos los profesionales que trabajan en los servicios clínicos tengan acceso a programas sólidos de capacitación en el conocimiento del autismo, tanto sobre elementos de tipo general (qué es el autismo), así como también de temas más específicos para los terapeutas (cómo adaptar los enfoques psicológicos estándar).…”

Section: Actividades Entre Sesionesunclassified

Adaptaciones de las terapias psicológicas para adultos con Trastornos del Espectro Autista sin Discapacidad Intelectual

Musich

Aragón-Daud

2022

Vertex Rev Arg Psiquiatr

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La prevalencia de las condiciones del espectro autista ha ido en aumento en las últimas décadas, aunque esto no se ha reflejado en un aumento de la investigación clínica, por lo que se cuenta con evidencia insuficiente sobre los apoyos y adaptaciones que requieren los tratamientos psicológicos para esta población. Las terapias psicológicas basadas en evidencia frecuentemente están centradas en objetivos, generalmente a corto plazo, como la terapia cognitivo conductual, que integra modalidades cognitivas y conductuales. Debido a las altas tasas de comorbilidad en las personas con autismo, diversas terapias psicológicas se encuentran en el proceso de adaptar su implementación. Esta revisión explora las adaptaciones sugeridas en la investigación para la implementación de las terapias psicológicas en adultos con autismo sin discapacidad intelectual. Se requieren tanto adaptaciones en el encuadre como en las técnicas de intervención. Las adaptaciones en cada etapa de las terapias psicológicas son importantes para apoyar las diferencias, necesidades y preferencias del adulto con autismo. Para su correcta implementación son esenciales la formación profesional orientada al trabajo con esta población particular, e investigaciones sobre cómo optimizar el acceso de esta población a los servicios de salud mental.

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“…[1] This includes significantly worse physical and mental health and a lower life expectancy. [2] This is associated with systematic stigmatisation [3] -including by healthcare professionals [4] -and healthcare inaccessibility for Autistic people. [5] Autistic adults' experiences of health and healthcare have been severely under-explored in research.…”

Section: Introductionmentioning

confidence: 99%

“…Questionnaires with 28 people, including 3 patients who described usefulness. Unclear how many patients received a HP, so not a clear Outcome measure 4. Numbers of participants in the intervention were described in a pre/post audit, but Outcome measures did not related to HPs 5.…”

mentioning

confidence: 99%

A hostile context, very limited intervention theory and almost no change in outcomes: findings from a systematic realist review of health passports for Autistic adults

Ellis

Williams

Brown

et al. 2022

Preprint

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Background: Autism is a normal part of cognitive diversity, resulting in communication and sensory processing differences, which can become disabling in a neurotypical world. Autistic people have an increased likelihood of physical and mental co-occurring conditions and die earlier than neurotypical peers. Inaccessible healthcare may contribute to this. Autism Health Passports (AHPs) are paper-based or digital tools which can be used to describe healthcare accessibility needs; they are recommended in UK clinical guidance. However, questions remained as to the theoretical underpinnings and effectiveness of AHPs. Methods: We undertook a systematic literature search identifying studies focused on AHPs for adults (aged over 16 years) from five databases. Included literature was subjected to realist evaluation. Data were extracted using a standardised form, developed by the research team, which considered research design, study quality for realist review and the Context, Mechanisms and Outcomes (CMOs) associated with each AHP tool. Findings: 162 unique records were identified, and 13 items were included in the review. Only one item was considered high quality. Contextual factors focused on the inaccessibility of healthcare to Autistic patients and staff lack of confidence and training in supporting Autistic needs. Interventions were heterogeneous, with most sources reporting few details as to how they had been developed. The most frequently included contents were communication preferences. Mechanisms were often not stated or were inferred by the reviewers and lacked specificity. Outcomes were included in four studies and were primarily focused on AHP uptake, rather than Outcomes which measured impact. Conclusion: There is insufficient evidence to conclude that AHPs reduce the health inequalities experienced by Autistic people. Using an AHP tool alone, without the inclusion of the local Autistic community developing the tool, and a wider intervention, such as training for staff or the use of local champions, may mean that AHPs do not trigger any Mechanisms, and thus cannot affect Outcomes.

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A Systematic Review of Healthcare Professionals’ Knowledge, Self-Efficacy and Attitudes Towards Working with Autistic People

Cited by 60 publications

References 77 publications

“Autism is everyone’s business”: Autism knowledge and self-efficacy amongst NHS Scotland mental health professionals

“Autism is everyone’s business”: Autism knowledge and self-efficacy amongst NHS Scotland mental health professionals

Adaptaciones de las terapias psicológicas para adultos con Trastornos del Espectro Autista sin Discapacidad Intelectual

A hostile context, very limited intervention theory and almost no change in outcomes: findings from a systematic realist review of health passports for Autistic adults

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