Qualitative exploration of the barriers to, and facilitators of, screening children for autism spectrum disorder in Oman

Maskari, Turkiya Saleh Mohammed Al; Melville, Craig; Farsi, Yahya Al; Wahid, Rasha; Willis, Diane

doi:10.1080/03004430.2018.1550084

Cited by 9 publications

(17 citation statements)

References 48 publications

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“…Seven studies analysed qualitative data from questionnaires, interviews and focus groups. Al Maskari (2018) offered two sources of qualitative data regarding GPs' views on standardised screening of autism in Oman: focus groups with nurses ( n = 7) and GPs ( n = 6), and free‐text responses on a questionnaire. Using focus group data, Al Maskari identified three categories of barriers to screening for autism: (a) organisational, (b) professional and (c) social or contextual barriers.…”

Section: Resultsmentioning

confidence: 99%

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Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis

Coughlan

Duschinsky

O’Connor

et al. 2020

Health Soc Care Community

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Section: Resultsmentioning

confidence: 99%

“…Al Maskari (2018) surveyed 299 nurses and 217 GPs regarding perceived barriers and facilitators to screening for autism in Oman. The most frequently endorsed organisational barriers to screening were resources issues (82%) and autism training (80%).…”

Section: Resultsmentioning

confidence: 99%

Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis

Coughlan

Duschinsky

O’Connor

et al. 2020

Health Soc Care Community

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show abstract

“…Al Maskari (72) in 2018 surveyed 299 nurses and 217 GPs regarding perceived barriers and facilitators to screening for autism in Oman. Using data collected from two focus groups, Al Maskari (72) developed a questionnaire that explored organisational, professional, and social barriers to screening, as well as possible strategies to facilitate screening.…”

Section: Attitudes Towards Screening Autismmentioning

confidence: 99%

“…Similarly in Australia (65), GPs showed a tendency to describe waiting lists as lengthy, citing evidence from parental-report. Qualitative data from studies in Oman (72) and the UK (66) indicated a degree of dissatisfaction with the configuration of referral pathways.…”

Section: -Organisational and Service Tensionsmentioning

confidence: 99%

“…In Oman (72) and the US (75), GPs praised the advent of electronic health records and some suggested that an autism screening tool could be embedded within the current system. In Oman, GPs tended to agree that the initiation of standardised screening would require a multi-pronged approach involving public and social awareness campaigns around autism.…”

Section: ) Strategies To Facilitate Identificationmentioning

confidence: 99%

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Autism Spectrum Disorders in the work of General Practitioners: a systematic narrative review

Coughlan

Duschinsky

O’Connor

et al. 2019

Preprint

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Background Many healthcare systems are organised such that General Practitioners (GPs) often have a key role in identifying autism spectrum disorders (autism) in children. Yet a systematic understanding of GP knowledge and experiences identifying autism is currently lacking. In this review, we explored what GPs know about autism and the factors the influence their ability to identify and manage care for their patients with autism in practice.Methods We conducted a systematic narrative review using eight electronic databases. These included EMBASE and MEDLINE via Ovid, Web of Knowledge, PsycINFO via Ebscohost, PubMed, Scopus, ProQuest Dissertations and Thesis, and Applied Social Sciences Index and Abstracts (ASSIA) via ProQuest. Our search yielded 2,743 citations. Primary research studies were included, and we did not impose any geographical, language, or date restrictions.Results We identified 17 studies that met our inclusion criteria. These were published between 2003-2019. We thematically synthesised the material and identified the following themes: the prototypical image of a child with autism; experience and sources of information; barriers to identification; strategies to aid in identification; and characteristics that facilitate expertise. Conclusion Taken together, the findings from this review present a mixed picture of GP knowledge and experiences identifying autism and managing care for children with the condition. At one end of the continuum, there were GPs who had not heard of autism or endorsed outmoded aetiological theories. Others, however, demonstrated a sound knowledge of the conditions but had limited confidence in their ability to identify the condition. Many GPs and researchers alike called for more training and this might be effective. However, framing the problem as one of a lack of training risks silencing the array organisational factors that impact on a GPs ability to provide care for these patients.

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The Hodgepodge Reality: A Qualitative Systematic Review of the Challenges and Barriers in Child and Adolescent Mental Health Care Systems

Carbonell,

Georgieva,

Navarro-Pérez

et al. 2023

Adolescent Res Rev

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The literature to date has documented the presence of challenges and barriers in mental health systems and services for children and adolescents worldwide. However, studies addressing this reality often do so in a fragmented, residual, incomplete, or generalized way, therefore hindering a comprehensive understanding of this complex phenomenon. The aim of this qualitative systematic review is to analyze the barriers and challenges affecting global mental health care for children and adolescents. Searches were made in the Web of Science, Scopus, and PubMed databases between 2018 and 2022 using terms connected with mental health, childhood, adolescence, and health systems. The search resulted in the extraction of 9075 articles, of which 51 were considered eligible for inclusion and complied with quality indicators. A number of closely related structural, financial, attitudinal, and treatment barriers that limited the quality of life and well-being of children and adolescents with mental health needs were found. These barriers included inadequate public policies, operational deficiencies, insufficient insurance coverage, privatization of services, stigma, lack of mental health literacy, lack of training, overburdened care, dehumanization of care, and lack of community and integrated resources. The analysis of these barriers displays that this treatment gap reflects the historical injustice towards mental illness and the disregard for real needs in these crucial stages, perpetuating a systematic lack of protection for the mental health of children and adolescents. The complexity of the disorders and the absence of public resources have resulted in a hodgepodge of mental health services for children and adolescents that fails to provide the continuing specialist health care they need.

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Qualitative exploration of the barriers to, and facilitators of, screening children for autism spectrum disorder in Oman

Cited by 9 publications

References 48 publications

Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis

Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis

Autism Spectrum Disorders in the work of General Practitioners: a systematic narrative review

The Hodgepodge Reality: A Qualitative Systematic Review of the Challenges and Barriers in Child and Adolescent Mental Health Care Systems

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