Abstract
We systematically reviewed research on interventions designed to increase service access for children with special healthcare needs through family empowerment, defined as caregiver’s knowledge, attitudes, and behaviors to meet their family’s needs. The purpose was to describe these interventions, evaluate the evidence, and understand their relevance for increasing service access for children with autism spectrum disorder. Identified studies (n = 25) showed consistent improvements in knowledge and attitudes, limited assessment of behavior, and mixed outcomes for service access, suggesting a need for greater understanding of how to empower families to meet their service needs. Future research should aim to integrate theory across development, application, and evaluation of interventions, while considering alternative approaches that put more responsibility and burden on systems of care.
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Acknowledgements
Thank you to Drs. Amy Drahota, Connie Sung, and Ignacio Acevedo-Polakovich for feedback on the initial project conceptualization and manuscript. Special thanks to Genna Koehn for assistance with title, abstract, full-text review, and data extraction
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Both authors contributed to initial study conceptualization. Review protocol development, data collection and analysis, and writing of the initial manuscript were completed by Karís Casagrande. Brooke Ingersoll provided feedback on the framing of the study, as well as substantive revisions and final edits of the manuscript.
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Karís Casagrande is affiliated with the Department of Psychology at Michigan State University, in East Lansing, MI, USA. Brooke R. Ingersoll is affiliated with the Department of Psychology at Michigan State University, in East Lansing, MI, USA.
There have been no changes in affiliation for either author through the duration of the study.
Thank you to Drs. Amy Drahota, Connie Sung, and Ignacio Acevedo-Polakovich for feedback on the initial project conceptualization and manuscript. Special thanks to Genna Koehn for assistance with title, abstract, full-text review, and data extraction.
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Casagrande, K., Ingersoll, B.R. Improving Service Access in ASD: A Systematic Review of Family Empowerment Interventions for Children with Special Healthcare Needs. Rev J Autism Dev Disord 8, 170–185 (2021). https://doi.org/10.1007/s40489-020-00208-9
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DOI: https://doi.org/10.1007/s40489-020-00208-9