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ELearning Sensory Approaches Used by Caregivers of People with Developmental Disorders: a Rapid Review

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Abstract

Purpose of Review

Developmental disorders affect approximately 53 million children under the age of 5 worldwide with many experiencing difficulties with modulating sensory stimuli. Caregiver skills training for families and caregivers is a preferred treatment approach for those experiencing developmental disability. However, since the advent of COVID 19 providing caregiver training online (eLearning) has become the preferred option. Despite the increase in usage of eLearning, its efficacy for caregivers who use sensory approaches has not been fully investigated. This study reviewed the evidence on the effectiveness of eLearning sensory approaches used by caregivers of people with developmental disorders from published peer-reviewed literature using Cochrane’s rapid review methodology.

Recent Findings

The initial search yielded 3101 articles after which 35 articles were included for full text review. We inferred from the reviewed full texts that the common barriers were lack of internet connectivity, lack of skills to use the technology, lack of finances to purchase the equipment, negative perceptions on safety and confidentiality. The facilitators were flexible session timings, decreased costs, decreased anxiety, increased patient comfort, increased safety from infection, and reduced logistic burden. However, no studies were found that met all the criteria for our review.

Summary

These findings suggest that there is a lack of published literature on eLearning initiatives involving caregivers wanting to use or are using sensory approaches with individuals with developmental disabilities. More primary research studies in this area are needed.

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References

Papers of particular interest, published recently, have been highlighted as: • Of importance •• Of major importance

  1. Machingura T, Shum D, Lloyd C, Murphy K, Rathbone E, Green H. Effectiveness of sensory modulation for people with schizophrenia: a multisite quantitative prospective cohort study. Aust Occup Ther J. 2022 Aug;69(4):424–35.

    Article  PubMed  PubMed Central  Google Scholar 

  2. Brown A, Tse T, Fortune T. Defining sensory modulation: A review of the concept and a contemporary definition for application by occupational therapists. Scand J Occup Ther. 2018;26(7):515–23.

  3. World Health Organization. Classification and terminologies. Retrieved July 20, 2023, from https://www.who.int/standards/classifications/.

  4. The American Psychiatric Association. Diagnostic and statistical manual-V., Retrieved July 20, 2023, from Psychiatry.org - Home.

  5. Ringold SM, McGuire RW, Jayashankar A, Kilroy E, Butera CD, Harrison L, Cermak SA, Aziz-Zadeh L. Sensory modulation in children with developmental coordination disorder compared to autism spectrum disorder and typically developing children. Brain Sci. 2022;12(9):1171.

    Article  PubMed  PubMed Central  Google Scholar 

  6. Ben-Sasson A, Hen L, Fluss R, Cermak SA, Engel-Yeger B, Gal E. A meta-analysis of sensory modulation symptoms in individuals with autism spectrum disorders. J Autism Dev Disord. 2009;39:1–1.

    Article  PubMed  Google Scholar 

  7. Jang J, Dixon DR, Tarbox J, Granpeesheh D, Kornack J, de Nocker Y. Randomized trial of an eLearning program for training family members of children with autism in the principles and procedures of applied behavior analysis. Res Autism Spectr Disord. 2012;6(2):852–6.

    Article  Google Scholar 

  8. Karst JS, Van Hecke AV. Parent and family impact of autism spectrum disorders: a review and proposed model for intervention evaluation. Clin Child Fam Psychol. Rev. 2012;15:247–77.

    Article  PubMed  Google Scholar 

  9. • Abbott-Gaffney CR, Gafni-Lachter L, Cason J, Sheaffer K, Harasink R, Donehower K, Jacobs K. Toward successful future use of telehealth in occupational therapy practice: what the COVID-19 rapid shift revealed. Work. 2022;71(2):385–94. This study identifies barriers and effective mitigation strategies used by occupational therapists including education of caregivers

    Article  PubMed  Google Scholar 

  10. Kaur R, Boobna T, Kallingal P. Effect of Covid-19 lockdown on Indian children with autism. Res Dev Disabil. 2022;1(125):104230.

    Article  Google Scholar 

  11. Monaghesh E, Hajizadeh A. The role of telehealth during COVID-19 outbreak: a systematic review based on current evidence. BMC Public Health. 2020;20:1–9.

    Article  Google Scholar 

  12. Clark RC, Mayer RE. E-learning and the science of instruction: proven guidelines for consumers and designers of multimedia learning. john Wiley & sons; 2016.

    Book  Google Scholar 

  13. Frenk J, Chen L, Bhutta ZA, Cohen J, Crisp N, Evans T, Fineberg H, Garcia P, Ke Y, Kelley P, Kistnasamy B. Health professionals for a new century: transforming education to strengthen health systems in an interdependent world. Lancet. 2010;376(9756):1923–58.

    Article  PubMed  Google Scholar 

  14. Ruggeri K, Farrington C, Brayne C. A global model for effective use and evaluation of e-learning in health. Telemedicine and e-Health. 2013;19(4):312–21.

    Article  PubMed  PubMed Central  Google Scholar 

  15. Garritty C, Hamel C, Hersi M, Butler C, Monfaredi Z, Stevens A, Nussbaumer-Streit B, Cheng W, Moher D. Assessing how information is packaged in rapid reviews for policy-makers and other stakeholders: a cross-sectional study. Health Res Policy Syst. 2020;18:1–7.

    Article  Google Scholar 

  16. Peters MD, Marnie C, Tricco AC, Pollock D, Munn Z, Alexander L, McInerney P, Godfrey CM, Khalil H. Updated methodological guidance for the conduct of scoping reviews. JBI evidence synthesis. 2020;18(10):2119–26.

    Article  PubMed  Google Scholar 

  17. •• Ali D, O’Brien S, Hull L, Kenny L, Mandy W. ‘The key to this is not so much the technology. It’s the individual who is using the technology’: perspectives on telehealth delivery for autistic adults during the COVID-19 pandemic. Autism. 2023;27(2):552–64. Findings highlight key success factors specific to individuals

    Article  PubMed  Google Scholar 

  18. •• Dai YG, Thomas RP, Brennan L, Helt MS, Barton ML, Dumont-Mathieu T, Fein DA. Development and acceptability of a new program for caregivers of children with autism spectrum disorder: Online parent training in early behavioral intervention. J Autism Dev Disord. 2021;51:4166–85. Findings suggest that a comprehensive, self-directed online program for caregivers of children with ASD can be accepted and beneficial

    Article  PubMed  Google Scholar 

  19. Rosen V, Blank E, Lampert E, Dominick K, Will M, Erickson C, Pedapati E, Lamy M, Shaffer R. Brief report: Telehealth satisfaction among caregivers of pediatric and adult psychology and psychiatry patients with intellectual and developmental disability in the wake of COVID-19. J Autism Dev Disord. 2022;52(12):5253–65.

    Article  PubMed  PubMed Central  Google Scholar 

  20. Serwe KM, Schloer L, Vigna S. Increasing caregiver access to programming: a qualitative exploration of caregivers’ experience of a telehealth powerful tools for caregivers program. Home Healthcare Now. 2019;37(5):273–80.

    Article  PubMed  Google Scholar 

  21. Agazzi H, Hayford H, Thomas N, Dickinson S, Ortiz C, Salinas-Miranda A. Pandemic parenting: a pilot study of in-person versus internet-DOCS K-5 for caregivers of school-age children with disruptive behaviors. Clin Child Psychol Psychiatry. 2022;27(3):569–85.

    Article  PubMed  Google Scholar 

  22. Kenworthy L, Childress D, Armour AC, Verbalis A, Zhang A, Troxel M, Handsman R, Kocher K, Myrick Y, Werner M, Alexander KC. Leveraging technology to make parent training more accessible: randomized trial of in-person versus online executive function training for parents of autistic children. Autism. 2023;27(3):616–28.

    Article  PubMed  Google Scholar 

  23. Costa P, Cruz AC, Alves A, Rodrigues MC, Ferguson R. The impact of the COVID-19 pandemic on young children and their caregivers. Child Care Health Dev. 2022;48(6):1001–7.

    Article  PubMed  Google Scholar 

  24. Harris L, Gilmore D, Hanks C, Coury D, Moffatt-Bruce S, Garvin JH, Hand BN. “It was surprisingly equivalent to the appointment I had in person”: Advantages and disadvantages of synchronous telehealth for delivering primary care for autistic adults. Autism. 2022;26(6):1573–80.

    Article  PubMed  Google Scholar 

  25. Pino MC, Vagnetti R, Tiberti S, Valenti M, Mazza M. Involving autism stakeholders in identifying priorities for interventions based on augmented reality. Disabil Rehabil Assist Technol. 2022;7:1–9.

    Article  Google Scholar 

  26. Pompa-Craven P, Tierman E, Martino J, Lotfizadeh AD. Caregiver satisfaction with delivery of telehealth autism services. Adv Neurodev Disord. 2022;6(2):196–205.

    Article  PubMed  PubMed Central  Google Scholar 

  27. Bearss K, Burrell TL, Challa SA, Postorino V, Gillespie SE, Crooks C, Scahill L. Feasibility of parent training via telehealth for children with autism spectrum disorder and disruptive behavior: a demonstration pilot. J Autism Dev Disord. 2018;48:1020–30.

    Article  PubMed  Google Scholar 

  28. Little LM, Wallisch A, Pope E, Dunn W. Acceptability and cost comparison of a telehealth intervention for families of children with autism. Infants Young Child. 2018;31(4):275–86.

    Article  Google Scholar 

  29. Hermaszewska S, Sin J. End-user perspectives on the development of an online intervention for parents of children on the autism spectrum. Autism. 2021;25(5):1234–45.

    Article  PubMed  PubMed Central  Google Scholar 

  30. Hinton S, Sheffield J, Sanders MR, Sofronoff K. A randomized controlled trial of a telehealth parenting intervention: a mixed-disability trial. Res Dev Disabil. 2017;1(65):74–85.

    Article  Google Scholar 

  31. Hyder MA, Razzak J. Telemedicine in the United States: an introduction for students and residents. J Med Internet Res. 2020;22(11):e20839.

    Article  PubMed  PubMed Central  Google Scholar 

  32. Griffin ZA, Boulton KA, Thapa R, DeMayo MM, Ambarchi Z, Thomas E, Pokorski I, Hickie IB, Guastella AJ. Atypical sensory processing features in children with autism, and their relationships with maladaptive behaviors and caregiver strain. Autism Res. 2022;15(6):1120–9.

    Article  PubMed  PubMed Central  Google Scholar 

  33. Dhiman S, Sahu PK, Reed WR, Ganesh GS, Goyal RK, Jain S. Impact of COVID-19 outbreak on mental health and perceived strain among caregivers tending children with special needs. Res Dev Disabil. 2020;1(107):103790.

    Article  Google Scholar 

  34. Martínez-González AE, Moreno-Amador B, Piqueras JA. Differences in emotional state and autistic symptoms before and during confinement due to the COVID-19 pandemic. Res Dev Disabil. 2021;1(116):104038.

    Article  Google Scholar 

  35. Levante A, Petrocchi S, Bianco F, Castelli I, Colombi C, Keller R, Narzisi A, Masi G, Lecciso F. Psychological impact of COVID-19 outbreak on families of children with autism spectrum disorder and typically developing peers: an online survey. Brain Sci. 2021;11(6):808.

    Article  CAS  PubMed  PubMed Central  Google Scholar 

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Correspondence to Tawanda Machingura.

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Machingura, T., Natanasubramanian, S. & Quadros, S. ELearning Sensory Approaches Used by Caregivers of People with Developmental Disorders: a Rapid Review. Curr Dev Disord Rep 10, 250–263 (2023). https://doi.org/10.1007/s40474-023-00287-3

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