Étude des connaissances sur l’autisme, de l’auto-efficacité et de la confiance à la suite d’une formation des infirmières de santé maternelle et infantile en vue de l’identification précoce de l’autisme

Titre original en anglais : Investigating autism knowledge, self-efficacy, and confidence following maternal and child health nurse training for the early identification of autism

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Gore, K., Gilbert, M., Hawke, M., & Barbaro, J. (2024). Investigating autism knowledge, self-efficacy, and confidence following maternal and child health nurse training for the early identification of autism. Frontiers in Neurology, 14, 1201292-1201292. https://doi.org/10.3389/fneur.2023.1201292

Date de publication: 09/01/2024 Ajout dans AutiHub: 07/09/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
4
Auteur·ices de la publication identifié·es comme autistes
1 / 4 (25,0 %)
  1. Katherine Gore
  2. Melissa Gilbert
  3. Marguerite Hawke
  4. Josephine Barbaro *

Résumé

Introduction L’identification précoce des enfants présentant une forte probabilité d’autisme peut conduire à une orientation vers des services diagnostiques et à l’accès à des soutiens précoces, ce qui améliore les résultats pour les enfants et les familles. Les infirmières de santé maternelle et infantile (MCHN) de Victoria, en Australie, sont bien placées pour surveiller les nourrissons et les jeunes enfants à la recherche de signes d’autisme, étant donné que les enfants et les personnes qui s’en occupent participent à des consultations gratuites et régulières de suivi de santé de l’enfant, de la naissance jusqu’à l’âge scolaire. Cette étude visait à déterminer l’incidence de facteurs personnels et liés au lieu de travail sur les compétences des MCHN en matière de connaissances sur l’autisme, d’auto-efficacité dans l’identification des nourrissons et jeunes enfants autistes, et de confiance pour parler de l’autisme aux parents et aux personnes qui s’occupent des enfants. En outre, l’étude cherchait à déterminer quels facteurs personnels et liés au lieu de travail pouvaient prédire une augmentation des compétences dans ces domaines. Méthodes Après avoir identifié les besoins en formation et les niveaux de compétence actuels au moyen d’une analyse des besoins de formation (TNA), 1 428 MCHN ont reçu une formation sur les signes précoces de l’autisme et sur l’utilisation de l’outil Social Attention and Communication Surveillance-Revised (SACS-R) pour l’identification précoce de l’autisme ; le programme de formation était connu sous le nom de Monitoring of Social Attention, Interaction, and Communication (MoSAIC). Résultats Une formation antérieure des MCHN sur l’autisme et la connaissance des ressources communautaires liées à l’autisme ont contribué de manière significative à l’augmentation de l’auto-efficacité des MCHN dans l’identification des nourrissons et jeunes enfants autistes, tandis que la connaissance des ressources communautaires constituait le meilleur prédicteur de la confiance pour parler de l’autisme aux parents et aux personnes qui s’occupent des enfants. L’auto-efficacité perçue et la confiance pour parler de l’autisme aux parents et aux personnes qui s’occupent des enfants ont augmenté de manière significative après la formation MoSAIC sur l’autisme. Discussion Une formation ciblée sur l’autisme destinée aux praticiens de soins de santé primaires constitue une première étape importante pour l’identification précoce de l’autisme et l’initiation de conversations avec les parents et les personnes qui s’occupent des enfants.

Introduction Early identification of children with a high likelihood of autism can lead to referral for diagnostic services and access to early supports, resulting in improved outcomes for children and families. Maternal and Child Health Nurses (MCHNs) in Victoria, Australia, are well-placed to monitor infants and toddlers for signs of autism, given children and caregivers attend free, regular, well-baby consultations from birth through to school age. This study aimed to identify the impact of personal and workplace factors on MCHNs’ competencies of autism knowledge, self-efficacy in identifying autistic infants and toddlers, and confidence in speaking to parents/caregivers about autism. Additionally, the study sought to identify which personal and workplace factors might predict increased competency in these areas. Methods After identifying training needs and current competency levels via a training needs analysis (TNA), 1,428 MCHNs received training on the early signs of autism and in the use of the Social Attention and Communication Surveillance-Revised (SACS-R) tool for early autism identification; the training program was known as Monitoring of Social Attention, Interaction, and Communication (MoSAIC). Results Previous MCHN autism training and knowledge of autism community resources significantly contributed to increased MCHN self-efficacy in identifying autistic infants and toddlers, while knowledge of community resources was the best predictor of confidence in speaking with parents/caregivers about autism. Perceived self-efficacy and confidence in speaking with parents/caregivers about autism significantly increased following the MoSAIC autism training. Discussion Targeted autism training for primary health practitioners is an important first step for early autism identification and initiating conversations with parents/caregivers.

Bibliographie citée par cette référence

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Vue d’ensemble de la bibliographie citée

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Références citées
64
Avec un DOI
50
Sans DOI, à partir du texte brut de la bibliographie
13
8 / 64 (12,5 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
8 / 64 (12,5 %)
Références avec noms d’auteurices détectés
59 / 64 (92,2 %)
Sans nom d’auteurice détecté
5
Sans titre structuré
3
Sans identifiant stable
12
Références avec noms bruts d’auteurices restant à vérifier
0
Références avec problème de récupération des métadonnées externes
0
Ces indicateurs portent sur les références citées affichées sur cette page, après fusion des doublons techniques. Une référence sans DOI peut quand même soutenir les statistiques d’auteurices lorsqu’un titre et des noms d’auteurices sont disponibles.
Noms d’auteurices détectés dans la bibliographie citée
208
À partir du DOI ou de métadonnées externes
208
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
0
56 / 208 (26,9 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 152 / 208 (73,1 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
8 / 208 (3,8 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 8 / 56 (14,3 %). Personnes distinctes identifiées comme autistes : 2 / 191 (1,0 %).
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