Loisirs, emploi, participation communautaire et qualité de vie chez les principaux aidants d'enfants autistes : une étude qualitative

Titre original en anglais : Leisure, Employment, Community Participation, and Quality of Life in Primary Caregivers of Autistic Children: A Qualitative Study

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.

À propos de la mention auteur·ice autiste

Davy, G., Barbaro, J., Unwin, K., & Dissanayake, C. (2023). Leisure, Employment, Community Participation, and Quality of Life in Primary Caregivers of Autistic Children: A Qualitative Study. Journal of Autism and Developmental Disorders, 54(7), 2591-2603. https://doi.org/10.1007/s10803-023-05992-x

Date de publication: 12/05/2023 Ajout dans AutiHub: 07/09/2026 Type: Article Langue de l’article: Anglais

Cette publication est intégrée dans AutiHub via :

Auteurs

Auteur·ices des publications
4
Auteur·ices de la publication identifié·es comme autistes
1 / 4 (25,0 %)

Résumé

Résumé Objectif En donnant la priorité aux besoins de leurs enfants autistes, les parents modifient souvent leur propre participation aux activités de loisirs, sociales et professionnelles. Peu d'études ont examiné l'incidence de ces modifications sur la qualité de vie (QdV) des aidants. L'objectif de la présente étude était d'examiner comment le fait d'élever leur(s) enfant(s) autiste(s) influe sur la participation et la QdV des parents. Méthodes Vingt principaux aidants (29-48 ans, toutes des femmes) d'enfants autistes (7-11 ans) ont été interrogés en ligne sur leur participation aux activités de loisirs, communautaires et professionnelles, y compris l'incidence de la COVID-19. Résultats Cinq thèmes, accompagnés de sous-thèmes sous-jacents, ont été identifiés à l'aide d'une analyse thématique réflexive. Les thèmes étaient : (1) Réfléchir aux choses importantes dans la vie, (2) Obtenir l'accès à tout ce qui est nécessaire, (3) Obstacles à la participation à des activités significatives, (4) Facilitateurs de la participation à des activités significatives et (5) Participation pendant la pandémie de COVID-19. Conclusion Les résultats soulignent l'importance d'une participation régulière à des activités significatives pour les parents d'enfants autistes et du soutien dont ils ont besoin, particulièrement les parents seuls, afin d'atteindre un équilibre entre la satisfaction des responsabilités de soins et leurs propres besoins de participation.

Abstract Purpose In prioritising the needs of their autistic children, parents often modify their own participation across leisure, social, and workforce activities. Few studies have examined the impact these modifications have on caregiver quality of life (QoL). The aim in the current study was to examine how parenting their autistic child/ren impacts parent’s participation and QoL. Methods Twenty primary caregivers (29–48 years, all female) of autistic children (7–11 years) were interviewed online about their participation in leisure, community, and employment activities including the impact of COVID-19. Results Five themes with underlying subthemes were identified using reflexive thematic analysis. The themes were: (1) Reflecting on the important things in life, (2) Getting access to everything needed, (3) Barriers to participation in meaningful activities, (4) Facilitators of participation in meaningful activities, and (5) Participation through the COVID-19 pandemic. Conclusion The findings highlight the importance of regular participation in meaningful activities for parents of autistic children and the support needed by them, particularly single parents, to achieve balance between meeting caring responsibilities and their own participation needs.

Bibliographie citée par cette référence

Les références citées sont importées depuis des sources externes de métadonnées lorsqu’elles sont disponibles. La liste peut être partielle.

Vue d’ensemble de la bibliographie citée

Ces indicateurs décrivent la bibliographie citée par cette publication. Un nom d’auteurice est compté chaque fois qu’il apparaît dans une référence citée : une même personne peut donc être comptée plusieurs fois. Les noms qui ne sont pas encore associés à un·e auteurice déjà présent·e dans AutiHub sont traités comme inconnus, pas comme non autistes. Dernier calcul : 12/09/2026 18:18.

Références citées
60
Avec un DOI
57
Sans DOI, à partir du texte brut de la bibliographie
3
4 / 60 (6,7 %) références citées comprennent au moins une personne identifiée comme autiste.
Références avec données à compléter
4 / 60 (6,7 %)
Références avec noms d’auteurices détectés
56 / 60 (93,3 %)
Sans nom d’auteurice détecté
4
Sans titre structuré
3
Sans identifiant stable
3
Références avec noms bruts d’auteurices restant à vérifier
3
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
204
À partir du DOI ou de métadonnées externes
204
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
4
36 / 204 (17,6 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 168 / 204 (82,4 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
6 / 204 (2,9 %)
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 : 6 / 36 (16,7 %). Personnes distinctes identifiées comme autistes : 4 / 185 (2,2 %).
  1. Leah I. Stein , Amanda C. Foran , Sharon Cermak (2011). Occupational Patterns of Parents of Children with Autism Spectrum Disorder: Revisiting Matuska and Christiansen's Model of Lifestyle Balance . Journal of Occupational Science, 18(2), 115-130. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  2. Catherine L. Backman (2004). Occupational Balance: Exploring the Relationships among Daily Occupations and Their Influence on Well-Being . Canadian Journal of Occupational Therapy, 71(4), 202-209. SAGE Publications.
    Crossref OpenAlex OpenCitations
  3. Sabrin Rizk , Kris Pizur-Barnekow , Amy R. Darragh (2011). Leisure and Social Participation and Health-Related Quality of Life in Caregivers of Children with Autism . OTJR: Occupational Therapy Journal of Research, 31(4), 164-171. SAGE Publications.
    Crossref OpenAlex OpenCitations
  4. (2016). Successful qualitative research: A practical guide for beginners . QMiP Bulletin, 1(21), 48-50. British Psychological Society.
    OpenAlex
  5. Janice M. Morse (2015). “Data Were Saturated... ” . Qualitative Health Research, 25(5), 587-588. SAGE Publications.
    Crossref OpenAlex OpenCitations
  6. Anoo Bhopti , Ted Brown , Primrose Lentin (2020). Opportunities for participation, inclusion and recreation in school-aged children with disability influences parent occupations and family quality of life: A mixed-methods study . British Journal of Occupational Therapy, 83(4), 204-214. SAGE Publications.
    Crossref OpenAlex OpenCitations
  7. Virginia Braun , Victoria Clarke (2006). Using thematic analysis in psychology . Qualitative Research in Psychology, 3(2), 77-101. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  8. Helen Bourke‐Taylor , Linsey Howie , Mary Law (2010). Impact of caring for a school‐aged child with a disability: Understanding mothers’ perspectives . Australian Occupational Therapy Journal, 57(2), 127-136. Wiley.
    Crossref OpenAlex OpenCitations
  9. Petra Wagman , Carita Håkansson , Anita Björklund (2012). Occupational balance as used in occupational therapy: A concept analysis . Scandinavian Journal of Occupational Therapy, 19(4), 322-327. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  10. Rebecca L. McStay , David Trembath , Cheryl Dissanayake (2014). Maternal stress and family quality of life in response to raising a child with autism: From preschool to adolescence . Research in Developmental Disabilities, 35(11), 3119-3130. Elsevier BV.
    Crossref OpenAlex OpenCitations
  11. Helen M Bourke-Taylor , Fiona Jane , Jennifer Peat (2019). Healthy Mothers Healthy Families Workshop Intervention: A Preliminary Investigation of Healthy Lifestyle Changes for Mothers of a Child with a Disability . Journal of Autism and Developmental Disorders, 49(3), 935-949. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  12. Eleni Vasilopoulou , Joy Nisbet (2016). The quality of life of parents of children with autism spectrum disorder: A systematic review . Research in Autism Spectrum Disorders, 23, 36-49. Elsevier BV.
    Crossref OpenAlex OpenCitations
  13. Jane E. Miller , Colleen N. Nugent , Louise B. Russell (2015). Risk factors for family time burdens providing and arranging health care for children with special health care needs: Lessons from nonproportional odds models . Social Science Research, 52, 602-614. Elsevier BV.
    Crossref OpenAlex OpenCitations
  14. Helen Bourke-Taylor , Julie F. Pallant , Mary Law , Linsey Howie (2012). Predicting mental health among mothers of school-aged children with developmental disabilities: The relative contribution of child, maternal and environmental factors . Research in Developmental Disabilities, 33(6), 1732-1740. Elsevier BV.
    Crossref OpenAlex OpenCitations
  15. BorteGurbuz Ozgur , Hatice Aksu , Erhan Eser (2018). Factors affecting quality of life of caregivers of children diagnosed with autism spectrum disorder . Indian Journal of Psychiatry, 60(3), 278. Ovid Technologies (Wolters Kluwer Health).
    Crossref OpenAlex OpenCitations
  16. Antonia M. Nelson (2002). A Metasynthesis: Mothering Other-than-Normal Children . Qualitative Health Research, 12(4), 515-530. SAGE Publications.
    Crossref OpenAlex OpenCitations
  17. Julie A. Strunk (2010). Respite Care for Families of Special Needs Children: A Systematic Review . Journal of Developmental and Physical Disabilities, 22(6), 615-630. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  18. Braun, V., & Clarke, V. (2013). Successful qualitative research: A practical guide for beginners. Sage.
    Type: Autre
    Crossref
  19. Thomas W Frazier , Allison C. Hyland , Leslie A. Markowitz , Leslie L. Speer , Elizabeth A. Diekroger (2020). Psychometric evaluation of the revised child and family quality of life questionnaire (CFQL-2) . Research in Autism Spectrum Disorders, 70, 101474. Elsevier BV.
    Crossref OpenAlex OpenCitations
  20. Anna Madill , Abbie Jordan , Caroline Shirley (2000). Objectivity and reliability in qualitative analysis: Realist, contextualist and radical constructionist epistemologies . British Journal of Psychology, 91(1), 1-20. Wiley.
    Crossref OpenAlex OpenCitations
  21. Virginia Braun , Victoria Clarke (2021). One size fits all? What counts as quality practice in (reflexive) thematic analysis? Qualitative Research in Psychology, 18(3), 328-352. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  22. A. Dabrowska , E. Pisula (2010). Parenting stress and coping styles in mothers and fathers of pre‐school children with autism and Down syndrome . Journal of Intellectual Disability Research, 54(3), 266-280. Wiley.
    Crossref OpenAlex OpenCitations
  23. Virginia Braun , Victoria Clarke (2022). Thematic Analysis . Dans Encyclopedia of Quality of Life and Well-Being Research (pp. 1-7). Springer International Publishing.
    Crossref OpenAlex
  24. Lisa M. Dieleman , Tinneke Moyson , Sarah S.W. De Pauw , Peter Prinzie , Bart Soenens (2018). Parents' Need-related Experiences and Behaviors When Raising a Child With Autism Spectrum Disorder . Journal of Pediatric Nursing, 42, e26-e37. Elsevier BV.
    Crossref OpenAlex OpenCitations
  25. David Byrne (2022). A worked example of Braun and Clarke’s approach to reflexive thematic analysis . Quality & Quantity, 56(3), 1391-1412. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  26. Emily J Callander , Daniel B Lindsay (2018). The impact of childhood autism spectrum disorder on parent’s labour force participation: Can parents be expected to be able to re-join the labour force? Autism, 22(5), 542-548. SAGE Publications.
    Crossref OpenAlex OpenCitations
  27. Anna Madill , Brendan Gough (2008). Qualitative research and its place in psychological science. Psychological Methods, 13(3), 254-271. American Psychological Association (APA).
    Type: Article DOI: 10.1037/a0013220 OpenAlex: https://openalex.org/W2132382032
    Crossref OpenAlex OpenCitations
  28. Shin Ying Chu , Hyeran Park , Jaehoon Lee , Khadijah Kamil binti Shaharuddin , Chun Hong Gan (2020). Self‐stigma and its associations with stress and quality of life among Malaysian parents of children with autism . Child: Care, Health and Development, 46(4), 485-494. Wiley.
    Crossref OpenAlex OpenCitations
  29. Carita Håkansson , Synneve Dahlin‐Ivanoff , Ulla Sonn (2006). Achieving Balance In Everyday Life . Journal of Occupational Science, 13(1), 74-82. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  30. Kathleen M. Matuska , Charles H. Christiansen (2008). A proposed model of lifestyle balance . Journal of Occupational Science, 15(1), 9-19. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  31. Emma Cooke , Valerie Smith , Maria Brenner (2020). Parents’ experiences of accessing respite care for children with Autism Spectrum Disorder (ASD) at the acute and primary care interface: a systematic review . BMC Pediatrics, 20(1), 1. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  32. Mary Law (2002). Participation in the Occupations of Everyday Life . American Journal of Occupational Therapy, 56(6), 640-649. SAGE Publications.
    Crossref OpenAlex OpenCitations
  33. Stephanie A. Hayes , Shelley L. Watson (2013). The Impact of Parenting Stress: A Meta-analysis of Studies Comparing the Experience of Parenting Stress in Parents of Children With and Without Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 43(3), 629-642. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  34. Rebecca L. McStay , David Trembath , Cheryl Dissanayake (2014). Stress and Family Quality of Life in Parents of Children with Autism Spectrum Disorder: Parent Gender and the Double ABCX Model . Journal of Autism and Developmental Disorders, 44(12), 3101-3118. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  35. Janice M. Morse (1995). The Significance of Saturation . Qualitative Health Research, 5(2), 147-149. SAGE Publications.
    Crossref OpenAlex OpenCitations
  36. Mark Stabile , Sara Allin (2012). The Economic Costs of Childhood Disability . The Future of Children, 22(1), 65-96. Project MUSE.
    Crossref OpenAlex OpenCitations
  37. Tina Taylor Dyches , Ruthann Christensen , James M. Harper , Barbara Mandleco , Susanne Olsen Roper (2016). Respite Care for Single Mothers of Children with Autism Spectrum Disorders . Journal of Autism and Developmental Disorders, 46(3), 812-824. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  38. Vanessa Harris , Helen M. Bourke‐Taylor , Monica Leo (2022). Healthy Mothers Healthy Families, Health Promoting Activity Coaching for mothers of children with a disability: Exploring mothers' perspectives of programme feasibility . Australian Occupational Therapy Journal, 69(6), 662-675. Wiley.
    Crossref OpenAlex OpenCitations
  39. Anneleise Safe , Annette Joosten , Matthew Molineux (2012). The experiences of mothers of children with autism: Managing multiple roles . Journal of Intellectual & Developmental Disability, 37(4), 294-302. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  40. Greg Guest , Arwen Bunce , Laura Johnson (2006). How Many Interviews Are Enough? Field Methods, 18(1), 59-82. SAGE Publications.
    Crossref OpenAlex OpenCitations
  41. Leontine W. ten Hoopen , Pieter F. A. de Nijs , Jorieke Duvekot , Kirstin Greaves-Lord , Manon H. J. Hillegers , Werner B. F. Brouwer et al. (2020). Children with an Autism Spectrum Disorder and Their Caregivers: Capturing Health-Related and Care-Related Quality of Life . Journal of Autism and Developmental Disorders, 50(1), 263-277. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  42. Leann E. Smith , Jinkuk Hong , Marsha Mailick Seltzer , Jan S. Greenberg , David M. Almeida , Somer Bishop (2010). Daily Experiences Among Mothers of Adolescents and Adults with Autism Spectrum Disorder . Journal of Autism and Developmental Disorders, 40(2), 167-178. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  43. Roberta L. Woodgate , Christine Ateah , Loretta Secco (2008). Living in a World of Our Own: The Experience of Parents Who Have a Child With Autism . Qualitative Health Research, 18(8), 1075-1083. SAGE Publications.
    Crossref OpenAlex OpenCitations
  44. Annette Joosten , Anneleise P. Safe (2014). Management strategies of mothers of school-age children with autism: Implications for practice . Australian Occupational Therapy Journal, 61(4), 249-258. Wiley.
    Crossref OpenAlex OpenCitations
  45. Victoria Clarke , Virginia Braun (2014). Thematic Analysis . Dans Encyclopedia of Critical Psychology (pp. 1947-1952). Springer New York.
    OpenCitations
  46. Luther G. Kalb , Elena Badillo‐Goicoechea , Calliope Holingue , Kira E. Riehm , Johannes Thrul , Elizabeth A. Stuart et al. (2021). Psychological distress among caregivers raising a child with autism spectrum disorder during the COVID ‐19 pandemic . Autism Research, 14(10), 2183-2188. Wiley.
    Type: Article DOI: 10.1002/aur.2589 OpenAlex: https://openalex.org/W3187813149
    Crossref OpenAlex OpenCitations
  47. Damhnat McCann , Rosalind Bull , Tania Winzenberg (2012). The daily patterns of time use for parents of children with complex needs . Journal of Child Health Care, 16(1), 26-52. SAGE Publications.
    Crossref OpenAlex OpenCitations
  48. Kiboum Kim , Junhyoung Kim , Alison Voight , Minjoon Ji (2018). Listening to the screaming whisper: a voice of mother caregivers of children with autistic spectrum disorder (ASD) . International Journal of Qualitative Studies on Health and Well-being, 13(1), 1479585. Informa UK Limited.
    Crossref OpenAlex OpenCitations
  49. The WHOQOL Group (1995). The World Health Organization quality of life assessment (WHOQOL): Position paper from the World Health Organization . Social Science & Medicine, 41(10), 1403-1409. Elsevier BV.
    Crossref OpenAlex OpenCitations
  50. Kazuteru Niinomi , Midori Asano , Akiko Kadoma , Kumiko Yoshida , Yukimi Ohashi , Ayako Furuzawa et al. (2016). Developing the “Skippu‐Mama” program for mothers of children with autism spectrum disorder . Nursing & Health Sciences, 18(3), 283-291. Wiley.
    Crossref OpenAlex OpenCitations
  51. Tomomi McAuliffe , Yvonne Thomas , Sharmila Vaz , Torbjorn Falkmer , Reinie Cordier (2019). The experiences of mothers of children with autism spectrum disorder: Managing family routines and mothers’ health and wellbeing . Australian Occupational Therapy Journal, 66(1), 68-76. Wiley.
    Crossref OpenAlex OpenCitations
  52. Otter.ai Inc (2022). Otter: Transcribe Voice Notes. https://otter.ai/
    Type: Autre
    Crossref
  53. Keith Pecor , Georgia Barbayannis , Max Yang , Jacklyn Johnson , Sarah Materasso , Mauricio Borda et al. (2021). Quality of Life Changes during the COVID-19 Pandemic for Caregivers of Children with ADHD and/or ASD . International Journal of Environmental Research and Public Health, 18(7), 3667. MDPI AG.
    Crossref OpenAlex OpenCitations
  54. Riyo Ueda , Takashi Okada , Yosuke Kita , Yuri Ozawa , Hisami Inoue , Mutsuki Shioda et al. (2021). The quality of life of children with neurodevelopmental disorders and their parents during the Coronavirus disease 19 emergency in Japan . Scientific Reports, 11(1), 3042. Springer Science and Business Media LLC.
    Crossref OpenAlex OpenCitations
  55. QSR International Pty Ltd (2020). NVivo. https://www.qsrinternational.com/nvivo-qualitative-data-analysis-software/home
    Type: Autre
    Crossref
  56. Thuy Tran , Sharon Keesing , Courtenay Harris , Marina Ciccarelli (2023). Managing work‐related lateral elbow tendinopathy: Australian hand therapist's experiences with workplace‐based interventions . Australian Occupational Therapy Journal, 70(2), 233-245. Wiley.
    OpenAlex