Utiliser la théorie du processus de normalisation pour éclairer la pratique : évaluation d'une formation virtuelle sur l'autisme destinée aux cliniciens

Titre original en anglais : Using normalization process theory to inform practice: evaluation of a virtual autism training for clinicians

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O’Hagan, B., Augustyn, M., Amgott, R., White, J. L., Hardesty, I., Bangham, C., Ursitti, A., Foster, S., Chandler, A., & Greece, J. (2023). Using normalization process theory to inform practice: evaluation of a virtual autism training for clinicians. Frontiers in Health Services, 3, 1242908-1242908. https://doi.org/10.3389/frhs.2023.1242908

Date de publication: 19/12/2023 Ajout dans AutiHub: 05/07/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
10
Auteur·ices de la publication identifié·es comme autistes
1 / 10 (10,0 %)
  1. Belinda O’Hagan
  2. Marilyn Augustyn
  3. Rachel Amgott
  4. Julie L. White
  5. Ilana Hardesty
  1. Candice Bangham
  2. A. Ursitti
  3. Sarah Foster *
  4. Alana Chandler
  5. Jacey Greece

Résumé

Contexte : La demande de services pédiatriques développementaux et comportementaux, y compris l'évaluation de l'autisme et la gestion des soins, est croissante. Il a été constaté que les formations destinées aux cliniciens entraînent une augmentation des connaissances et une évolution des attitudes. Cette étude utilise la théorie du processus de normalisation (NPT) pour évaluer un programme de formation des cliniciens et ses effets sur la pratique. Méthodes : Le programme de formation virtuelle d'une durée d'un an sur le dépistage de l'autisme et la gestion des soins comprenait des parties didactiques et des présentations de cas. Des groupes de discussion et des entretiens ont été menés auprès de cliniciens de soins primaires (n = 10) issus de centres de santé communautaires (n = 6) dans une zone urbaine, cinq mois après la formation. Les transcriptions ont été codées de manière déductive à l'aide de la NPT afin de mettre en évidence les obstacles à la mise en œuvre du dépistage et des soins liés à l'autisme, les bénéfices du programme de formation et les domaines à aborder dans les formations futures. Résultats : Les participants étaient motivés par les bénéfices de l'élargissement et de l'amélioration du soutien aux patients autistes, mais ont souligné que cet effort nécessite une collaboration efficace au sein d'un réseau complexe de prestataires de soins, comprenant des cliniciens, des organismes d'assurance et des prestataires de thérapie. Bien qu'il y ait eu du soutien que les participants pouvaient fournir aux familles, des obstacles subsistaient, notamment la disponibilité de la thérapie comportementale et des effectifs insuffisants. Dans l'ensemble, les participants ont évalué positivement la formation et ont déclaré avoir mis en œuvre de nouvelles stratégies dans leur pratique. Conclusion : Malgré la petite taille de l'échantillon, l'application de la NPT a permis d'évaluer à la fois la prestation de la formation et la mise en œuvre des stratégies, ainsi que d'identifier des recommandations pour les formations futures et la pérennité de la pratique. Des groupes de discussion de suivi ont exploré la pratique des participants cinq mois après le programme. Les variations de l'expérience initiale des participants et du contexte au suivi permettant l'application des compétences doivent être prises en compte lors de l'utilisation de la NPT pour évaluer les formations des cliniciens.

Background: There is growing demand for developmental and behavioral pediatric services including autism evaluation and care management. Clinician trainings have been found to result in an increase of knowledge and attitudes. This study utilizes Normalization Process theory (NPT) to evaluate a clinician training program and its effects on practice. Methods: The year-long virtual training program about autism screening and care management included didactic portions and case presentations. Focus groups and interviews were conducted with primary care clinicians (n = 10) from community health centers (n = 6) across an urban area five months post-training. Transcripts were deductively coded using NPT to uncover barriers to implementation of autism screening and care, benefits of the training program, and areas for future training. Results: Participants were motivated by the benefits of expanding and improving support for autistic patients but noted this effort requires effective collaboration within a complex network of care providers including clinicians, insurance agencies, and therapy providers. Although there were support that participants could provide to families there were still barriers including availability of behavior therapy and insufficient staffing. Overall, participants positively viewed the training and reported implementing new strategies into practice. Conclusion: Despite the small sample size, application of NPT allowed for assessment of both training delivery and implementation of strategies, and identification of recommendations for future training and practice sustainability. Follow-up focus groups explored participants' practice five months post-program. Variations in participants' baseline experience and context at follow-up to enable application of skills should be considered when using NPT to evaluate clinician trainings.

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Ces indicateurs décrivent la bibliographie citée importée pour cette publication. Les métriques de références citées utilisent le total des références citées comme dénominateur. Les métriques d’auteurices cité·es indiquent si elles utilisent toutes les occurrences d’auteurices cité·es ou seulement les occurrences rattachées à des auteurices déjà intégré·es à la base de données AutiHub. Ils utilisent les rattachements mis en cache entre les auteurices cité·es et les auteurices intégré·es à la base de données AutiHub. Dernier calcul : 16/08/2026 11:30.

Références citées
41
Nombre total de références citées intégrées pour cette publication.
Références citées avec un·e auteur·ice identifié·e comme autiste
1 / 41 (2,4 %)
Occurrences d’auteur·ices cité·es identifié·es comme autistes
1 / 248 (0,4 %)
Parmi les occurrences rattachées à des auteurices intégré·es à la base de données AutiHub : 1 / 56 (1,8 %). Auteurices cité·es distinct·es identifié·es comme autistes : 1 / 225 (0,4 %).
Occurrences citées rattachées à la base AutiHub
56 / 248 (22,6 %)
Auteurices cité·es distinct·es rattaché·es : 38 / 225 (16,9 %)
Occurrences rattachées, non identifiées comme autistes
55 / 56 (98,2 %)
Parmi les seules occurrences rattachées. Sur l’ensemble des occurrences d’auteurices cité·es : 55 / 248 (22,2 %). Auteurices cité·es distinct·es rattaché·es, non identifié·es comme autistes : 37 / 38 (97,4 %).
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