Documenter les histoires méconnues d'adultes autistes diagnostiqués tardivement : protocole d'étude qualitative utilisant la méthodologie de l'histoire orale
Titre original en anglais : Documenting the untold histories of late-diagnosed autistic adults: a qualitative study protocol using oral history methodology
Pellicano, E., Lawson, W., Hall, G., Mahony, J., Lilley, R., Davis, C., Arnold, S. R. C., Trollor, J. N., & Yudell, M. (2020). Documenting the untold histories of late-diagnosed autistic adults: a qualitative study protocol using oral history methodology. BMJ Open, 10(5), e037968. https://doi.org/10.1136/bmjopen-2020-037968
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Résumé
INTRODUCTION : Recevoir un diagnostic d'autisme à l'âge adulte est de plus en plus fréquent pour un sous-groupe de personnes qui ont soit reçu un diagnostic erroné durant l'enfance, soit n'ont pas reçu de diagnostic du tout. Cette étude qualitative, coproduite avec des personnes autistes, invite des adultes autistes diagnostiqués tardivement à partager leurs histoires de vie afin de (1) mieux comprendre les conséquences de vivre sans diagnostic, (2) élucider ce qui précipite un diagnostic d'autisme au milieu ou à la fin de l'âge adulte et (3) identifier l'impact perçu de la réception de ce diagnostic. METHODES ET ANALYSE : Les histoires orales ont constitué un moyen efficace de mettre au jour des voix négligées et marginalisées. Nous adoptons donc, dans cette étude, une méthodologie qualitative d'histoire orale afin de comprendre les expériences de ces adultes, en particulier le fait de vivre à une époque où l'autisme était peu connu. Nous recruterons 24 participants qui (1) seront nés avant 1975, (2) auront reçu un diagnostic clinique d'autisme après l'âge de 35 ans, (3) parleront anglais et (4) auront passé la majeure partie de leur enfance et de leur âge adulte en Australie. Les participants prendront part à quatre séances, y compris l'entretien principal, qualitatif, d'histoire orale, dans une gamme de formats possibles afin de faciliter l'inclusion. Les données d'entretien seront analysées au moyen d'une analyse thématique réflexive. ETHIQUE ET DIFFUSION : Le protocole a reçu l'approbation éthique institutionnelle pour la recherche du Human Research Ethics Committee de la Macquarie University (Ref. : 52019556310562). Cette étude permettra de comprendre les expériences de vie des adultes autistes, en particulier des Australiens d'âge moyen et plus âgés, devrait éclairer des pratiques diagnostiques plus efficaces et fournir un aperçu des facteurs clés susceptibles de promouvoir la résilience et d'améliorer la qualité de vie des personnes autistes. Les résultats seront diffusés auprès des publics universitaires et cliniques par le biais d'articles de revues et de présentations lors de conférences, et auprès des communautés autistes et de l'autisme par le biais de rapports accessibles. Les entretiens seront également préparés pour un archivage numérique, ce qui permettra un accès continu aux générations et communautés futures.
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