Apprendre de la communauté : coproduction itérative d'un programme visant à soutenir le développement des compétences d'attention, de régulation et de pensée chez les tout-petits présentant une probabilité élevée d'autisme ou de TDAH
Titre original en anglais : Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHD
Hendry, A., Hulks, V., Murphy, S., Radford, H., Smith, S., Charman, T., Mathers, S., Rhodes, S., & Scerif, G. (2025). Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHD. Research Involvement and Engagement, 11(1), 7-7. https://doi.org/10.1186/s40900-025-00674-7
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Résumé
Les programmes conçus pour soutenir les enfants ayant un autisme ou un TDAH connu, ou une probabilité accrue d'en présenter un, se concentrent souvent sur la réduction de comportements centraux à un diagnostic clinique. Cependant, aider les enfants à poursuivre leurs propres objectifs et à faire face à la vie quotidienne en favorisant le développement des fonctions exécutives (FE), sans imposer d'hypothèses neuronormatives, pourrait être plus acceptable pour les personnes neurodivergentes et plus bénéfique. Le processus de coproduction de ce programme affirmant la neurodiversité comprenait : l'examen des priorités de recherche identifiées lors de consultations publiées auprès du public et des cliniciens ; le développement itératif du programme au moyen de deux cycles pilotes auprès d'un échantillon communautaire général ; et la consultation de parties prenantes (parents ayant un lien avec l'autisme ou le TDAH, ainsi que spécialistes de la petite enfance, psychologues et thérapeutes) afin de vérifier l'acceptabilité de la proposition et d'affiner le modèle logique et les matériels. Le modèle logique du programme résultant - Supporting Toddlers with a connection to autism or ADHD to develop strong Attention, Regulation and Thinking skills (START) - comprend trois mécanismes de changement : l'enfant dispose d'occasions appropriées, fondées sur le jeu, de s'exercer aux compétences de FE ; les comportements parentaux associés à de solides FE sont encouragés ; les parents sont autonomisés afin d'améliorer l'adéquation de l'environnement pour leur enfant, de sorte que les facteurs de stress liés aux FE soient réduits.
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