Aim: To explore the feasibility of screening for Autism spectrum disorder in Non-English-Speaking Countries, the cultural influences and the nurses' role in the screening process.Background: The prevalence Autism spectrum disorder (ASD) is rising worldwide, along with an increase in support for early intervention to improve outcomes. Increasingly, researchers investigated screening for autism in different health care settings to facilitate early detection for ASD. However, little is known about screening autism in non-English speaking countries, impact of culture and the nurse's role in the screening process.Design: Systematic Review Data source: Psych INFO, MEDLINE, CINAHL, EMBASE, ERIC databases and hand search were conducted from 1990 to March 2014.Review methods:PRISMA statement was used as a method to guide the discussion this review. Result: Five studies were identified from different geographical regions. In all studies children were screened with an adapted version of the Modified Checklist for Autism (M-CHAT) in different clinical settings of non-English speaking countries. Further investigation is required to validate the use of these instrumentinstruments within their general population. Nurses could be trained to undertake for the screening procedure.Conclusions: Screening for Autism spectrum disorder is challenging and requires knowledge, skills, as well as rigorous screening instrumentinstruments that are adapted to a specific nation`s culture. Although screening with the adapted Modified Checklist for Autism is viable in some healthcare settings of non-English speaking countries, using it in primary settings would necessitate further exploration. With proper training, nurses could screen children for Autism spectrum disorder

Al Maskari, Turkiya S.

Melville, Craig A.

Willis, Diane S.

International Journal of Mental Health Systems

Repository@Napier

Systematic review: cultural adaptation and feasibility of screening for autism in non-English speaking countries

Background: Screening children for autism has gained wider acceptance within clinical practice, and early intervention

has improved outcomes. Increasingly, adapting an existing screening instrument is a common, fast method to

create a usable screening tool, especially for countries with limited resources and/or expertise. However, concerns

have been raised regarding adaptation adequacy and the feasibility of screening across cultural groups. This study systematically

examined the levels of cultural adaptation and feasibility aspects considered when screening for autism in

non-English speaking countries to build upon the sparse knowledge that exists on this topic in the literature.

Methods: Nineteen studies, obtained from fve electronic databases, were examined. PRISMA guidance was used for

this review. The Ecological Validity Framework model, and Bowen Recommendations for Feasibility were adopted to

extract relevant data, which was synthesised narratively.

Results: Cultural adaptation within the included studies mostly involved language translation with little information

ofered to enable conclusions on how the processes were guided and maintained. Few cultural adjustments involved

modifying screening methods; clarifying difcult concepts and changing instrument content were employed to

address the core values, competence, beliefs, and norms of the adapted culture. However, less attention was given

to adapt the screening goals within the context of cultural values, and customs or to consider interactional match

between the clients and assessors. The review also highlighted an acceptable level of practicality to screen for autism

but did not encourage integrating autism screening within routine practice or beyond the study context for diferent

cultures.

Conclusion: Concurring with previous literature, we agree that knowledge on cultural adaptation for autism screening

instruments is limited and not sufciently documented to establish adaptation levels (process and/or contents),

and prove adequacy. However, this review provides an infrastructure to improve future adaptation processes. Integrating

autism screening as routine medical practice is not encouraged and warrants further feasibility studies to minimize

wasted resources and improve screening efectiveness in various health care systems

Enlighten

English

Abstract Background Screening children for autism has gained wider acceptance within clinical practice, and early intervention has improved outcomes. Increasingly, adapting an existing screening instrument is a common, fast method to create a usable screening tool, especially for countries with limited resources and/or expertise. However, concerns have been raised regarding adaptation adequacy and the feasibility of screening across cultural groups. This study systematically examined the levels of cultural adaptation and feasibility aspects considered when screening for autism in non-English speaking countries to build upon the sparse knowledge that exists on this topic in the literature. Methods Nineteen studies, obtained from five electronic databases, were examined. PRISMA guidance was used for this review. The Ecological Validity Framework model, and Bowen Recommendations for Feasibility were adopted to extract relevant data, which was synthesised narratively. Results Cultural adaptation within the included studies mostly involved language translation with little information offered to enable conclusions on how the processes were guided and maintained. Few cultural adjustments involved modifying screening methods; clarifying difficult concepts and changing instrument content were employed to address the core values, competence, beliefs, and norms of the adapted culture. However, less attention was given to adapt the screening goals within the context of cultural values, and customs or to consider interactional match between the clients and assessors. The review also highlighted an acceptable level of practicality to screen for autism but did not encourage integrating autism screening within routine practice or beyond the study context for different cultures. Conclusion Concurring with previous literature, we agree that knowledge on cultural adaptation for autism screening instruments is limited and not sufficiently documented to establish adaptation levels (process and/or contents), and prove adequacy. However, this review provides an infrastructure to improve future adaptation processes. Integrating autism screening as routine medical practice is not encouraged and warrants further feasibility studies to minimize wasted resources and improve screening effectiveness in various health care systems

Turkiya S. Al Maskari

Craig A. Melville

Diane S. Willis

Directory of Open Access Journals

Enlighten: Publications

Crossref

https://napier-repository.worktribe.com/file/1239692/1/Systematic%20review%3A%20cultural%20adaptation%20and%20feasibility%20of%20screening%20for%20autism%20in%20non-English%20speaking%20countries.

Systematic review: cultural adaptation and feasibility of screening for autism in non-English speaking countries

Abstract

Similar works

Full text

Available Versions

Repository@Napier

Enlighten

Directory of Open Access Journals

Enlighten: Publications

Crossref