Exploration of caregiver experiences of reported first signs of autism.
Smith Holly, Black Melissa H, Thompson Craig, Falkmer Marita, Falkmer Torbjorn, Girdler Sonya, Milbourn Ben
What this study means for families
This Australian study found that parents usually notice first signs of autism when their child is 12-18 months old (earlier in girls than boys). However, children weren't diagnosed until age 2-6 years. Parents often felt frustrated and unsupported when trying to get help, especially those living in rural areas. The research shows there's a big gap between when parents first notice something and when they can access professional help and diagnosis.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Research summary
This Australian study examined caregiver experiences of first autism signs using survey data and focus groups. Caregivers typically noticed first signs when children were 12-18 months old, with earlier recognition in females than males. However, children were 2-6 years old when caregivers sought professional advice and received diagnosis, indicating significant delays. Caregivers experienced uncertainty, lack of information, and feeling frustrated and under-supported during the help-seeking process.
Regional and rural caregivers faced additional challenges. The study highlights the gap between early caregiver recognition of autism signs and access to professional support and diagnosis services.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Key findings
- 1
Most children showed first autism signs at 12-18 months, with earlier recognition in females than males
Confidence: moderateRelevance: Supports earlier screening initiatives, particularly for female children - 2
Children received diagnosis at age 2-6 years despite earlier sign recognition
Confidence: moderateRelevance: Indicates significant diagnostic delays requiring system improvements - 3
Caregivers experienced uncertainty, lack of information, and frustration when seeking help
Confidence: moderateRelevance: Highlights need for better caregiver support and information resources
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Clinical implications
Health professionals should validate caregiver concerns about early autism signs and provide clear pathways to diagnosis. System improvements needed to reduce diagnostic delays. Enhanced support and information resources required, particularly for regional/rural families.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Limitations
Sample size not reported. Study type unclear, limiting methodological assessment. Findings may not be generalizable beyond Australian context. No control group for comparison of experiences.
Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.
Original abstract
This study explored caregiver-reported first signs of autism and caregiver experiences of reporting these signs to health professionals using a multiple methods approach. Within the Australian context, children who have been diagnosed with autism represent a significant proportion of individuals requiring access to disability services. Due to the importance of accessing early intervention services to support future outcomes, it is vital that first signs are noticed, reported, and the diagnosis process begun as soon as possible. Phase 1 of the study included a secondary analysis of a survey of caregivers, while phase 2 consisted of focus groups of caregivers of children on the autism spectrum.
Survey data indicated that most children were aged 12-18 months when first signs were noticed, with first signs noticed earlier in females than males. Children were age 2-6 years when caregivers sought advice and received a diagnosis. Uncertainty and a lack of information often left caregivers feeling frustrated and under-supported when seeking advice and diagnosis. Despite first signs being recognised early by caregivers, barriers to information and seeking help and support resulted in significant delays in receiving a diagnosis.
The study provides valuable consideration of the caregiver perspective regarding reported first signs of autism and the additional challenges faced by caregivers living in regional and rural areas. By being more informed of what caregivers first notice, health professionals may also be able to provide better support and advice to caregivers in regard to access to diagnosis and early intervention services.
Evidence Grade
limited
Grade assigned by AutismInsights based on study type and published abstract.
Study Details
- Journal
- Child: care, health and development
- Year
- 2023
- PMID
- 36633565
- DOI
- 10.1111/cch.13096
MeSH Terms