Top

BMC Complementary Medicine and Therapies

Published in:

Open Access 01-12-2019 | Autism Spectrum Disorder | Research article

Parental satisfaction and perception of Progress in influencing the Practice of complementary health approaches in children with autism: a cross sectional survey from Negeri Sembilan, Malaysia

Author: Jun Jean Ong

Published in: BMC Complementary Medicine and Therapies | Issue 1/2019

Abstract

Background

Parents’ use of complementary health approaches (CHA) for children with autism spectrum disorder (ASD) are common despite the uncertain evidence of its benefit. Parents often adopt CHA due to dissatisfaction with conventional treatment. This study aimed to examine parents’ satisfaction with ASD treatment and their perception of progress in their child’s development. Parents’ use of CHA among children with ASD and the factors related were also evaluated.

Methods

Self-administered questionnaires were completed by 48 parents of children with ASD at a single tertiary referral hospital in Malaysia. Correlation analysis was used to explore associations between parental satisfaction scores, perception of progress scores and use of CHA.

Results

Use of CHA was reported by parents for 35.4% of children with ASD in the sample. Parents who were less satisfied with conventional treatment and parents who perceived poorer progress in their child’s development were more likely to use CHA. Strong positive relationship was found between parent satisfaction with ASD treatment scores and parent perception of progress scores, which indicates that parents who were satisfied with treatment were more likely to perceive greater progress in their child’s development. Improvement in child’s progress was most appreciated by parents in their child’s behavior (85.5%), social skills (83.3%) and motor skills (77.1%).

Conclusion

The use of CHA was common among children with ASD. Parents were more likely to practice CHA when they were less satisfied with conventional treatment and perceived poorer progress. A larger multicenter study is required to further explore the practice of CHA among children with ASD throughout Malaysia.

Hoffman L. Book Essay on Diagnostic and Statistical Manual of Mental Disorders; Desk Reference to the Diagnostic Criteria from DSM-5Diagnostic and Statistical Manual of Mental Disorders, 5th Edition. Washington, DC: American Psychiatric Association, 2013, 991 pp. Desk Reference to the Diagnostic Criteria from DSM-5. Washington, DC: American Psychiatric Association, 2013, 443 pp. Journal of the American Psychoanalytic Association [Internet]. SAGE Publications; 2014 Feb;62 (1):125–47; https://doi.org/10.1177/0003065114524985 CrossRef

Clinical Practice Guideline (CPG) Ministry of Health (MOH), Management of Autism Spectrum Disorder in Children and Adolescents. 2014. Available from: http://www.acadmed.org.my

Divan G, Hamdani SU, Vajartkar V, Minhas A, Taylor C, Aldred C, et al. Adapting an evidence-based intervention for autism spectrum disorder for scaling up in resource-constrained settings: the development of the PASS intervention in South Asia. Global Health Action [Internet] Informa UK Limited. 2015;8(1):27278. https://doi.org/10.3402/gha.v8.27278.CrossRef

Burrell TL, Borrego Jr J. Parents' Involvement in ASD treatment: what is their role? Cogn Behav Pract 2012 Aug 1;19(3):423–432; https://doi.org/10.1016/j.cbpra.2011.04.003.CrossRef

Edlund MJ, Young AS, Kung FY, Sherbourne CD, Wells KB. Does Satisfaction Reflect the Technical Quality of Mental Health Care? Health Services Research [Internet]. Wiley; 2003;38(2):631–45; https://doi.org/10.1111/1475-6773.00137 CrossRef

Minnes P, Steiner K. Parent views on enhancing the quality of health care for their children with fragile X syndrome, autism or Down syndrome. Child: Care, Health and Development [Internet]. Wiley; 2009;35(2):250–6; https://doi.org/10.1111/j.1365-2214.2008.00931.x

Geiger DM, Smith DT, Creaghead NA. Journal of Autism and Developmental Disorders [Internet] Springer Nature; 2002;32(4):307–12; https://doi.org/10.1023/a:1016382819186.CrossRef

Tierney E, Aman M, Stout D, Pappas K, Arnold LE, Vitiello B, et al. Parent satisfaction in a multi-site acute trial of risperidone in children with autism: a social validity study. Psychopharmacology [Internet]. Springer Nature; 2006;191(1):149–57; https://doi.org/10.1007/s00213-006-0604-z CrossRef

Bowker A, D’Angelo NM, Hicks R, Wells K. Treatments for Autism: Parental Choices and Perceptions of Change. Journal of Autism and Developmental Disorders [Internet]. Springer Nature; 2010;41(10):1373–82; https://doi.org/10.1007/s10803-010-1164-y CrossRef

10.

Stadnick NA, Drahota A, Brookman-Frazee L. Parent Perspectives of an Evidence-Based Intervention for Children with Autism Served in Community Mental Health Clinics. Journal of Child and Family Studies [Internet]. Springer Nature; 2012;22(3):414–22; https://doi.org/10.1007/s10826-012-9594-0 CrossRef

11.

Kadar M, McDonald R, Lentin P. Malaysian occupational therapists’ practices with children and adolescents with autism spectrum disorder. British Journal of Occupational Therapy [Internet]. SAGE Publications; 2015;78(1):33–41; https://doi.org/10.1177/0308022614561237 CrossRef

12.

Zwaigenbaum L, Bauman ML, Choueiri R, Kasari C, Carter A, Granpeesheh D, et al. Early intervention for children with autism spectrum disorder under 3 years of age: recommendations for practice and research. Pediatrics. 2015;136(Supplement 1):S60–81.CrossRef

13.

Fikry A, Hassan H. Characteristics of. Autism Center in Malaysia Environment-Behaviour Proceedings Journal [Internet] e-IPH Ltd. 2016;1(4):75. https://doi.org/10.21834/e-bpj.v1i4.173.CrossRef

14.

World Health Organization. Traditional, complementary and integrative medicine. https://www.who.int/traditional-complementary-integrative-medicine/about/en/ Assessed on 2 May 2019.

15.

Traditional and Complementary Medicine Division, Ministry of Health Malaysia: Traditional and Complementary Medicine Blueprint 2018-2027 Health Care. http://tcm.moh.gov.my/ms/upload/Blueprint.pdf

16.

Hanson E, Kalish LA, Bunce E, Curtis C, McDaniel S, Ware J, et al. Use of Complementary and Alternative Medicine among Children Diagnosed with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders [Internet]. Springer Nature; 2006;37(4):628–36; https://doi.org/10.1007/s10803-006-0192-0 CrossRef

17.

Ravindran N, Myers BJ. Cultural Influences on Perceptions of Health, Illness, and Disability: A Review and Focus on Autism. Journal of Child and Family Studies [Internet]. Springer Nature; 2011;21(2):311–9; https://doi.org/10.1007/s10826-011-9477-9 CrossRef

18.

Levy SE, Hyman SL. Novel treatments for autistic spectrum disorders. Mental Retardation and Developmental Disabilities Research Reviews [Internet]. Wiley; 2005;11(2):131–42; https://doi.org/10.1002/mrdd.20062 CrossRef

19.

Siti ZM, Tahir A, Farah AI, Fazlin SMA, Sondi S, Azman AH, et al. Use of traditional and complementary medicine in Malaysia: a baseline study. Complementary Therapies in Medicine [Internet] Elsevier BV. 2009 Oct;17(5–6):292–9. https://doi.org/10.1016/j.ctim.2009.04.002.CrossRef

20.

Sivadasan S, Ali AN, Lin LW, Balakrishnan D, Ramachandran S, Dhanaraj SA. Use of complementary and alternative medicine in the population of Kedah Darul Aman, Malaysia. International Journal of Pharmaceutical Sciences & Research. 2014;5(4):1263–73.

21.

Department of Statistics Malaysia Official Portal. Report of household income and basic amenities survey 2016. https://www.dosm.gov.my/v1

22.

Hume K, Bellini S, Pratt C. The Usage and Perceived Outcomes of Early Intervention and Early Childhood Programs for Young Children With Autism Spectrum Disorder. Topics in Early Childhood Special Education [Internet]. SAGE Publications; 2005;25(4):195–207; https://doi.org/10.1177/02711214050250040101 CrossRef

23.

Goin-Kochel RP, Mackintosh VH, Myers BJ. Parental reports on the efficacy of treatments and therapies for their children with autism spectrum disorders. Research in Autism Spectrum Disorders [Internet]. Elsevier BV; 2009;3(2):528–37; https://doi.org/10.1016/j.rasd.2008.11.001 CrossRef

24.

Mercer L, Creighton S, Holden JJA, Lewis MES. Parental perspectives on the causes of an autism spectrum disorder in their children. J Genet Couns. 2006;15(1):41–50. https://doi.org/10.1007/s10897-005-9002-7.CrossRefPubMed

25.

Goin-Kochel RP, Myers BJ. Congenital versus regressive onset of autism spectrum disorders: Parents' beliefs about causes. Focus on Autism and Other Developmental Disabilities. 2005;20(3):169–79. https://doi.org/10.1177/10883576050200030501.CrossRef

26.

Bernheimer LP, Weisner TS. “Let me just tell you what I do all day….”infants & Young children [internet]. Ovid Technologies (Wolters Kluwer Health). 2007 Jul;20(3):192–201. https://doi.org/10.1097/01.iyc.0000277751.62819.9b.CrossRef

27.

Murray DS, Ruble LA, Willis H, Molloy CA. Parent and teacher report of social skills in children with autism Spectrum disorders. Language speech and hearing Services in Schools [Internet]. American Speech Language Hearing Association; 2009 1;40(2):109. https://doi.org/10.1044/0161-1461(2008/07-0089).

28.

Dillenburger K, Keenan M, Gallagher S, McElhinney M. Parent education and home-based behaviour analytic intervention: an examination of parents’ perceptions of outcome. Journal of Intellectual & Developmental Disability [Internet] Informa UK Limited. 2004 Jun;29(2):119–30. https://doi.org/10.1080/13668250410001709476.CrossRef

29.

Levy SE, Frasso R, Colantonio S, Reed H, Stein G, Barg FK, et al. Shared decision making and treatment decisions for Young children with autism Spectrum disorder. Academic Pediatrics [Internet] Elsevier BV. 2016 Aug;16(6):571–8. https://doi.org/10.1016/j.acap.2016.04.007.CrossRef

30.

Ahmad K. Discharging patients: a perspective from speech-language pathologists working in public hospitals in Malaysia. International Journal of Speech-Language Pathology. 2010;12(4):317–9. https://doi.org/10.3109/17549507.2010.483017.CrossRefPubMed

31.

Tan SH. Unmet health care service needs of children with disabilities in Penang, Malaysia. Asia Pacific Journal of Public Health. 2015;27(8_suppl):41S–51S. https://doi.org/10.1177/101053951559246.CrossRefPubMed

32.

Hamidah A, Rustam ZA, Tamil AM, Zarina LA, Zulkifli ZS, Jamal R. Prevalence and parental perceptions of complementary and alternative medicine use by children with cancer in a multi-ethnic southeast Asian population. Pediatr Blood Cancer. 2009;52(1):70–4. https://doi.org/10.1002/pbc.21798.CrossRefPubMed

33.

Ong F, Lee WS, Lin C, Ng RT, Wong SY, Lim SL, Quak SH, Aw M. Complementary and alternative medicine (CAM) practices and dietary patterns in children with inflammatory bowel disease in Singapore and Malaysia. Pediatrics & Neonatology. 2018;59(5):494–500. https://doi.org/10.1016/j.pedneo.2017.12.007.CrossRef

34.

Ramdzan SN, Pinnock H, Liew SM, Sukri N, Salim H, Hanafi NS, Hussein N, Suhaimi J, Lee PY, Cheong AT, Ahad AM. Perceptions of complementary/alternative medicine use and influence on evidence-based asthma medicine adherence in Malaysian children. NPJ primary care respiratory medicine. 2019;29(1):5. https://doi.org/10.1038/s41533-019-0118-x.CrossRefPubMedPubMedCentral

35.

Lindly OJ, Thorburn S, Heisler K, Reyes NM, Zuckerman KE. Parents’ Use of Complementary Health Approaches for Young Children with Autism Spectrum Disorder. Journal of Autism and Developmental Disorders [Internet]. Springer Nature; 2017;48(5):1803–18; https://doi.org/10.1007/s10803-017-3432-6.CrossRef

36.

Levy SE, Hyman SL. Complementary and alternative medicine treatments for children with autism Spectrum disorders. Child and Adolescent Psychiatric Clinics of North America [Internet] Elsevier BV. 2015;24(1):117–43. https://doi.org/10.1016/j.chc.2014.09.004.CrossRef

37.

Traditional and Complementary Medicine Division, Ministry of Health (MOH), National Policy of Traditional and Complementary Medicine. 2007. Available from: http://tcm.moh.gov.my/en/upload/NationalPolicy.pdf.

38.

Carlon S, Carter M, Stephenson J. Erratum to: “A review of declared factors identified by parents of children with autism spectrum disorders (ASD) in making intervention decisions” [Res. Autism Spectrum Disord. 7 (2013) 369–381]. Research in Autism Spectrum Disorders [Internet]. Elsevier BV; 2013;7(3):502–3; https://doi.org/10.1016/j.rasd.2013.01.001 CrossRef

Title: Parental satisfaction and perception of Progress in influencing the Practice of complementary health approaches in children with autism: a cross sectional survey from Negeri Sembilan, Malaysia
Author: Jun Jean Ong
Publication date: 01-12-2019
Publisher: BioMed Central
Keyword: Autism Spectrum Disorder
Published in: BMC Complementary Medicine and Therapies / Issue 1/2019
Electronic ISSN: 2662-7671
DOI: https://doi.org/10.1186/s12906-019-2672-8

At a glance: The STEP trials

Springer Medicine

Parental satisfaction and perception of Progress in influencing the Practice of complementary health approaches in children with autism: a cross sectional survey from Negeri Sembilan, Malaysia

Abstract

Background

Methods

Results

Conclusion

At a glance: The STEP trials

Springer Medicine

Abstract

Background

Methods

Results

Conclusion

Please log in to get access to this content

Other articles of this Issue 1/2019

Characterization, evaluation of nutritional parameters of Radix isatidis protein and its antioxidant activity in D-galactose induced ageing mice

The Alisma and Rhizoma decoction abates nonalcoholic steatohepatitis-associated liver injuries in mice by modulating oxidative stress and autophagy

What has been the impact of the Traditional Herbal Registration (THR) scheme in the UK on information provided with herbal products bought over the counter?

Chinese herbal bath therapy for the treatment of uremic pruritus: meta-analysis of randomized controlled trials

Baihe Zhimu formula attenuates the efficacy of tamoxifen against breast cancer in mice through modulation of CYP450 enzymes

Antimicrobial and antibiofilm activities of Casearia sylvestris extracts from distinct Brazilian biomes against Streptococcus mutans and Candida albicans