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. 2021 Jan 23;21(1):55.
doi: 10.1186/s12888-021-03061-0.

Considerations about the implementation of an autism screening program in Iran from the viewpoints of professionals and parents: a qualitative study

Hassan Shahrokhi  1 , Akbar Ghiasi  2 , Kamal Gholipour  3 , Leila Mehdizadeh Fanid  4 , Hamid Reza Shamekhi  5 , Shabnam Iezadi  6
Affiliations

Considerations about the implementation of an autism screening program in Iran from the viewpoints of professionals and parents: a qualitative study

Hassan Shahrokhi et al. BMC Psychiatry. .

Abstract

Background: The aims of this study were to explore to explore the viewpoints of parents of children with Autism Spectrum Disorders (ASD) and professionals regarding the implementation of screening programs for ASD, to explore the challenges of the implementation of a universal screening program for ASD in Iran from their viewpoints, and, to explore their recommendations to overcome the potential challenges.

Method: This qualitative study was conducted using an inductive content analysis, between June 2018 and December 2018, in East-Azerbaijan province of Iran. Data was collected through in-depth interviews and focus group discussions. The participants were purposively selected among two groups: representatives of health system and representatives of children with ASD. A sample of 32 parents and 30 professionals were recruited in this study.

Results: Totally, 9 main themes and 23 sub-themes were extracted in three main areas including: viewpoints of the participants about universal screening for ASD, challenges in implementation of the universal screening program, and participants' recommendations about how to overcome the potential challenges. Main challenges in implementation of the universal screening program included: shortages of ASD screening tools, weakness of the health system, lack of coordination among the ASD service providers, and social and ethical issues.

Conclusion: The parents and the professionals had different viewpoints about the implementation of ASD universal screening program in Iran. According to the professionals, there is not enough rational to implement ASD screening program for all children. However, the parents believed that universal screening program is inevitable, and it should be implemented in primary health centers during the early child-care visits. The results of this study open up unspoken issues that could help in initiating the screening program not only in Iran but also in other low- and middle-income countries as well.

Keywords: ASD; Autism Spectrum disorders; Challenges; Qualitative study; Screen.

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Conflict of interest statement

The authors declare that they have no competing interests.

Figures

Fig. 1
Fig. 1
a flow diagram of the study process
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References

    1. Elsabbagh M, Divan G, Koh YJ, Kim YS, Kauchali S, Marcín C, Montiel-Nava C, Patel V, Paula CS, Wang C. Global prevalence of autism and other pervasive developmental disorders. Autism Res. 2012;5(3):160–179. doi: 10.1002/aur.239. - DOI - PMC - PubMed
    1. World Health Organization. Meeting report: autism spectrum disorders and other developmental disorders: from raising awareness to building capacity. Geneva: World Health Organization; 2013. https://apps.who.int/iris/handle/10665/103312.
    1. Durkin MS, Elsabbagh M, Barbaro J, Gladstone M, Happe F, Hoekstra RA, Lee LC, Rattazzi A, Stapel-Wax J, Stone WL. Autism screening and diagnosis in low resource settings: challenges and opportunities to enhance research and services worldwide. Autism Res. 2015;8(5):473–476. doi: 10.1002/aur.1575. - DOI - PMC - PubMed
    1. World Bank . World development indicators: population dynamics. Washington DC: The World Bank; 2017.
    1. Samadi SA, Mahmoodizadeh A, McConkey R. A national study of the prevalence of autism among five-year-old children in Iran. Autism. 2012;16(1):5–14. doi: 10.1177/1362361311407091. - DOI - PubMed

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