Swim Program Pilot for Children with Autism: Impact on Behaviors and Health

Abstract

The purpose of this mixed methods pre-/post-pilot intervention study was to assess parental psychological health and child challenging behaviors before and after a swimming program for children with autism. Participants were 10 parent–child dyads. Child’s challenging behaviors were lower in the post testing (Cohen’s d = 0.07–0.45). Mean scores were improved for parent perception of general health (Cohen’s d = 0.22). Three themes emerged from the post swim program focus group: (a) Parent satisfaction with instructors with sub themes (i) firmness (ii) creativity, and (iii) promotion of social interaction and sharing, (b) improved child sleeping, and (c) family dynamics with sub themes (i) siblings wanted to swim and (ii) parents’ fear of drowning. Preliminary results point to improved child behaviors and parent perception of general health. Future studies can focus on expanding the swim program to include all family members.

Keywords

swimming program autism spectrum disorders caregivers

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References

Abel

E. A.

Schwichtenberg

A. J.

Brodhead

M. T.

Christ

S. L.

(2018). Sleep and challenging behaviors in the context of intensive behavioral intervention for children with autism. Journal of Autism and Developmental Disorders, 48(11), 3871–3884. https://doi.org/10.1007/s10803-018-3648-0

Alaniz

M. L.

Rosenberg

S. S.

Beard

N. R.

Rosario

E. R.

(2017). The effectiveness of aquatic group therapy for improving water safety and social interactions in children with autism spectrum disorder: A pilot program. Journal of Autism and Developmental Disorders, 47(12), 4006–4017. https://doi.org/10.1007/s10803-017-3264-4

Allik

Larsson

J. O.

Smedje

(2006). Health-related quality of life in parents of school-age children with Asperger Syndrome or high-functioning autism. Health and Quality of Life Outcomes, 4, 1. https://doi.org/10.1186/1477-7525-4-1

Almansour

M. A.

Alateeq

M. A.

Alzahrani

M. K.

Algeffari

M. A.

Alhomaidan

H. T.

(2013). Depression and anxiety among parents and caregivers of autistic spectral disorder children. Neurosciences, 18(1), 58–63.

Aman

M. G.

Tassé

M. J.

Rojahn

Hammer

(1996). The Nisonger CBRF: A child behavior rating form for children with developmental disabilities. Research in Developmental Disabilities, 17(1), 41–57. https://doi.org/https://doi.org/10.1016/0891-4222(95)00039-9

American Psychiatric Association. (ASD). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Publishing.

Bekhet

A. K.

(2016). The mediating effects of positive cognitions on autism caregivers’ depression and their children’s challenging behaviors. Archives of Psychiatric Nursing, 30(1), 13–18. https://doi.org/10.1016/j.apnu.2015.11.001

Bekhet

A. K.

Zauszniewski

J. A.

(2013). Measuring use of positive thinking skills: psychometric testing of a new scale. Western Journal of Nursing Research, 35(8), 1074–1093. https://doi.org/10.1177/0,193,945,913,482,191

Caputo

Ippolito

Mazzotta

Sentenza

Muzio

M. R.

Salzano

Conson

(2018). Effectiveness of a multisystem aquatic therapy for children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 48(6), 1945—1956. https://doi.org/10.1007/s10803-017-3456-y

10.

Chu

C. -H.

Pan

C.Y.

(2012). The effect of peer- and sibling-assisted aquatic program on interaction behaviors and aquatic skills of children with autism spectrum disorders and their peers/siblings. Research in Autism Spectrum Disorders, 6(3), 1211–1223. https://doi.org/10.1016/j.rasd.2012.02.003

11.

Cohen

(1977). Statistical power analysis for the behavioral sciences. Routledge.

12.

Cohen

(1992). A power primer. Psychological Bulletin, 112(1), 155–159.

13.

Curtin

Jojic

Bandini

L. G.

(2014). Obesity in children with autism spectrum disorder. Harvard Review of Psychiatry, 22(2), 93–103. https://doi.org/10.1097/HRP.0000000000000031

14.

Dupuy

H. J.

(1984). The psychological general well-being index. In Wenger

N. K.

Mattson

M. E.

Furberg

C. D.

Elinson

(Eds.), Assessment of quality of life in clinical trials of cardiovascular therapies (pp. 170–183). Le Tacq.

15.

Elliott

T. R.

Shewchuk

R. M.

Richards

J. S.

(2001). Family caregiver social problem-solving abilities and adjustment during the initial year of the caregiving role. Journal of Counseling Psychology, 48(2), 223–232. https://doi.org/10.1037//0022-0167.48.2.223

16.

Eversole

Collins

D. M.

Karmarkar

Colton

Phillips Quinn

Karsbaek

Reinken Johnson

Callier

N. P.

Hilton

C. L.

(2016). Leisure activity enjoyment of children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 46, 10–20. https://doi.org/10.1007/s10803-015-2529-z

17.

Fragala-Pinkham

M. A.

Haley

S. M.

O’Neil

M. E.

(2011). Group swimming and aquatic exercise programme for children with autism spectrum disorders: A pilot study. Developmental Neurorehabilitation, 14(4), 230–241. https://doi.org/10.3109/17518423.2011.575,438

18.

Glaser

B. G.

(1992). Basics of grounded theory analysis. Sociology Press.

19.

Graneheim

U. H.

Lundman

(2004). Qualitative content analysis in nursing research: Concepts, procedures and measures to achieve trustworthiness. Nurse Educator Today, 24(2), 105–112. https://doi.org/10.1016/j.nedt.2003.10.001

20.

Guan

(2017). Injury mortality in individuals with autism. American Journal of Public Health, 107(5), 791–793. https://doi.org/10.2105/AJPH.2017.303696

21.

Johnson

N. L.

Frenn

Feetham

Simpson

(2011). Autism spectrum disorder: Parenting stress, family functioning and health related quality of life. Family, Systems & Health, 29(3), 232–252.

22.

Karst

Van Hecke

(2012). Parent and family impact of autism spectrum disorders: A review and proposed model for intervention evaluation. Clinical Child & Family Psychology Review, 15(3), 247–277.

23.

Lecavalier

Aman

M. G.

Hammer

Stoica

Mathews

G. L.

(2004). Factor analysis of the Nisonger Child Behavior Rating Form in children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 34(6), 709–721. https://doi.org/10.1007/s10803-004-5291-1

24.

Maenner

M. J.

Shaw

K. A.

Baio

Washington

Patrick

DiRienzo

Christensen

D. L.

Wiggins

L. D.

Pettygrove

Andrews

J. G.

Lopez

Hudson

Baroud

Schwenk

White

Rosenberg

C. R.

Lee

L. C.

Harrington

R. A.

Huston

, . . . Dietz

P. M.

(2020). Prevalence of autism spectrum disorder among children aged 8 years—Autism and Developmental Disabilities Monitoring Network, 11 Sites, United States, 2016. The Morbidity and Mortality Weekly Report (MMWR) Surveillance Summaries, 69(4), 1–12. https://doi.org/10.15585/mmwr.ss6904a1

25.

Moholdt

T. T.

Salvesen

Ingul

C. B.

Vik

Oken

Morkved

(2011). Exercise training in pregnancy for obese women (ETIP): Study protocol for a randomised controlled trial. Trials, 12, 154. https://doi.org/10.1186/1745-6215-12-154

26.

Polfuss

Johnson

Bonis

S. A.

Hovis

S. L.

Apollon

Sawin

K. J.

(2016). Autism spectrum disorder and the child’s weight-related behaviors: A parents’ perspective. Journal of Pediatric Nursing, 31(6), 598–607. https://doi.org/10.1016/j.pedn.2016.05.006

27.

R Core Team. (2019). R: A language and environment for statistical computing. R Foundation for Statistical Computing. https://www.R-project.org/.

28.

Reiser

Faraggi

(1999). Confidence intervals for the overlapping coefficient: The normal equal variance case. Journal of the Royal Statistical Society, 48(3), 413–418.

29.

Rice

C. E.

Zablotsky

Avila

R. M.

Colpe

L. J.

Schieve

L. A.

Pringle

Blumberg

S. J.

(2016). Reported wandering behavior among children with autism spectrum disorder and/or intellectual disability. The Journal of Pediatrics, 174, 232–239 e232. https://doi.org/10.1016/j.jpeds.2016.03.047

30.

Richards

Oliver

Nelson

Moss

(2012). Self-injurious behaviour in individuals with autism spectrum disorder and intellectual disability. Journal of Intellectual Disability Research, 56(5), 476–489. https://doi.org/10.1111/j.1365-2788.2012.01537.x

31.

Ruscio

(2008). A probability-based measure of effect size: robustness to base rates and other factors. Psychological Methods, 13(1), 19–30.

32.

Ryan

Sawin

K. J.

(2009). The Individual and Family Self-Management Theory: Background and perspectives on context, process, and outcomes. Nursing Outlook, 57(4), 217–225 e216. https://doi.org/10.1016/j.outlook.2008.10.004

33.

Souders

M. C.

Zavodny

Eriksen

Sinko

Connell

Kerns

Schaaf

Pinto-Martin

(2017). Sleep in children with autism spectrum disorder. Current Psychiatry Reports, 19(6), 34. https://doi.org/10.1007/s11920-017-0782-x

34.

Spielberger

C. D.

(1989). State-trait Anxiety Inventory: Bibliography (2nd ed.). Consulting Psychologists Press.

35.

Spielberger

C. D.

Gorsuch

R. L.

(1983). Manual for the State-trait Anxiety Inventory (Form Y) “Self-evaluation Questionnaire”). Consulting Psychologists Press.

36.

Strang

J. F.

Kenworthy

Daniolos

Case

Wills

M. C.

Martin

Wallace

G. L.

(2012). Depression and anxiety symptoms in children and adolescents with autism spectrum disorders without intellectual disability. Research in Autism Spectrum Disorder, 6(1), 406–412. https://doi.org/10.1016/j.rasd.2011.06.015

37.

Struebert

H. J.

Carpenter

D. R.

(1999). Qualitative research in nursing: Advancing the humanistic imperative. Lippincott Williams & Wilkins.