Parental Competence in Parents of Children with Autism Spectrum Disorder: A Systematic Review.
Fatemeh Mohammadi, Mahnaz Rakhshan, Zahra Molazem and 1 others
PMID 31830401WHAT IT FOUND
No agreed definition of parental competence was found, and the only autism-specific scale had not been used by other authors.
Parents reported stress, and mothers reported fatigue and lower self-efficacy, but included studies did not show these factors predicted parenting competence.
Key findings
01The review found no global definition of parental competence and reported that parental competence had not been defined for parents of children with autism.
02Seven included studies linked children's behavioral problems with parent satisfaction, self-efficacy, social interactions, fatigue and parenting competence, but none of these factors predicted parent satisfaction, self-efficacy or parenting competence.
0345 articles remained for review, and the review identified three competence scales, but the only autism-specific scale had not been used by other authors.
STILL TO COME
How it was doneWhat they foundWhat it means for RNs
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What it does not show
The review included best practice implementation articles, news briefs, commentaries and book reviews. The review reported high risk of bias in many studies, mainly due to design. The literature came mostly from developed countries, so it may not apply to developing countries. The review did not report a total number of parents across included studies. Definitions and measures varied, so the findings could not be combined into a consistent result.
Declared interests
The authors declared no conflicts of interest. Funding was not reported.
The easy way to misread this
Do not conclude that parenting competence can be reliably measured or improved by nurses. The review found no agreed definition, the only autism-specific scale had not been used by other authors, and included studies did not show that stress, fatigue or self-efficacy predicted parenting competence.