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SCHOOL OF EDUCATION SEMINAR Interviewing Children with Autism led by Dr David Preece Centre for Education and Research Dr David Preece relates fascinating tales from his experiences as a researcher interviewing children on the autistic spectrum Tuesday 11th March 12.30 -1.30pm Sulgrave S017 Park Campus, University of Northampton, NN2 7AL All welcome

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SCHOOL OF EDUCATION SEMINARInterviewing Children with Autism

led by Dr David Preece

Centre for Education and Research

Dr David Preece relates fascinating tales from his experiences as a researcher interviewing children on the autistic

spectrumTuesday 11th March

12.30 -1.30pm Sulgrave S017

Park Campus, University of Northampton, NN2 7AL

All welcomeBring your lunch. We look forward to seeing you there!

- Facilitated by the Centre for Education and Research –

E-mail [email protected] for more information

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SoE SeminarInterviewing Children with Autism

On11th March 2014, Dr. David Preece gave a very interesting seminar in which he began by reminding colleagues of the requirement to listen to children’s voices in educational and social care settings. David went on to share his experiences of complying with this requirement when he researched with children diagnosed with autistic spectrum disorders (ASD). The challenges of conducting research interviews with children whose social and communication interactions are impaired and whose interests are restricted became very apparent as he related aspects of two studies: one based in school contexts and one in family homes, working with children aged 7-18 years. David’s work has enabled him to identify a number of factors that other researchers working with children with ASD will find helpful. You can read about these factors in David’s publications and his seminar PowerPoint notes which are below:

Dr Jane Murray

Facilitated by the Centre for Education and Research Team

Please contact Dr Jane Murray – [email protected] - for further information about SoE Seminars and Colloquia.

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SoE SeminarPpt Notes: Interviewing Children with Autism

Dr David Preece

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Obtaining views of children and adults with SEN and disabilities•Listening to the ‘voice of the child’ and/or the voice of the individual is required across educational and social care settings, e.g.–Code of Practice on the Identification + Assessment of Special Educational Needs 2002–Valuing People (2001)–Aiming High for Disabled Children (2007)–Autism Act (2009)–Support and aspiration: SEND consultation

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Growing body of literature on consultationBut…•Focus is largely upon values + principles•tendency to address disabled children as homogeneous group.

As a result:•Some research on those with greater challenges (e.g. Rose et al., 1999; Taylor, 2007)•But – bias towards those with whom consultation easiest…not those on the autism spectrum

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What about autism?Autistic spectrum disorder – typified by 3 main features (Triad of Impairments)•impaired social interaction•communication impairments•restricted range of interests + activities•plus sensory sensitivities and differences

These differences inevitably affect our ability to effectively ascertain their views

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The research2 studies•Classroom-based consultation study (Preece, 2002)•Interviews in family home (Preece, 2006; Preece and Jordan, 2010)

Research carried out with children and young people on the autism spectrum, but applicable across children and adults…and may have relevance to others with SEND

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Classroom-based study - focus•Investigating children’s experience of short breaks (respite care)

–Individual child’s level of consultation + involvement in their experience–activities available–quality of care–enjoyment

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Classroom-based study - data collection: multiple methods•Semi-structured interviews (parents + teachers) pre-consultation

•Field notes of observation (short breaks unit + school)

•Results of consultation sessions (notes, recordings)

•Teacher’s field notes from short breaks unit

•Semi-structured interviews (with teachers) post-consultation + residential workers

•Documentary evidence: daily notes, files

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Classroom-based study•‘Interviews’ carried out by class teachers

•Research sample – 3 children and young people, all of whom attended short breaks–A: 12 year old boy, attends specialist class for children with autism in special school for pupils with severe and profound learning difficulties. Non-verbal and highly aloof–B: 7 year old boy, attends specialist autism unit in mainstream Lower School–C: 14 year old boy, attends class in special school for pupils with moderate learning difficulties

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Classroom-based study - How did the teachers carry out the ‘interviews’?•A: observation visits to short breaks service provider•B: ‘consultation activity’ as part of schedule; visually organised tasks (at 1:1); structured conversation with visual prompts (quiet area)

•C: semi-structured interview at question time–initially without photos, 2nd conversation used photos taken during young person’s stay (more effective)

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Home-based study - focus•Factors associated with families’ use or non-use of short breaks services

•‘Interviews’ carried out with mothers, fathers, siblings and children/young people on the autism spectrum(14 families, 44 interviews) – users and non-users of short breaks

•Children/young people on the autism spectrum––Family life–Likes and dislikes–‘Respite care’ / professionals–Wishes

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Home-based study - data collection: multiple methods•Semi-structured interviews with mothers, fathers, siblings and children/young people on the autism spectrum

•Field notes of observation (short breaks providers and in the child’s home)

•Semi-structured interviews with short breaks providers

•Documentary evidence: daily notes, files, social workers’ assessments

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Home-based study•Interviews/consultations carried out by researcher

•Research sample – 14 children/young people, aged 7-18–2 x Asperger Syndrome–1 x Semantic Pragmatic Disorder–6 x Autism Spectrum Disorder–2 x Autism–3 x SLD/ASD•Education settings:–schools for children with moderate>severe learning difficulties (10)–FE college (1)–mainstream (2)–special unit in mainstream secondary school (1)

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Home-based study - How did I carry out the consultation process?•2 non-verbal children with SLD/ASD – could not give consent therefore observed only (in family home & short breaks setting)

•the remaining 12 children/young people – in family home–Initial visit – whole family together (meeting + planning session)–Second visit: 5 children interviewed alone, 7 with at least one parent present

•3 interviews – no visual supports (parental decision)

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How did characteristics of autism impact on consultation process? (1)Major issues:•Problems regarding social interaction–Social anxiety–Aloofness–Problems concerning emotional responses to situations/using these to evaluate events–Problems concerning contexts

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How did characteristics of autism impact on consultation process? (2)•Problems regarding communication–Limited / idiosyncratic language use–Poor initiation skills–Cue-dependence–Extended processing time–Distress at communicating–Phenomenon of recency–Echolalia

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How did characteristics of autism impact on consultation process? (3)•Impairments of imagination/need for routine / resistance to change–Problems thinking/imagining beyond their experience (hopes/wishes)–Dislike of change–Poor personal memory and overselectivity–Need for concreteness

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Other factors impacting on the process•Parents/carers butting in – due to processing issues / habit

•Interviewer rephrasing•Acquiescence to adults/carers–Agreeing with carers–Trying to give the ‘right’ answer

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What was helpful ? 1. Presenting information visually•Letting the children/young people know, in advance, who I was what I wanted to know, and why•All participants in home-based study had letter with my photo, explaining the research•Letters differentiated for younger/older participants

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What was helpful ? 2. Spending time together before the interview•In classroom study, teachers already knew children

•Home-based study: initial visit – researcher spent time with participants, in place interview would occur, engaging with them–e.g. playing a game, building a Lego tower, talking about child’s interests

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What was helpful ? 3. Giving questions visually in advance•At first visit, left parents, siblings and children/young people on the autism spectrum with list of questions I’d be asking.

•For participants on autism spectrum, this was–My family–Things I like–Things I don’t like–Respite care and social workers–Wishes•Some participants brought their own list (of issues + answers) to the interview

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What was helpful ?5. Using photos as supports•At first visit, identified (with parent(s) + child the places, people and activities I’d need to photograph

•For 11 interviews with visual supports, used over 200 photos–NB Issues about male researcher taking photos of children’s play areas, etc.•BUT…Be aware of potentially limiting impact of visual supports

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What was helpful? 9. Recording interview•Enabled interviewers in both studies to ‘listen on all channels’

•Recording participant’s responses meant they could have a hard copy of what they said

•Letting participant manipulate recorder made them active participants in process

•Go with the child/young person’s interests – I recorded participants singing, playing instruments, talking to rabbits + and doing their fitness regimes

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What was helpful? 10. Use of proxies

•Observation–by or checked out with someone who knows the individual with–to a structured checklist (answering the questions)

•Parental/carer support–Positives – support, comfort, translation–Negatives – acquiescence, control

•NB Triangulation essential

What was helpful? 11. Triangulating data•Using multiple sources of information

•‘Triangulating’ responses with people who knew the children/young people helped clarify, e.g.–when individual's response was factually

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References •Preece, D. (2002) Consultation with children with autistic spectrum disorders about their experience of short-term residential care, British Journal of Learning Disabilities, 3, 97-104.

•Preece, D. (2006) “Different ways of knowing and doing: using mixed methods of data collection and analysis within

What was helpful? 12. Individualisation•In both studies, no two interviews with children/young people with ASD were the same

•But…time- and resource-consuming: home-based study took:–4 months to do interviews

–Over 80,000 words of transcript, 3 months to transcribe

–5 months to code before analysis•No ‘one size fits all approach’

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the same PhD study. In C. Corcoran, D. Evans et al. (Eds) Papers from the Student Conference, Researching Education: University of Birmingham, July 1st 2006. Birmingham: University of Birmingham.

•Preece, D. & Jordan R. (2010) Obtaining the views of children and young people with autism spectrum disorders about their experience of daily life and social care support British Journal of Learning Disabilities, 38, 10-20.

•Rose, R., Fletcher, W. & Goodwin, G. (1999) Pupils with severe learning difficulties as personal target setters, British Journal of Special Education, 26, 206-12.

•Taylor, K. (2007) The participation of children with multi-sensory impairment in person-centred planning, British Journal of Special Education, 34, 204-211.

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[email protected] David PreeceSenior Lecturer, Centre for Education and ResearchSchool of EducationUniversity of Northampton Park CampusBoughton Green Road

Northampton NN2 7AL