Role of communication in access to healthcare for autistic adults v1.4

  • Research type

    Research Study

  • Full title

    The role of communication in access to healthcare for autistic adults

  • IRAS ID

    325897

  • Contact name

    Katy Greenland

  • Contact email

    greenlandk@cardiff.ac.uk

  • Sponsor organisation

    Cardiff University

  • Clinicaltrials.gov Identifier

    ES/P00069X/1, ESRC PhD Studentship Award

  • Duration of Study in the UK

    1 years, 0 months, 0 days

  • Research summary

    NB: This study uses ‘autistic’ rather than ‘person with autism’ following consultation with community leaders and the wider autistic community. However, individual participants’ language preferences will be respected.

    Autistic people have unequal access to healthcare, have poor health outcomes, and on average, die younger than non-autistic people. Communication is a barrier to effectively accessing healthcare for autistic people, but little research explores the communication between autistic people and their healthcare practitioners. This research hopes to help healthcare practitioners better understand how to communicate with autistic patients through the following objectives:
    1. Exploring autistic patients’ perspectives of communication regarding their healthcare.
    2. Exploring healthcare practitioners’ perspectives of communicating with autistic patients.
    3. Examining the interactions between autistic patients and their healthcare practitioners within genuine healthcare consultations.
    4. Analysing written documents provided to autistic patients regarding their healthcare.

    The project will collect data over one year using a focused ethnographic design split into four stages:
    A. Interviews with self-identified autistic adults aged 18+ (n=30)
    B. Observing autistic adults’ healthcare appointments (n=30) and gathering relevant documents such as condition-specific information leaflets
    C. Follow-up interviews with autistic adults after observing their appointments
    D. Interviews with healthcare practitioners (n=15)

    The study will be multi-site (Cardiff and Vale University Health Board and Cwm Taf Morgannwg University Health Board) and multi-department (mental health, neurology and rheumatology). Autistic adults will self-refer into the study. Healthcare practitioners will be recruited on-site.

    This research forms part of the research student’s PhD qualification. The Economic and Social Research Council fully funds her PhD project.

  • REC name

    West of Scotland REC 3

  • REC reference

    23/WS/0185

  • Date of REC Opinion

    23 Jan 2024

  • REC opinion

    Further Information Favourable Opinion