Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHD

Abstract Programmes designed to support children with known, or increased likelihood of, autism or ADHD often focus on reducing behaviours central to a clinical diagnosis. However, supporting children to pursue their own goals and cope with everyday life through fostering executive function (EF) dev...

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Main Authors: Alexandra Hendry, Victoria Hulks, Shona Murphy, Holly Radford, Sally Smith, Tony Charman, Sandra Mathers, Sinead Rhodes, Gaia Scerif
Format: Article
Language:English
Published: BMC 2025-01-01
Series:Research Involvement and Engagement
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Online Access:https://doi.org/10.1186/s40900-025-00674-7
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author Alexandra Hendry
Victoria Hulks
Shona Murphy
Holly Radford
Sally Smith
Tony Charman
Sandra Mathers
Sinead Rhodes
Gaia Scerif
author_facet Alexandra Hendry
Victoria Hulks
Shona Murphy
Holly Radford
Sally Smith
Tony Charman
Sandra Mathers
Sinead Rhodes
Gaia Scerif
author_sort Alexandra Hendry
collection DOAJ
description Abstract Programmes designed to support children with known, or increased likelihood of, autism or ADHD often focus on reducing behaviours central to a clinical diagnosis. However, supporting children to pursue their own goals and cope with everyday life through fostering executive function (EF) development, without enforcing neuro-normative assumptions, may be more acceptable to neurodivergent people, and more beneficial. The co-production process for this neurodiversity-affirming programme involved: Review of research priorities identified during published public-and-clinician consultations; iterative programme development through two pilot rounds with a general community sample; and consultation with stakeholders (parents with a connection to autism or ADHD, alongside early years specialists, psychologists and therapists) to check acceptability of the proposal, and refine the logic model and materials. The logic model for the resultant programme—Supporting Toddlers with a connection to autism or ADHD to develop strong Attention, Regulation and Thinking skills (START)—involves three mechanisms of change: The child has appropriate play-based opportunities to practise EF skills; Parenting behaviours linked to strong EFs are encouraged; Parents are empowered to improve environmental-fit for their child so that EF stressors are reduced.
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spelling doaj-art-ffa6bd8caad04cbfbaa828e1bcd269622025-01-26T12:57:25ZengBMCResearch Involvement and Engagement2056-75292025-01-0111111810.1186/s40900-025-00674-7Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHDAlexandra Hendry0Victoria Hulks1Shona Murphy2Holly Radford3Sally Smith4Tony Charman5Sandra Mathers6Sinead Rhodes7Gaia Scerif8Department of Experimental Psychology, University of OxfordDepartment of Experimental Psychology, University of OxfordHistory, Geography and Social Sciences Department, Edge Hill UniversityDepartment of Psychology, University of PortsmouthPeepleInstitute of Psychiatry, Psychology and Neuroscience, King’s College LondonDepartment of Education, University of OxfordCentre for Clinical Brain Sciences, University of EdinburghDepartment of Experimental Psychology, University of OxfordAbstract Programmes designed to support children with known, or increased likelihood of, autism or ADHD often focus on reducing behaviours central to a clinical diagnosis. However, supporting children to pursue their own goals and cope with everyday life through fostering executive function (EF) development, without enforcing neuro-normative assumptions, may be more acceptable to neurodivergent people, and more beneficial. The co-production process for this neurodiversity-affirming programme involved: Review of research priorities identified during published public-and-clinician consultations; iterative programme development through two pilot rounds with a general community sample; and consultation with stakeholders (parents with a connection to autism or ADHD, alongside early years specialists, psychologists and therapists) to check acceptability of the proposal, and refine the logic model and materials. The logic model for the resultant programme—Supporting Toddlers with a connection to autism or ADHD to develop strong Attention, Regulation and Thinking skills (START)—involves three mechanisms of change: The child has appropriate play-based opportunities to practise EF skills; Parenting behaviours linked to strong EFs are encouraged; Parents are empowered to improve environmental-fit for their child so that EF stressors are reduced.https://doi.org/10.1186/s40900-025-00674-7Co-productionPatient and public involvementProtocol developmentNeurodiversityAutismADHD
spellingShingle Alexandra Hendry
Victoria Hulks
Shona Murphy
Holly Radford
Sally Smith
Tony Charman
Sandra Mathers
Sinead Rhodes
Gaia Scerif
Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHD
Research Involvement and Engagement
Co-production
Patient and public involvement
Protocol development
Neurodiversity
Autism
ADHD
title Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHD
title_full Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHD
title_fullStr Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHD
title_full_unstemmed Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHD
title_short Learning from the community: iterative co-production of a programme to support the development of attention, regulation and thinking skills in toddlers at elevated likelihood of autism or ADHD
title_sort learning from the community iterative co production of a programme to support the development of attention regulation and thinking skills in toddlers at elevated likelihood of autism or adhd
topic Co-production
Patient and public involvement
Protocol development
Neurodiversity
Autism
ADHD
url https://doi.org/10.1186/s40900-025-00674-7
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