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Research Articles

Does culture play a role? A pilot study on Western services for a Chinese-Canadian family with children with Autism spectrum disorder

ORCID Icon & ORCID Icon
Pages 2584-2592 | Received 23 Nov 2022, Accepted 15 Jun 2023, Published online: 29 Jun 2023
 

Abstract

Purpose

Autism spectrum disorder (ASD) affects one in 66 children in Canada, and its symptoms may be particularly challenging for parents from a Chinese background. Further, when working with Chinese families, Western-educated service providers may experience difficulty in applying culturally relevant and family-centered care. This study examined the experiences of one Chinese-Canadian family as they receive intervention services for their two children with ASD.

Materials and methods

This pilot, single-case design, qualitative case study included semi-structured interviews with the parents, grandparents, as well as three service providers’ views.

Results

Three major themes emerged from the data in the form of tensions: (1) within the family members; (2) within the therapeutic relationships, and (3) in addressing culture in therapy.

Conclusions

Results suggested that although the family identified key cultural differences, service providers did not sufficiently address these within the therapeutic relationship, and the need for culturally-relevant and family-centered care was not fulfilled.

IMPLICATIONS FOR REHABILITATION

  • Chinese-Canadian parents for children with autism spectrum disorder adopt both Chinese and Western values that fit best for their circumstances.

  • Service providers and family members can have conflicting priorities, making family-centered care, culturally-relevant care challenging.

  • Culture plays an important role in family expectations, and should be incorporated with more intention in the rehabilitation process.

Disclosure statement

No potential conflict of interest was reported by the author(s).

Additional information

Funding

The author(s) reported there is no funding associated with the work featured in this article.

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