Documenti di Didattica
Documenti di Professioni
Documenti di Cultura
Degree
Masters in Social Work
Name
Tlali Samuel Madia
Student number
41998650
Contact number
083 568 3533
Address
26 Beck Street
Hennenman
9445
Supervisor
Ms. Winnie Morake
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CV &Summary of research experience
Qualifications: Researcher, Tladi Madia, completed Bachelor of Social Work degree
from University of South Africa in 2015.
Work experience and current occupation: Researcher started working for Matjhabeng
Local Municipality (Social Development Branch now Wellness Section) since 2005 to
date. After completion of Social Work Degree (2016), the researcher was allowed to
work directly with employees, local counsellors, community members, NGOs where he
had an opportunity to attend and interact with different cases ranging from family
matters, HIV, substance abuse etc. The experience of attending community programs,
where disability centres were visited, instigated the curiosity about experiences,
challenges and coping strategies of mothers in raising children with autism spectrum
disorder. The researcher has three years experience of working as a social worker and
has experience in conducting social research.
2
Table of contents
Abstract iv
1. 11.1 General introduction
1
1.2 Problem statement 9
1.3 Rationale for the study 11
1.4 Theoretical framework 13
2. 132.1 Research question
14
2.2 Research goal 14
2.3 Research objectives 15
3. 163.1 Research approach
16
3.2 Research design 18
4. 204.1 Population
21
4.2 Sampling 21
4.3 Sampling methods 21
4.4.1 Preparation for data collection 23
4.4.2 Methods of data collection 24
4.5 Pilot testing 26
4.6 Method of data analysis 27
4.7 Methods of data verification 28
5 346. 376.1
Autism Spectrum Disorder (ASD) 37
7. 398. 399.
39BIBLIOGRAPHY 41
ADDENDA 46
Addendum A: Participant Information Sheet 46
Addendum B: Consent 51
Addendum C: Permission letter 52
Addendum D 54
RISK ASSESSMENT TOOL 56
3
4
Abstract
Mothers raising children with autism spectrum disorder experiences a range of different
emotions due to their children‘s conditions. They are also faced with different challenges
with regard to raising autistic children, as a result they have to develop coping strategies
so that they can be able to support their children. Qualitative research approach will be
used to explore, describe, and contextualise the experiences, challenges and coping
strategies of mothers who are raising children with autism spectrum disorder in
Matjhabeng Local Municipality based in Free State Province. Purposive and snowball
sampling method will be used to draw a sample of research participants. Data will be
collected through face to face-to- face interviews using semi- structured interviews as
guide.To analyse data gathered from the participants, Tesch’s eight steps of data
analysis will be utilised. Data verified through methods such as confirmability,
transferability, credibility and dependability. From the findings deduced from the
participants, recommendations for policy and social work practice and future research
will be made.
5
1. INTRODUCTION AND PROBLEM FORMULATION
The section on introduction and problem formulation will summarise literature on the
following themes, mothers raising children with autism spectrum disorder (ASD)
challenges and coping strategies, description of autism spectrum disorder, prevalence,
findings of research that has been done on the topic internationally, regionally and in
South Africa. A brief description of the problem statement and rationale for the study will
be outlined.
According to Bilgin & Kucuk, (2010: 92); Alli, Abdoola & Mupawose, (2015: 1), autism
spectrum disorder is a developmental disability, which impairs an individual’s social
interaction and communication. It also results in restricted, repetitive and stereotype
patterns of behaviour. A child with autism spectrum disorder will show unusual
behaviour, interests and activities. The child usually shows difficulties in the areas of
social and communicative behaviour. Bilgin & Kucuk, (2010: 92); furher suggest that
1
symptoms of autism spectrum disorder appear during the early years of childhood. This
is when parents realise that, their child has not achieved expected milestone of child
development. The child does not respond to parental cues of affection or
communication and the child is not interested to speak like other children. In addition,
the child exhibits disorderly behaviour. They respond inappropriately in conversations,
misreading nonverbal interactions, or having difficulty building friendships appropriate to
their age. They are also too dependent on routines, highly sensitive to changes in their
environment. The symptoms of people with ASD vary, with some individuals presenting
mild symptoms and others having much more severe symptoms (Ooi, Ong, Jacob and
Khan, 2016: 745-762; American Psychiatric Association.2013:2). The term autism was
altered to Autism Spectrum Disorder (ASD) due to its resemblance to other disorders
like Asperger Syndrome (Agyekum, 2018: 1). According to Autismspeaks report,(2018)
it is estimated that 31 percent of children with ASD have an intellectual disability, 30 to
61 percent are affected by Attention Deficient Hyperactivity Disorder (ADHD), More than
50 percent have one or more chronic sleep problems, an estimated 11 to 40 percent are
affected by anxiety disorder and an estimated 7% are affected by depression. The
report further alludes that children with autism are nearly eight times more likely to
suffer from one or more chronic gastrointestinal disorders than are other children and as
many as one-third of people with autism have epilepsy (seizure disorder). Furthermore
an estimated 32 percent of 2 to 5 year olds with autism are overweight and 16 percent
are obese. Below are some of the challenges experienced by mothers raising children
with autism spectrum disorder.
Parents face challenges and huddles in raising a child with Autism Spectrum Disorder at
different stages of their child’s development. Mothers’ challenges amongst others, is
obtaining relevant information about ASD and accessing the best services for their child
in quest for a professional diagnosis. Access to resources such as professional help
(speech therapy) and intervention centres for people with autism spectrum disorder are
also a challenge for these mothers and it may lead to late diagnosis to children (Chu,
Normal, McConell, Tan & Singh, 2018: 1-2). Some parents might have to pay out of
their pockets for services or drive long distance to access treatment facilities. As a result
of financial challenges, some mothers of children with autism spectrum disorder might
need to relocate their family to ensure they are able to recover the cost associated with
2
services (Depape & Lindsay, 2015: 569-583). Below is some of the coping strategies
used by mothers raising a child with autism spectrum disorder.
Mothers raising children with autism spectrum disorder employ family practice as one of
the coping strategies as it maintains stability in the family. In a family practice strategy,
two or more family members are involved in taking care of the concerned child on a
regular basis. The child becomes the responsibility of the family not only the mother
alone, and this play important role in child health, parent-child harmony, academic
achievement, emotional support as well as positive family well-being (Schlebusch,
Samuels and Dada, 2016: 1-2). Another coping strategy for mothers is to accept the
condition of the child and focus on the positive experiences. They may also
communicate with others about the disorder, providing them with the information and
raising awareness with community. Partaking in encouraging behaviours for other
people is vital as it increases their sense of well-being. It also helps to build support
networks. Religion also has a significant contribution to mothers’ levels of confidence
and hope. Mothers believe that, an autistic child is a gift from God and they have to
accept this and this belief improves their socio-emotional well-being (Balubaid & Sahab,
2017: 143). Below is the prevalence of children with autism and studies conducted on
the topic.
According to Professor Petrus de Vries and Professor Sue Struengmann of Child and
Adolescent Psychiatry, ( year and page),in United States, one in every 68 children live
autism but not much is known about the extent of disorder in the rest of the world
particularly in low- and middle-income countries, where 90% of children with autism live
as there are no studies that have been done that focus on the prevalence of autism in
Africa. Professor De Vries and his interdisciplinary research team at the Centre for
Autism Research in Africa, are acknowledging the emergent need to address autism in
low- and middle-income parts of the world, (University of Cape Town Centre for Autism
Research in Africa.2017). Below is the table of some of the studies conducted, it is
important to note that most studies were conducted internationally.
3
Author Year Title Methodology
Prata, J, Lawson, W & 2018 Parent training for parents of children Qualitative
Coelho, R. on the autism spectrum:
4
cognitive appraisal and family quality
of life.
Alli, A & Mupawose, A. 2015 Parents’ Journey into the World of Qualitative
Autism.
Alli, A, Abdoola, S & 2015 Parents’ Journey into the World of Qualitative
Mupawuse, A. Autism:
Obeid, R & Daou, N 2015 The effects of coping style, social Qualitative
support and behavioural problems on
the well being of mothers of children
with autism spectrum disorder in
Lebanon.
5
L, Kucuk, R, N. from Turkish mothers.
Dabrowska, A & Pisula, 2010 Parenting Stress and coping styles in Qualitative
E. mothers and fathers of pre-school
children with autism and Down
syndrome.
The international studies below agree on the stress experienced by mothers and
parents raising a child with autism spectrum disorder. The study on parenting stress and
coping styles in mothers and fathers of pre-school children with autism and Down
syndrome findings, indicate that mothers of children with autism scored higher levels of
stress than fathers (Dabrowska & Pisula. 2010:266). The study on raising an Autistic
Child: Perspectives from Turkish Mothers also agrees that mothers experience stress
because of their child’s behaviors associated with autism, as well as their own role and
future expectations, and the complexity of care needed by their children at home (Bilgin
& Kucuk. 2010.92). The study on the impact of parenting stress: A meta-analysis of
studies comparing the experience of parenting stress in parents of children with and
without Autism Spectrum Disorder, findings confirm that parents of children with autism
spectrum disorder experience more parenting stress than families of children diagnosed
with other disabilities (Hayes & Watson. 2012: 630). The study on fatigue, stress and
coping in mothers of Children with an Autism Spectrum Disorder findings, confirms that
raising a child with an autism spectrum disorder can be stressful and exhausting, which
has the potential to impact on parental health and wellbeing. The significance of fatigue
on maternal wellbeing was highlighted as an important area for consideration in families
of children with an ASD (Seymour; Wood; Giallo: Jellet.2012: 1547). The study on
challenges, coping strategies, and unmet needs of families with a child with Autism
Spectrum Disorder in Goa, India. The findings reflects the major impact as emotional
distress. Parents struggled with managing various relationships with spouses, other
children and extended family members due to the increased attention required for their
child (Divan, Vajaratkar, Desai, Strik-Lievers, & Patel.2012:197). The study on parents
experiences of living with an adolescent diagnosed with Autism Spectrum Disorder
indicates that parents reported being mentally and physically tired (Mount &
Dillan.2014:70).
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Mothers of children with autism spectrum disorder experience personal stress,
interpersonal relationships challenges and loneliness. They also experience high levels
of stress and low levels of satisfaction with family life and often the levels of stress are
elevated by the following factors; child‘s behavioural problems of which can be difficult
to manage, lack of sufficient professional support and social attitude towards individual
with autism. Autism spectrum disorder is also costing some families their marriage as
the challenges that come with it may lead to spouses divorcing,(Gobrial.2018:133;
Gona, Newton, Rimba, Mapenzi, Kihara, Vijver & Abubakar, 2016: 3517 and Depape &
Lindsay. 2015: 569-583).Therefore, stress is an important factor in mothers raising a
child with autism spectrum disorder. Below are the study findings on support.
.......(????)
The study on the effects of coping style, social support, and behavioural problems on
the well-being of mothers of children with Autism Spectrum Disorders in Lebanon,
emphasises the significance of providing interventions and awareness-raising measures
7
for mothers who are raising children with ASD (Obeid & Daou. 2015:68). Mothers need
to be empowered so that they can be able to effectively manage the situation of having
a child with autism spectrum disorder. One of the relevant programmes is parent
education, whereby they are taught skills such as socialising their children and how to
emotionally regulate, manage problem behaviours and improve parent- child
relationship (Prata, Lawson & Coelho, 2018: 2). Some parent training programmes
include one on- one sessions with the parent and the child. This approach is very
important because it has the advantage of focusing on the specific needs of the child
and increasing mothers’ knowledge of autism, may also increase self-efficacy because
they would be better able to understand the child’s behaviour and the child ‘s
underlying needs and wants (Kuhaneck, Madonna, Novak and Pearson, 2015). Group
model programme is another important measure of intervention. In this model mothers
are taught in groups. They learn from one another, share stories with others who may
have had similar experiences, exchange ideas and information regarding autism and
learn from others as to how they respond and cope with the child’s condition.
Furthermore, through the support of other similar mothers, they are able to normalize
their experiences and become more aware of their children’s needs (Catalano,
Holloway & Mpofu, 2018: 341). The very same group may function as a social support
group as well and help mothers to have a sense of belonging (Kuhaneck, Madonna,
Novak and Pearson, 2015). Due to advanced technology, there is also a self-directed
technological training programes, where individual parents are able to operate and learn
more on intervention programmes regarding autism and how can one best manage the
situation (Prata et al, 2018: 3). There are also some strategies to address the unmet
needs of families. First, there is a need to build awareness of ASD and its impact on
families in order to help early discovery and to combat stigma and discrimination.
Second, there is a need to expand the coverage of evidence-based services by the
health, social, and educational sectors (Divan, Vajaratkar, Desai, Strik-Lievers, &
Patel.2012:198). Below are some of the studies conducted in Africa and South Africa.
According to Gona; Newton; Rimba; Mapenzi, Kihara; Vijver & Abubakar,(2016: 1) the
study on challenges and coping strategies of parents of children with autism on the
Kenyan coast, observed that parents of children with autism on the Kenyan coast
experienced common challenges including stigma, lack of appropriate treatment,
8
financial and caring burdens regardless of their religious and cultural backgrounds. To
counter these, parents applied coping strategies such as emotion-focused aspects that
consist of beliefs in supernatural powers, prayers and spiritual healing among others.
Another study done in South Africa on parents’ journey into the world of autism findings
refer to the communication challenges of children with ASD. Having a child with ASD
affects family’ functioning in areas such as family events, planning of activities and
marital relationships (Alli; Abdoola; Mupawose. 2015: 83).
Based on the reviewed literature above and the fact that most studies on the topic have
been explored internationally, the researcher finds it necessary to investigate what are
the experiences, challenges and coping mechanisms of mothers raising a child with
autism spectrum disorder in Matjhabeng Local Municipality, Free State Province in
South Africa. Below is the description of the proposed study problem statement.
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1.2 Rationale for the study
Rationale for the study is reflected by the researcher’s argument to convince and make
the reader understand that the proposed research can contribute to additional research
and literature, social policy, effective practices or the participant’s interest (Rossman &
Rollis. 2012: 131). The main reason of the motivation of the study is to persuade the
reader that the proposed research is indeed typical and valuable and worth pursuing
(Mathipa & Gumbo, 2015: 35). The project should be justifiable by explaining, why the
research is thought-provoking to a broader audience, why the research is essential,
what the research would improve, what the research will challenge, and what
knowledge gap will the research fill (Newsome, 2016: 92). Therefore, rationale is the
motivation for the choice of the research topic and study and how the findings will
benefit research, practice and participant
10
1; Gobrial.2018:133; Gona, Newton, Rimba, Mapenzi, Kihara, Vijver & Abubakar,
2016: 3517; Depape & Lindsay. 2015: 569-583; Hayes & Watson. 2012: 630;
Seymour; Wood; Giallo: Jellet.2012: 1547; Divan, Vajaratkar, Desai, Strik-Lievers, &
Patel.2012:197; and: 569-583; Chu, Normal, Glazzard & Overall.2012:43;
Dabrowska & Pisula. 2010:26 rs raising a child with autism spectrum disorder is a
social work call for concern.
Social work profession in order to improve practice may benefit from evidence based
knowledge derived from research. It is a concern that there is minimal knowledge in
South Africa on the topic experiences, challenges and coping strategies for mothers
raising children with autism spectrum disorder. Most research on the topics relating to
mothers’ experiences, challenges and coping mechanisms has been explored
internationally and regionally, i.e. parenting stress and coping styles in mothers and
fathers of pre-school children with autism and Down syndrome (Dabrowska & Pisula.
2010:266); raising an Autistic Child: Perspectives from Turkish Mothers (Bilgin & Kucuk.
2010.92); the impact of parenting stress: A meta-analysis of studies comparing the
experience of parenting stress in parents of children with and without Autism Spectrum
Disorder (Hayes & Watson. 2012: 630); fatigue, stress and coping in mothers of
Children with an Autism Spectrum Disorder (Seymour; Wood; Giallo: Jellet..2012:
1547); challenges, coping strategies, and unmet needs of families with a child with
Autism Spectrum Disorder in Goa, India (Divan, Vajaratkar, Desai, Strik-Lievers, &
Patel.2012:197); parents experiences of living with an adolescent diagnosed with
Autism Spectrum Disorder (Mount & Dillan.2014); parents experiences, challenges and
coping mechanisms (Ludlow; Skelly & Rholeder.2011:702); parents’ experiences of
caring for a child with Autism Spectrum Disorder (DePape & Lindsay. 2015); living with
autistic spectrum disorder: parental experiences of raising a child with autistic spectrum
disorder (Glazzard & Overall.2012:43); the effects of coping s.
In many instances the research topics should come from day to day activities and
interactions encountered in the work situation (Fouche & De Vos .2011: 51). The
researcher is a registered social worker employed by Matjhabeng Local Municipality. He
is engaging daily with fellow employees, institutions, NGOs and community at large
through councillors. The researcher observed it since 2012 when he started attending
activities in Leboneng Special School, and working hand in hand with the school social
11
worker and parents of children with autism spectrum disorder were frustrated, stressed
and feeling helpless. The researcher engages with mothers raising children with autism
spectrum disorder during meetings and events (heritage day, child protection week,
world aids day, international world autism day, etc) at Leboneng Special School.. Based
on the interaction, the researcher motivated to explore in a form of research the
experiences, challenges and coping strategies of mothers who are raising a child with
autism spectrum disorder.
Raising a child with autism spectrum disorder is linked to high level of stress, and
mothers as primary care givers, are generally faced with a huge burden of caring as
they take on the primary responsibility to care for their children, resulting in amplified
mental stress which may lead to depression and anxiety. In addition, studies that
measured stress and psychological well-being in mothers of children with autism
spectrum disorder concluded that behavioural tendencies in children increased the
stress level in mothers (Fewster, Govender and Uys, 2019: 139). Therefore, the study
will make contribution in social work practice by contributing knowledge based evidence
that may inform the development of intervention strategies to support mothers and
families raising a child with autism spectrum disorder. Furthermore, the study will
advance the knowledge base of all the professionals working in the field of disability. It
will also contribute in ensuring that, local council amend and approves its policies
regarding disability and support employees, community members and institutions with
autistic children.
Therefore, the proposed study is justified as it will add a body of knowledge to the
academic field in the area under study, secondly it will benefit professionals such as
social workers in dealing with mothers and families raising children with autism
spectrum disorder, lastly it the research will inform disability policies of Matjhabeng
Local Municipality. Below is the description of the appropriate theoretical framework for
the study.
12
1.4 Theoretical framework
A theoretical framework is the blueprint or guide for a research (Grant & Osanloo,
2014:120).Theoretical framework consists of theoretical principles, constructs,
concepts, and tenants of a theory. The importance of a theoretical framework in
research is that it provides structure that shows how a researcher defines the study
philosophically, epistemologically, methodology and analytically (Grant and Osanloo,
2014:123 -124). Theoretical framework assists researcher in situating and
contextualising formal theories into their studies and it positions studies in a scholarly
and academic fashion. Therefore, theoretical framework guides the researcher to
achieve acceptable research findings that meet academic research standards.
This study will be guided by Bronfenbrenner’s (1977) Ecological Systems Theory (EST)
framework. According to this theory, the lifelong development and functioning of an
individual is subjective to four correlated environmental systems with the individual
existing at the centre. The four systems are (i) the micro system, the individual’s primary
environment that consists of elements such as the family, friends, school, and church;
(ii) the mesosystem, which comprises the interconnections between the microsystems
(for example a connection between the individual’s family and church or family and
school); (iii) the exosystem, the interface and processes of two or more social settings
that indirectly impact the individual (for example, the person’s neighbourhood); and (iv)
the macrosystem, which encompasses the individual’s cultural setting, such as
customs, beliefs, social systems, and resources (Shogren, 2013: 123; Suarez-Balcazar,
Garcia-Ramirez, & Taylor-Ritzler. 2014).
This framework (EST) is reckoned to be suitable for this study because the theory
focuses on understanding the functioning within the context of the individual human
environment. The mothers’ experiences, challenges and coping mechanisms raising a
child with autism spectrum disorder in Matjhabeng Local Municipality will be guided and
analysed based on the four systems, namely, the micro, meso, exo and macro.
13
2.1 Research question
A research question is a question that the research study sets out to answer. The major
aim of research study is to answer the research question, which makes the research
question vital and the focus of the study. Therefore, the researcher must outline the
research question clearly and accurately (Creswell,2014: 34). Research question
defines what the study is about and reflects the inquisitiveness of the researcher. The
researcher must pose a research question in order to develop knowledge about a
particular subject. The research question should lead to research results. The research
question should be appropriate to the research topic (Alvesson & Sandberg .2013: 1).
The significance of the research question is to inhibit the researcher from being
distracted by isolated and unproductive matters that may not contribute to the study
(Corbin & Strauss, 2014: 66).Therefore, research question is what the study sets out to
investigate. It is the backbone of the study and directs the study. Based on the above
information, the research question for the proposed study is:
What are the experiences, challenges and coping strategies of mothers raising children
with autism spectrum disorder in Matjhabeng Local Municipality?
The proposed study question is aimed at exploring the experiences, challenges and
coping strategies of mothers raising children with autism spectrum disorder in
Matjhabeng Local Municipality
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● Develop an in depth understanding experiences, challenges and coping strategies of
mothers raising children with autism of spectrum disorder in Matjhabeng Local
Municipality.
● Make recommendations on the programmes that will cater the emotional needs and
support the mothers raising a child with autism spectrum disorder.
The objectives derived from the research goal will be outlined below.
Below is the brief description on how the researcher will undertake research
methodology.
15
3. RESEARCH METHODOLOGY
Research methodology refers to a system of methods, principles and procedures of
logical thought, processes which are applied to a scientific investigation (Fellows& Liu
.2015: 31). Methodology is an assortment of methods in which a specific piece of
research is undertaken and adjudged to be valid. This is the strategy or plan of action
which lies behind the choice and use of a particular method (Salvador. 2016: 115).
Therefore, research methodology is a system of methods or strategy to be applied in an
investigation.
The following characteristics of qualitative approach make it more relevant to the study
under investigation than any other approach:
● The researcher collects data directly from the participants, through one to one
interviews or group interviews or by observation.
● Concepts and theories are developed from data collected that can help us to
understand the social world.
● It seeks to gain a better understanding of people’s thoughts, attitudes, and
behaviours.
16
● It is concerned with the opinions, experiences, and feelings of individuals
producing subjective data.
● It is rooted in people’s everyday lives; how they experience and make sense of
phenomena occurring in their lives.
● It requires clear information and detail analysis of the respondents’ opinions.
● It describes social phenomena as they occur naturally.
● It is conducted in real life and day-to-day settings.
● It focuses on individual, and person to person interactions.
● A researcher needs to spend time in the research settings with the participants.
● The data are presented in a narrative form, i.e. in the words of the individuals
participating.
● It is context-bound, and researchers must be context sensitive.
● It seeks to establish a holistic perspective of a given situation.
● It focuses on discovery and understanding which requires flexibility in the
research design.
● The product of it is richly descriptive.
● A researcher is an essential part of the research process. The issue is not one of
minimizing the influence of the researcher, but of knowing how the researcher
was involved in data collection and analysis in order to assess better the
information they provide.
● Data collection and data analysis progress together.
● The findings are in the form of themes, categories, concepts or tentative
hypotheses or theories (Mohajan. 2018: 17)
Based on the above advantages, qualitative approach fits the study, and is also the most
suitable approach for investigating the experiences, challenges and coping strategies
for mothers in raising children with autism spectrum disorder in Matjhabeng local
Municipality.
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3.2 Research design
Research design is the logical method chosen by a researcher to bring together
different features of the research in a systematic style to guarantee that, a research
problem is addressed (Creswell, 2012: 42; Vogt, Gardener and Haeffele, 2012: 45).
Research design is the plan that holistically directs data collection to attain the goals
and objectives of research (Regoniel, 2017: 12). The most significant purpose of
research design is to guarantee that, evidence obtained from the investigation permits
the researcher to fully and logically address the research problem (De Vaus, 2014: 32).
Therefore, research design is a plan entailing procedures researchers chose to follow in
order to execute the research to achieve the desired goals.
The study on experiences, challenges and coping strategies of mothers raising a child
with autism spectrum disorder is grounded on phenomenology research design which is
a description of an individual‘s experiences (Edmonds & Kennedy, 2017: 168).
Phenomenology is the study of lived experiences arranged through awareness.It strives
to comprehend how people make sense of their reality in particular circumstances.
Phenomenology is a way of describing something that exists as a part of the world in
which people are living (Friesen, Henricksson & Saevei, 2012: 1).
Interview questions are open-ended to allow the participants to fully describe the
experience from their own view point.
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It focuses on these aspects of a lived experience (space, time and human
relations).
Started here
Explorative research design refers to research technique which explores into the
phenomenon or situation. It is employed in circumstances where the problem must be
clearly and properly defined to gain additional information (Creswell, 2014:59).It is a
research technique that is employed on a problem or topic that has not been
researched or little information is known about it hence the need to explore in pursuit to
discover more information (Schimel: 2012). It arises out of lack of basic information on a
new area of interest, topic or problem (De Vos; Strydom, Fouche & Delport (2012: 95).
Therefore, exploratory research technique is employed to research on a topic or
situation that has not been properly researched or little knowledge has been provided,
hence the need to explore more and discover the truth. The technique fits well in the
study because, the researcher’s goal is to explore experiences, challenges and coping
strategies of mothers who are raising children with autism spectrum disorder in
Matjhabeng Local Municipality. The researcher selected the exploratory technique to
gain new information, discover new ideas and to increase knowledge of being involved
in the study. Most importantly, little information is known with regard to autism spectrum
disorder in the area, hence the study.
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Descriptive Research technique
Contextual technique
4. RESEARCH METHODS
Research methods are tools and techniques that are employed for conducting research
and the researcher needs to ensure that the best research technique is used in order to
effectively and successfully execute the study (Williman, 2011: 1). Research methods
also refer to specific strategies, procedures, and techniques of analysing and
20
interpreting data (Long, 2014: 427-438). In addition Rajasekar, Philominathan &
Chinnathambi,(2013: 1) suggest that research methods are various procedures in
research that help in sampling, collection of data, analysis and also in finding a solution
to a research problem. Therefore, research methods are relevant procedures and
techniques used in a research.:
4.1 Population
Creswell, (2012142) defines population as a group of individuals who have the same
characteristics and de Vos et al. (2012:223), assert that population is the totality of
persons, events, organisation units, case records with which the research problem is
concerned. In the same vein Asiamah, Mensah & Abayie, (2017: 1611), postulate that
population refers to the entire group about which some information is required to be
established. Participants The population should be well defined in terms of being able to
describe its characteristics and must share at least a single attribute of interest to be
eligible as population members,(Goldstein, Lynn, Muniz-Terrera, Hardy,
O’Muircheartaigh, Skinner & Lehtonen, 2015: 449).Therefore population is a certain
group of people who have the same characteristics. Population for this study will
comprise all mothers who are raising children with autism spectrum disorder in
Matjhabeng local Municipality. Due to time and money constraints the whole population
will not be included and a sample will be drawn.
4.2 Sampling
Sampling method refers to the process of selecting a sample population from the target
population (Elfil & Negida, 2017: 1). It is the use of sampling technique to decrease the
number of cases to be studied (Taherdoost. 2016: 18). Sampling method refers to the
selection of sample or elements to be investigated (Du Plooy-Cilliers, Davis &
Bezuidenhout: 2018: 138). Based on above definitions, one can conclude that, sampling
methods is the process of selecting suitable sample technique to reduce the number of
cases or elements.
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4.3 Sampling methods
There are two types of sampling methods used in research studies and these are
probability and non-probability sampling. Probability sampling method is a sampling
method where all participants in the population have equal chances to be selected.
Non-probability sampling method is a sampling method in which the chance of
participants to be selected is not known or confirmed (Rahi, 2017: 3).
In the study, the researcher will follow non-probability sampling method and employ
both purposive sampling and snowball sampling as it is suitable for the nature of
research question to be investigated.
Purposive sampling
Purposive sampling is suitable for the study as the researcher has already contacted
the social worker at Special School who confirmed that there are mothers who
registered their children with autism spectrum disorder at the school. Purposive
sampling is the selection of participants to be used based on their richness and
relevance of the information in relation to the study‘s research question (Gentles,
Charles, Ploeg and Ann Mckibbon, 2015: 1779). Purposive sampling refers to deliberate
choice of participants due to the qualities the participants possess. The researcher
decide what needs to be known and sets out to find participants who are willing to
provide the information based on their knowledge and experience ( Etikan, Musa &
Alkassim, 2016: 1-4). It is defined as a kind of sampling where cases are sought and
selected and is based on the decree of researcher and the sample should have the
same characteristics as the population that serve the purpose of the study (De vos et al
2012: 392). Therefore, purposive sampling is the intentional selection of participants
based on their rich information in relation to the study.
Snowball sampling
However some parents from the purposive sampling may suggest other mothers whose
children with autism spectrum disorder are not attending special school, hence the
purposive sampling will be complemented with snowball sampling. Snowball sampling is
22
a design process of selection usually done by use of networks. The researcher contact
few individuals who will further refer him or her to other participants who have the same
experience (Etikan & Bala, 2017: 2). Rahi, (2017:3), defines it as a sampling technique
where the researcher makes initial contact with a small group of people or participants
who are relevant to the research topic and then uses them as referrals to be in contact
with others. Newman, (2014: 275) refers to snow balling technique as a method of
sampling the case in a network. It starts with one or few people or cases and extends
out based on links to the initial cases.Therefore, snowball sampling is a sampling
technique where a researcher is referred from one participant to another. The
researcher will work hand in hand with selected participants so that, they can be able to
recruit others.
The researcher will use the following criteria of inclusion in order to recruit the research
participants:
In order to determine the sample size of participants, the researcher will adopt the
principle of data saturation.
23
● After gaining permission from the DOE, the researcher will engage with the
gatekeepers at Leboneng Special School, school principal and social worker to
utilise the database. The researcher will request school principal to convene a
meeting with Social Worker, wherein the researcher will request assistance in
identifying research participants who meet the criteria of inclusion for the study.
● The social workers will inform the prospective participants about the research
project and voluntary participation.
● If prospective participants are interested, the social workers with their permission will
take their details
● The researcher will inform prospective participants of the study, expectations,
voluntary participation, informed consent, ethical consideration and dissemination of
information.
● The prospective participants will be informed that there will be no
incentives/reimbursement for participating in the study.
● Those who will agree to participate in the study, they shall be given the consent form
to read and sign as their agreement to participate in the study.
In order to determine the sample size of participants, the researcher will adopt the
principle of data saturation. The researcher will cease interviews when the data
gathered becomes repetitive and no participant comes up with new information. The
researcher will not focus on a specific number; however will rely on principle of
saturation that would indicate that the information is exhausted.
24
Data is classified as primary or secondary. Primary data refers to data that has been
collected from first- hand experience and it is that data that has not been published as
yet, changed or altered by human beings and it is dependable and authentic. Secondary
data is defined as data collected from a source that has already been published in any
form. It is collected by someone else for some other purpose, but being utilised by the
investigator for another purpose (Kabir, 2016: 204).The researcher will employ primary
data collection in the study, to ensure that he gets first-hand information that is not
altered and is reliable, authentic and objective.
The researcher will ask open questions and probes for clarification; use paraphrasing to
confirm what has been said; record the interview digitally and take notes and make a
written record (transcript) of what was said for the purposes of researcher’s analysis, as
soon as possible while it is still fresh in her memory (Maree.2016:93-94).
25
The researcher will ask participants the following questions:
Biographical information
Topical Questions
When did you realise that you child has autism spectrum disorder?
What are your experiences of raising a child with autism spectrum disorder (individual,
family, school and other institutions)?
What challenges do you encounter in raising a child with autism spectrum disorder
(individual, family, neighbours, school and other institutions)?
What are your support systems in raising a child with autism spectrum disorder
(individual, family, neighbours, school and other institutions)?
What do you think should be done in support mothers raising children with autism
spectrum disorder (individual, family, school, neighbours and other institutions?
Below is the description of how the researcher will undertake pilot testing.
26
questions that will be asked in the actual research. However, the three mothers
identified for pilot testing will not form part of the actual research data collection. The
questions will be adjusted as per the outcome of the pilot, for instance if there are
challenges, there will be amendments.
Step 1: The researcher will get a sense of a whole by reading carefully through all the
data, read all the transcripts carefully, jot down some ideas as they come to mind. The
researcher will repeatedly read the transcripts and make notes.
Step 2: The researcher will start with one document and go through it. The researcher
will think of its underlying meaning. Write thoughts in the margin. Furthermore, the
researcher will strive to get a sense of what has been said, in that he will pick one
transcript and read it and try to make sense out of it, and then compare with other
transcripts to check if they talk the same thing.
Step 3: The researcher after completion of the procedure for several document, will
make a list of all the topics, one column per data document, placing all the columns in
the same sheet. All the topics need to be compared and group similar topics together.
Write these groups in columns, perhaps with headings that, represent the major topics,
the unique topics and leftovers. The researcher after familiarising himself with the
27
transcripts and notes he jotted down, will develop themes according to the headings she
picked from the transcripts, that process will allow him to better analyse the data.
Step 4: The researcher will abbreviate these topics as codes. With this list of codes, the
researcher will go back to the data and write the codes next the appropriate segments
of the text. The researcher will be open for new categories and codes that may emerge.
If any ideas about the data come to mind, the researcher will write it down in their notes.
Step 5: The researcher will find the most descriptive words for the topics, which he will
turn them into categories. He will try to reduce the categories by grouping together
those that relate to each other. The researcher will try to find expressive words, link
them according to relevance, and develop categories. This is the organising system for
the data.
Step 6: The researcher will make a final decision on the abbreviation for each category
and alphabetise the codes to ensure that no duplication occurs. In this regard, the
researcher will decide on the abbreviations for each category that are more relevant.
Step 7: The researcher will assemble the data material belonging to each category in
one place and perform a preliminary analysis. After making a decision about categories,
the researcher will start the intensive data analysis.
Step 8: If necessary, the researcher will recode the existing data. If the researcher
deemed it fit, he will try to revisit the existing data and perhaps recode it.
Below is the brief discussion of how the researcher will undertake data verification.
Data verification is the process of ensuring that, the data reported for analysis is a true
reflection of the data participants provided. Data collected from participants should not
be tampered with, meaning it should be original and reflect a true information and
experience of participants (Sheetz, Wilson, Benedict, Huffman, Lawton, Travers,
Nadolny, Young, Given, Florin, 2014: 671). Data verification refers to the process that
28
involves multiple or several data sources to enhance trustworthiness (Creswell.2014:
201). It is the process of checking and verifying the information (Thiruthanigesan &
Thiruchchelvan. 2017: 902). Therefore, data verification is the process in which
collected data is thoroughly checked for accuracy. The following aspects of data
verification will be applied in the study:
Credibility
The researcher will use the following technique to enhance credibility of findings,
triangulation and reflexivity. Triangulation is the use of different methods of data
collection, theories, and data in one study to achieve a comprehensive picture of a fixed
point of reference (Mirriam & Tisdelli, 2016). Reflexivity is a self-reflection whereby good
qualitative researchers actively try to identify personal, social, apolitical, or philosophical
biases that are likely to affect their ability to collect and interpret data (Leedy, 2015).
Therefore, the researcher will use field journals to record and note his own emotions,
opinions and feelings regarding the study under investigation.
Dependability
Dependability refers to the consistency and reliability of the findings and the degree to
which research procedures are documented, allowing someone outside the research to
follow, audit, and criticises the research process (Moon, Brewer, Januchowski-Hartley,
Adams & Blackman, 2016: 17). It involves participants’ evaluation of the findings,
interpretation and recommendations of the study supported by the data (Korstjens &
29
Moser, 2018: 121). Dependability is the stability of findings over time. In this instance,
participants are involved in evaluation of findings, the interpretation and
recommendations of the study to ensure that, they are all supported by data received
from informants of the study under investigation (Anney, 2014: 278).
The researcher will note and document all the good and bad processes encountered
during the research project. The researcher will also utilise the services of an
independent coder to analyse the interview transcripts and that would enhance the
dependability of the research study.
Transferability
Transferability refers to the degree to which research results can be transferred to other
context with other respondents (Anney, 2014: 277). It is the transferring of research
findings to another similar setting. In this instance, there should be a thick description of
the setting, context, people, actions, and events studied to ensure transferability
(Yilmaz, 2013: 320). Transferability refers to the degree to which the findings described
in the study are applicable or useful to theory, practice and future research (Moon,
Brewer, Januchowski-Hartley, Adams & Blackman, 2016: 17).
To ensure transferability in the study, the sampling will only be exhausted once
information and themes become repetitive. There will also be a thick description of the
research context process.
Confirmability
It is defined as the degree to which the findings of the research study could be
confirmed by other researchers (Korstjens & Moser, 2018: 121). Furthermore,
confirmability refers to objectivity, that is, the potential for congruence between two or
more independent people about the data‘s accuracy, relevance, or meaning (Eli et al,
2014: 2).
In order to enhance confirmability, the researcher will rely on the following techniques,
reflexivity and member checking. Reflexivity is self-reflection whereby good qualitative
30
researchers actively try to identify personal, social, political, or philosophical biases that
are likely to affect their ability to collect and interpret data (Leedy, 2015). Moreover the
researcher will utilise reflexivity that will allow the researcher to observe his/her beliefs
and opinions about the research study. Use of field journals will be utilised to ensure
that the researcher is able to record and note his own emotions, opinions and feelings
regarding the study at hand. Member checking is a credibility strategy which
researchers take the data back to the participants for verification (Merriam & Tisdelli,
2016). The researcher will utilise member checking because it will allow the researcher
to go back to the participants to confirm the meaning.
Credibility
Credibility is determined by the level of confidence in the truth of the findings for the
particular participants, data or consent and interpretation of them (Guba & Lincoln cited
in Polit & Beck, 2012). Credibility is demonstrated when the participants recognise the
research findings as their own experiences (Streubert & Carpenter, 2011). Credibility or
authenticity is the alternative to internal validity in which the goal is to demonstrate that
the enquiry was conducted in a manner to ensure that the subject has been accurately
identified and described (De Vos et al, 2011). Credibility is also the extent to which the
research study has recorded the fullness and essence of the research (Rule & Vaughn,
2011). It is concluded that credibility is a confirmation that the study was indeed
conducted with the said participants.
The researcher will use the following techniques to enhance credibility of findings,
triangulation and reflexivity. Triangulation refers to the use of different methods of data
collection, theories, and data in one study to achieve a comprehensive picture of a fixed
point of reference (Mirriam & Tisdelli, 2016). Triangulation is a collection of multiple
forms of data related to the research question with a goal of finding consistencies or
inconsistencies among the data (Leedy, 2015). Triangulation is understood as a
technique of usage of multiple methods to confirm regularities or irregularities in the
research study. In this regard, the researcher will utilise the method triangulation, which
31
she will use interviews and observations to enhance credibility of the study. Reflexivity
is self-reflection whereby good qualitative researchers actively try to identify personal,
social, political, or philosophical biases that are likely to affect their ability to collect and
interpret data (Leedy, 2015). Therefore, the researcher will utilise reflexivity that will help
researcher to acknowledge her own beliefs and opinions about the research study. Use
of field journals will be utilised to ensure that the researcher is able to record and note
her own emotions, opinions and feelings regarding the study at hand.
Dependability
The researcher will ensure dependability through the technique of consistency. In order
to achieve consistency in the study, full disclosure of research process, including
limitations, researcher’s position and ethical considerations helps to ensure both
dependability of the research The researcher will note and document all the good and
bad processes encountered during the research project i.e. dense description of the
research methodology (Rule & Vaughn, 2011). Secondly, the researcher will also utilise
the services of an independent coder to analyse the interview transcripts and that would
enhance the dependability of the research study.
32
Transferability
Transferability refers to the degree to which the findings are applicable or useful to
theory, practice and future research (Lincoln & Guba cited in Lietz & Zayas, 2010).
Transferability is also the alternative to external validity or generalisability in which the
burden of demonstrating the applicability of one set of findings to another context rests
more with the investigator who would make the transfer with the original investigator (De
Vos et. al, 2011). In order to enable interested parties to conduct a transferability audit,
researchers must provide thick or detailed description of the setting, participants and the
research methodology employed (Merriam & Tisdeli, 2016).
To ensure transferability in the study, the sampling will only exhausted once information
and themes become repetitive. There will also be a thick description of the research
context, process and results.
Confirmability
Confirmability is defined as the degree to which the findings of the research study could
be confirmed by other researchers. It is concerned to ensuring that, data and
interpretations of the findings are clearly derived from the data (Korstjens & Moser,
2018: 121). Furthermore, confirmability refers to objectivity, that is, the potential for
congruence between two or more independent people about the data‘s accuracy,
relevance, or meaning (Eli et al, 2014: 2).
In order to enhance confirmability, the researcher will rely on the following techniques,
reflexivity and member checking. The researcher will record and note his own emotions,
opinions and feelings regarding the study at hand. The researcher will utilise member
checking because it will allow the researcher to go back to the participants to confirm
the meaning.
Below is the brief description on how the researcher will adhere to ethical
considerations.
33
5 ETHICAL CONSIDERATIONS
Ethics is set of moral principles suggested by individual or a group, and offers rules and
behavioural expectations about the correct conduct towards research participants,
employers, sponsors, other researchers, assistants and students and they are widely
accepted. Ethics are very important in all research activities because, they also serve as
a standard, and a basis upon which each researcher ought to evaluate his or her own
conduct (De Vos et al, 2012: 114). Ethics refers to methods, procedures or perspectives
that tell how to act and how to analyse complex problems and issues. It is the
responsibility of the researcher to explain how ethical principles will be upheld (Du
Ploooy- Cilliers et al, 2018: 291). It refers to doing good and avoiding harm (Aluwihare-
Samaranayake. 2012: 65). An ethical consideration in research studies plays an integral
part because it serves as a protection of participants. It protects participants from harm
and possible humiliation that might occur with regard to participants’ personal
information. Ethical considerations are more important in qualitative research because
qualitative research approaches often deals with participants ‘s experiences and lives in
general. It is important for researchers to consider the code of ethics before conducting
the field as it is both at the best interest of the researcher and participants (Creswell,
2014: 93). Therefore, ethics is a set of moral principles and rules directing behaviour of
the researcher. The researcher will adhere to ethical principles and act accordingly
because his research will be of qualitative in nature where human being will be involved.
The following ethical considerations will be considered during the process of executing
this study:
Informed consent
34
The researcher will formally inform participants about the study and give them informed
consent forms to fill-in and, tell them about overall purpose of the study as well as any
possible risk and benefits of the study. He will inform them about their expected duration
to participate and the procedures to be followed during the investigation. He will also tell
them that, participation is voluntary and it is within their right to participate or withdraw
from the study at any given time. In addition, the researcher will avail himself for clarity
seeking questions that will assist participants to make informed decisions regarding
participation.
Confidentiality
In order to uphold the principle of confidentiality, the researcher will ensure that the
information shared by participants is not divulged to anyone except for the supervisor.
The information shared by participants will be kept safe and locked in the cabinet and
the computer will be password-protected. Participants’ names will never be revealed in
the research report as codes and numbers will be used to protect their identity.
Anonymity
Anonymity refers to the state of being unidentified or unknown (Hite, Voelker &
Robertson, 2014: 22). It is the protection of identity for those taking part in the study
35
(Aurini, Heath & Howells, 2016: 60). Anonymity refers to the inability of others to identify
an individual or others to indentify ones’ self (Lee, Choi, Kim and Lee, 2014: 58).
Therefore, anonymity is the state of being unidentifiable.
Beneficence
Beneficence is defined as the moral obligation to act for the benefit of others (Kruger,
Ndebele & Horn, 2014: 144). Beneficence refers to technical term for reaching out and
doing good for others, which is regarded as the most common connotation of the notion
of ethics (Andreassen, Sono & Lankford, 2017: 208). It is an obligation to maximise
possible benefits and minimise possible harm to participants. It is about doing good for
others (De Vos, 2011: 116). In order to enhance the principle of beneficence, the type
degree and number of potential risks must be assessed thoroughly (Greaney, 2012:
40).
In this regard, the researcher will minimise harm to participants by ensuring that all the
principles of ethics, i.e. voluntary participation, signing of consent forms, confidentiality,
anonymity, and privacy of participants are adhered to all the time during the process of
research study. The researcher will also have a debriefing session all participants.
Furthermore, the researcher will ensure that his intentions about the research study and
participation of participants are cleared and understood. The envisaged benefits of the
study are to improve social work practice in rendering services to families who are
having children with autism spectrum disorder in Matjhabeng Local Municipality.
Debriefing of participants
Debriefing of participants refers to the sessions where participants get the opportunity
after the study, to work their experiences and where their questions are answered and
misconceptions removed if they were any. Problems generated by research experience
36
can be corrected (De Vos et al, 2012: 122). It is defined as a goal-oriented discussion of
data immediately after it is collected. The purpose of debriefing is to check and ensure
that, data is collected in proper way, and that the data set is responding to research
question (McMahon& Winch, 2018: 1).
The researcher will ensure that, he identifies additional support needs and provide
contact details of support as required. He will also spend time with participants to
discuss the interview experience and the impact it may have had on them. The
researcher will refer the participants to the school social worker for debriefing. The
special school social worker of which the researcher have a good relationship with will
be formally requested to submit her curriculum vitae and consent to debriefing of
participants if necessary.
37
Coping strategies
Coping strategies is defined as a group of behavioural or cognitive efforts aimed at
reducing stress levels (Miranda, Mira, Berenguer, Rosello & Baixauli, 2019: 464).
Furthermore, Litt and Tennen (2015: 403) defines coping strategies as a person‘s
cognitive and behavioural efforts in response to stressors that determine how those
stressors will affect physical and emotional well-being. Coping has two main functions
which are to regulate emotions and to direct behaviour in addressing the problem
(Mason. 2017: 133-134). In support of the above statement, mentioned two blocks of
coping strategies as well, which are problem-focused coping strategies and emotion
focused coping strategies. Problem focused strategy is said to solve the problem while
emotion-focused coping strategy reduces or manage the feeling of distress (Miranda et
al .2019: 464). Therefore, coping strategies in the study refers to specific efforts
employed by mothers raising children with autism to minimise stressful events.
7. STRUCTURE/ FORMAT
Chapter 1: Introduction
The chapter on introduction will focus on the following: background, problem statement,
research goal, objectives of the study, and theoretical framework.
The chapter on literature review in the study will provide an analytical and critical
overview of studies conducted together with identified gaps.
This chapter will articulate methodology that will be utilised in the proposed study, i.e.
research design, research design, population and sampling methods, data collection
methods, data analysis, and ethical considerations.
38
Chapter 4: Findings and Discussions
This chapter will present findings of the study according to themes that emerged from
data analysis process.
39
No Budget Cost
1 Travelling R1 000
2 Photocopying R2 000
40
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Elsievier
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ADDENDA
20 February 2020
Experiences, challenges and coping strategies of mothers raising a child with autism
spectrum disorder.
My name is Tladi Madia and I am doing research with Ms. Winnie Morake a senior
lecturer in the Department of Social Work towards Masters in Social Work Research at
the University of South Africa. There is no funding to the project. The researcher is self-
funded. We are inviting you to participate in a study entitled, “Experiences, challenges
and coping strategies of mothers raising a child with autism spectrum disorder.
Mothers residing in Matjhabeng Local Municipality who have children with autism
spectrum disorder.will purposefully be selected to form part of the research project.
They will be expected to share their experiences, challenges and coping mechanisms.
46
The participants’ information would be drown from Department of Education Leboneng
Special School. A letter requesting Department of Education to access and utilise their
clients’ information and interviews would be drafted and submitted after the University of
South Africa research panel approves the research proposal. An approximately 20-30
participants would be recruited to participate in the research study, their participation
would be entirely voluntary and consent forms would be completed. Research ethics
would be fully considered, which would entirely be about doing good for participants,
protecting their identity and information they shared. Moreover, the participants would
be informed that their interviews would be audio-taped and transcribed for data analysis
and the tape records and field notes collected during interviews would be kept in a safe
place.
The data would be conducted through face-to-face interviews and observations and
would be tape-recorded. Interview schedule would be drafted and utilised by the
researcher as a guideline of questions that need to be covered. The interview schedule
would comprise biographical questions and the topical questions, i.e. questions related
to the research topic. The researcher will make appointments with participants to meet
with them in their comfortable respective places and the interviews are expected to run
for duration of 45 minutes. The participants will be allowed to express themselves in the
languages they are comfortable with and where necessary, the researcher will find an
interpreter.
The supervisor will have access to the data and will maintain confidentiality. Your
answers may be reviewed by people responsible for making sure that research is done
properly, including the transcriber, external coder, and members of the Research Ethics
48
Review Committee. Otherwise, records that identify you will be available only to people
working on the study, unless you give permission for other people to see the records.
Anonymous data may be used for other purposes, such as a research report, journal
articles and/or conference proceedings. A report of the study may be submitted for
publication, but individual participants will not be identifiable in such a report.
Should you have concerns about the way in which the research has been conducted,
you may contact Ms. Winnie Morake on 012 429 4917 or morakmwl@unisa.ac.za.
Contact the research ethics chairperson Dr. Malesa on if you have any ethical concerns.
Thank you for taking time to read this information sheet and for participating in this
study.
Thank you.
Tladi Madia
50
Addendum B: Consent
CONSENT TO PARTICIPATE IN THIS STUDY
I have read (or had explained to me) and understood the study as explained in the
information sheet.
I have had sufficient opportunity to ask questions and am prepared to participate in the
study.
I understand that my participation is voluntary and that I am free to withdraw at any time
without penalty (if applicable).
I am aware that the findings of this study will be processed into a research report,
journal publications and/or conference proceedings, but that my participation will be
kept confidential unless otherwise specified.
Participant Signature……………………………………………..Date…………………
Researcher’s signature…………………………………………..Date…………………
51
Addendum C: Permission letter
Title: Experiences, challenges and coping strategies of mothers raising a child with
autism spectrum disorder.
20 February 2020
Mrs.
Department of Education
Dear Mrs.
I, Tladi Madia am doing research with Ms. Winnie Morake, a senior lecturer in the
Department of Social Work towards a Masters in Social Work Research at the
University of South Africa. We are inviting you to participate in a study entitled
“Experiences, challenges and coping strategies of mothers raising a child with autism
spectrum disorder.”.
The aim of the study is to explore experiences, challenges and coping strategies of
mothers raising a child with autism spectrum disorder.
Your organisation has been selected because Leboneng Special School has children
with autism spectrum disorder.
The benefits of this study are an opportunity to participate in a research study in a form
of sharing Experiences, challenges and coping strategies of mothers raising a child with
autism spectrum disorder.
Potential risks that are anticipated in this research study are, being overwhelmed by
emotions and information shared during the process of interview and after.
Feedback procedure will entail the final research report in a form of hard copy and or
soft copy.
Yours sincerely
Tladi Madia
53
Addendum D
Semi-Structured interview schedule
Biographical information
Topical Questions
When did you realise that you child has autism spectrum disorder?
What is your experiences of raising a child with autism spectrum disorder (individual,
family, school and other institutions)?
What challenges do you encounter in raising a child with autism spectrum disorder
(individual, family, neighbours, school and other institutions)?
What are your support systems in raising a child with autism spectrum disorder
(individual, family, neighbours, school and other institutions)?
What do you think should be done in support mothers raising children with autism
spectrum disorder (individual, family, school, neighbours and other institutions?
54
Addendum E: Consent to assist debriefing research participants
I am fully conversant with the ethical considerations that are required from me and I
pledge to abide by them. I shall uphold the principles of confidentiality, anonymity,
privacy and beneficence.
Thank You
Signature……………….
Date…………………….
55
Addendum F: Application for Risk Assessment
Complete the Research Ethics Risk Assessment by answering each question below. If you answer “YES”
to any of the items, the outcome of the risk assessment is considered to vary from a low to high risk
level. The UNISA research ethics review system is based on the UNISA Standard Operating Procedure
(SOP) for Research Ethics Risk Assessment. If you are an external applicant, a copy of this document can
be requested from urerc@unisa.ac.za; internal applicants can click on this link to obtain the document.
If you are unsure about the meaning of any of these concepts, please consult your supervisor or project
leader.
1 Does your research include the direct involvement of any of the YES NO
following groups of participants (Refer to Section 4 in the SOP)
Place an ‘x’ in box [if yes, provide details in the space allocated for comments]
a) Children or young people under the age of 18 X
Include the parental consent letter and explain how assent will be obtained in section 6.1
of the application form.
b) Persons living with disabilities (physical, mental and/or sensory)1 X
c) Persons that might be considered vulnerable, thus finding it difficult to make X
independent and/or informed decisions for socio, economic, cultural, political
and/or medical reasons (such as the elderly, the dying, unconscious patients,
prisoners, those in dependant relationships, women considered to be vulnerable
due to pregnancy, victimisation, etc.)
d) Communities that might be considered vulnerable, thus finding it difficult to X
make independent and informed decisions for socio, economic, cultural, political
and/or medical reasons
e) UNISA employees, students or alumni X
Indicate that you will apply for permission at the UNISA Research Permission
Subcommittee (RPCS) in section 3.1 of the application form to involve any of these
participant groups in the proposed research.
f) Persons whose native language differs from the language used for the research X
Attach the translated data collection instrument(s), interview guide(s), participant
information sheet and consent form in the participants’ first language, as well as a letter
from the language practitioner certifying the credibility of the translated material. The
services of an interpreter may need to be secured for field work activities.
g) There is a likelihood that a person or definable group will be identified during X
the research process and it is likely to be of concern.
h) Other2. Please describe.
1
Describe whether and how proxy or gatekeeper consent will be obtained in section 6.1 relevant to items
2.1. a – e
2
Form 1 does not apply to plant, molecular or cell research, animal and environmentally related research.
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Comments: If you selected any option above, please describe it in detail here.
All the above risks do not apply to this study.
2 Does your research involve any of the following types of activity that YES NO
could potentially place the participants at risk of harm?
Place an ‘x’ in the box provided [if yes, provide details in the space allocated for comments]
a) Collection, use or disclosure of personal, identifiable information without the X
consent of the individual or institution that is in possession of the required
information (with the exception of aggregated data or data from official
databases in the public domain)
b) Collection, use or disclosure of personal, identifiable information directly from X
participants with consent
c) Personal, identifiable information to be collected about individuals from X
available records (e.g. employee records, student records, medical records, etc.)
and/or archives
b) Participants being exposed to questions which may be experienced as stressful X
or upsetting, or to procedures which may have unpleasant or harmful side effects .
*Please add details on copyright issues related to standardised psychometric tests and registration at the HPSCA of test
administrator if test administration is in South Africa or of an equivalent board if administration is non South African.
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3 Does your research involve any activity that could potentially place the YES NO
researcher(s) at risk of harm?
c) There is an increased exposure to risks in everyday life and social interactions, such X
as working with hazardous materials or sensitive information
Comments: If you selected any option above, please describe it in detail here.
This study does not pose any risk for the researcher, as she will be interviewing participants at their homes,
after mutual arrangements have been made.
5 Guided by the information above, classify your research project based on the anticipated degree
of risk. [The researcher completes this section. The ERC critically evaluates this benefit-risk
analysis to protect participants’ rights]
Place an ‘x’ in the box provided
Category 1 Category 2 Category 3 Category 4
Negligible Low risk Medium risk X High risk
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No to indirect Direct human participant Direct human participant Direct human participant
human participant involvement. The only involvement. Research involvement.
involvement. foreseeable risk of harm is that poses a risk above A real or foreseeable risk
If you choose this the potential for minor the everyday norm, of harm including
option, stop discomfort or including physical, physical, psychological
completing this inconvenience, thus psychological and social and social risk which may
form and contact research that would not risks. Steps can be taken lead to a serious adverse
URERC@unisa.ac.za pose a risk above the to minimise the likelihood event if not managed
everyday norm. of the event occurring. responsibly.
(a) Briefly justify your choice/classification
The proposed research project is classified as medium risk, which falls under category
3 according to the risk assessment category. It involves direct human participants
(mothers) about their everyday experiences, challenges and coping strategies raising
children with autism spectrum disorder. The risk is medium and predictable risk of
harm would immediately be addressed. There are already plans in place to mitigate
risks of harm should they arise. Participants are expected to be emotional as they
narrate their life story and debriefing sessions will provided.
(b) In medium and high risk research, indicate the potential benefits of the study for
the research participants and/or other entities.
The potential benefits to participants would be an exposure to counselling sessions and
support by school Social Workers and other outstanding issues affecting the whole family
could be addressed.
Social Workers involved in special schools will understand mothers raising children with
autism spectrum disorder
(c) In medium and high risk research, indicate how the potential risks of harm will be
mitigated by explaining the steps that will be taken to minimise the likelihood of the event
occurring (e.g. referral for counselling, debriefing, etc.).
The potential risks will be mitigated through observing all the ethical considerations
outlined above. With regards to the emotional discomfort that might be caused by
participating in the study the researcher will provide debriefing to restore the participants
to their emotional state prior to their participation in the interviews. For those who will
need further counselling the researcher made arrangements with the social worker to
provide such services.
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