Measurement properties of assessment tools for affiliate stigma in parents of children with autism: a systematic review protocol.

Measurement properties of assessment tools for affiliate stigma in parents of children with autism: a systematic review protocol.

Publication date: Nov 29, 2025

Autism spectrum disorder (ASD) is a prevalent neurodevelopmental disorder. Parents of children with ASD often have a higher level of affiliate stigma, which impacts their physical and mental health, family relationships and social functions. Nowadays, a variety of assessment tools are available for measuring this stigma, but they have many limitations. This systematic review aims to critically appraise the measurement properties of instruments used to assess affiliate stigma in parents of children with autism and help researchers and healthcare professionals make more appropriate choices when using these tools. This protocol adheres to the Preferred Reporting Items for Systematic Review and Meta-Analysis Protocols guidelines. We will search five English databases (ie, PubMed, Web of Science, ScienceDirect Online, Embase and Cochrane Library) and four Chinese databases (ie, SinoMed, China National Knowledge Infrastructure, Wanfang Database and VIP information) from the databases’ inception to 30 September 2025. Eligible studies will evaluate instruments measuring affiliate stigma in parents of children with autism, including self-report and observer ratings. The psychometric properties assessed will include reliability, validity, responsiveness, interpretability and clinical utility. Only primary quantitative studies published in peer-reviewed journals will be included. The search will have no limitations on language or time. Two researchers will independently carry out data extraction and quality assessment, with disagreements resolved through consensus or a third researcher. The consensus-based standards for the selection of health measurement instruments risk of bias checklist and the Grading of Recommendations Assessment, Development and Evaluation approach will be used to evaluate each measure’s methodological quality and overall strength of evidence. As this research constitutes a systematic review of pre-existing published data, formal ethics committee approval is deemed unnecessary in accordance with international research ethics guidelines. The synthesised findings will be submitted for publication in a rigorously peer-reviewed academic journal and presented at pertinent scientific conferences to ensure transparent knowledge dissemination within the academic community. CRD420251043478.

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Concepts Keywords
Autism Autism Spectrum Disorder
China Autistic Disorder
Crd420251043478 Caregivers
Sciencedirect Child
Vip Humans
Parents
Parents
Psychometrics
Reproducibility of Results
Research Design
Shame
Social Stigma
Systematic Review

Semantics

Type Source Name
disease MESH autism
disease MESH Autism spectrum disorder
disease MESH neurodevelopmental disorder
disease MESH included
drug DRUGBANK Trestolone
drug DRUGBANK Indoleacetic acid
disease MESH mental illness
drug DRUGBANK Gold
pathway REACTOME Translation
disease MESH anxiety
disease MESH bipolar disorder
disease MESH confusion
disease MESH Developmental Disabilities
disease MESH Lam
disease MESH Intellectual Disability
disease MESH trauma

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