Autism & Developmental

Grandparents' Experience of Autism Spectrum Disorder: Identifying Primary Themes and Needs.

Hillman et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

Grandparents of kids with autism feel both strain and strength—treat them as allies, not bystanders.

✓ Read this if BCBAs writing family-training plans or running parent workshops.
✗ Skip if Clinicians who only work with children in center-based sessions without family contact.

01Research in Context

01

What this study did

Bassett-Gunter et al. (2017) talked with grandparents of children with autism.

They used open interviews to learn how autism shapes grandparent life.

The team pulled out common themes instead of counting scores.

02

What they found

Grandparents told two stories at once: hard days and deep joy.

They felt stress, but also pride, fight, and love.

Many became advocates and buffers for the whole family.

03

How this fits with other research

Crettenden et al. (2018) later showed this advocacy has real numbers: when maternal grandmothers give hands-on help, mothers feel less distress.

Chaki et al. (2025) went further in Bedouin families: grandmother warmth raised child adaptive scores by lifting mom’s mood and family calm.

Findler (2014) looked earlier at intellectual disability and found grandparents no more upset than typical peers; Bassett-Gunter et al. (2017) echo that stress is only half the story—growth is the other half.

Bayat (2007) first mapped “family resilience” in autism; the 2017 study zooms in on grandparents as a main engine of that resilience.

04

Why it matters

You already invite parents to meetings. Add grandparents to the list. Ask what they can teach, babysit, or fund. Their buy-in lowers mom’s stress and lifts child progress. A quick phone call or a grandparent handout can turn extended family into extra therapists at home.

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Add one grandparent goal to the next IFSP: ‘Grandma will practice play scripts twice a week and record minutes.’

02At a glance

Intervention
not applicable
Design
qualitative
Sample size
1870
Population
autism spectrum disorder
Finding
not reported

03Original abstract

Limited information is available regarding the first person perspective of grandparents of children with Autism Spectrum Disorders (ASD). In the present study, 1870 grandparents of a child with ASD participated in a nationwide, online, anonymous, 30-minute survey and responded to open-ended questions including their "greatest challenges and greatest joys" as the grandparent of a child on the autism spectrum. A grounded theory approach to qualitative analysis revealed four overarching categories: a Desire for Connection, Barriers to Care, Celebration of Progress, and Personal Reactions. Despite the presence of significant challenges grandparents often experienced positivity in their role, and engaged in radical acceptance of their grandchild as well as transformative insight and advocacy. Specific recommendations are offered to help address grandparents' needs and capitalize upon their resilience.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3211-4