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Evaluating Autism diagnosis agreement between primary care physicians/practitioners and experts through ECHO Autism STAT / Rachel BROWN ; Valeria NANCLARES-NOGUÉS ; Melinda ODUM ; Amanda BARRETT ; Micah O. MAZUREK ; Kristin SOHL in Research in Autism Spectrum Disorders, 109 (November 2023)
[article]
Titre : Evaluating Autism diagnosis agreement between primary care physicians/practitioners and experts through ECHO Autism STAT Type de document : Texte imprimé et/ou numérique Auteurs : Rachel BROWN, Auteur ; Valeria NANCLARES-NOGUÉS, Auteur ; Melinda ODUM, Auteur ; Amanda BARRETT, Auteur ; Micah O. MAZUREK, Auteur ; Kristin SOHL, Auteur Article en page(s) : 102276 Langues : Anglais (eng) Mots-clés : Autism Autism spectrum disorder Primary care provider Diagnosis ECHO Autism Index. décimale : PER Périodiques Résumé : Background Even though early intervention leads to improved outcomes for children with autism spectrum disorder (ASD), delays in diagnosis can have an impact on both children and families. ASD diagnostic practices have significantly evolved over time, in part, because of the lack of specialists to meet the demand. ECHO Autism STAT is one innovative model that increased the capacity of community primary care providers (PCPs) to reliably diagnose ASD within their own practices via hands-on training and virtual guidance and support from ASD specialists. The current study evaluated PCPs agreement with ECHO Autism experts in making independent clinical decisions related to ASD diagnosis in unambiguous cases. Method After obtaining reliability on the STAT and attending 6 mo of ECHO Autism sessions, PCPs agreement with expert impressions was evaluated for (a) diagnosing unambiguous ASD and (b) identifying symptoms that met DSM-5 criteria. Results The proportion of cases that achieved the highest PCP agreement score with ASD experts for overall ASD diagnostic impressions was 90% across all cases, 94% across unambiguous cases, and 84% across more complex cases. PCP agreement for DSM-5 symptom impressions was 79%, 87%, and 66% across all, unambiguous, and more complex cases, respectively. Results were significant for unambiguous cases when compared to more complex cases. Conclusions PCPs can develop clinical expertise in the evaluation and diagnosis of young children with unambiguous ASD that is accurate and reliable. Development of this expertise can expand access for community-based diagnosis that is critical for early detection of ASD. En ligne : https://doi.org/10.1016/j.rasd.2023.102276 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=517
in Research in Autism Spectrum Disorders > 109 (November 2023) . - 102276[article] Evaluating Autism diagnosis agreement between primary care physicians/practitioners and experts through ECHO Autism STAT [Texte imprimé et/ou numérique] / Rachel BROWN, Auteur ; Valeria NANCLARES-NOGUÉS, Auteur ; Melinda ODUM, Auteur ; Amanda BARRETT, Auteur ; Micah O. MAZUREK, Auteur ; Kristin SOHL, Auteur . - 102276.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 109 (November 2023) . - 102276
Mots-clés : Autism Autism spectrum disorder Primary care provider Diagnosis ECHO Autism Index. décimale : PER Périodiques Résumé : Background Even though early intervention leads to improved outcomes for children with autism spectrum disorder (ASD), delays in diagnosis can have an impact on both children and families. ASD diagnostic practices have significantly evolved over time, in part, because of the lack of specialists to meet the demand. ECHO Autism STAT is one innovative model that increased the capacity of community primary care providers (PCPs) to reliably diagnose ASD within their own practices via hands-on training and virtual guidance and support from ASD specialists. The current study evaluated PCPs agreement with ECHO Autism experts in making independent clinical decisions related to ASD diagnosis in unambiguous cases. Method After obtaining reliability on the STAT and attending 6 mo of ECHO Autism sessions, PCPs agreement with expert impressions was evaluated for (a) diagnosing unambiguous ASD and (b) identifying symptoms that met DSM-5 criteria. Results The proportion of cases that achieved the highest PCP agreement score with ASD experts for overall ASD diagnostic impressions was 90% across all cases, 94% across unambiguous cases, and 84% across more complex cases. PCP agreement for DSM-5 symptom impressions was 79%, 87%, and 66% across all, unambiguous, and more complex cases, respectively. Results were significant for unambiguous cases when compared to more complex cases. Conclusions PCPs can develop clinical expertise in the evaluation and diagnosis of young children with unambiguous ASD that is accurate and reliable. Development of this expertise can expand access for community-based diagnosis that is critical for early detection of ASD. En ligne : https://doi.org/10.1016/j.rasd.2023.102276 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=517 ECHO Autism STAT: Accelerating Early Access to Autism Diagnosis / M. O. MAZUREK in Journal of Autism and Developmental Disorders, 49-1 (January 2019)
[article]
Titre : ECHO Autism STAT: Accelerating Early Access to Autism Diagnosis Type de document : Texte imprimé et/ou numérique Auteurs : M. O. MAZUREK, Auteur ; A. CURRAN, Auteur ; Courtney BURNETTE, Auteur ; K. SOHL, Auteur Article en page(s) : p.127-137 Langues : Anglais (eng) Mots-clés : Autism Autism spectrum disorder Health care access Primary care provider Screening Index. décimale : PER Périodiques Résumé : Although early diagnosis of autism is critical for promoting access to early intervention, many children experience significant diagnostic delays. Shortages of healthcare providers, limited capacity at autism centers, and geographic and socioeconomic challenges contribute to these delays. The current pilot study examined the feasibility of a new model for training community-based primary care providers (PCPs) in underserved areas in screening and diagnosis of young children at highest risk for autism. By combining hands-on training in standardized techniques with ongoing virtual mentorship and practice, the program emphasized both timely diagnosis and appropriate referral for more comprehensive assessment when necessary. Results indicated improvements in PCP practice and self-efficacy, and feasibility of the model for enhancing local access to care. En ligne : http://dx.doi.org/10.1007/s10803-018-3696-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=376
in Journal of Autism and Developmental Disorders > 49-1 (January 2019) . - p.127-137[article] ECHO Autism STAT: Accelerating Early Access to Autism Diagnosis [Texte imprimé et/ou numérique] / M. O. MAZUREK, Auteur ; A. CURRAN, Auteur ; Courtney BURNETTE, Auteur ; K. SOHL, Auteur . - p.127-137.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-1 (January 2019) . - p.127-137
Mots-clés : Autism Autism spectrum disorder Health care access Primary care provider Screening Index. décimale : PER Périodiques Résumé : Although early diagnosis of autism is critical for promoting access to early intervention, many children experience significant diagnostic delays. Shortages of healthcare providers, limited capacity at autism centers, and geographic and socioeconomic challenges contribute to these delays. The current pilot study examined the feasibility of a new model for training community-based primary care providers (PCPs) in underserved areas in screening and diagnosis of young children at highest risk for autism. By combining hands-on training in standardized techniques with ongoing virtual mentorship and practice, the program emphasized both timely diagnosis and appropriate referral for more comprehensive assessment when necessary. Results indicated improvements in PCP practice and self-efficacy, and feasibility of the model for enhancing local access to care. En ligne : http://dx.doi.org/10.1007/s10803-018-3696-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=376 Brief Report: Pediatrician Perspectives Regarding Genetic Evaluations of Children with Autism Spectrum Disorder / A. RUTZ in Journal of Autism and Developmental Disorders, 49-2 (February 2019)
[article]
Titre : Brief Report: Pediatrician Perspectives Regarding Genetic Evaluations of Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : A. RUTZ, Auteur ; K. M. DENT, Auteur ; L. D. BOTTO, Auteur ; P. C. YOUNG, Auteur ; Paul S. CARBONE, Auteur Article en page(s) : p.794-808 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Chromosomal microarray Genetics Primary care provider Index. décimale : PER Périodiques Résumé : Despite current guidelines, few children with autism spectrum disorder (ASD) receive genetic evaluations. We surveyed Utah pediatricians to characterize the knowledge, beliefs, current practices and perceived barriers of pediatricians regarding genetic evaluation of children with ASD. We found over half lacked knowledge of current guidelines and many held beliefs about genetic evaluation that did not align with guidelines. Barriers were lack of insurance coverage for genetic evaluation/testing and long wait times to see geneticists. Pediatricians with beliefs aligned with guidelines and those aware of the role of genetic counselors were more likely to adhere to guidelines. Efforts to educate pediatricians are needed along with system level solutions regarding availability of geneticists and reimbursement for genetic testing. En ligne : http://dx.doi.org/10.1007/s10803-018-3738-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=382
in Journal of Autism and Developmental Disorders > 49-2 (February 2019) . - p.794-808[article] Brief Report: Pediatrician Perspectives Regarding Genetic Evaluations of Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / A. RUTZ, Auteur ; K. M. DENT, Auteur ; L. D. BOTTO, Auteur ; P. C. YOUNG, Auteur ; Paul S. CARBONE, Auteur . - p.794-808.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-2 (February 2019) . - p.794-808
Mots-clés : Autism spectrum disorder Chromosomal microarray Genetics Primary care provider Index. décimale : PER Périodiques Résumé : Despite current guidelines, few children with autism spectrum disorder (ASD) receive genetic evaluations. We surveyed Utah pediatricians to characterize the knowledge, beliefs, current practices and perceived barriers of pediatricians regarding genetic evaluation of children with ASD. We found over half lacked knowledge of current guidelines and many held beliefs about genetic evaluation that did not align with guidelines. Barriers were lack of insurance coverage for genetic evaluation/testing and long wait times to see geneticists. Pediatricians with beliefs aligned with guidelines and those aware of the role of genetic counselors were more likely to adhere to guidelines. Efforts to educate pediatricians are needed along with system level solutions regarding availability of geneticists and reimbursement for genetic testing. En ligne : http://dx.doi.org/10.1007/s10803-018-3738-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=382 Psychotropic Medications in Autism: Practical Considerations for Parents / Edwin D. WILLIAMSON in Journal of Autism and Developmental Disorders, 42-6 (June 2012)
[article]
Titre : Psychotropic Medications in Autism: Practical Considerations for Parents Type de document : Texte imprimé et/ou numérique Auteurs : Edwin D. WILLIAMSON, Auteur ; Andrés MARTIN, Auteur Année de publication : 2012 Article en page(s) : p.1249-1255 Langues : Anglais (eng) Mots-clés : Autistic disorder Autism Parent Primary care provider Disruptive behavior Index. décimale : PER Périodiques Résumé : Medications are widely prescribed in children with autism spectrum disorders. Most commonly these medications are used to decrease symptoms that fall under three main clusters: irritability, ADHD-like symptoms, and repetitive behaviors. In this guide we introduce basic approaches to medications in children with autism and review the scientific evidence in each symptom cluster. En ligne : http://dx.doi.org/10.1007/s10803-010-1144-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=157
in Journal of Autism and Developmental Disorders > 42-6 (June 2012) . - p.1249-1255[article] Psychotropic Medications in Autism: Practical Considerations for Parents [Texte imprimé et/ou numérique] / Edwin D. WILLIAMSON, Auteur ; Andrés MARTIN, Auteur . - 2012 . - p.1249-1255.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 42-6 (June 2012) . - p.1249-1255
Mots-clés : Autistic disorder Autism Parent Primary care provider Disruptive behavior Index. décimale : PER Périodiques Résumé : Medications are widely prescribed in children with autism spectrum disorders. Most commonly these medications are used to decrease symptoms that fall under three main clusters: irritability, ADHD-like symptoms, and repetitive behaviors. In this guide we introduce basic approaches to medications in children with autism and review the scientific evidence in each symptom cluster. En ligne : http://dx.doi.org/10.1007/s10803-010-1144-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=157