Centre d'Information et de documentation du CRA Rhône-Alpes
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Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood / M. E. YINGLING in Journal of Autism and Developmental Disorders, 49-5 (May 2019)
[article]
Titre : Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood Type de document : Texte imprimé et/ou numérique Auteurs : M. E. YINGLING, Auteur ; B. A. BELL, Auteur ; R. M. HOCK, Auteur Article en page(s) : p.2173-2183 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Early intensive behavioral intervention Inequities Medicaid Treatment utilization Index. décimale : PER Périodiques Résumé : Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is expanding. Yet there is no longitudinal research on patterns of or inequities in utilization of EIBI. We integrated state administrative records with Medicaid and Census data for children enrolled in an EIBI Medicaid waiver (N = 730) to identify and describe the type and prevalence of treatment utilization trajectories, and to examine the association between trajectory types and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We identified four utilization trajectories (Low, Low-Moderate, Moderate, and High users). Race-ethnicity and neighborhood affluence were associated with trajectory membership. As coverage expands, policy makers should consider strategies to improve overall treatment utilization and enhance equity. En ligne : http://dx.doi.org/10.1007/s10803-019-03896-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393
in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2173-2183[article] Treatment Utilization Trajectories among Children with Autism Spectrum Disorder: Differences by Race-Ethnicity and Neighborhood [Texte imprimé et/ou numérique] / M. E. YINGLING, Auteur ; B. A. BELL, Auteur ; R. M. HOCK, Auteur . - p.2173-2183.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.2173-2183
Mots-clés : Autism spectrum disorder Early intensive behavioral intervention Inequities Medicaid Treatment utilization Index. décimale : PER Périodiques Résumé : Health coverage of early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is expanding. Yet there is no longitudinal research on patterns of or inequities in utilization of EIBI. We integrated state administrative records with Medicaid and Census data for children enrolled in an EIBI Medicaid waiver (N = 730) to identify and describe the type and prevalence of treatment utilization trajectories, and to examine the association between trajectory types and (a) child race-ethnicity and (b) neighborhood racial composition, poverty, affluence, and urbanicity. We identified four utilization trajectories (Low, Low-Moderate, Moderate, and High users). Race-ethnicity and neighborhood affluence were associated with trajectory membership. As coverage expands, policy makers should consider strategies to improve overall treatment utilization and enhance equity. En ligne : http://dx.doi.org/10.1007/s10803-019-03896-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393 Underutilization of Early Intensive Behavioral Intervention Among 3-Year-Old Children with Autism Spectrum Disorder / M. E. YINGLING in Journal of Autism and Developmental Disorders, 49-7 (July 2019)
[article]
Titre : Underutilization of Early Intensive Behavioral Intervention Among 3-Year-Old Children with Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : M. E. YINGLING, Auteur ; B. A. BELL, Auteur Article en page(s) : p.2956-2964 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Early intensive behavioral intervention Medicaid Treatment utilization Index. décimale : PER Périodiques Résumé : Funding for early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is rapidly expanding. Yet we know little about children's utilization, and research on inequities in utilization is lacking. We examined the relationship between utilization during the first year of EIBI and (a) child race-ethnicity and (b) neighborhood characteristics. Using a sample of children eligible for a Medicaid waiver through a novel policy of presumptive eligibility (N = 108), we estimated a series of two-level growth curve models. Children's average utilization ranged between 24 and 48% of weekly hours, and utilization did not differ by race-ethnicity or neighborhood during the first year. Findings underscore the need to monitor utilization of EIBI and warrant research on the feasibility of EIBI provision in the general population. En ligne : http://dx.doi.org/10.1007/s10803-019-04005-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=402
in Journal of Autism and Developmental Disorders > 49-7 (July 2019) . - p.2956-2964[article] Underutilization of Early Intensive Behavioral Intervention Among 3-Year-Old Children with Autism Spectrum Disorder [Texte imprimé et/ou numérique] / M. E. YINGLING, Auteur ; B. A. BELL, Auteur . - p.2956-2964.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-7 (July 2019) . - p.2956-2964
Mots-clés : Autism spectrum disorder Early intensive behavioral intervention Medicaid Treatment utilization Index. décimale : PER Périodiques Résumé : Funding for early intensive behavioral intervention (EIBI) for children with autism spectrum disorder is rapidly expanding. Yet we know little about children's utilization, and research on inequities in utilization is lacking. We examined the relationship between utilization during the first year of EIBI and (a) child race-ethnicity and (b) neighborhood characteristics. Using a sample of children eligible for a Medicaid waiver through a novel policy of presumptive eligibility (N = 108), we estimated a series of two-level growth curve models. Children's average utilization ranged between 24 and 48% of weekly hours, and utilization did not differ by race-ethnicity or neighborhood during the first year. Findings underscore the need to monitor utilization of EIBI and warrant research on the feasibility of EIBI provision in the general population. En ligne : http://dx.doi.org/10.1007/s10803-019-04005-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=402