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Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal / Inês GENÉSIO in Research in Autism Spectrum Disorders, 107 (September 2023)
[article]
Titre : Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal Type de document : Texte imprimé et/ou numérique Auteurs : Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inês Vaz MATOS, Auteur ; Diana GONZAGA, Auteur ; Leonilde MACHADO, Auteur ; Catarina PRIOR, Auteur ; Sara SOARES, Auteur Article en page(s) : p.102219 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Primary healthcare Neurodevelopmental disorder Modified checklist for autism in toddlers Screening Index. décimale : PER Périodiques Résumé : Background The Portuguese National Programme for Child and Adolescent Health recommends systematic screening for autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R). If moderate risk is identified, the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) should be used. We evaluated the knowledge and use of the M-CHAT-R and M-CHAT-R/F in primary healthcare settings to reinforce the importance of these scales. Method In this descriptive cross-sectional study, primary care physicians were surveyed about their knowledge of both the M-CHAT-R and M-CHAT-R/F and how often they used them. The survey also included items about the necessity of training in the utilization of these scales and their integration into digital work platforms. Data were analyzed using Statistical Package for the Social Sciences software. Results Of 250 participants, 76% (N = 190) were acquainted with the M-CHAT-R; however, only 21% (N = 52) applied it consistently. Additionally, 39% (N = 98) of the participants used it when they suspected ASD. The main reasons for not applying the scale were limited time, lack of experience with the M-CHAT-R, and forgetfulness. Regarding the M-CHAT-R/F, only 31% (N = 77) knew the scale, which was the main reason for not using it, and 45% (N = 113) reported that they referred to a neurodevelopmental pediatrician when ASD was suspected, even if the M-CHAT-R/F had not been applied. Conclusions Despite the recommendations, the M-CHAT-R/F is not routinely used in primary care. Professionals should reinforce their training for the correct and systematic application of this screening scale. En ligne : https://doi.org/10.1016/j.rasd.2023.102219 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512
in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102219[article] Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal [Texte imprimé et/ou numérique] / Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inês Vaz MATOS, Auteur ; Diana GONZAGA, Auteur ; Leonilde MACHADO, Auteur ; Catarina PRIOR, Auteur ; Sara SOARES, Auteur . - p.102219.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102219
Mots-clés : Autism spectrum disorder Primary healthcare Neurodevelopmental disorder Modified checklist for autism in toddlers Screening Index. décimale : PER Périodiques Résumé : Background The Portuguese National Programme for Child and Adolescent Health recommends systematic screening for autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R). If moderate risk is identified, the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) should be used. We evaluated the knowledge and use of the M-CHAT-R and M-CHAT-R/F in primary healthcare settings to reinforce the importance of these scales. Method In this descriptive cross-sectional study, primary care physicians were surveyed about their knowledge of both the M-CHAT-R and M-CHAT-R/F and how often they used them. The survey also included items about the necessity of training in the utilization of these scales and their integration into digital work platforms. Data were analyzed using Statistical Package for the Social Sciences software. Results Of 250 participants, 76% (N = 190) were acquainted with the M-CHAT-R; however, only 21% (N = 52) applied it consistently. Additionally, 39% (N = 98) of the participants used it when they suspected ASD. The main reasons for not applying the scale were limited time, lack of experience with the M-CHAT-R, and forgetfulness. Regarding the M-CHAT-R/F, only 31% (N = 77) knew the scale, which was the main reason for not using it, and 45% (N = 113) reported that they referred to a neurodevelopmental pediatrician when ASD was suspected, even if the M-CHAT-R/F had not been applied. Conclusions Despite the recommendations, the M-CHAT-R/F is not routinely used in primary care. Professionals should reinforce their training for the correct and systematic application of this screening scale. En ligne : https://doi.org/10.1016/j.rasd.2023.102219 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 The development of a measure of maternal cognitive sensitivity appropriate for use in primary care health settings / Heather PRIME in Journal of Child Psychology and Psychiatry, 56-4 (April 2015)
[article]
Titre : The development of a measure of maternal cognitive sensitivity appropriate for use in primary care health settings Type de document : Texte imprimé et/ou numérique Auteurs : Heather PRIME, Auteur ; Dillon BROWNE, Auteur ; Emis AKBARI, Auteur ; Mark WADE, Auteur ; Sheri MADIGAN, Auteur ; Jennifer M. JENKINS, Auteur Article en page(s) : p.488-495 Langues : Anglais (eng) Mots-clés : Maternal responsivity child cognitive development parent–child interaction primary healthcare thin slice methodology Index. décimale : PER Périodiques Résumé : Background Parental responsivity is important to children's cognitive and socioemotional development, yet is under-represented in primary healthcare, because the measurement is specialized and time-consuming. Methods The current study developed a measure of maternal cognitive sensitivity (CS), which uses impressionistic ratings based on brief observations of parent–child interaction when children are 3 years old. Results Using data from a longitudinal cohort (Time 1, N = 501), the CS measure had good psychometric properties, was significantly related to a gold-standard maternal responsivity measure, and was predicted by the same socio-demographic factors predictive of other measures of parental responsivity. Finally, a well-established pathway from socioeconomic risk (child age 2 months) to compromised parenting (child age 3 years) to negative child outcome (child age 4.5 years) was demonstrated with CS as the mediator. Conclusion The maternal CS measure is brief, can be easily trained, and takes 8 min to administer and code, making it potentially useful in primary healthcare settings. En ligne : http://dx.doi.org/10.1111/jcpp.12322 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260
in Journal of Child Psychology and Psychiatry > 56-4 (April 2015) . - p.488-495[article] The development of a measure of maternal cognitive sensitivity appropriate for use in primary care health settings [Texte imprimé et/ou numérique] / Heather PRIME, Auteur ; Dillon BROWNE, Auteur ; Emis AKBARI, Auteur ; Mark WADE, Auteur ; Sheri MADIGAN, Auteur ; Jennifer M. JENKINS, Auteur . - p.488-495.
Langues : Anglais (eng)
in Journal of Child Psychology and Psychiatry > 56-4 (April 2015) . - p.488-495
Mots-clés : Maternal responsivity child cognitive development parent–child interaction primary healthcare thin slice methodology Index. décimale : PER Périodiques Résumé : Background Parental responsivity is important to children's cognitive and socioemotional development, yet is under-represented in primary healthcare, because the measurement is specialized and time-consuming. Methods The current study developed a measure of maternal cognitive sensitivity (CS), which uses impressionistic ratings based on brief observations of parent–child interaction when children are 3 years old. Results Using data from a longitudinal cohort (Time 1, N = 501), the CS measure had good psychometric properties, was significantly related to a gold-standard maternal responsivity measure, and was predicted by the same socio-demographic factors predictive of other measures of parental responsivity. Finally, a well-established pathway from socioeconomic risk (child age 2 months) to compromised parenting (child age 3 years) to negative child outcome (child age 4.5 years) was demonstrated with CS as the mediator. Conclusion The maternal CS measure is brief, can be easily trained, and takes 8 min to administer and code, making it potentially useful in primary healthcare settings. En ligne : http://dx.doi.org/10.1111/jcpp.12322 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260