Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults / M. RUTHERFORD in Journal of Autism and Developmental Disorders, 48-8 (August 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2677-2691 Titre : Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults Type de document : Texte imprimé et/ou numérique Auteurs : M. RUTHERFORD, Auteur ; K. FORSYTH, Auteur ; K. MCKENZIE, Auteur ; I. MCCLURE, Auteur ; A. MURRAY, Auteur ; D. MCCARTNEY, Auteur ; L. IRVINE, Auteur ; A. O'HARE, Auteur Article en page(s) : p.2677-2691 Langues : Anglais (eng) Mots-clés : Asd  Adults  Diagnostic assessment  Reducing wait times  Service improvement Index. décimale : PER Périodiques Résumé : This study examined waiting times for diagnostic assessment of Autism Spectrum Disorder in 11 adult services, prior to and following the implementation of a 12 month change program. Methods to support change are reported and a multi-level modelling approach determined the effect of the change program on overall wait times. Results were statistically significant (b = - 0.25, t(136) = - 2.88, p = 0.005). The average time individuals waited for diagnosis across all services reduced from 149.4 days prior to the change program and 119.5 days after it, with an average reduction of 29.9 days overall. This innovative intervention provides a promising framework for service improvement to reduce the wait for diagnostic assessment of ASD in adults across the range of spectrum presentations. En ligne : http://dx.doi.org/10.1007/s10803-018-3501-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367 [article] Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults [Texte imprimé et/ou numérique] / M. RUTHERFORD, Auteur ; K. FORSYTH, Auteur ; K. MCKENZIE, Auteur ; I. MCCLURE, Auteur ; A. MURRAY, Auteur ; D. MCCARTNEY, Auteur ; L. IRVINE, Auteur ; A. O'HARE, Auteur . - p.2677-2691. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2677-2691 Mots-clés : Asd  Adults  Diagnostic assessment  Reducing wait times  Service improvement Index. décimale : PER Périodiques Résumé : This study examined waiting times for diagnostic assessment of Autism Spectrum Disorder in 11 adult services, prior to and following the implementation of a 12 month change program. Methods to support change are reported and a multi-level modelling approach determined the effect of the change program on overall wait times. Results were statistically significant (b = - 0.25, t(136) = - 2.88, p = 0.005). The average time individuals waited for diagnosis across all services reduced from 149.4 days prior to the change program and 119.5 days after it, with an average reduction of 29.9 days overall. This innovative intervention provides a promising framework for service improvement to reduce the wait for diagnostic assessment of ASD in adults across the range of spectrum presentations. En ligne : http://dx.doi.org/10.1007/s10803-018-3501-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367

Improving Efficiency and Quality of the Children's ASD Diagnostic Pathway: Lessons Learned from Practice / M. RUTHERFORD in Journal of Autism and Developmental Disorders, 48-5 (May 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-5 (May 2018) . - p.1579-1595 Titre : Improving Efficiency and Quality of the Children's ASD Diagnostic Pathway: Lessons Learned from Practice Type de document : Texte imprimé et/ou numérique Auteurs : M. RUTHERFORD, Auteur ; M. BURNS, Auteur ; D. GRAY, Auteur ; L. BREMNER, Auteur ; S. CLEGG, Auteur ; L. RUSSELL, Auteur ; C. SMITH, Auteur ; A. O'HARE, Auteur Article en page(s) : p.1579-1595 Langues : Anglais (eng) Mots-clés : Autism diagnostic assessment  Children  Pathways  Waiting times Index. décimale : PER Périodiques Résumé : The 'autism diagnosis crisis' and long waiting times for assessment are as yet unresolved, leading to undue stress and limiting access to effective support. There is therefore a significant need for evidence to support practitioners in the development of efficient services, delivering acceptable waiting times and effectively meeting guideline standards. This study reports statistically significant reductions in waiting times for autism diagnostic assessment following a children's health service improvement programme. The average wait between referral and first appointment reduced from 14.2 to 10.4 weeks (t(21) = 4.3, p < 0.05) and between referral and diagnosis shared, reduced from 270 to 122.5 days, (t(20) = 5.5, p < 0.05). The proportion of girls identified increased from 5.6 to 2.7:1. Methods reported include: local improvement action planning; evidence based pathways; systematic clinical data gathering and a training plan. This is a highly significant finding for many health services wrestling with the challenges of demand and capacity for autism diagnosis and assessment. En ligne : http://dx.doi.org/10.1007/s10803-017-3415-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=355 [article] Improving Efficiency and Quality of the Children's ASD Diagnostic Pathway: Lessons Learned from Practice [Texte imprimé et/ou numérique] / M. RUTHERFORD, Auteur ; M. BURNS, Auteur ; D. GRAY, Auteur ; L. BREMNER, Auteur ; S. CLEGG, Auteur ; L. RUSSELL, Auteur ; C. SMITH, Auteur ; A. O'HARE, Auteur . - p.1579-1595. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-5 (May 2018) . - p.1579-1595 Mots-clés : Autism diagnostic assessment  Children  Pathways  Waiting times Index. décimale : PER Périodiques Résumé : The 'autism diagnosis crisis' and long waiting times for assessment are as yet unresolved, leading to undue stress and limiting access to effective support. There is therefore a significant need for evidence to support practitioners in the development of efficient services, delivering acceptable waiting times and effectively meeting guideline standards. This study reports statistically significant reductions in waiting times for autism diagnostic assessment following a children's health service improvement programme. The average wait between referral and first appointment reduced from 14.2 to 10.4 weeks (t(21) = 4.3, p < 0.05) and between referral and diagnosis shared, reduced from 270 to 122.5 days, (t(20) = 5.5, p < 0.05). The proportion of girls identified increased from 5.6 to 2.7:1. Methods reported include: local improvement action planning; evidence based pathways; systematic clinical data gathering and a training plan. This is a highly significant finding for many health services wrestling with the challenges of demand and capacity for autism diagnosis and assessment. En ligne : http://dx.doi.org/10.1007/s10803-017-3415-7 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=355

IQ Predicts Biological Motion Perception in Autism Spectrum Disorders / M. RUTHERFORD in Journal of Autism and Developmental Disorders, 42-4 (April 2012)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 42-4 (April 2012) . - p.557-565 Titre : IQ Predicts Biological Motion Perception in Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : M. RUTHERFORD, Auteur ; Nikolaus TROJE, Auteur Année de publication : 2012 Article en page(s) : p.557-565 Langues : Anglais (eng) Mots-clés : Biological motion  Cognitive strategy  Social perception Index. décimale : PER Périodiques Résumé : Biological motion is easily perceived by neurotypical observers when encoded in point-light displays. Some but not all relevant research shows significant deficits in biological motion perception among those with ASD, especially with respect to emotional displays. We tested adults with and without ASD on the perception of masked biological motion and the perception of direction from coherent and scrambled biological motion. Within the autism spectrum group, there was a large and statistically significant relationship between IQ and the ability to perceive directionality in masked biological motion. There were no group differences in sensitivity to biological motion or the ability to identify the direction of motion. Possible explanations are discussed, including the possible use of compensatory strategies in high IQ ASD. En ligne : http://dx.doi.org/10.1007/s10803-011-1267-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=153 [article] IQ Predicts Biological Motion Perception in Autism Spectrum Disorders [Texte imprimé et/ou numérique] / M. RUTHERFORD, Auteur ; Nikolaus TROJE, Auteur . - 2012 . - p.557-565. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 42-4 (April 2012) . - p.557-565 Mots-clés : Biological motion  Cognitive strategy  Social perception Index. décimale : PER Périodiques Résumé : Biological motion is easily perceived by neurotypical observers when encoded in point-light displays. Some but not all relevant research shows significant deficits in biological motion perception among those with ASD, especially with respect to emotional displays. We tested adults with and without ASD on the perception of masked biological motion and the perception of direction from coherent and scrambled biological motion. Within the autism spectrum group, there was a large and statistically significant relationship between IQ and the ability to perceive directionality in masked biological motion. There were no group differences in sensitivity to biological motion or the ability to identify the direction of motion. Possible explanations are discussed, including the possible use of compensatory strategies in high IQ ASD. En ligne : http://dx.doi.org/10.1007/s10803-011-1267-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=153

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