Gender ratio in a clinical population sample, age of diagnosis and duration of assessment in children and adults with autism spectrum disorder / Marion RUTHERFORD in Autism, 20-5 (July 2016)  

Public ISBD [article]  inAutism > 20-5 (July 2016) . - p.628-634 Titre : Gender ratio in a clinical population sample, age of diagnosis and duration of assessment in children and adults with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Marion RUTHERFORD, Auteur ; Karen MCKENZIE, Auteur ; Tess JOHNSON, Auteur ; Ciara CATCHPOLE, Auteur ; Anne O’HARE, Auteur ; IAIN MCCLURE, Auteur ; Kirsty FORSYTH, Auteur ; Deborah MCCARTNEY, Auteur ; Aja MURRAY, Auteur Article en page(s) : p.628-634 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  diagnosis  females  gender  males Index. décimale : PER Périodiques Résumé : This article reports on gender ratio, age of diagnosis and the duration of assessment procedures in autism spectrum disorder diagnosis in a national study which included all types of clinical services for children and adults. Findings are reported from a retrospective case note analysis undertaken with a representative sample of 150 Scottish children and adults recently diagnosed with autism spectrum disorder. The study reports key findings that the gender ratio in this consecutively referred cohort is lower than anticipated in some age groups and reduces with increasing age. The gender ratio in children, together with the significant difference in the mean age of referral and diagnosis for girls compared to boys, adds evidence of delayed recognition of autism spectrum disorder in younger girls. There was no significant difference in duration of assessment for males and females suggesting that delays in diagnosis of females occur prior to referral for assessment. Implications for practice and research are considered. En ligne : http://dx.doi.org/10.1177/1362361315617879 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=290 [article] Gender ratio in a clinical population sample, age of diagnosis and duration of assessment in children and adults with autism spectrum disorder [Texte imprimé et/ou numérique] / Marion RUTHERFORD, Auteur ; Karen MCKENZIE, Auteur ; Tess JOHNSON, Auteur ; Ciara CATCHPOLE, Auteur ; Anne O’HARE, Auteur ; IAIN MCCLURE, Auteur ; Kirsty FORSYTH, Auteur ; Deborah MCCARTNEY, Auteur ; Aja MURRAY, Auteur . - p.628-634. Langues : Anglais (eng) in Autism > 20-5 (July 2016) . - p.628-634 Mots-clés : autism spectrum disorder  diagnosis  females  gender  males Index. décimale : PER Périodiques Résumé : This article reports on gender ratio, age of diagnosis and the duration of assessment procedures in autism spectrum disorder diagnosis in a national study which included all types of clinical services for children and adults. Findings are reported from a retrospective case note analysis undertaken with a representative sample of 150 Scottish children and adults recently diagnosed with autism spectrum disorder. The study reports key findings that the gender ratio in this consecutively referred cohort is lower than anticipated in some age groups and reduces with increasing age. The gender ratio in children, together with the significant difference in the mean age of referral and diagnosis for girls compared to boys, adds evidence of delayed recognition of autism spectrum disorder in younger girls. There was no significant difference in duration of assessment for males and females suggesting that delays in diagnosis of females occur prior to referral for assessment. Implications for practice and research are considered. En ligne : http://dx.doi.org/10.1177/1362361315617879 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=290

Impact of Adherence to Best Practice Guidelines on the Diagnostic and Assessment Services for Autism Spectrum Disorder / Claire HATHORN in Journal of Autism and Developmental Disorders, 44-8 (August 2014)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 44-8 (August 2014) . - p.1859-1866 Titre : Impact of Adherence to Best Practice Guidelines on the Diagnostic and Assessment Services for Autism Spectrum Disorder Type de document : Texte imprimé et/ou numérique Auteurs : Claire HATHORN, Auteur ; Nahed ALATEEQI, Auteur ; Catriona GRAHAM, Auteur ; Anne O’HARE, Auteur Article en page(s) : p.1859-1866 Langues : Anglais (eng) Mots-clés : Guidelines  Autism spectrum disorder  ASD specific history  Observational instruments  Paediatric medical training Index. décimale : PER Périodiques Résumé : Despite their range and complexity, adherence to Scottish Intercollegiate Guidelines Network guideline for the diagnosis and assessment of autism spectrum disorders (ASD) was shown to be high within child development and specialist diagnostic clinics serving a geographical cohort of children diagnosed under the age of 7 years. A retrospective analysis of comprehensive clinical notes demonstrated that the recommended discretionary use of structured history instruments was increased after medical training (p = 0.003). 56 % (51/90) of children received the diagnosis of ASD at their initial specialist appointment. 51 % underwent the recommended discretionary structured observational instrument. This further assessment was more likely to be required for older children in the reaudited group (p = 0.001). The implications for service capacity planning when delivering best practice recommendations are discussed. En ligne : http://dx.doi.org/10.1007/s10803-014-2057-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=236 [article] Impact of Adherence to Best Practice Guidelines on the Diagnostic and Assessment Services for Autism Spectrum Disorder [Texte imprimé et/ou numérique] / Claire HATHORN, Auteur ; Nahed ALATEEQI, Auteur ; Catriona GRAHAM, Auteur ; Anne O’HARE, Auteur . - p.1859-1866. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 44-8 (August 2014) . - p.1859-1866 Mots-clés : Guidelines  Autism spectrum disorder  ASD specific history  Observational instruments  Paediatric medical training Index. décimale : PER Périodiques Résumé : Despite their range and complexity, adherence to Scottish Intercollegiate Guidelines Network guideline for the diagnosis and assessment of autism spectrum disorders (ASD) was shown to be high within child development and specialist diagnostic clinics serving a geographical cohort of children diagnosed under the age of 7 years. A retrospective analysis of comprehensive clinical notes demonstrated that the recommended discretionary use of structured history instruments was increased after medical training (p = 0.003). 56 % (51/90) of children received the diagnosis of ASD at their initial specialist appointment. 51 % underwent the recommended discretionary structured observational instrument. This further assessment was more likely to be required for older children in the reaudited group (p = 0.001). The implications for service capacity planning when delivering best practice recommendations are discussed. En ligne : http://dx.doi.org/10.1007/s10803-014-2057-2 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=236

A national study to investigate the clinical use of standardised instruments in autism spectrum disorder assessment of children and adults in Scotland / Marion RUTHERFORD in Research in Autism Spectrum Disorders, 29-30 (September–October 2016)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 29-30 (September–October 2016) . - p.93-100 Titre : A national study to investigate the clinical use of standardised instruments in autism spectrum disorder assessment of children and adults in Scotland Type de document : Texte imprimé et/ou numérique Auteurs : Marion RUTHERFORD, Auteur ; Karen MCKENZIE, Auteur ; IAIN MCCLURE, Auteur ; Kirsty FORSYTH, Auteur ; Anne O’HARE, Auteur ; Deborah MCCARTNEY, Auteur ; Ian FINLAYSON, Auteur Article en page(s) : p.93-100 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder  Children  Adults  Assessment Index. décimale : PER Périodiques Résumé : AbstractBackground There are few large scale studies about the nature and extent of the actual use of standardised assessments for Autism Spectrum Disorder diagnosis in clinical practice. This study compares and contrasts practice in diagnostic services for both adults and children. Method We conducted an analysis of retrospective case notes from 150 cases (70 adult, 80 children) assessed for Autism Spectrum Disorder by 16 diagnostic services. Results We found differences between adult and child services in staff training and use of standardised assessment during diagnosis. All child services had staff trained in and regularly using standardised assessments. Most adult services had staff trained in using instruments but only half used them regularly. Administration of standardised ASD assessments was ten times more likely in children than in adults (OR = 10.1; CI = 4.24, 24.0). Child services selected the ADOS as the standardised tool and adult services selected the DISCO, with very little overlap. Decisions to administer standardised tools were not based on case complexity but rather the same process was applied to all referrals within a service. The three recommended components of assessment (clinical history, clinical observation and contextual information) were included for the majority of cases, although clinical observation was more frequently used with children than with adults. Conclusions Based on the findings, we suggest a need for a wider range of appropriate assessments for use with adults, particularly those with an intellectual disability and for further research into the reasons behind the choices clinicians make during the assessment process. For child services in Scotland, there is a need for more training in use of current diagnostic interviews. Clinicians did not vary tools used based on complexity, suggesting that this is a notion still to be clearly defined and operationalised in clinical decision making about the use of standardised assessments. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.05.003 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=292 [article] A national study to investigate the clinical use of standardised instruments in autism spectrum disorder assessment of children and adults in Scotland [Texte imprimé et/ou numérique] / Marion RUTHERFORD, Auteur ; Karen MCKENZIE, Auteur ; IAIN MCCLURE, Auteur ; Kirsty FORSYTH, Auteur ; Anne O’HARE, Auteur ; Deborah MCCARTNEY, Auteur ; Ian FINLAYSON, Auteur . - p.93-100. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 29-30 (September–October 2016) . - p.93-100 Mots-clés : Autism Spectrum Disorder  Children  Adults  Assessment Index. décimale : PER Périodiques Résumé : AbstractBackground There are few large scale studies about the nature and extent of the actual use of standardised assessments for Autism Spectrum Disorder diagnosis in clinical practice. This study compares and contrasts practice in diagnostic services for both adults and children. Method We conducted an analysis of retrospective case notes from 150 cases (70 adult, 80 children) assessed for Autism Spectrum Disorder by 16 diagnostic services. Results We found differences between adult and child services in staff training and use of standardised assessment during diagnosis. All child services had staff trained in and regularly using standardised assessments. Most adult services had staff trained in using instruments but only half used them regularly. Administration of standardised ASD assessments was ten times more likely in children than in adults (OR = 10.1; CI = 4.24, 24.0). Child services selected the ADOS as the standardised tool and adult services selected the DISCO, with very little overlap. Decisions to administer standardised tools were not based on case complexity but rather the same process was applied to all referrals within a service. The three recommended components of assessment (clinical history, clinical observation and contextual information) were included for the majority of cases, although clinical observation was more frequently used with children than with adults. Conclusions Based on the findings, we suggest a need for a wider range of appropriate assessments for use with adults, particularly those with an intellectual disability and for further research into the reasons behind the choices clinicians make during the assessment process. For child services in Scotland, there is a need for more training in use of current diagnostic interviews. Clinicians did not vary tools used based on complexity, suggesting that this is a notion still to be clearly defined and operationalised in clinical decision making about the use of standardised assessments. En ligne : http://dx.doi.org/10.1016/j.rasd.2016.05.003 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=292

Parent focused interventions for older children or adults with ASD and parent wellbeing outcomes: A systematic review with meta-analysis / Marion RUTHERFORD in Research in Autism Spectrum Disorders, 68 (December 2019)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 68 (December 2019) . - p.101450 Titre : Parent focused interventions for older children or adults with ASD and parent wellbeing outcomes: A systematic review with meta-analysis Type de document : Texte imprimé et/ou numérique Auteurs : Marion RUTHERFORD, Auteur ; Anusua SINGH-ROY, Auteur ; Robert RUSH, Auteur ; Deborah MCCARTNEY, Auteur ; Anne O’HARE, Auteur ; Kirsty FORSYTH, Auteur Article en page(s) : p.101450 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Wellbeing  Quality of life  Parent stress  Intervention Index. décimale : PER Périodiques Résumé : Background There is a need for better evidence in relation to parent-focussed interventions for older children (over 7 years) and adults, which are recommended in clinical guidelines. Method We conducted a systematic review of studies published between 2006 and 2016 investigating wellbeing outcomes of ASD parent focussed interventions via a search of electronic databases including MEDLINE, PsychINFO, CINAHL and the Cochrane database. Results We screened 9605 titles, 57 full text articles and abstracts were read. Two were systematic reviews and 22 experimental intervention studies were included for review. Of these, five were Randomised Controlled Trials, three Controlled Trials and 14 Cohort studies. Interventions were Parent education and training (n?=?12); Mindfulness or relaxation training (n?=?6), Parent support groups (n?=?2) and Multicomponent interventions (n?=?2). Studies reported five wellbeing outcomes: quality of life, parent stress, self-efficacy, parenting style and satisfaction. Separate meta-analyses compared each outcome, to test and estimate the summary effect shared by studies reporting each intervention. Statistically significant outcomes were obtained for reducing parent stress via mindfulness training and for improving parent style and satisfaction, through parent education. Conclusions Analyses of a small number of studies indicate that parent focussed interventions could be effective in improving parent wellbeing, however further research is needed to determine optimal parent intervention models. En ligne : https://doi.org/10.1016/j.rasd.2019.101450 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=408 [article] Parent focused interventions for older children or adults with ASD and parent wellbeing outcomes: A systematic review with meta-analysis [Texte imprimé et/ou numérique] / Marion RUTHERFORD, Auteur ; Anusua SINGH-ROY, Auteur ; Robert RUSH, Auteur ; Deborah MCCARTNEY, Auteur ; Anne O’HARE, Auteur ; Kirsty FORSYTH, Auteur . - p.101450. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 68 (December 2019) . - p.101450 Mots-clés : Autism spectrum disorder  Wellbeing  Quality of life  Parent stress  Intervention Index. décimale : PER Périodiques Résumé : Background There is a need for better evidence in relation to parent-focussed interventions for older children (over 7 years) and adults, which are recommended in clinical guidelines. Method We conducted a systematic review of studies published between 2006 and 2016 investigating wellbeing outcomes of ASD parent focussed interventions via a search of electronic databases including MEDLINE, PsychINFO, CINAHL and the Cochrane database. Results We screened 9605 titles, 57 full text articles and abstracts were read. Two were systematic reviews and 22 experimental intervention studies were included for review. Of these, five were Randomised Controlled Trials, three Controlled Trials and 14 Cohort studies. Interventions were Parent education and training (n?=?12); Mindfulness or relaxation training (n?=?6), Parent support groups (n?=?2) and Multicomponent interventions (n?=?2). Studies reported five wellbeing outcomes: quality of life, parent stress, self-efficacy, parenting style and satisfaction. Separate meta-analyses compared each outcome, to test and estimate the summary effect shared by studies reporting each intervention. Statistically significant outcomes were obtained for reducing parent stress via mindfulness training and for improving parent style and satisfaction, through parent education. Conclusions Analyses of a small number of studies indicate that parent focussed interventions could be effective in improving parent wellbeing, however further research is needed to determine optimal parent intervention models. En ligne : https://doi.org/10.1016/j.rasd.2019.101450 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=408

Parents’ and Child Health Professionals’ Attitudes Towards Dietary Interventions for Children with Autism Spectrum Disorders / Elizabeth WINBURN in Journal of Autism and Developmental Disorders, 44-4 (April 2014)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 44-4 (April 2014) . - p.747-757 Titre : Parents’ and Child Health Professionals’ Attitudes Towards Dietary Interventions for Children with Autism Spectrum Disorders Type de document : Texte imprimé et/ou numérique Auteurs : Elizabeth WINBURN, Auteur ; Jenna CHARLTON, Auteur ; Helen MCCONACHIE, Auteur ; Elaine MCCOLL, Auteur ; Jeremy R. PARR, Auteur ; Anne O’HARE, Auteur ; Gillian BAIRD, Auteur ; Paul GRINGRAS, Auteur ; David C. WILSON, Auteur ; Ashley ADAMSON, Auteur ; Sandra ADAMS, Auteur ; Ann COUTEUR, Auteur Année de publication : 2014 Article en page(s) : p.747-757 Langues : Anglais (eng) Mots-clés : Autism  ASD  Dietary interventions  Gluten  Casein Index. décimale : PER Périodiques Résumé : Parents of children with autism spectrum disorders (ASD) use a wide range of interventions including poorly evidenced dietary interventions. To investigate parents’ and professionals’ experience of dietary interventions and attitudes towards a proposed trial to evaluate the gluten free casein free diet (GFCFD). Survey of UK parents of children with ASD, and professionals. 258 parents and 244 professionals participated. 83 % of children had received a range of dietary manipulations; three quarters of professionals have been asked for advice about GFCFD. Respondents identified an inadequate evidence base for dietary interventions in ASD and suggested modifications to a proposed trial design. Both parents and professionals supported the need for further evaluation of dietary interventions in ASD. En ligne : http://dx.doi.org/10.1007/s10803-013-1922-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=228 [article] Parents’ and Child Health Professionals’ Attitudes Towards Dietary Interventions for Children with Autism Spectrum Disorders [Texte imprimé et/ou numérique] / Elizabeth WINBURN, Auteur ; Jenna CHARLTON, Auteur ; Helen MCCONACHIE, Auteur ; Elaine MCCOLL, Auteur ; Jeremy R. PARR, Auteur ; Anne O’HARE, Auteur ; Gillian BAIRD, Auteur ; Paul GRINGRAS, Auteur ; David C. WILSON, Auteur ; Ashley ADAMSON, Auteur ; Sandra ADAMS, Auteur ; Ann COUTEUR, Auteur . - 2014 . - p.747-757. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 44-4 (April 2014) . - p.747-757 Mots-clés : Autism  ASD  Dietary interventions  Gluten  Casein Index. décimale : PER Périodiques Résumé : Parents of children with autism spectrum disorders (ASD) use a wide range of interventions including poorly evidenced dietary interventions. To investigate parents’ and professionals’ experience of dietary interventions and attitudes towards a proposed trial to evaluate the gluten free casein free diet (GFCFD). Survey of UK parents of children with ASD, and professionals. 258 parents and 244 professionals participated. 83 % of children had received a range of dietary manipulations; three quarters of professionals have been asked for advice about GFCFD. Respondents identified an inadequate evidence base for dietary interventions in ASD and suggested modifications to a proposed trial design. Both parents and professionals supported the need for further evaluation of dietary interventions in ASD. En ligne : http://dx.doi.org/10.1007/s10803-013-1922-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=228

The relation between practice that is consistent with NICE guideline 142 recommendations and waiting times within Autism Spectrum Disorder diagnostic services / Karen MCKENZIE in Research in Autism Spectrum Disorders, 26 (June 2016)  

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The relationship between waiting times and ‘adherence’ to the Scottish Intercollegiate Guidelines Network 98 guideline in autism spectrum disorder diagnostic services in Scotland / Karen MCKENZIE in Autism, 20-4 (May 2016)  

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A trial of an iPad™ intervention targeting social communication skills in children with autism / Sue FLETCHER-WATSON in Autism, 20-7 (October 2016)  

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Why are they waiting? Exploring professional perspectives and developing solutions to delayed diagnosis of autism spectrum disorder in adults and children / Marion RUTHERFORD in Research in Autism Spectrum Disorders, 31 (November 2016)  

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