Health Services Utilization Among Children With and Without Autism Spectrum Disorders / Janet R. CUMMINGS in Journal of Autism and Developmental Disorders, 46-3 (March 2016)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 46-3 (March 2016) . - p.910-920 Titre : Health Services Utilization Among Children With and Without Autism Spectrum Disorders Type de document : texte imprimé Auteurs : Janet R. CUMMINGS, Auteur ; Frances L. LYNCH, Auteur ; Kristal C. RUST, Auteur ; Karen J. COLEMAN, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli A. OWEN-SMITH, Auteur ; Vincent M. YAU, Auteur ; Yinge QIAN, Auteur ; Kathryn A. PEARSON, Auteur ; Phillip M. CRAWFORD, Auteur ; Maria L. MASSOLO, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur Article en page(s) : p.910-920 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Health care utilization  Preventive services  Children  Adolescents Index. décimale : PER Périodiques Résumé : Using data from multiple health systems (2009–2010) and the largest sample to date, this study compares health services use among youth with and without an autism spectrum disorder (ASD)—including preventive services not previously studied. To examine these differences, we estimated logistic and count data models, controlling for demographic characteristics, comorbid physical health, and mental health conditions. Results indicated that youth with an ASD had greater health care use in many categories, but were less likely to receive important preventive services including flu shots and other vaccinations. An improved understanding of the overall patterns of health care use among this population could enable health systems to facilitate the receipt of appropriate and effective health care. En ligne : http://dx.doi.org/10.1007/s10803-015-2634-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=281 [article] Health Services Utilization Among Children With and Without Autism Spectrum Disorders [texte imprimé] / Janet R. CUMMINGS, Auteur ; Frances L. LYNCH, Auteur ; Kristal C. RUST, Auteur ; Karen J. COLEMAN, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli A. OWEN-SMITH, Auteur ; Vincent M. YAU, Auteur ; Yinge QIAN, Auteur ; Kathryn A. PEARSON, Auteur ; Phillip M. CRAWFORD, Auteur ; Maria L. MASSOLO, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur . - p.910-920. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 46-3 (March 2016) . - p.910-920 Mots-clés : Autism spectrum disorders  Health care utilization  Preventive services  Children  Adolescents Index. décimale : PER Périodiques Résumé : Using data from multiple health systems (2009–2010) and the largest sample to date, this study compares health services use among youth with and without an autism spectrum disorder (ASD)—including preventive services not previously studied. To examine these differences, we estimated logistic and count data models, controlling for demographic characteristics, comorbid physical health, and mental health conditions. Results indicated that youth with an ASD had greater health care use in many categories, but were less likely to receive important preventive services including flu shots and other vaccinations. An improved understanding of the overall patterns of health care use among this population could enable health systems to facilitate the receipt of appropriate and effective health care. En ligne : http://dx.doi.org/10.1007/s10803-015-2634-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=281

Medical Conditions in the First Years of Life Associated with Future Diagnosis of ASD in Children / Stacey E. ALEXEEFF in Journal of Autism and Developmental Disorders, 47-7 (July 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-7 (July 2017) . - p.2067-2079 Titre : Medical Conditions in the First Years of Life Associated with Future Diagnosis of ASD in Children Type de document : texte imprimé Auteurs : Stacey E. ALEXEEFF, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Meghan N. DAVIGNON, Auteur ; Frances LYNCH, Auteur ; Phillip M. CRAWFORD, Auteur ; Robert DAVIS, Auteur ; Lisa A. CROEN, Auteur Article en page(s) : p.2067-2079 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Comorbidity  Medical conditions Index. décimale : PER Périodiques Résumé : This study examines medical conditions diagnosed prior to the diagnosis of autism spectrum disorder (ASD). Using a matched case control design with 3911 ASD cases and 38,609 controls, we found that 38 out of 79 medical conditions were associated with increased ASD risk. Developmental delay, mental health, and neurology conditions had the strongest associations (ORs 2.0–23.3). Moderately strong associations were observed for nutrition, genetic, ear nose and throat, and sleep conditions (ORs 2.1–3.2). Using machine learning methods, we clustered children based on their medical conditions prior to ASD diagnosis and demonstrated ASD risk stratification. Our findings provide new evidence indicating that children with ASD have a disproportionate burden of certain medical conditions preceding ASD diagnosis. En ligne : https://doi.org/10.1007/s10803-017-3130-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=313 [article] Medical Conditions in the First Years of Life Associated with Future Diagnosis of ASD in Children [texte imprimé] / Stacey E. ALEXEEFF, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Meghan N. DAVIGNON, Auteur ; Frances LYNCH, Auteur ; Phillip M. CRAWFORD, Auteur ; Robert DAVIS, Auteur ; Lisa A. CROEN, Auteur . - p.2067-2079. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-7 (July 2017) . - p.2067-2079 Mots-clés : Autism spectrum disorder  Comorbidity  Medical conditions Index. décimale : PER Périodiques Résumé : This study examines medical conditions diagnosed prior to the diagnosis of autism spectrum disorder (ASD). Using a matched case control design with 3911 ASD cases and 38,609 controls, we found that 38 out of 79 medical conditions were associated with increased ASD risk. Developmental delay, mental health, and neurology conditions had the strongest associations (ORs 2.0–23.3). Moderately strong associations were observed for nutrition, genetic, ear nose and throat, and sleep conditions (ORs 2.1–3.2). Using machine learning methods, we clustered children based on their medical conditions prior to ASD diagnosis and demonstrated ASD risk stratification. Our findings provide new evidence indicating that children with ASD have a disproportionate burden of certain medical conditions preceding ASD diagnosis. En ligne : https://doi.org/10.1007/s10803-017-3130-4 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=313

Safer and targeted use of antipsychotics in youth: an embedded, pragmatic randomized trial / Abisola E. IDU ; R. Yates COLEY ; Kara L. CUSHING-HAUGEN ; Deborah KING ; Ashley GLASS ; Rebecca C. PHILLIPS ; Anne D. RENZ ; Chester J. PABINIAK ; Vina F. GRAHAM ; Ella E. THOMPSON ; James D. RALSTON ; Gregory E. SIMON ; Erin S. GONZALEZ ; Kathleen M. MYERS ; Arne BECK ; LeeAnn M. QUINTANA ; Arthur J. RUNKLE ; Megan ROGERS ; Deirdre M. FOSTER ; Gregory N. CLARKE ; Stefan MASSIMINO ; Phillip M. CRAWFORD ; Julie A. CAVESE ; Anthony R. CORDARO ; Laura I. CHAVEZ ; Kelly J. KELLEHER ; Nadine SCHWARTZ ; Kristina R. JINER ; Swan Bee LIU ; Sara CONDRAC ; Robert J. HILT in Journal of Child Psychology and Psychiatry, 66-3 (March 2025)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 66-3 (March 2025) . - p.301-310 Titre : Safer and targeted use of antipsychotics in youth: an embedded, pragmatic randomized trial Type de document : texte imprimé Auteurs : Abisola E. IDU, Auteur ; R. Yates COLEY, Auteur ; Kara L. CUSHING-HAUGEN, Auteur ; Deborah KING, Auteur ; Ashley GLASS, Auteur ; Rebecca C. PHILLIPS, Auteur ; Anne D. RENZ, Auteur ; Chester J. PABINIAK, Auteur ; Vina F. GRAHAM, Auteur ; Ella E. THOMPSON, Auteur ; James D. RALSTON, Auteur ; Gregory E. SIMON, Auteur ; Erin S. GONZALEZ, Auteur ; Kathleen M. MYERS, Auteur ; Arne BECK, Auteur ; LeeAnn M. QUINTANA, Auteur ; Arthur J. RUNKLE, Auteur ; Megan ROGERS, Auteur ; Deirdre M. FOSTER, Auteur ; Gregory N. CLARKE, Auteur ; Stefan MASSIMINO, Auteur ; Phillip M. CRAWFORD, Auteur ; Julie A. CAVESE, Auteur ; Anthony R. CORDARO, Auteur ; Laura I. CHAVEZ, Auteur ; Kelly J. KELLEHER, Auteur ; Nadine SCHWARTZ, Auteur ; Kristina R. JINER, Auteur ; Swan Bee LIU, Auteur ; Sara CONDRAC, Auteur ; Robert J. HILT, Auteur Article en page(s) : p.301-310 Langues : Anglais (eng) Mots-clés : Antipsychotic  guidelines  consulting  accessibility Index. décimale : PER Périodiques Résumé : Background Antipsychotic medications (AP) are inappropriately prescribed to young people. The goal of this pragmatic trial was to test a four-component approach to improved targeting of antipsychotic prescribing to people aged 3 and <18 years. Methods Clinicians in four health systems were cluster randomized by the number of previous AP orders and service line ? specialty mental health and all others. Intervention arm clinicians received a best practice alert and child psychiatrist consultation and feedback. Families received system navigation and expedited access to psychotherapy. Primary outcomes were total days' supply of AP medication and proportion of youth with any AP supply at 6 months. We estimated the log-odds of AP use at 6 months and the relative rate of AP over 6 months. The Safer and Targeted Use of Antipsychotics in Youth (SUAY) trial took place between 3/2018 and 12/2020. Results The trial enrolled 733 patients. The odds ratio (OR) comparing use at 6 months was 0.75 (95% CI: 0.52, 1.09). The mean number of days using AP was 118.5 for intervention patients and 128.2 for control patients (relative risk [RR] 0.92; 95% CI: 0.81 1.04). Exploratory heterogeneity of treatment effects (HTE) was not detected in groups defined by age, gender, provider specialty, and insurance type. HTE by race/ethnicity was present: among youth of color, mean days' supply was 103.2 for intervention arm and 131.2 for the control arm (RR 0.79, 95% CI: 0.67 0.93). Among secondary outcomes, only new psychotherapy referrals differed with 44.3% (n 154) of intervention participants having a new order for psychotherapy compared to 33.5% (n 129) in the control arm (OR 1.47: 95% CI: 1.01 2.14). Conclusions This intervention did not result in less AP use at 6 months or a reduction in the days' supply of AP medication, although psychotherapy orders increased. The intervention may be effective for some subgroups. En ligne : https://doi.org/10.1111/jcpp.14059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=548 [article] Safer and targeted use of antipsychotics in youth: an embedded, pragmatic randomized trial [texte imprimé] / Abisola E. IDU, Auteur ; R. Yates COLEY, Auteur ; Kara L. CUSHING-HAUGEN, Auteur ; Deborah KING, Auteur ; Ashley GLASS, Auteur ; Rebecca C. PHILLIPS, Auteur ; Anne D. RENZ, Auteur ; Chester J. PABINIAK, Auteur ; Vina F. GRAHAM, Auteur ; Ella E. THOMPSON, Auteur ; James D. RALSTON, Auteur ; Gregory E. SIMON, Auteur ; Erin S. GONZALEZ, Auteur ; Kathleen M. MYERS, Auteur ; Arne BECK, Auteur ; LeeAnn M. QUINTANA, Auteur ; Arthur J. RUNKLE, Auteur ; Megan ROGERS, Auteur ; Deirdre M. FOSTER, Auteur ; Gregory N. CLARKE, Auteur ; Stefan MASSIMINO, Auteur ; Phillip M. CRAWFORD, Auteur ; Julie A. CAVESE, Auteur ; Anthony R. CORDARO, Auteur ; Laura I. CHAVEZ, Auteur ; Kelly J. KELLEHER, Auteur ; Nadine SCHWARTZ, Auteur ; Kristina R. JINER, Auteur ; Swan Bee LIU, Auteur ; Sara CONDRAC, Auteur ; Robert J. HILT, Auteur . - p.301-310. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 66-3 (March 2025) . - p.301-310 Mots-clés : Antipsychotic  guidelines  consulting  accessibility Index. décimale : PER Périodiques Résumé : Background Antipsychotic medications (AP) are inappropriately prescribed to young people. The goal of this pragmatic trial was to test a four-component approach to improved targeting of antipsychotic prescribing to people aged 3 and <18 years. Methods Clinicians in four health systems were cluster randomized by the number of previous AP orders and service line ? specialty mental health and all others. Intervention arm clinicians received a best practice alert and child psychiatrist consultation and feedback. Families received system navigation and expedited access to psychotherapy. Primary outcomes were total days' supply of AP medication and proportion of youth with any AP supply at 6 months. We estimated the log-odds of AP use at 6 months and the relative rate of AP over 6 months. The Safer and Targeted Use of Antipsychotics in Youth (SUAY) trial took place between 3/2018 and 12/2020. Results The trial enrolled 733 patients. The odds ratio (OR) comparing use at 6 months was 0.75 (95% CI: 0.52, 1.09). The mean number of days using AP was 118.5 for intervention patients and 128.2 for control patients (relative risk [RR] 0.92; 95% CI: 0.81 1.04). Exploratory heterogeneity of treatment effects (HTE) was not detected in groups defined by age, gender, provider specialty, and insurance type. HTE by race/ethnicity was present: among youth of color, mean days' supply was 103.2 for intervention arm and 131.2 for the control arm (RR 0.79, 95% CI: 0.67 0.93). Among secondary outcomes, only new psychotherapy referrals differed with 44.3% (n 154) of intervention participants having a new order for psychotherapy compared to 33.5% (n 129) in the control arm (OR 1.47: 95% CI: 1.01 2.14). Conclusions This intervention did not result in less AP use at 6 months or a reduction in the days' supply of AP medication, although psychotherapy orders increased. The intervention may be effective for some subgroups. En ligne : https://doi.org/10.1111/jcpp.14059 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=548

The impact of autism spectrum disorder on parent employment: Results from the r-Kids study / Frances L. LYNCH in Autism Research, 16-3 (March 2023)  

Public ISBD [article]  inAutism Research > 16-3 (March 2023) . - p.642-652 Titre : The impact of autism spectrum disorder on parent employment: Results from the r-Kids study Type de document : texte imprimé Auteurs : Frances L. LYNCH, Auteur ; Joanna E. BULKLEY, Auteur ; Alexandra VARGA, Auteur ; Phillip M. CRAWFORD, Auteur ; Lisa A. CROEN, Auteur ; Yihe G. DAIDA, Auteur ; Eric FOMBONNE, Auteur ; Brigit HATCH, Auteur ; Maria MASSOLO, Auteur ; John F. DICKERSON, Auteur Article en page(s) : p.642-652 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Abstract Parents of children with autism spectrum disorder (ASD) and other chronic health conditions often face exceptional caregiving demands that can lead to challenges related to maintaining and succeeding in employment. Detailed information on the specific ways in which these health conditions impact parent employment could aid in designing equitable, effective policies to support families. The r-Kids study used electronic health records to identify three groups of children: those with ASD, asthma, or neither condition (control), from several health care systems. We oversampled racial and ethnic minorities and matched the asthma and control groups to the age and sex distribution of the ASD group. Parents completed three online surveys over the course of a year to measure annual employment outcomes. Surveys included the Family Economic Impact Inventory (measuring employment impacts) and measures of quality of life and symptom severity. All materials were provided in English and Spanish. The study enrolled 1461 families (564 ASD, 468 asthma, 429 control). Youth were 3-16.5 years old and predominantly male (79%). The sample was diverse (43% non-Hispanic White; 35% non-Hispanic Asian, Black, Native Hawaiian, or Other; and 21% Hispanic ethnicity). Parents of children with ASD were significantly less likely to be employed than parents of youth with asthma and control combined (OR: 14.2, p < 0.001), and were more likely to have other difficulties with employment and productivity while at work. Public and employer policies to help mitigate these impacts could aid families in managing care for youth with ASD. En ligne : https://doi.org/10.1002/aur.2882 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=498 [article] The impact of autism spectrum disorder on parent employment: Results from the r-Kids study [texte imprimé] / Frances L. LYNCH, Auteur ; Joanna E. BULKLEY, Auteur ; Alexandra VARGA, Auteur ; Phillip M. CRAWFORD, Auteur ; Lisa A. CROEN, Auteur ; Yihe G. DAIDA, Auteur ; Eric FOMBONNE, Auteur ; Brigit HATCH, Auteur ; Maria MASSOLO, Auteur ; John F. DICKERSON, Auteur . - p.642-652. Langues : Anglais (eng) in Autism Research > 16-3 (March 2023) . - p.642-652 Index. décimale : PER Périodiques Résumé : Abstract Parents of children with autism spectrum disorder (ASD) and other chronic health conditions often face exceptional caregiving demands that can lead to challenges related to maintaining and succeeding in employment. Detailed information on the specific ways in which these health conditions impact parent employment could aid in designing equitable, effective policies to support families. The r-Kids study used electronic health records to identify three groups of children: those with ASD, asthma, or neither condition (control), from several health care systems. We oversampled racial and ethnic minorities and matched the asthma and control groups to the age and sex distribution of the ASD group. Parents completed three online surveys over the course of a year to measure annual employment outcomes. Surveys included the Family Economic Impact Inventory (measuring employment impacts) and measures of quality of life and symptom severity. All materials were provided in English and Spanish. The study enrolled 1461 families (564 ASD, 468 asthma, 429 control). Youth were 3-16.5 years old and predominantly male (79%). The sample was diverse (43% non-Hispanic White; 35% non-Hispanic Asian, Black, Native Hawaiian, or Other; and 21% Hispanic ethnicity). Parents of children with ASD were significantly less likely to be employed than parents of youth with asthma and control combined (OR: 14.2, p < 0.001), and were more likely to have other difficulties with employment and productivity while at work. Public and employer policies to help mitigate these impacts could aid families in managing care for youth with ASD. En ligne : https://doi.org/10.1002/aur.2882 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=498

Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records / Karen J. COLEMAN in Journal of Autism and Developmental Disorders, 45-7 (July 2015)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 45-7 (July 2015) . - p.1989-1996 Titre : Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records Type de document : texte imprimé Auteurs : Karen J. COLEMAN, Auteur ; Marta A. LUTSKY, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Magdalena E. POMICHOWSKI, Auteur ; Phillip M. CRAWFORD, Auteur ; Frances L. LYNCH, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli OWEN-SMITH, Auteur ; John A. PEARSON, Auteur ; Kathryn A. PEARSON, Auteur ; Donna RUSINAK, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur Année de publication : 2015 Article en page(s) : p.1989-1996 Langues : Anglais (eng) Mots-clés : Population-based  Racial/ethnic minorities  Chart review  Children  Adolescents Index. décimale : PER Périodiques Résumé : To identify factors associated with valid Autism Spectrum Disorder (ASD) diagnoses from electronic sources in large healthcare systems. We examined 1,272 charts from ASD diagnosed youth <18 years old. Expert reviewers classified diagnoses as confirmed, probable, possible, ruled out, or not enough information. A total of 845 were classified with 81 % as a confirmed, probable, or possible ASD diagnosis. The predictors of valid ASD diagnoses were >2 diagnoses in the medical record (OR 2.94; 95 % CI 2.03–4.25; p < 0.001) and being male (OR 1.51; 95 % CI 1.05–2.17; p = 0.03). In large integrated healthcare settings, at least two diagnoses can be used to identify ASD patients for population-based research. En ligne : http://dx.doi.org/10.1007/s10803-015-2358-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261 [article] Validation of Autism Spectrum Disorder Diagnoses in Large Healthcare Systems with Electronic Medical Records [texte imprimé] / Karen J. COLEMAN, Auteur ; Marta A. LUTSKY, Auteur ; Vincent YAU, Auteur ; Yinge QIAN, Auteur ; Magdalena E. POMICHOWSKI, Auteur ; Phillip M. CRAWFORD, Auteur ; Frances L. LYNCH, Auteur ; Jeanne M. MADDEN, Auteur ; Ashli OWEN-SMITH, Auteur ; John A. PEARSON, Auteur ; Kathryn A. PEARSON, Auteur ; Donna RUSINAK, Auteur ; Virginia P. QUINN, Auteur ; Lisa A. CROEN, Auteur . - 2015 . - p.1989-1996. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 45-7 (July 2015) . - p.1989-1996 Mots-clés : Population-based  Racial/ethnic minorities  Chart review  Children  Adolescents Index. décimale : PER Périodiques Résumé : To identify factors associated with valid Autism Spectrum Disorder (ASD) diagnoses from electronic sources in large healthcare systems. We examined 1,272 charts from ASD diagnosed youth <18 years old. Expert reviewers classified diagnoses as confirmed, probable, possible, ruled out, or not enough information. A total of 845 were classified with 81 % as a confirmed, probable, or possible ASD diagnosis. The predictors of valid ASD diagnoses were >2 diagnoses in the medical record (OR 2.94; 95 % CI 2.03–4.25; p < 0.001) and being male (OR 1.51; 95 % CI 1.05–2.17; p = 0.03). In large integrated healthcare settings, at least two diagnoses can be used to identify ASD patients for population-based research. En ligne : http://dx.doi.org/10.1007/s10803-015-2358-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=261

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