Early detection of young children at risk of autism spectrum disorder at well-baby clinics in the Netherlands: Perspectives of preventive care physicians / M. I. SNIJDER in Autism, 25-7 (October 2021)  

Public ISBD [article]  inAutism > 25-7 (October 2021) . - p.2012-2024 Titre : Early detection of young children at risk of autism spectrum disorder at well-baby clinics in the Netherlands: Perspectives of preventive care physicians Type de document : Texte imprimé et/ou numérique Auteurs : M. I. SNIJDER, Auteur ; Shireen P. T. KAIJADOE, Auteur ; M. VAN 'T HOF, Auteur ; W. A. ESTER, Auteur ; Jan K. BUITELAAR, Auteur ; I. J. OOSTERLING, Auteur Article en page(s) : p.2012-2024 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis  Child  Child, Preschool  Early Diagnosis  Humans  Infant  Mass Screening  Netherlands  Physicians  autism spectrum disorder  early detection  guideline adherence  preventive care  screening Index. décimale : PER Périodiques Résumé : To improve early detection of autism spectrum disorder in preventive care, a Dutch guideline was developed 5?years ago. The guideline provides preventive care physicians at well-baby clinics action-oriented advice and describes a step-by-step approach for children identified at an increased risk for autism spectrum disorder during general healthcare surveillance. The present qualitative study evaluated adherence to the guideline and studied barriers regarding early detection of autism spectrum disorder at well-baby clinics. Interviews were undertaken with 12 preventive care physicians (one representative per province). It was found that the vast majority of participants did not follow-up general surveillance with an autism spectrum disorder -specific screener as prescribed by the guideline. Six barriers (limited knowledge about autism spectrum disorder symptoms in infant and toddlerhood, professional attitude toward early detection, problems in discussing initial worries with parents, limited use of screening instruments, perceptions toward cultural and language differences and constraints regarding availability of healthcare services) were found. The results of this study highlight the importance of an integrative approach, raising awareness of the benefits regarding early detection of autism spectrum disorder in preventive care, the need of continuous investment in easy and accessible training and active screening, and a closer collaboration between preventive care organizations and autism spectrum disorder experts. En ligne : http://dx.doi.org/10.1177/13623613211009345 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451 [article] Early detection of young children at risk of autism spectrum disorder at well-baby clinics in the Netherlands: Perspectives of preventive care physicians [Texte imprimé et/ou numérique] / M. I. SNIJDER, Auteur ; Shireen P. T. KAIJADOE, Auteur ; M. VAN 'T HOF, Auteur ; W. A. ESTER, Auteur ; Jan K. BUITELAAR, Auteur ; I. J. OOSTERLING, Auteur . - p.2012-2024. Langues : Anglais (eng) in Autism > 25-7 (October 2021) . - p.2012-2024 Mots-clés : Autism Spectrum Disorder/diagnosis  Child  Child, Preschool  Early Diagnosis  Humans  Infant  Mass Screening  Netherlands  Physicians  autism spectrum disorder  early detection  guideline adherence  preventive care  screening Index. décimale : PER Périodiques Résumé : To improve early detection of autism spectrum disorder in preventive care, a Dutch guideline was developed 5?years ago. The guideline provides preventive care physicians at well-baby clinics action-oriented advice and describes a step-by-step approach for children identified at an increased risk for autism spectrum disorder during general healthcare surveillance. The present qualitative study evaluated adherence to the guideline and studied barriers regarding early detection of autism spectrum disorder at well-baby clinics. Interviews were undertaken with 12 preventive care physicians (one representative per province). It was found that the vast majority of participants did not follow-up general surveillance with an autism spectrum disorder -specific screener as prescribed by the guideline. Six barriers (limited knowledge about autism spectrum disorder symptoms in infant and toddlerhood, professional attitude toward early detection, problems in discussing initial worries with parents, limited use of screening instruments, perceptions toward cultural and language differences and constraints regarding availability of healthcare services) were found. The results of this study highlight the importance of an integrative approach, raising awareness of the benefits regarding early detection of autism spectrum disorder in preventive care, the need of continuous investment in easy and accessible training and active screening, and a closer collaboration between preventive care organizations and autism spectrum disorder experts. En ligne : http://dx.doi.org/10.1177/13623613211009345 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=451

Sustainability of an early detection program for autism spectrum disorder over the course of 8 years / M. K. PIJL in Autism, 22-8 (November 2018)  

Public ISBD [article]  inAutism > 22-8 (November 2018) . - p.1018-1024 Titre : Sustainability of an early detection program for autism spectrum disorder over the course of 8 years Type de document : Texte imprimé et/ou numérique Auteurs : M. K. PIJL, Auteur ; Jan K. BUITELAAR, Auteur ; M. W. DE KORTE, Auteur ; Nanda N. ROMMELSE, Auteur ; I. J. OOSTERLING, Auteur Article en page(s) : p.1018-1024 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  early detection  implementation  long term  screening Index. décimale : PER Périodiques Résumé : The importance of early detection of autism spectrum disorder followed by early intervention is increasingly recognized. This quasi-experimental study evaluated the long-term effects of a program for the early detection of autism spectrum disorder (consisting of training of professionals and use of a referral protocol and screening instrument), to determine whether the positive effects on the age at referral were sustained after the program ended while controlling for overall changes in the number of referrals. Before, during, and after the program, the proportion of children referred before 3 years (versus 3-6 years) of age was calculated for children subsequently diagnosed with autism spectrum disorder ( N = 513) or another, non-autism spectrum disorder, condition ( N = 722). The odds of being referred before 3 years of age was higher in children with autism spectrum disorder than in children with another condition during the program than before (3.1, 95% confidence interval: 1.2-7.6) or after (1.7, 95% confidence interval: 1.0-3.0) the program but was not different before versus after the program. Thus, although the program led to earlier referral of children with autism spectrum disorder, after correction for other referrals, the effect was not sustained after the program ended. This study highlights the importance of continued investment in the early detection of autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361317717977 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 [article] Sustainability of an early detection program for autism spectrum disorder over the course of 8 years [Texte imprimé et/ou numérique] / M. K. PIJL, Auteur ; Jan K. BUITELAAR, Auteur ; M. W. DE KORTE, Auteur ; Nanda N. ROMMELSE, Auteur ; I. J. OOSTERLING, Auteur . - p.1018-1024. Langues : Anglais (eng) in Autism > 22-8 (November 2018) . - p.1018-1024 Mots-clés : autism spectrum disorder  early detection  implementation  long term  screening Index. décimale : PER Périodiques Résumé : The importance of early detection of autism spectrum disorder followed by early intervention is increasingly recognized. This quasi-experimental study evaluated the long-term effects of a program for the early detection of autism spectrum disorder (consisting of training of professionals and use of a referral protocol and screening instrument), to determine whether the positive effects on the age at referral were sustained after the program ended while controlling for overall changes in the number of referrals. Before, during, and after the program, the proportion of children referred before 3 years (versus 3-6 years) of age was calculated for children subsequently diagnosed with autism spectrum disorder ( N = 513) or another, non-autism spectrum disorder, condition ( N = 722). The odds of being referred before 3 years of age was higher in children with autism spectrum disorder than in children with another condition during the program than before (3.1, 95% confidence interval: 1.2-7.6) or after (1.7, 95% confidence interval: 1.0-3.0) the program but was not different before versus after the program. Thus, although the program led to earlier referral of children with autism spectrum disorder, after correction for other referrals, the effect was not sustained after the program ended. This study highlights the importance of continued investment in the early detection of autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361317717977 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370

Temperament as an Early Risk Marker for Autism Spectrum Disorders? A Longitudinal Study of High-Risk and Low-Risk Infants / M. K. J. PIJL in Journal of Autism and Developmental Disorders, 49-5 (May 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.1825-1836 Titre : Temperament as an Early Risk Marker for Autism Spectrum Disorders? A Longitudinal Study of High-Risk and Low-Risk Infants Type de document : Texte imprimé et/ou numérique Auteurs : M. K. J. PIJL, Auteur ; G. BUSSU, Auteur ; Tony CHARMAN, Auteur ; M. H. JOHNSON, Auteur ; E. J. H. JONES, Auteur ; G. PASCO, Auteur ; I. J. OOSTERLING, Auteur ; Nanda N. ROMMELSE, Auteur ; Jan K. BUITELAAR, Auteur Article en page(s) : p.1825-1836 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  High-risk  Longitudinal  Machine learning  Temperament Index. décimale : PER Périodiques Résumé : To investigate temperament as an early risk marker for autism spectrum disorder (ASD), we examined parent-reported temperament for high-risk (HR, n = 170) and low-risk (LR, n = 77) siblings at 8, 14, and 24 months. Diagnostic assessment was performed at 36 months. Group-based analyses showed linear risk gradients, with more atypical temperament for HR-ASD, followed by HR-Atypical, HR-Typical, and LR siblings. Temperament differed significantly between outcome groups (0.03 En ligne : http://dx.doi.org/10.1007/s10803-018-3855-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393 [article] Temperament as an Early Risk Marker for Autism Spectrum Disorders? A Longitudinal Study of High-Risk and Low-Risk Infants [Texte imprimé et/ou numérique] / M. K. J. PIJL, Auteur ; G. BUSSU, Auteur ; Tony CHARMAN, Auteur ; M. H. JOHNSON, Auteur ; E. J. H. JONES, Auteur ; G. PASCO, Auteur ; I. J. OOSTERLING, Auteur ; Nanda N. ROMMELSE, Auteur ; Jan K. BUITELAAR, Auteur . - p.1825-1836. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-5 (May 2019) . - p.1825-1836 Mots-clés : Autism spectrum disorder  High-risk  Longitudinal  Machine learning  Temperament Index. décimale : PER Périodiques Résumé : To investigate temperament as an early risk marker for autism spectrum disorder (ASD), we examined parent-reported temperament for high-risk (HR, n = 170) and low-risk (LR, n = 77) siblings at 8, 14, and 24 months. Diagnostic assessment was performed at 36 months. Group-based analyses showed linear risk gradients, with more atypical temperament for HR-ASD, followed by HR-Atypical, HR-Typical, and LR siblings. Temperament differed significantly between outcome groups (0.03 En ligne : http://dx.doi.org/10.1007/s10803-018-3855-8 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=393

The Effect of Pivotal Response Treatment in Children with Autism Spectrum Disorders: A Non-randomized Study with a Blinded Outcome Measure / E. A. DUIFHUIS in Journal of Autism and Developmental Disorders, 47-2 (February 2017)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 47-2 (February 2017) . - p.231-242 Titre : The Effect of Pivotal Response Treatment in Children with Autism Spectrum Disorders: A Non-randomized Study with a Blinded Outcome Measure Type de document : Texte imprimé et/ou numérique Auteurs : E. A. DUIFHUIS, Auteur ; J. C. DEN BOER, Auteur ; A. DOORNBOS, Auteur ; Jan K. BUITELAAR, Auteur ; I. J. OOSTERLING, Auteur ; H. KLIP, Auteur Article en page(s) : p.231-242 Langues : Anglais (eng) Mots-clés : Autism  Pivotal response treatment  Children  ADOS Index. décimale : PER Périodiques Résumé : Purpose of this quasi-experimental trial was to investigate the effect of Pivotal response treatment (PRT) versus treatment as usual (TAU) on autism symptoms. Children with autism spectrum disorder (ASD), aged 3–8 years, received either PRT (n?=?11) or TAU (n?=?13). Primary outcome measure was the total score on the Autism Diagnostic Observation Schedule at pre- and posttreatment. Additionally, general problem behavior and parental stress levels were measured. Children in the PRT condition improved on the primary outcome measure compared to the TAU group with a small effect size [partial ?2?=?0.22 (95?% CI 0.00–0.46)]. Neither group demonstrated significant changes in the secondary outcomes. This study suggests that PRT may improve autism symptoms in children with ASD over TAU. En ligne : http://dx.doi.org/10.1007/s10803-016-2916-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=303 [article] The Effect of Pivotal Response Treatment in Children with Autism Spectrum Disorders: A Non-randomized Study with a Blinded Outcome Measure [Texte imprimé et/ou numérique] / E. A. DUIFHUIS, Auteur ; J. C. DEN BOER, Auteur ; A. DOORNBOS, Auteur ; Jan K. BUITELAAR, Auteur ; I. J. OOSTERLING, Auteur ; H. KLIP, Auteur . - p.231-242. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 47-2 (February 2017) . - p.231-242 Mots-clés : Autism  Pivotal response treatment  Children  ADOS Index. décimale : PER Périodiques Résumé : Purpose of this quasi-experimental trial was to investigate the effect of Pivotal response treatment (PRT) versus treatment as usual (TAU) on autism symptoms. Children with autism spectrum disorder (ASD), aged 3–8 years, received either PRT (n?=?11) or TAU (n?=?13). Primary outcome measure was the total score on the Autism Diagnostic Observation Schedule at pre- and posttreatment. Additionally, general problem behavior and parental stress levels were measured. Children in the PRT condition improved on the primary outcome measure compared to the TAU group with a small effect size [partial ?2?=?0.22 (95?% CI 0.00–0.46)]. Neither group demonstrated significant changes in the secondary outcomes. This study suggests that PRT may improve autism symptoms in children with ASD over TAU. En ligne : http://dx.doi.org/10.1007/s10803-016-2916-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=303

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