Community-based service use in preschool children with autism spectrum disorder and associations with insurance status / Eric RUBENSTEIN in Research in Autism Spectrum Disorders, 66 (October 2019)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 66 (October 2019) . - p.101410 Titre : Community-based service use in preschool children with autism spectrum disorder and associations with insurance status Type de document : Texte imprimé et/ou numérique Auteurs : Eric RUBENSTEIN, Auteur ; Lisa A. CROEN, Auteur ; Li-Ching LEE, Auteur ; Eric MOODY, Auteur ; Laura A. SCHIEVE, Auteur ; Gnakub N. SOKE, Auteur ; Kathleen THOMAS, Auteur ; Lisa D. WIGGINS, Auteur ; Julie L. DANIELS, Auteur Article en page(s) : p.101410 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Service  Therapy  Insurance  Behavioral therapy Index. décimale : PER Périodiques Résumé : Background ASD-related services can improve outcomes for children, but less is known about service outside of school settings during preschool age. We aimed to describe amount and category of community-based service use among 3–5-year-old children with ASD and examine differences by health insurance. Methods We used cross-sectional data on 792 children with ASD diagnoses in the Study to Explore Early Development, a community-based study of neurodevelopment with enrollment between 2012-2016. Mothers reported current child service use and insurance status at study entry. We used log-Poisson and logistic regression to compare service use by insurance group. Results Nearly 40% of children were not receiving community-based services at study entry. Children with public insurance had fewer total services than children with private or both insurances. After adjustment for sociodemographic confounders, insurance status was not associated with amount of different categories of community-based services. However, children with public insurance alone were least likely to receive community-based behavioral therapy and most likely to receive psychotropic medication compared to other insurances. Conclusion Many preschool-aged children do not receive community-based services, with receipt of some service types associated with insurance type. Increasing access and availability for evidence-based service, especially for beneficiaries of public insurance, may improve service use and outcomes. En ligne : https://doi.org/10.1016/j.rasd.2019.101410 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=404 [article] Community-based service use in preschool children with autism spectrum disorder and associations with insurance status [Texte imprimé et/ou numérique] / Eric RUBENSTEIN, Auteur ; Lisa A. CROEN, Auteur ; Li-Ching LEE, Auteur ; Eric MOODY, Auteur ; Laura A. SCHIEVE, Auteur ; Gnakub N. SOKE, Auteur ; Kathleen THOMAS, Auteur ; Lisa D. WIGGINS, Auteur ; Julie L. DANIELS, Auteur . - p.101410. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 66 (October 2019) . - p.101410 Mots-clés : Autism spectrum disorder  Service  Therapy  Insurance  Behavioral therapy Index. décimale : PER Périodiques Résumé : Background ASD-related services can improve outcomes for children, but less is known about service outside of school settings during preschool age. We aimed to describe amount and category of community-based service use among 3–5-year-old children with ASD and examine differences by health insurance. Methods We used cross-sectional data on 792 children with ASD diagnoses in the Study to Explore Early Development, a community-based study of neurodevelopment with enrollment between 2012-2016. Mothers reported current child service use and insurance status at study entry. We used log-Poisson and logistic regression to compare service use by insurance group. Results Nearly 40% of children were not receiving community-based services at study entry. Children with public insurance had fewer total services than children with private or both insurances. After adjustment for sociodemographic confounders, insurance status was not associated with amount of different categories of community-based services. However, children with public insurance alone were least likely to receive community-based behavioral therapy and most likely to receive psychotropic medication compared to other insurances. Conclusion Many preschool-aged children do not receive community-based services, with receipt of some service types associated with insurance type. Increasing access and availability for evidence-based service, especially for beneficiaries of public insurance, may improve service use and outcomes. En ligne : https://doi.org/10.1016/j.rasd.2019.101410 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=404

The prevalence of gluten free diet use among preschool children with autism spectrum disorder / Eric RUBENSTEIN in Autism Research, 11-1 (January 2018)  

Public ISBD [article]  inAutism Research > 11-1 (January 2018) . - p.185-193 Titre : The prevalence of gluten free diet use among preschool children with autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Eric RUBENSTEIN, Auteur ; Laura A. SCHIEVE, Auteur ; Chyrise BRADLEY, Auteur ; Carolyn G. DIGUISEPPI, Auteur ; Eric MOODY, Auteur ; Kathleen THOMAS, Auteur ; Julie L. DANIELS, Auteur Article en page(s) : p.185-193 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Our objective was to estimate prevalence of current or ever use of a gluten free diet (GFD) in children aged 30–68 months with autism spectrum disorder (ASD) and population controls (POP); and to identify characteristics associated with ever having used GFD among children with ASD. We used data from the Study to Explore Early Development (SEED), a multi?site, case?control study of children with ASD. Caregivers reported GFD use by their children through structured questionnaires about diet patterns, gastrointestinal (GI) issues, and ASD?specific treatments. Prevalence was estimated and compared using log?Poisson regression, adjusting for confounders. In children with ASD, we examined whether child or mother's GI conditions or child's phenotypic traits were associated with ever trying a GFD. In SEED, 71 children with ASD (11.1% prevalence after adjustment) were on a GFD at time of the study and 130 (20.4%) had ever used a GFD, a greater percentage than in POP children (N?=?11, 0.9% current use). Of current users with ASD, 50.7% had a dietary intervention that was prescribed by a medical professional. Among children with ASD, child GI conditions and developmental regression were positively and independently associated with having ever used a GFD. Current use and ever use of a GFD were prevalent in children with ASD identified in SEED. GFD usage was associated with GI issues and child phenotype. Clinicians may consider advising parents on how best to use these diets in the context of the child's GI presentation and current scientific knowledge about effectiveness in relation to ASD symptoms. Autism Res 2018, 11: 185–193. © 2017 International Society for Autism Research, Wiley Periodicals, Inc. Lay Summary Gluten free diets (GFDs) are commonly used as an alternative therapy for autism spectrum disorder (ASD); however, the effectiveness is still uncertain which makes it important to know who tries this type of diet. We found that one in five preschool aged children with ASD had ever used a GFD. Children with gastrointestinal conditions and developmental regression were more likely to have tried a GFD. En ligne : https://doi.org/10.1002/aur.1896 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=334 [article] The prevalence of gluten free diet use among preschool children with autism spectrum disorder [Texte imprimé et/ou numérique] / Eric RUBENSTEIN, Auteur ; Laura A. SCHIEVE, Auteur ; Chyrise BRADLEY, Auteur ; Carolyn G. DIGUISEPPI, Auteur ; Eric MOODY, Auteur ; Kathleen THOMAS, Auteur ; Julie L. DANIELS, Auteur . - p.185-193. Langues : Anglais (eng) in Autism Research > 11-1 (January 2018) . - p.185-193 Index. décimale : PER Périodiques Résumé : Our objective was to estimate prevalence of current or ever use of a gluten free diet (GFD) in children aged 30–68 months with autism spectrum disorder (ASD) and population controls (POP); and to identify characteristics associated with ever having used GFD among children with ASD. We used data from the Study to Explore Early Development (SEED), a multi?site, case?control study of children with ASD. Caregivers reported GFD use by their children through structured questionnaires about diet patterns, gastrointestinal (GI) issues, and ASD?specific treatments. Prevalence was estimated and compared using log?Poisson regression, adjusting for confounders. In children with ASD, we examined whether child or mother's GI conditions or child's phenotypic traits were associated with ever trying a GFD. In SEED, 71 children with ASD (11.1% prevalence after adjustment) were on a GFD at time of the study and 130 (20.4%) had ever used a GFD, a greater percentage than in POP children (N?=?11, 0.9% current use). Of current users with ASD, 50.7% had a dietary intervention that was prescribed by a medical professional. Among children with ASD, child GI conditions and developmental regression were positively and independently associated with having ever used a GFD. Current use and ever use of a GFD were prevalent in children with ASD identified in SEED. GFD usage was associated with GI issues and child phenotype. Clinicians may consider advising parents on how best to use these diets in the context of the child's GI presentation and current scientific knowledge about effectiveness in relation to ASD symptoms. Autism Res 2018, 11: 185–193. © 2017 International Society for Autism Research, Wiley Periodicals, Inc. Lay Summary Gluten free diets (GFDs) are commonly used as an alternative therapy for autism spectrum disorder (ASD); however, the effectiveness is still uncertain which makes it important to know who tries this type of diet. We found that one in five preschool aged children with ASD had ever used a GFD. Children with gastrointestinal conditions and developmental regression were more likely to have tried a GFD. En ligne : https://doi.org/10.1002/aur.1896 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=334

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