Practice patterns and determinants of wait time for autism spectrum disorder diagnosis in Canada / M. PENNER in Molecular Autism, 9 (2018)  

Public ISBD [article]  inMolecular Autism > 9 (2018) . - 16p. Titre : Practice patterns and determinants of wait time for autism spectrum disorder diagnosis in Canada Type de document : Texte imprimé et/ou numérique Auteurs : M. PENNER, Auteur ; Evdokia ANAGNOSTOU, Auteur ; W. J. UNGAR, Auteur Article en page(s) : 16p. Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Diagnosis  Early detection  Health services research  Pediatrics Index. décimale : PER Périodiques Résumé : Background: Inefficient diagnostic practices for autism spectrum disorder (ASD) may contribute to longer wait times, delaying access to intervention. The objectives were to describe the diagnostic practices of Canadian pediatricians and to identify determinants of longer wait time for ASD diagnosis. Methods: An online survey was conducted through the Canadian Paediatric Society's developmental pediatrics, community pediatrics, and mental health sections. Participants were asked for demographic information, whether they diagnosed ASD, and elements of their diagnostic assessment. A multiple linear regression of total wait time (time from referral to communication of the diagnosis to the family) as a function of practice characteristics was conducted. Results: A total of 90 participants completed the survey, of whom 57 diagnosed ASD in their practices (63.3%). Respondents reported varied use of multi-disciplinary teams, with 53% reporting participation in a team. No two identically composed teams were reported. Respondents also had varied use of diagnostic tools, with 21% reporting no use of tools. The median reported total wait for ASD diagnosis time was 7 months (interquartile range 4-12 months). Longer time spent on assessment was the only variable that remained significantly associated with longer wait time in multiple regression (p = 0.002). Use of diagnostic tools did not significantly affect wait time. Conclusion: Canadian ASD diagnostic practices vary widely and wait times for these assessments are substantial-7 months from referral to receipt of diagnosis. Time spent on the assessment is a significant determinant of wait time, highlighting the need for efficient assessment practices. En ligne : http://dx.doi.org/10.1186/s13229-018-0201-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=354 [article] Practice patterns and determinants of wait time for autism spectrum disorder diagnosis in Canada [Texte imprimé et/ou numérique] / M. PENNER, Auteur ; Evdokia ANAGNOSTOU, Auteur ; W. J. UNGAR, Auteur . - 16p. Langues : Anglais (eng) in Molecular Autism > 9 (2018) . - 16p. Mots-clés : Autism spectrum disorder  Diagnosis  Early detection  Health services research  Pediatrics Index. décimale : PER Périodiques Résumé : Background: Inefficient diagnostic practices for autism spectrum disorder (ASD) may contribute to longer wait times, delaying access to intervention. The objectives were to describe the diagnostic practices of Canadian pediatricians and to identify determinants of longer wait time for ASD diagnosis. Methods: An online survey was conducted through the Canadian Paediatric Society's developmental pediatrics, community pediatrics, and mental health sections. Participants were asked for demographic information, whether they diagnosed ASD, and elements of their diagnostic assessment. A multiple linear regression of total wait time (time from referral to communication of the diagnosis to the family) as a function of practice characteristics was conducted. Results: A total of 90 participants completed the survey, of whom 57 diagnosed ASD in their practices (63.3%). Respondents reported varied use of multi-disciplinary teams, with 53% reporting participation in a team. No two identically composed teams were reported. Respondents also had varied use of diagnostic tools, with 21% reporting no use of tools. The median reported total wait for ASD diagnosis time was 7 months (interquartile range 4-12 months). Longer time spent on assessment was the only variable that remained significantly associated with longer wait time in multiple regression (p = 0.002). Use of diagnostic tools did not significantly affect wait time. Conclusion: Canadian ASD diagnostic practices vary widely and wait times for these assessments are substantial-7 months from referral to receipt of diagnosis. Time spent on the assessment is a significant determinant of wait time, highlighting the need for efficient assessment practices. En ligne : http://dx.doi.org/10.1186/s13229-018-0201-0 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=354

Systematic review of clinical guidance documents for autism spectrum disorder diagnostic assessment in select regions / M. PENNER in Autism, 22-5 (July 2018)  

Public ISBD [article]  inAutism > 22-5 (July 2018) . - p.517-527 Titre : Systematic review of clinical guidance documents for autism spectrum disorder diagnostic assessment in select regions Type de document : Texte imprimé et/ou numérique Auteurs : M. PENNER, Auteur ; Evdokia ANAGNOSTOU, Auteur ; L. Y. ANDONI, Auteur ; W. J. UNGAR, Auteur Article en page(s) : p.517-527 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  clinical guideline  diagnosis  pre-school children  systematic review Index. décimale : PER Périodiques Résumé : Clinical guidance documents play an important role in ensuring access to high-quality autism spectrum disorder diagnostic assessment practices. The objective was to perform a systematic review of professional association and government clinical guidance documents for autism spectrum disorder diagnostic assessment, analyzing their quality and content. The government search was limited to English-speaking, single-payer, publicly funded health systems. A quality appraisal was conducted by two appraisers using the Appraisal of Guidelines Research and Evaluation, second edition tool. A content analysis was conducted for recommended clinical personnel and psychometric tools. The 11 documents demonstrated higher quality in Scope and Purpose (mean: 90.1, standard deviation: 7.4) and Clarity of Presentation (mean: 82.8, standard deviation: 9.4) and lower quality in Applicability (mean: 43.3, standard deviation: 23.8) and Rigor of Development (mean: 52, standard deviation: 21.9). All documents either recommended multidisciplinary team assessment or stated it was ideal. The documents varied substantially in their recommended tools and personnel for diagnostic assessment. There was little supporting evidence for team and personnel recommendations. Multiple guidance documents exist for autism spectrum disorder diagnostic assessments, with varying quality and recommendations. The substantial variation likely stems from insufficient evidence supporting assessment practices. Research is required to close the evidence gaps and inform high-quality clinical guidelines. En ligne : http://dx.doi.org/10.1177/1362361316685879 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=366 [article] Systematic review of clinical guidance documents for autism spectrum disorder diagnostic assessment in select regions [Texte imprimé et/ou numérique] / M. PENNER, Auteur ; Evdokia ANAGNOSTOU, Auteur ; L. Y. ANDONI, Auteur ; W. J. UNGAR, Auteur . - p.517-527. Langues : Anglais (eng) in Autism > 22-5 (July 2018) . - p.517-527 Mots-clés : autism spectrum disorder  clinical guideline  diagnosis  pre-school children  systematic review Index. décimale : PER Périodiques Résumé : Clinical guidance documents play an important role in ensuring access to high-quality autism spectrum disorder diagnostic assessment practices. The objective was to perform a systematic review of professional association and government clinical guidance documents for autism spectrum disorder diagnostic assessment, analyzing their quality and content. The government search was limited to English-speaking, single-payer, publicly funded health systems. A quality appraisal was conducted by two appraisers using the Appraisal of Guidelines Research and Evaluation, second edition tool. A content analysis was conducted for recommended clinical personnel and psychometric tools. The 11 documents demonstrated higher quality in Scope and Purpose (mean: 90.1, standard deviation: 7.4) and Clarity of Presentation (mean: 82.8, standard deviation: 9.4) and lower quality in Applicability (mean: 43.3, standard deviation: 23.8) and Rigor of Development (mean: 52, standard deviation: 21.9). All documents either recommended multidisciplinary team assessment or stated it was ideal. The documents varied substantially in their recommended tools and personnel for diagnostic assessment. There was little supporting evidence for team and personnel recommendations. Multiple guidance documents exist for autism spectrum disorder diagnostic assessments, with varying quality and recommendations. The substantial variation likely stems from insufficient evidence supporting assessment practices. Research is required to close the evidence gaps and inform high-quality clinical guidelines. En ligne : http://dx.doi.org/10.1177/1362361316685879 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=366

---

1 (1 - 2 / 2)