Family navigation to increase evaluation for autism spectrum disorder in toddlers: Screening and Linkage to Services for Autism pragmatic randomized trial / Carolyn G. DIGUISEPPI in Autism, 25-4 (May 2021)  

Public ISBD [article]  inAutism > 25-4 (May 2021) . - p.946-957 Titre : Family navigation to increase evaluation for autism spectrum disorder in toddlers: Screening and Linkage to Services for Autism pragmatic randomized trial Type de document : texte imprimé Auteurs : Carolyn G. DIGUISEPPI, Auteur ; Steven A. ROSENBERG, Auteur ; Margaret A. TOMCHO, Auteur ; Kathryn COLBORN, Auteur ; Kristina HIGHTSHOE, Auteur ; Silvia GUTIERREZ-RAGHUNATH, Auteur ; Jeanette M. CORDOVA, Auteur ; Jodi K. DOOLING-LITFIN, Auteur ; Cordelia ROBINSON ROSENBERG, Auteur Article en page(s) : p.946-957 Langues : Anglais (eng) Mots-clés : autism spectrum disorders  diagnosis  early intervention  education services  patient navigation  toddlers  underserved populations Index. décimale : PER Périodiques Résumé : Young children with autism spectrum disorder can benefit from early detection and intervention to moderate autism spectrum disorder's effect on their development. Routine screening with standardized instruments facilitates early identification. However, many screen-positive children do not receive referrals for evaluation, complete diagnostic evaluations, or engage in services. This is especially true for children of color and those from less educated or low-income families. The Screening and Linkage to Services for Autism trial evaluated the effect of family navigation on referral and evaluation for autism spectrum disorder in screen-positive toddlers. The trial was conducted in an urban, low-income population. It was designed to test "real-world" implementation of family navigation. We randomly assigned 275 children aged 16-30 months with an initial positive autism spectrum disorder screen to receive navigation if indicated or usual care. Navigation increased the number of at-risk toddlers who were evaluated for autism spectrum disorder. It also improved the quality of autism spectrum disorder screening in primary care clinics. However, many children failed to receive indicated referrals for evaluation. Navigation did not improve referral rates. Furthermore, nearly half of families who were potentially eligible for navigation could not be contacted. Other ways of structuring the navigation program may be necessary to improve families' access to and acceptance of navigation, especially in the setting of financial, cultural, and linguistic barriers. Our trial nevertheless showed that family navigation may be an important tool for reducing systemic inequalities in the early identification and treatment of young children with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361320974175 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444 [article] Family navigation to increase evaluation for autism spectrum disorder in toddlers: Screening and Linkage to Services for Autism pragmatic randomized trial [texte imprimé] / Carolyn G. DIGUISEPPI, Auteur ; Steven A. ROSENBERG, Auteur ; Margaret A. TOMCHO, Auteur ; Kathryn COLBORN, Auteur ; Kristina HIGHTSHOE, Auteur ; Silvia GUTIERREZ-RAGHUNATH, Auteur ; Jeanette M. CORDOVA, Auteur ; Jodi K. DOOLING-LITFIN, Auteur ; Cordelia ROBINSON ROSENBERG, Auteur . - p.946-957. Langues : Anglais (eng) in Autism > 25-4 (May 2021) . - p.946-957 Mots-clés : autism spectrum disorders  diagnosis  early intervention  education services  patient navigation  toddlers  underserved populations Index. décimale : PER Périodiques Résumé : Young children with autism spectrum disorder can benefit from early detection and intervention to moderate autism spectrum disorder's effect on their development. Routine screening with standardized instruments facilitates early identification. However, many screen-positive children do not receive referrals for evaluation, complete diagnostic evaluations, or engage in services. This is especially true for children of color and those from less educated or low-income families. The Screening and Linkage to Services for Autism trial evaluated the effect of family navigation on referral and evaluation for autism spectrum disorder in screen-positive toddlers. The trial was conducted in an urban, low-income population. It was designed to test "real-world" implementation of family navigation. We randomly assigned 275 children aged 16-30 months with an initial positive autism spectrum disorder screen to receive navigation if indicated or usual care. Navigation increased the number of at-risk toddlers who were evaluated for autism spectrum disorder. It also improved the quality of autism spectrum disorder screening in primary care clinics. However, many children failed to receive indicated referrals for evaluation. Navigation did not improve referral rates. Furthermore, nearly half of families who were potentially eligible for navigation could not be contacted. Other ways of structuring the navigation program may be necessary to improve families' access to and acceptance of navigation, especially in the setting of financial, cultural, and linguistic barriers. Our trial nevertheless showed that family navigation may be an important tool for reducing systemic inequalities in the early identification and treatment of young children with autism spectrum disorder. En ligne : http://dx.doi.org/10.1177/1362361320974175 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=444

Resilience to COVID-19-related challenges in preschool-aged children with and without autism spectrum disorder / Eric J. MOODY in Research in Autism, 128 (October 2025)  

Public ISBD [article]  inResearch in Autism > 128 (October 2025) . - p.202705 Titre : Resilience to COVID-19-related challenges in preschool-aged children with and without autism spectrum disorder Type de document : texte imprimé Auteurs : Eric J. MOODY, Auteur ; Brady Holst, Auteur ; Haley A. STURGES, Auteur ; Ethan DAHL, Auteur ; Tessa CRUME, Auteur ; Jamie KACZANIUK, Auteur ; Maureen S. DURKIN, Auteur ; Kristina HIGHTSHOE, Auteur ; Cy NADLER, Auteur ; Karen PAZOL, Auteur ; Steven A. ROSENBERG, Auteur ; Lisa WIGGINS, Auteur ; Carolyn DIGUISEPPI, Auteur Article en page(s) : p.202705 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  child resilience  maternal mental health  COVID-19 impact Index. décimale : PER Périodiques Résumé : This study examined factors related to resilience in children (46–91 months) with and without autism spectrum disorder (ASD) during the COVID-19 pandemic. From January 2021 to June 2021 a cross-sectional questionnaire measuring the pandemic’s impact on participants was administered to participants from The Study to Explore Early Development (SEED; N = 641). A sum score of items measuring child resilience was computed as an outcome. A Tobit regression was used to model the impact of child’s ASD status, demographic variables, child developmental characteristics, family income, parent work characteristics, and other family and maternal characteristics. There was no association between resilience and ASD status, but it was inversely related to maternal mental health challenges. Resilience was also significantly lower for Asian than non-Hispanic White children and inversely associated with child behavior problems. There was an interaction between loss of work and the family income. Child resilience is a complex phenomenon impacted by child, family, and social factors. Further research is needed to understand how to address factors negatively associated with child resilience and promote factors positively associated with child resilience. Focusing on family and social factors, along with direct child support, may promote resilience in all children. En ligne : https://doi.org/10.1016/j.reia.2025.202705 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=570 [article] Resilience to COVID-19-related challenges in preschool-aged children with and without autism spectrum disorder [texte imprimé] / Eric J. MOODY, Auteur ; Brady Holst, Auteur ; Haley A. STURGES, Auteur ; Ethan DAHL, Auteur ; Tessa CRUME, Auteur ; Jamie KACZANIUK, Auteur ; Maureen S. DURKIN, Auteur ; Kristina HIGHTSHOE, Auteur ; Cy NADLER, Auteur ; Karen PAZOL, Auteur ; Steven A. ROSENBERG, Auteur ; Lisa WIGGINS, Auteur ; Carolyn DIGUISEPPI, Auteur . - p.202705. Langues : Anglais (eng) in Research in Autism > 128 (October 2025) . - p.202705 Mots-clés : Autism spectrum disorder  child resilience  maternal mental health  COVID-19 impact Index. décimale : PER Périodiques Résumé : This study examined factors related to resilience in children (46–91 months) with and without autism spectrum disorder (ASD) during the COVID-19 pandemic. From January 2021 to June 2021 a cross-sectional questionnaire measuring the pandemic’s impact on participants was administered to participants from The Study to Explore Early Development (SEED; N = 641). A sum score of items measuring child resilience was computed as an outcome. A Tobit regression was used to model the impact of child’s ASD status, demographic variables, child developmental characteristics, family income, parent work characteristics, and other family and maternal characteristics. There was no association between resilience and ASD status, but it was inversely related to maternal mental health challenges. Resilience was also significantly lower for Asian than non-Hispanic White children and inversely associated with child behavior problems. There was an interaction between loss of work and the family income. Child resilience is a complex phenomenon impacted by child, family, and social factors. Further research is needed to understand how to address factors negatively associated with child resilience and promote factors positively associated with child resilience. Focusing on family and social factors, along with direct child support, may promote resilience in all children. En ligne : https://doi.org/10.1016/j.reia.2025.202705 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=570

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