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Détail de l'auteur
Auteur R. P. THOMAS |
Documents disponibles écrits par cet auteur (2)
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Development and Acceptability of a New Program for Caregivers of Children with Autism Spectrum Disorder: Online Parent Training in Early Behavioral Intervention / Yael G. DAI in Journal of Autism and Developmental Disorders, 51-11 (November 2021)
[article]
Titre : Development and Acceptability of a New Program for Caregivers of Children with Autism Spectrum Disorder: Online Parent Training in Early Behavioral Intervention Type de document : Texte imprimé et/ou numérique Auteurs : Yael G. DAI, Auteur ; R. P. THOMAS, Auteur ; L. BRENNAN, Auteur ; M. S. HELT, Auteur ; Marianne L. BARTON, Auteur ; T. DUMONT-MATHIEU, Auteur ; Deborah A. FEIN, Auteur Article en page(s) : p.4166-4185 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/therapy Behavior Therapy Caregivers Child Early Intervention, Educational Humans Parents Autism Spectrum disorder Intervention Parent training Self-directed Telehealth Index. décimale : PER Périodiques Résumé : Early intervention with parent participation is important for facilitating skill development in children with Autism Spectrum Disorder (ASD). However, many barriers delay or prohibit families from accessing care. We describe the development and acceptability of a novel, comprehensive, self-directed online program for caregivers of children with ASD. Program effectiveness will be presented in a subsequent manuscript. The program is based on behavioral, naturalistic, and developmental principles, and teaches caregivers to use evidence-based interventions to teach developmentally appropriate targets. Approximately two-thirds of enrolled parents completed all 14 modules; barriers to completion for the additional families are described. Parents reported that the program was clear, enjoyable, and useful in teaching them interventions and in improving their children's skills and behavior. En ligne : http://dx.doi.org/10.1007/s10803-020-04863-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=454
in Journal of Autism and Developmental Disorders > 51-11 (November 2021) . - p.4166-4185[article] Development and Acceptability of a New Program for Caregivers of Children with Autism Spectrum Disorder: Online Parent Training in Early Behavioral Intervention [Texte imprimé et/ou numérique] / Yael G. DAI, Auteur ; R. P. THOMAS, Auteur ; L. BRENNAN, Auteur ; M. S. HELT, Auteur ; Marianne L. BARTON, Auteur ; T. DUMONT-MATHIEU, Auteur ; Deborah A. FEIN, Auteur . - p.4166-4185.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 51-11 (November 2021) . - p.4166-4185
Mots-clés : Autism Spectrum Disorder/therapy Behavior Therapy Caregivers Child Early Intervention, Educational Humans Parents Autism Spectrum disorder Intervention Parent training Self-directed Telehealth Index. décimale : PER Périodiques Résumé : Early intervention with parent participation is important for facilitating skill development in children with Autism Spectrum Disorder (ASD). However, many barriers delay or prohibit families from accessing care. We describe the development and acceptability of a novel, comprehensive, self-directed online program for caregivers of children with ASD. Program effectiveness will be presented in a subsequent manuscript. The program is based on behavioral, naturalistic, and developmental principles, and teaches caregivers to use evidence-based interventions to teach developmentally appropriate targets. Approximately two-thirds of enrolled parents completed all 14 modules; barriers to completion for the additional families are described. Parents reported that the program was clear, enjoyable, and useful in teaching them interventions and in improving their children's skills and behavior. En ligne : http://dx.doi.org/10.1007/s10803-020-04863-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=454 The first five minutes: Initial impressions during autism spectrum disorder diagnostic evaluations in young children / A. T. WIECKOWSKI in Autism Research, 14-9 (September 2021)
[article]
Titre : The first five minutes: Initial impressions during autism spectrum disorder diagnostic evaluations in young children Type de document : Texte imprimé et/ou numérique Auteurs : A. T. WIECKOWSKI, Auteur ; A. DE MARCHENA, Auteur ; Y. ALGUR, Auteur ; L. NICHOLS, Auteur ; S. FERNANDES, Auteur ; R. P. THOMAS, Auteur ; L. A. MCCLURE, Auteur ; S. DUFEK, Auteur ; Deborah A. FEIN, Auteur ; Lauren B. ADAMSON, Auteur ; A. STAHMER, Auteur ; Diana L. ROBINS, Auteur Article en page(s) : p.1923-1934 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder Child Child, Preschool Early Diagnosis Family Humans autism spectrum disorder clinician confidence in diagnosis diagnosis early detection initial impression toddlers Index. décimale : PER Périodiques Résumé : Diagnosticians report that autism spectrum disorder (ASD) is immediately apparent in some, but not all, children ultimately diagnosed. Clinicians' initial diagnostic impressions have implications for ASD early detection, yet the literature raises questions about their accuracy. This study explores diagnostic impressions of ASD specialists made within the first 5?minutes of meeting a young child and investigates factors associated with the match between initial impressions and final diagnoses. Participants were children (n = 294, aged 12-53?months) referred for an ASD evaluation as part of multi-site ASD screening studies. After 5?minutes observing each child, clinicians with expertise diagnosing ASD recorded if they thought the child would meet criteria for ASD following a complete evaluation, and recorded their confidence in this impression. Clinicians' initial impressions matched the final diagnosis in 81% of cases. Ninety-two percent of cases initially thought to have ASD met criteria following a full evaluation; however, 24% of cases initially thought not to have ASD also met criteria, suggesting a high miss rate. Clinicians were generally confident in their initial impressions, reporting highest confidence for children initially thought correctly not to have ASD. ASD behavioral presentation, but not demographic characteristics or developmental level, were associated with matching initial impression and final diagnosis, and confidence. Brief observations indicating ASD should trigger referral to intervention services, but are likely to under-detect positive cases and should not be used to rule out ASD, highlighting the need to incorporate information beyond initial clinical impression. LAY SUMMARY: When children come in for an autism evaluation, clinicians often form early impressions-before doing any formal testing-about whether the child has autism. We studied how often these early impressions match the final diagnosis, and found that clinicians could not easily rule out autism (many children who initially appeared not to have autism were ultimately diagnosed), but were generally accurate ruling in autism (when a child appeared to have autism within 5?minutes, they were almost always so diagnosed). En ligne : http://dx.doi.org/10.1002/aur.2536 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449
in Autism Research > 14-9 (September 2021) . - p.1923-1934[article] The first five minutes: Initial impressions during autism spectrum disorder diagnostic evaluations in young children [Texte imprimé et/ou numérique] / A. T. WIECKOWSKI, Auteur ; A. DE MARCHENA, Auteur ; Y. ALGUR, Auteur ; L. NICHOLS, Auteur ; S. FERNANDES, Auteur ; R. P. THOMAS, Auteur ; L. A. MCCLURE, Auteur ; S. DUFEK, Auteur ; Deborah A. FEIN, Auteur ; Lauren B. ADAMSON, Auteur ; A. STAHMER, Auteur ; Diana L. ROBINS, Auteur . - p.1923-1934.
Langues : Anglais (eng)
in Autism Research > 14-9 (September 2021) . - p.1923-1934
Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder Child Child, Preschool Early Diagnosis Family Humans autism spectrum disorder clinician confidence in diagnosis diagnosis early detection initial impression toddlers Index. décimale : PER Périodiques Résumé : Diagnosticians report that autism spectrum disorder (ASD) is immediately apparent in some, but not all, children ultimately diagnosed. Clinicians' initial diagnostic impressions have implications for ASD early detection, yet the literature raises questions about their accuracy. This study explores diagnostic impressions of ASD specialists made within the first 5?minutes of meeting a young child and investigates factors associated with the match between initial impressions and final diagnoses. Participants were children (n = 294, aged 12-53?months) referred for an ASD evaluation as part of multi-site ASD screening studies. After 5?minutes observing each child, clinicians with expertise diagnosing ASD recorded if they thought the child would meet criteria for ASD following a complete evaluation, and recorded their confidence in this impression. Clinicians' initial impressions matched the final diagnosis in 81% of cases. Ninety-two percent of cases initially thought to have ASD met criteria following a full evaluation; however, 24% of cases initially thought not to have ASD also met criteria, suggesting a high miss rate. Clinicians were generally confident in their initial impressions, reporting highest confidence for children initially thought correctly not to have ASD. ASD behavioral presentation, but not demographic characteristics or developmental level, were associated with matching initial impression and final diagnosis, and confidence. Brief observations indicating ASD should trigger referral to intervention services, but are likely to under-detect positive cases and should not be used to rule out ASD, highlighting the need to incorporate information beyond initial clinical impression. LAY SUMMARY: When children come in for an autism evaluation, clinicians often form early impressions-before doing any formal testing-about whether the child has autism. We studied how often these early impressions match the final diagnosis, and found that clinicians could not easily rule out autism (many children who initially appeared not to have autism were ultimately diagnosed), but were generally accurate ruling in autism (when a child appeared to have autism within 5?minutes, they were almost always so diagnosed). En ligne : http://dx.doi.org/10.1002/aur.2536 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449