2 recherche sur le mot-clé 'capacity-building'

Building Capacity: A Systematic Review of Training in the Diagnosis of Autism for Community-Based Clinicians / Mya HOWARD ; Michelle MENEZES ; Christina BURROUGHS ; Jessica PAPPAGIANOPOULOS ; Vibha SASTRI ; Sophie BRUNT ; Ryan MILLER ; Anzhelika PARENCHUK ; Jocelyn KUHN ; Micah O. MAZUREK in Autism Research, 18-4 (April 2025)  

Public ISBD [article]  inAutism Research > 18-4 (April 2025) . - p.690-709 Titre : Building Capacity: A Systematic Review of Training in the Diagnosis of Autism for Community-Based Clinicians Type de document : texte imprimé Auteurs : Mya HOWARD, Auteur ; Michelle MENEZES, Auteur ; Christina BURROUGHS, Auteur ; Jessica PAPPAGIANOPOULOS, Auteur ; Vibha SASTRI, Auteur ; Sophie BRUNT, Auteur ; Ryan MILLER, Auteur ; Anzhelika PARENCHUK, Auteur ; Jocelyn KUHN, Auteur ; Micah O. MAZUREK, Auteur Article en page(s) : p.690-709 Langues : Anglais (eng) Mots-clés : autism diagnosis  capacity-building  clinician training  diagnostic training  systematic review Index. décimale : PER Périodiques Résumé : ABSTRACT In an effort to reduce the ?waitlist crisis,? researchers have developed training programs to educate community-based clinicians in best-practice autism diagnostic assessments. This systematic review aims to synthesize the effectiveness and implementation outcomes of such trainings. The following databases were searched from inception until August 2023: PubMed, Web of Science, APA PsycINFO, CINAHL, ERIC, and a select number from Google Scholar. Ten studies were included in the present review because they met the following criteria: development and/or evaluation of a training for practicing community-based clinicians to diagnose autism, published full-text in English, and original research. Risk of bias was assessed through an adapted NIH quality assessment tool. Only seven distinct training programs in autism diagnosis for practicing community-based clinicians were identified. Trainings demonstrated preliminary efficacy in the improvement of clinician knowledge, self-efficacy, practice behavior, and diagnostic accuracy. Many of the trainings had a reported positive impact on the community and were feasible to participate in; however, systems-level factors (e.g., time and reimbursement) remain as barriers to community-based diagnosis. Findings from the present review position clinician training as a promising strategy to increase families' timely access to an autism diagnosis. More research on training models is needed due to both the limited number of trainings and the limited reported effectiveness and implementation outcomes. Future implementation studies are also needed to reduce systems-level barriers and to aid in the determination of what trainings best fit the needs of different contexts. En ligne : https://doi.org/10.1002/aur.70014 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=554 [article] Building Capacity: A Systematic Review of Training in the Diagnosis of Autism for Community-Based Clinicians [texte imprimé] / Mya HOWARD, Auteur ; Michelle MENEZES, Auteur ; Christina BURROUGHS, Auteur ; Jessica PAPPAGIANOPOULOS, Auteur ; Vibha SASTRI, Auteur ; Sophie BRUNT, Auteur ; Ryan MILLER, Auteur ; Anzhelika PARENCHUK, Auteur ; Jocelyn KUHN, Auteur ; Micah O. MAZUREK, Auteur . - p.690-709. Langues : Anglais (eng) in Autism Research > 18-4 (April 2025) . - p.690-709 Mots-clés : autism diagnosis  capacity-building  clinician training  diagnostic training  systematic review Index. décimale : PER Périodiques Résumé : ABSTRACT In an effort to reduce the ?waitlist crisis,? researchers have developed training programs to educate community-based clinicians in best-practice autism diagnostic assessments. This systematic review aims to synthesize the effectiveness and implementation outcomes of such trainings. The following databases were searched from inception until August 2023: PubMed, Web of Science, APA PsycINFO, CINAHL, ERIC, and a select number from Google Scholar. Ten studies were included in the present review because they met the following criteria: development and/or evaluation of a training for practicing community-based clinicians to diagnose autism, published full-text in English, and original research. Risk of bias was assessed through an adapted NIH quality assessment tool. Only seven distinct training programs in autism diagnosis for practicing community-based clinicians were identified. Trainings demonstrated preliminary efficacy in the improvement of clinician knowledge, self-efficacy, practice behavior, and diagnostic accuracy. Many of the trainings had a reported positive impact on the community and were feasible to participate in; however, systems-level factors (e.g., time and reimbursement) remain as barriers to community-based diagnosis. Findings from the present review position clinician training as a promising strategy to increase families' timely access to an autism diagnosis. More research on training models is needed due to both the limited number of trainings and the limited reported effectiveness and implementation outcomes. Future implementation studies are also needed to reduce systems-level barriers and to aid in the determination of what trainings best fit the needs of different contexts. En ligne : https://doi.org/10.1002/aur.70014 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=554

Understanding autism diagnosis in primary care: Rates of diagnosis from 2004 to 2019 and child age at diagnosis / Jessica V. SMITH in Autism, 28-10 (October 2024)  

Public ISBD [article]  inAutism > 28-10 (October 2024) . - p.2637-2646 Titre : Understanding autism diagnosis in primary care: Rates of diagnosis from 2004 to 2019 and child age at diagnosis Type de document : texte imprimé Auteurs : Jessica V. SMITH, Auteur ; Michelle MENEZES, Auteur ; Sophie BRUNT, Auteur ; Jessica PAPPAGIANOPOULOS, Auteur ; Eleonora SADIKOVA, Auteur ; Micah O. MAZUREK, Auteur Article en page(s) : p.2637-2646 Langues : Anglais (eng) Mots-clés : age at diagnosis  autism  capacity-building  diagnostic timing  early identification  primary care Index. décimale : PER Périodiques Résumé : The capacity of the workforce lags behind the current demand for timely autism diagnostic assessment. Primary care providers (PCPs) are well-positioned to diagnose autism at earlier ages than providers from other disciplines. Thus, bolstering PCPs' diagnostic capabilities has been the focus of many recent capacity-building initiatives. Using data from the National Survey of Children s Health, this study aimed to evaluate whether diagnosis of autism in primary care has changed over time and whether diagnosis in primary care relates to age at autism diagnosis. Results indicated that the likelihood of being diagnosed with autism by a PCP decreased by about 2% with every passing year from 2004 to 2019 when controlling for demographic characteristics. PCPs diagnosed children approximately 1 year earlier than non-PCPs (e.g., psychiatrists and psychologists), which supports the critical role PCPs can play in timely diagnosis. Further research is needed to understand why the proportion of children diagnosed by PCPs has decreased over time; however, these findings suggest that capacity-building initiatives have not yet reached community practice. Future research should focus on the dissemination and implementation of training initiatives in community-based primary care practices. Lay abstract The current demand for autism diagnostic services exceeds the ability of the workforce to assess and diagnose children in a timely manner. One solution may be to equip primary care providers (PCPs) with the tools and expertise needed to diagnose autism within their practice. PCPs are often trusted professionals who have many touchpoints with children during early development, in which they can identify early signs of autism. Recent initiatives have focused on bolstering PCPs' diagnostic capabilities; however, no studies have examined how the rates of autism diagnosis in primary care have changed over time. We aimed to evaluate whether autism diagnosis in primary care has changed over time and how diagnosis in primary care relates to a child?s age at the time of diagnosis. We found that the likelihood of a child being diagnosed by a PCP decreased by about 2% with every passing year from 2004 to 2019 when accounting for demographic characteristics. In our sample, PCPs diagnosed children approximately 1 year earlier than non-PCPs (e.g., psychologists and psychiatrists). Further research is needed to understand why the proportion of children diagnosed by PCPs decreases over time. However, this decrease suggests more work is needed to get capacity-building initiatives into community primary care practice. Though we must continue to find effective ways to build community PCPs' ability to diagnose autism, the present findings support the crucial role PCPs can play in early autism diagnosis. En ligne : https://dx.doi.org/10.1177/13623613241236112 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=536 [article] Understanding autism diagnosis in primary care: Rates of diagnosis from 2004 to 2019 and child age at diagnosis [texte imprimé] / Jessica V. SMITH, Auteur ; Michelle MENEZES, Auteur ; Sophie BRUNT, Auteur ; Jessica PAPPAGIANOPOULOS, Auteur ; Eleonora SADIKOVA, Auteur ; Micah O. MAZUREK, Auteur . - p.2637-2646. Langues : Anglais (eng) in Autism > 28-10 (October 2024) . - p.2637-2646 Mots-clés : age at diagnosis  autism  capacity-building  diagnostic timing  early identification  primary care Index. décimale : PER Périodiques Résumé : The capacity of the workforce lags behind the current demand for timely autism diagnostic assessment. Primary care providers (PCPs) are well-positioned to diagnose autism at earlier ages than providers from other disciplines. Thus, bolstering PCPs' diagnostic capabilities has been the focus of many recent capacity-building initiatives. Using data from the National Survey of Children s Health, this study aimed to evaluate whether diagnosis of autism in primary care has changed over time and whether diagnosis in primary care relates to age at autism diagnosis. Results indicated that the likelihood of being diagnosed with autism by a PCP decreased by about 2% with every passing year from 2004 to 2019 when controlling for demographic characteristics. PCPs diagnosed children approximately 1 year earlier than non-PCPs (e.g., psychiatrists and psychologists), which supports the critical role PCPs can play in timely diagnosis. Further research is needed to understand why the proportion of children diagnosed by PCPs has decreased over time; however, these findings suggest that capacity-building initiatives have not yet reached community practice. Future research should focus on the dissemination and implementation of training initiatives in community-based primary care practices. Lay abstract The current demand for autism diagnostic services exceeds the ability of the workforce to assess and diagnose children in a timely manner. One solution may be to equip primary care providers (PCPs) with the tools and expertise needed to diagnose autism within their practice. PCPs are often trusted professionals who have many touchpoints with children during early development, in which they can identify early signs of autism. Recent initiatives have focused on bolstering PCPs' diagnostic capabilities; however, no studies have examined how the rates of autism diagnosis in primary care have changed over time. We aimed to evaluate whether autism diagnosis in primary care has changed over time and how diagnosis in primary care relates to a child?s age at the time of diagnosis. We found that the likelihood of a child being diagnosed by a PCP decreased by about 2% with every passing year from 2004 to 2019 when accounting for demographic characteristics. In our sample, PCPs diagnosed children approximately 1 year earlier than non-PCPs (e.g., psychologists and psychiatrists). Further research is needed to understand why the proportion of children diagnosed by PCPs decreases over time. However, this decrease suggests more work is needed to get capacity-building initiatives into community primary care practice. Though we must continue to find effective ways to build community PCPs' ability to diagnose autism, the present findings support the crucial role PCPs can play in early autism diagnosis. En ligne : https://dx.doi.org/10.1177/13623613241236112 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=536