Reducing Barriers to Autism Screening in Community Primary Care: A Pragmatic Trial Using Web-Based Screening
| Autor: | Kyle J. Steinman, Shana M. Attar, Wendy L. Stone, Lisa V. Ibañez |
|---|---|
| Rok vydání: | 2022 |
| Předmět: |
medicine.medical_specialty
Autism Spectrum Disorder education Primary care Article 03 medical and health sciences 0302 clinical medicine McNemar's test 030225 pediatrics Intervention (counseling) mental disorders medicine Humans Mass Screening 030212 general & internal medicine Autistic Disorder health care economics and organizations Internet Primary Health Care business.industry Infant medicine.disease Confidence interval Checklist Autism spectrum disorder Family medicine Pediatrics Perinatology and Child Health Autism Brief intervention business |
| Zdroj: | Acad Pediatr |
| ISSN: | 1876-2859 |
| Popis: | OBJECTIVE: To determine whether an intervention addressing both logistical and knowledge barriers to early screening for autism spectrum disorder (ASD) increases evidence-based screening during 18-month well-child visits and PCPs’ perceived self-efficacy in caring for children with ASD. METHODS: Forty-six primary care providers (PCPs) from 10 diverse practices across four counties in Washington State participated. PCPs attended a two-hour training workshop on early recognition and care for toddlers with ASD and use of a REDCap-based version of the Modified Checklist for Autism in Toddlers–Revised with Follow-up (webM-CHAT-R/F) that provided automated presentation and scoring of follow-up questions. Data were collected at baseline and six-months following each county’s training window. PCPs’ screening methods and rates and perceived self-efficacy regarding ASD care were measured by self-report and webM-CHAT-R/F use was measured via REDCap records. RESULTS: At follow-up, 8 of the 10 practices were using the webM-CHAT-R/F routinely at 18-month visits. The proportion of PCPs reporting routine M-CHAT screening increased from 82% at baseline to 98% at follow-up (16% increase, 95% CI 3%–28%; McNemar exact p=.02). The proportion using the M-CHAT-R/F follow-up interview questions increased from 33% to 82% (49% increase, 95% CI 30%–68%, exact McNemar test, p |
| Databáze: | OpenAIRE |
| Externí odkaz: |
|
Full Text from ScienceDirect