scholarly journals Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics

2019 ◽  
Vol 2 (12) ◽  
pp. e1917676 ◽  
Author(s):  
Stephen M. Downs ◽  
Nerissa S. Bauer ◽  
Chandan Saha ◽  
Susan Ofner ◽  
Aaron E. Carroll
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Decision Support ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Pediatric Primary Care ◽  
Support Intervention ◽  
Primary Care Clinics ◽  
Decision Support Intervention ◽  
Computer Based

scholarly journals Adherence to screening and referral guidelines for autism spectrum disorder in toddlers in pediatric primary care

PLoS ONE ◽  
2020 ◽  
Vol 15 (5) ◽  
pp. e0232335 ◽  
Author(s):  
Kate E. Wallis ◽  
Whitney Guthrie ◽  
Amanda E. Bennett ◽  
Marsha Gerdes ◽  
Susan E. Levy ◽  
...  
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Pediatric Primary Care

Irritability and Problem Behavior in Autism Spectrum Disorder: A Practice Pathway for Pediatric Primary Care

2020 ◽  
pp. 222-234
Author(s):  
Kelly McGuire ◽  
Lawrence K. Fung ◽  
Louis Hagopian ◽  
Roma A. Vasa ◽  
Rajneesh Mahajan ◽  
...  
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Problem Behavior ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Pediatric Primary Care

scholarly journals Improving autism and developmental screening and referral in US primary care practices serving Latinos

Autism ◽  
2020 ◽  
pp. 136236132095746
Author(s):  
Katharine E Zuckerman ◽  
Alison E Chavez ◽  
Laura Wilson ◽  
Katie Unger ◽  
Colleen Reuland ◽  
...  
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Early Intervention ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Developmental Screening ◽  
Latino Children ◽  
Screening Guidelines ◽  
Primary Care Clinics

Improving autism spectrum disorder screening and referral in primary care may reduce autism spectrum disorder disparities for Latino children. The REAL-START intervention aimed to increase primary care provider adherence to autism spectrum disorder and developmental screening guidelines, and to increase Early Intervention referral for children at developmental risk in primary care clinics serving Latinos. This quasi-experimental study enrolled six Oregon primary care clinics. Clinic staff attended one initial and three follow-up trainings. Trainings addressed screening, billing, referral, and follow-up issues specific to Latinos. Clinic leaders met with a quality improvement facilitator to review performance. Medical record review measured screening and referral at 18- and 24-month well-child visits at baseline and 3, 6, 9, and 12 months. State Early Intervention database queries assessed Early Intervention eligibility. Overall, 2224 well-child visits were assessed (39% Latino). Clinics improved rates of autism spectrum disorder screening from 70% to 94% and general developmental screening from 62% to 95%. Adherence to screening guidelines increased from 46% to 91%. Proportion of children referred to Early Intervention for unchanged, but total referrals increased and age range of referred children broadened. Time to Early Intervention evaluation was slightly shorter among screening-age children. REAL-START may improve screening and referral for autism spectrum disorder and developmental delay in Latino communities. Lay abstract Latino children experience delays in access to diagnosis and treatment of autism spectrum disorder. Primary care–based screening of all children for autism spectrum disorder and referring them for services may reduce racial/ethnic differences and improve care. REAL-START, a yearlong screening intervention, was effective in increasing screening for autism spectrum disorder and general developmental delays, increasing therapy referrals, and shortening time for developmental assessment in primary care clinics with Latino patients.

Irritability and Problem Behavior in Autism Spectrum Disorder: A Practice Pathway for Pediatric Primary Care

PEDIATRICS ◽  
2016 ◽  
Vol 137 (Supplement) ◽  
pp. S136-S148 ◽  
Author(s):  
K. McGuire ◽  
L. K. Fung ◽  
L. Hagopian ◽  
R. A. Vasa ◽  
R. Mahajan ◽  
...  
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Problem Behavior ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Pediatric Primary Care

scholarly journals FASTER and SCOTT&EVA trainings for adults with high-functioning autism spectrum disorder (ASD): study protocol for a randomized controlled trial

Trials ◽  
2021 ◽  
Vol 22 (1) ◽  
Author(s):  
Ludger Tebartz van Elst ◽  
Thomas Fangmeier ◽  
Ulrich Max Schaller ◽  
Oliver Hennig ◽  
Meinhard Kieser ◽  
...  
Keyword(s):  
Autism Spectrum Disorder ◽  
Social Communication ◽  
Primary Outcome ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Social Responsiveness ◽  
Evidence Based ◽  
Computer Based Training ◽  
Randomized Controlled ◽  
Computer Based

Abstract Background Autism spectrum disorder (ASD) is a chronic neurodevelopmental condition with a prevalence rate above 1%, characterized by deficits in social communication and interaction; restrictive, repetitive patterns of behavior, interests, or activities; and a preference for sameness and routines. The majority of adult ASD patients suffer from comorbid conditions such as depression and anxiety. Therapy options for adult ASD patients are lacking, with presently no available evidence-based interventions in Germany. Recently, two interventions to improve social responsiveness have been published. FASTER (“Freiburger Asperger-Spezifische Therapie für ERwachsene” = Freiburg Asperger-specific therapy for adults) is a manualized group psychotherapy program including three modules on psychoeducation, stress regulation management, and non-verbal and verbal social communication training with videotaped tasks. SCOTT&EVA (“Social Cognition Training Tool”, and its enhancement “Emotionen Verstehen und Ausdruecken” = understanding and expressing emotions) is a computer-based training program to enhance social cognition including video and audio material of emotional expressions and complex real-life social situations. Initial studies for both programs have shown good feasibility and efficacy. Methods Three hundred sixty adult participants with an autism spectrum disorder (ASD) will take part in a randomized controlled three-armed multi-center trial to prove the efficacy of manualized group psychotherapy and a manualized computer-based training program. Both interventions will be compared with a treatment as usual (TAU) group, aiming to establish evidence-based psychotherapy approaches for adult individuals with ASD. The primary outcome is evaluated by parents, spouses, or others who have sufficient insight into the respective participant’s social communication and interaction, and will be measured with the Social Responsiveness Scale. First, each of both interventions will be compared to TAU. If at least one of the differences is significant, both interventions will be compared against each other. The primary outcome will be measured at baseline (T0) and 4 months after baseline (T1). Discussion The trial is the first to validate psychiatric therapeutic and training interventions for adult ASD patients in Germany. A trial is needed because the prevalence of ASD in adulthood without intellectual disability is high, and no evidence-based intervention can be offered in Germany. Trial registration German Clinical Trial Register DRKS00017817. Registered on 20 April 2020.

To reduce the average age of autism diagnosis, screen preschoolers in primary care

Autism ◽  
2020 ◽  
pp. 136236132096897
Author(s):  
Katharine E Zuckerman ◽  
Sarabeth Broder-Fingert ◽  
R Christopher Sheldrick
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Low Income ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Additional Treatment ◽  
Spectrum Disorder ◽  
Screening Tools ◽  
Care Providers ◽  
Minority Children

The American Academy of Pediatrics recommends autism spectrum disorder screening at the 18- and 24-month well-child visits. However, despite widespread toddler screening, many children are not diagnosed until school age, and delayed diagnosis is more common among low-income and minority children. Offering autism spectrum disorder screening at preschool well-child checks might reduce disparities and lower the overall age of diagnosis and service initiation. However, screening tools that span the preschool ages and are tailored for primary care are needed. Lay abstract Pediatric primary care providers check for autism signs, usually using a standard checklist, at 18- and 24-month well-child visits. When the checklist shows possible autism, children should be referred for additional treatment and evaluation with an autism specialist. However, many children with autism spectrum disorder are not detected as toddlers. Low-income and minority children are particularly likely to have a late autism spectrum disorder diagnosis. Checking for autism at preschool-aged well-child visits might be one way to identify autism spectrum disorder earlier, especially for low-income and minority children.

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