Autism spectrum disorder in primary care

2018 ◽  
Vol 43 (2) ◽  
pp. 28-29
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Autism Spectrum ◽  
Spectrum Disorder

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.

scholarly journals Importância da implantação de questionários para rastreamento e diagnóstico precoce do transtorno do espectro autista (TEA) na atenção primária / Importance of implementing questionnaires for screening and early diagnosis of autism spectrum disorder (ASD) in primary care

2021 ◽  
Vol 4 (2) ◽  
pp. 8364-8377
Author(s):  
Priscilla Leticia Sales Pereira ◽  
Eduardo Henrique Souza Xavier Quintela ◽  
Thainara Marques Chiamulera ◽  
Ana Karoline Figueiredo David ◽  
Giovanna Araujo Souza ◽  
...  
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Early Diagnosis ◽  
Autism Spectrum ◽  
Spectrum Disorder

scholarly journals Predictors of Caregivers’ Satisfaction with the Management of Children with Autism Spectrum Disorder: A Study at Multiple Levels of Health Care

2019 ◽  
Vol 16 (10) ◽  
pp. 1684 ◽  
Author(s):  
Nik Aida Nik Adib ◽  
Mohd Ismail Ibrahim ◽  
Azriani Ab Rahman ◽  
Raishan Shafini Bakar ◽  
Nor Azni Yahaya ◽  
...  
Keyword(s):  
Primary Care ◽  
Health Care ◽  
Autism Spectrum Disorder ◽  
Occupational Therapy ◽  
Tertiary Care ◽  
Children With Autism ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Care Level ◽  
Sleeping Problems

Background: Caregivers are the initial gatekeepers in the health care management of children with autism spectrum disorder (ASD). Methods: This cross-sectional study aimed to determine the factors associated with caregivers’ satisfaction with different levels of health care services in managing children with ASD in Kelantan. The satisfaction scores of 227 main caregivers of confirmed ASD children were assessed with a modified Parent Satisfaction Scale (PSS) questionnaire. Results: The analysis showed that caregivers who waited longer for a doctor’s consultation in primary care had a reduced PSS score, whereas caregivers who were satisfied with the waiting time in primary care had higher PSS scores. At the secondary care level, caregivers who possessed at least a diploma had reduced PSS scores, whereas caregivers who were satisfied with both doctors’ consultation times and occupational therapy appointments had higher PSS scores. At the tertiary care level, caregivers with an underlying medical problem and who had children undergoing occupational therapy for two months or more had reduced PSS scores. Nevertheless, the analysis showed that caregivers who were concerned with their children’s sleeping problems, who had been informed about parental support, who were satisfied with speech and occupational therapy appointments, who were satisfied with waiting times at tertiary care clinics, and who were satisfied with their doctor’s knowledge and experience had higher PSS scores. Conclusions: This study elucidated the importance of understanding caregivers’ satisfaction in attaining care for their ASD children and highlighted the need to promote factors that would increase caregivers’ satisfaction with current ASD services.

Screening Tools for Autism Spectrum Disorder in Primary Care: A Systematic Evidence Review

PEDIATRICS ◽  
2020 ◽  
Vol 145 (Supplement 1) ◽  
pp. S47-S59 ◽  
Author(s):  
Susan E. Levy ◽  
Audrey Wolfe ◽  
Daniel Coury ◽  
John Duby ◽  
Justin Farmer ◽  
...  
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Screening Tools ◽  
Evidence Review

Risk factors underlying depressive symptoms among parents/primary care providers of kids with autism spectrum disorder: A study from Muscat, Oman

2019 ◽  
Vol 55 (4) ◽  
pp. 600-606 ◽  
Author(s):  
Muna Alshekaili ◽  
Naser Al‐Balushi ◽  
Mohammed Al‐Alawi ◽  
Hassan Mirza ◽  
Salim Al‐Huseini ◽  
...  
Keyword(s):  
Risk Factors ◽  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Depressive Symptoms ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Care Providers

ECHO Autism Transition: Enhancing healthcare for adolescents and young adults with autism spectrum disorder

Autism ◽  
2019 ◽  
Vol 24 (3) ◽  
pp. 633-644 ◽  
Author(s):  
Micah O Mazurek ◽  
Gary Stobbe ◽  
Rachel Loftin ◽  
Beth A Malow ◽  
Mavara M Agrawal ◽  
...  
Keyword(s):  
Primary Care ◽  
Autism Spectrum Disorder ◽  
Young Adults ◽  
Primary Care Providers ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Care Providers ◽  
Adults With Autism ◽  
Youth And Young Adults ◽  
Young Adults With Autism

Transition-age youth and young adults with autism spectrum disorder have complex healthcare needs, yet the current healthcare system is not equipped to adequately meet the needs of this growing population. Primary care providers lack training and confidence in caring for youth and young adults with autism spectrum disorder. The current study developed and tested an adaptation of the Extension for Community Healthcare Outcomes model to train and mentor primary care providers ( n = 16) in best-practice care for transition-age youth and young adults with autism spectrum disorder. The Extension for Community Healthcare Outcomes Autism Transition program consisted of 12 weekly 1-h sessions connecting primary care providers to an interdisciplinary expert team via multipoint videoconferencing. Sessions included brief didactics, case-based learning, and guided practice. Measures of primary care provider self-efficacy, knowledge, and practice were administered pre- and post-training. Participants demonstrated significant improvements in self-efficacy regarding caring for youth/young adults with autism spectrum disorder and reported high satisfaction and changes in practice as a result of participation. By contrast, no significant improvements in knowledge or perceived barriers were observed. Overall, the results indicate that the model holds promise for improving primary care providers’ confidence and interest in working with transition-age youth and young adults with autism spectrum disorder. However, further refinements may be helpful for enhancing scope and impact on practice.

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