ECHO Autism STAT: Accelerating Early Access to Autism Diagnosis
Although early diagnosis of autism is critical for promoting access to early intervention, many children experience significant diagnostic delays. Shortages of healthcare providers, limited capacity at autism centers, and geographic and socioeconomic challenges contribute to these delays. The curren...
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Veröffentlicht in: | Journal of autism and developmental disorders 2019-01, Vol.49 (1), p.127-137 |
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creator | Mazurek, Micah O. Curran, Alicia Burnette, Courtney Sohl, Kristin |
description | Although early diagnosis of autism is critical for promoting access to early intervention, many children experience significant diagnostic delays. Shortages of healthcare providers, limited capacity at autism centers, and geographic and socioeconomic challenges contribute to these delays. The current pilot study examined the feasibility of a new model for training community-based primary care providers (PCPs) in underserved areas in screening and diagnosis of young children at highest risk for autism. By combining hands-on training in standardized techniques with ongoing virtual mentorship and practice, the program emphasized both timely diagnosis and appropriate referral for more comprehensive assessment when necessary. Results indicated improvements in PCP practice and self-efficacy, and feasibility of the model for enhancing local access to care. |
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Shortages of healthcare providers, limited capacity at autism centers, and geographic and socioeconomic challenges contribute to these delays. The current pilot study examined the feasibility of a new model for training community-based primary care providers (PCPs) in underserved areas in screening and diagnosis of young children at highest risk for autism. By combining hands-on training in standardized techniques with ongoing virtual mentorship and practice, the program emphasized both timely diagnosis and appropriate referral for more comprehensive assessment when necessary. Results indicated improvements in PCP practice and self-efficacy, and feasibility of the model for enhancing local access to care.</description><identifier>ISSN: 0162-3257</identifier><identifier>EISSN: 1573-3432</identifier><identifier>DOI: 10.1007/s10803-018-3696-5</identifier><identifier>PMID: 30043354</identifier><language>eng</language><publisher>New York: Springer US</publisher><subject>Adult ; Aged ; Autism ; Autistic children ; Autistic Disorder - diagnosis ; Autistic Disorder - epidemiology ; Autistic Disorder - therapy ; Behavioral Science and Psychology ; Child ; Child and School Psychology ; Child, Preschool ; Children ; Clinical Diagnosis ; Community health care ; Community Health Services - methods ; Community Health Services - trends ; Computer Uses in Education ; Diagnosis ; Early Diagnosis ; Early experience ; Early intervention ; Experiential Learning ; Feasibility ; Feasibility Studies ; Female ; Health Personnel ; Health screening ; Humans ; Infant ; Infant, Newborn ; Instructional Effectiveness ; Male ; Medical diagnosis ; Medical personnel ; Medical screening ; Mentoring ; Mentors ; Methods ; Middle Aged ; Neurosciences ; Original Paper ; Pediatric research ; Pediatrics ; Pervasive Developmental Disorders ; Physicians, Primary Care - trends ; Pilot Projects ; Primary care ; Primary Health Care ; Primary Health Care - methods ; Primary Health Care - trends ; Psychology ; Public Health ; Referral and Consultation - trends ; Risk assessment ; Self Efficacy ; Shortages ; Training ; Underserved populations</subject><ispartof>Journal of autism and developmental disorders, 2019-01, Vol.49 (1), p.127-137</ispartof><rights>Springer Science+Business Media, LLC, part of Springer Nature 2018</rights><rights>COPYRIGHT 2019 Springer</rights><rights>Journal of Autism and Developmental Disorders is a copyright of Springer, (2018). All Rights Reserved.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c532t-9ab623124191b6b42508b5580cd6245f581772124d5d29da28354f4c1be890ac3</citedby><cites>FETCH-LOGICAL-c532t-9ab623124191b6b42508b5580cd6245f581772124d5d29da28354f4c1be890ac3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s10803-018-3696-5$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s10803-018-3696-5$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>315,781,785,12851,27929,27930,31004,41493,42562,51324</link.rule.ids><backlink>$$Uhttp://eric.ed.gov/ERICWebPortal/detail?accno=EJ1202709$$DView record in ERIC$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/30043354$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Mazurek, Micah O.</creatorcontrib><creatorcontrib>Curran, Alicia</creatorcontrib><creatorcontrib>Burnette, Courtney</creatorcontrib><creatorcontrib>Sohl, Kristin</creatorcontrib><title>ECHO Autism STAT: Accelerating Early Access to Autism Diagnosis</title><title>Journal of autism and developmental disorders</title><addtitle>J Autism Dev Disord</addtitle><addtitle>J Autism Dev Disord</addtitle><description>Although early diagnosis of autism is critical for promoting access to early intervention, many children experience significant diagnostic delays. Shortages of healthcare providers, limited capacity at autism centers, and geographic and socioeconomic challenges contribute to these delays. The current pilot study examined the feasibility of a new model for training community-based primary care providers (PCPs) in underserved areas in screening and diagnosis of young children at highest risk for autism. By combining hands-on training in standardized techniques with ongoing virtual mentorship and practice, the program emphasized both timely diagnosis and appropriate referral for more comprehensive assessment when necessary. Results indicated improvements in PCP practice and self-efficacy, and feasibility of the model for enhancing local access to care.</description><subject>Adult</subject><subject>Aged</subject><subject>Autism</subject><subject>Autistic children</subject><subject>Autistic Disorder - diagnosis</subject><subject>Autistic Disorder - epidemiology</subject><subject>Autistic Disorder - therapy</subject><subject>Behavioral Science and Psychology</subject><subject>Child</subject><subject>Child and School Psychology</subject><subject>Child, Preschool</subject><subject>Children</subject><subject>Clinical Diagnosis</subject><subject>Community health care</subject><subject>Community Health Services - methods</subject><subject>Community Health Services - trends</subject><subject>Computer Uses in Education</subject><subject>Diagnosis</subject><subject>Early Diagnosis</subject><subject>Early experience</subject><subject>Early intervention</subject><subject>Experiential Learning</subject><subject>Feasibility</subject><subject>Feasibility Studies</subject><subject>Female</subject><subject>Health Personnel</subject><subject>Health screening</subject><subject>Humans</subject><subject>Infant</subject><subject>Infant, Newborn</subject><subject>Instructional Effectiveness</subject><subject>Male</subject><subject>Medical diagnosis</subject><subject>Medical personnel</subject><subject>Medical screening</subject><subject>Mentoring</subject><subject>Mentors</subject><subject>Methods</subject><subject>Middle Aged</subject><subject>Neurosciences</subject><subject>Original Paper</subject><subject>Pediatric research</subject><subject>Pediatrics</subject><subject>Pervasive Developmental Disorders</subject><subject>Physicians, Primary Care - trends</subject><subject>Pilot Projects</subject><subject>Primary care</subject><subject>Primary Health Care</subject><subject>Primary Health Care - methods</subject><subject>Primary Health Care - trends</subject><subject>Psychology</subject><subject>Public Health</subject><subject>Referral and Consultation - trends</subject><subject>Risk assessment</subject><subject>Self Efficacy</subject><subject>Shortages</subject><subject>Training</subject><subject>Underserved populations</subject><issn>0162-3257</issn><issn>1573-3432</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2019</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>7QJ</sourceid><sourceid>8G5</sourceid><sourceid>ABUWG</sourceid><sourceid>AFKRA</sourceid><sourceid>AZQEC</sourceid><sourceid>BENPR</sourceid><sourceid>CCPQU</sourceid><sourceid>DWQXO</sourceid><sourceid>GNUQQ</sourceid><sourceid>GUQSH</sourceid><sourceid>M2O</sourceid><recordid>eNp1kktv1DAUhS0EokPhB7AARXQDi5RrO05sNigaBlpUqRId1pbjOJGrPIqdSO2_5w5piwYN8sLSPd996OgQ8prCKQUoPkYKEngKVKY8V3kqnpAVFQVPecbZU7ICmrOUM1EckRcxXgOAkow9J0ccIONcZCvyebM-u0zKefKxT6625fZTUlrrOhfM5Ic22ZjQ3f0pxZhM4wP5xZt2GKOPL8mzxnTRvbr_j8nPr5vt-iy9uPx2vi4vUis4m1JlqpxxyjKqaJVXGRMgKyEk2DpnmWiEpEXBUK9FzVRtmMTrmszSykkFxvJj8n6ZexPGX7OLk-59xDs7M7hxjppBgQuUAorou3_Q63EOA16HlODAJc8ROlmg1nRO-6EZp2DsbqYuBXopWC53o9IDVOsGtKcbB9d4LO_xpwd4fLXrvT3Y8GGvAZnJ3U6tmWPU51c_9lm6sDaMMQbX6JvgexPuNAW9y4Ne8qAxD3qXBy2w5-29F3PVu_qx4yEACLxZABe8fZQ33ykDVoBCnS16RG1oXfhr5v-3_gbMQsIH</recordid><startdate>20190101</startdate><enddate>20190101</enddate><creator>Mazurek, Micah O.</creator><creator>Curran, Alicia</creator><creator>Burnette, Courtney</creator><creator>Sohl, Kristin</creator><general>Springer US</general><general>Springer</general><general>Springer Nature B.V</general><scope>7SW</scope><scope>BJH</scope><scope>BNH</scope><scope>BNI</scope><scope>BNJ</scope><scope>BNO</scope><scope>ERI</scope><scope>PET</scope><scope>REK</scope><scope>WWN</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>ISR</scope><scope>0-V</scope><scope>3V.</scope><scope>7QJ</scope><scope>7RV</scope><scope>7TK</scope><scope>7X7</scope><scope>7XB</scope><scope>88B</scope><scope>88E</scope><scope>88G</scope><scope>88J</scope><scope>8A4</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>8G5</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>ALSLI</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>CJNVE</scope><scope>DWQXO</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>GNUQQ</scope><scope>GUQSH</scope><scope>HEHIP</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0P</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>M2M</scope><scope>M2O</scope><scope>M2R</scope><scope>M2S</scope><scope>MBDVC</scope><scope>NAPCQ</scope><scope>PQEDU</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>PRINS</scope><scope>PSYQQ</scope><scope>Q9U</scope><scope>7X8</scope></search><sort><creationdate>20190101</creationdate><title>ECHO Autism STAT: Accelerating Early Access to Autism Diagnosis</title><author>Mazurek, Micah O. ; Curran, Alicia ; Burnette, Courtney ; Sohl, Kristin</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c532t-9ab623124191b6b42508b5580cd6245f581772124d5d29da28354f4c1be890ac3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2019</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Autism</topic><topic>Autistic children</topic><topic>Autistic Disorder - diagnosis</topic><topic>Autistic Disorder - epidemiology</topic><topic>Autistic Disorder - therapy</topic><topic>Behavioral Science and Psychology</topic><topic>Child</topic><topic>Child and School Psychology</topic><topic>Child, Preschool</topic><topic>Children</topic><topic>Clinical Diagnosis</topic><topic>Community health care</topic><topic>Community Health Services - methods</topic><topic>Community Health Services - trends</topic><topic>Computer Uses in Education</topic><topic>Diagnosis</topic><topic>Early Diagnosis</topic><topic>Early experience</topic><topic>Early intervention</topic><topic>Experiential Learning</topic><topic>Feasibility</topic><topic>Feasibility Studies</topic><topic>Female</topic><topic>Health Personnel</topic><topic>Health screening</topic><topic>Humans</topic><topic>Infant</topic><topic>Infant, Newborn</topic><topic>Instructional Effectiveness</topic><topic>Male</topic><topic>Medical diagnosis</topic><topic>Medical personnel</topic><topic>Medical screening</topic><topic>Mentoring</topic><topic>Mentors</topic><topic>Methods</topic><topic>Middle Aged</topic><topic>Neurosciences</topic><topic>Original Paper</topic><topic>Pediatric research</topic><topic>Pediatrics</topic><topic>Pervasive Developmental Disorders</topic><topic>Physicians, Primary Care - trends</topic><topic>Pilot Projects</topic><topic>Primary care</topic><topic>Primary Health Care</topic><topic>Primary Health Care - methods</topic><topic>Primary Health Care - trends</topic><topic>Psychology</topic><topic>Public Health</topic><topic>Referral and Consultation - trends</topic><topic>Risk assessment</topic><topic>Self Efficacy</topic><topic>Shortages</topic><topic>Training</topic><topic>Underserved populations</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Mazurek, Micah O.</creatorcontrib><creatorcontrib>Curran, Alicia</creatorcontrib><creatorcontrib>Burnette, Courtney</creatorcontrib><creatorcontrib>Sohl, Kristin</creatorcontrib><collection>ERIC</collection><collection>ERIC (Ovid)</collection><collection>ERIC</collection><collection>ERIC</collection><collection>ERIC (Legacy Platform)</collection><collection>ERIC( SilverPlatter )</collection><collection>ERIC</collection><collection>ERIC PlusText (Legacy Platform)</collection><collection>Education Resources Information Center (ERIC)</collection><collection>ERIC</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>Gale In Context: Science</collection><collection>ProQuest Social Sciences Premium Collection</collection><collection>ProQuest Central (Corporate)</collection><collection>Applied Social Sciences Index & Abstracts (ASSIA)</collection><collection>Nursing & Allied Health Database</collection><collection>Neurosciences Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Education Database (Alumni Edition)</collection><collection>Medical Database (Alumni Edition)</collection><collection>Psychology Database (Alumni)</collection><collection>Social Science Database (Alumni Edition)</collection><collection>Education Periodicals</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>Research Library (Alumni Edition)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>Social Science Premium Collection</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Education Collection</collection><collection>ProQuest Central Korea</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>ProQuest Central Student</collection><collection>Research Library Prep</collection><collection>Sociology Collection</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Education Database</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Psychology Database</collection><collection>Research Library</collection><collection>Social Science Database</collection><collection>Sociology Database</collection><collection>Research Library (Corporate)</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Education</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>ProQuest Central China</collection><collection>ProQuest One Psychology</collection><collection>ProQuest Central Basic</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of autism and developmental disorders</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Mazurek, Micah O.</au><au>Curran, Alicia</au><au>Burnette, Courtney</au><au>Sohl, Kristin</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><ericid>EJ1202709</ericid><atitle>ECHO Autism STAT: Accelerating Early Access to Autism Diagnosis</atitle><jtitle>Journal of autism and developmental disorders</jtitle><stitle>J Autism Dev Disord</stitle><addtitle>J Autism Dev Disord</addtitle><date>2019-01-01</date><risdate>2019</risdate><volume>49</volume><issue>1</issue><spage>127</spage><epage>137</epage><pages>127-137</pages><issn>0162-3257</issn><eissn>1573-3432</eissn><abstract>Although early diagnosis of autism is critical for promoting access to early intervention, many children experience significant diagnostic delays. Shortages of healthcare providers, limited capacity at autism centers, and geographic and socioeconomic challenges contribute to these delays. The current pilot study examined the feasibility of a new model for training community-based primary care providers (PCPs) in underserved areas in screening and diagnosis of young children at highest risk for autism. By combining hands-on training in standardized techniques with ongoing virtual mentorship and practice, the program emphasized both timely diagnosis and appropriate referral for more comprehensive assessment when necessary. Results indicated improvements in PCP practice and self-efficacy, and feasibility of the model for enhancing local access to care.</abstract><cop>New York</cop><pub>Springer US</pub><pmid>30043354</pmid><doi>10.1007/s10803-018-3696-5</doi><tpages>11</tpages></addata></record> |
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subjects | Adult Aged Autism Autistic children Autistic Disorder - diagnosis Autistic Disorder - epidemiology Autistic Disorder - therapy Behavioral Science and Psychology Child Child and School Psychology Child, Preschool Children Clinical Diagnosis Community health care Community Health Services - methods Community Health Services - trends Computer Uses in Education Diagnosis Early Diagnosis Early experience Early intervention Experiential Learning Feasibility Feasibility Studies Female Health Personnel Health screening Humans Infant Infant, Newborn Instructional Effectiveness Male Medical diagnosis Medical personnel Medical screening Mentoring Mentors Methods Middle Aged Neurosciences Original Paper Pediatric research Pediatrics Pervasive Developmental Disorders Physicians, Primary Care - trends Pilot Projects Primary care Primary Health Care Primary Health Care - methods Primary Health Care - trends Psychology Public Health Referral and Consultation - trends Risk assessment Self Efficacy Shortages Training Underserved populations |
title | ECHO Autism STAT: Accelerating Early Access to Autism Diagnosis |
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