What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early Intervention.
U.S. guidelines for detecting autism emphasize screening and also incorporate clinical judgment. However, most research focuses on the former. Among 1,654 children participating in a multi-stage screening protocol for autism, we used mixed methods to evaluate: (1) the effectiveness of a clinical dec...
| Publicado en: | Journal of Autism & Developmental Disorders Vol. 49; no. 6; pp. 2304 - 2320 |
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| Autores principales: | , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jun2019
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=136787187&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 136787187 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01623257 AUT jtl: Journal of Autism & Developmental Disorders issn: 01623257 maglogo: N pubinfo: dt: Jun2019 vid: 49 iid: 6 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 136787187 136787187 136787187 10.1007/s10803-019-03913-5 136787187 ppf: 2304 ppct: 16 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early Intervention. aug: au: Sheldrick, R. Christopher Frenette, Elizabeth Vera, Juan Diego Mackie, Thomas I. Martinez-Pedraza, Frances Hoch, Noah Eisenhower, Abbey Fettig, Angel Carter, Alice S. affil: Department of Health Law, Policy and Management, School of Public Health, Boston University, One Silber Way, 02215, Boston, MA, USA sug: subj: Autism Spectrum Disorder Diagnosis Health Screening Early Intervention Autism Spectrum Disorder Therapy Human Parental Attitudes Physician Attitudes Decision Making, Shared Cost Benefit Analysis Referral and Consultation Qualitative Studies Decision Making, Clinical Process Assessment (Health Care) ab: U.S. guidelines for detecting autism emphasize screening and also incorporate clinical judgment. However, most research focuses on the former. Among 1,654 children participating in a multi-stage screening protocol for autism, we used mixed methods to evaluate: (1) the effectiveness of a clinical decision rule that encouraged further assessment based not only on positive screening results, but also on parent or provider concern, and (2) the influence of shared decision-making on screening administration. Referrals based on concern alone were cost-effective in the current study, and reported concerns were stronger predictors than positive screens of time-to-complete referrals. Qualitative analyses suggest a dynamic relationship between parents' concerns, providers' concerns, and screening results that is central to facilitating shared decision-making and influencing diagnostic assessment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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