A Preliminary Trial of an Early Surveillance Program for Autism and Developmental Delays within General Practices.

There are inequities in engagement with established early childhood developmental surveillance programs, eclipsing disadvantaged families. The current study sought to address this by dovetailing developmental surveillance with immunization visits and other opportunistic contacts with children at gen...

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Published in:Journal of Developmental & Physical Disabilities Vol. 37; no. 2; pp. 279 - 290
Main Authors: Karlov, Lisa, Masi, Anne, Diaz, Antonia Mendoza, Khan, Feroza, Winata, Teresa, Gilbert, Melissa, Nair, Radhika, Dissanayake, Cheryl, Barbaro, Josephine, Eapen, Valsamma, Abdullahi, Ifrah, Descallar, Joseph, Eastwood, John, Hasan, Iqbal, Jalaludin, Bin, Kohlhoff, Jane, Liaw, S. T., Lingam, Raghu, Ong, Natalie, Tam, Chun Wah Michael
Format: research tables/charts Journal Article
Published: Springer Nature Apr2025
Online Access:View this record in EBSCOhost
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      dt: Apr2025
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      pub: Springer Nature
      place: New York, New York
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        10.1007/s10882-024-09952-w
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        atl: A Preliminary Trial of an Early Surveillance Program for Autism and Developmental Delays within General Practices.
      aug:
        au:
          Karlov, Lisa
          Masi, Anne
          Diaz, Antonia Mendoza
          Khan, Feroza
          Winata, Teresa
          Gilbert, Melissa
          Nair, Radhika
          Dissanayake, Cheryl
          Barbaro, Josephine
          Eapen, Valsamma
          Abdullahi, Ifrah
          Descallar, Joseph
          Eastwood, John
          Hasan, Iqbal
          Jalaludin, Bin
          Kohlhoff, Jane
          Liaw, S. T.
          Lingam, Raghu
          Ong, Natalie
          Tam, Chun Wah Michael
        affil: https://ror.org/05j37e495 Academic Unit of Psychiatry, Infant Child and Adolescent Mental Health Services, South Western Sydney Local Health District, Sydney, NSW, Australia
      sug:
        subj:
          Family Practice New South Wales
          Autism Spectrum Disorder Diagnosis
          Developmental Disabilities Diagnosis
          Early Diagnosis
          Health Screening
          Program Implementation Evaluation
          Outcomes (Health Care) Evaluation
          Human
          Funding Source
          New South Wales
          Infant Care
          Immunization
          Office Visits
          Disease Surveillance
          Health Services Accessibility
          Descriptive Statistics
          Interview Guides
          Scales
          Clinical Assessment Tools
      ab: There are inequities in engagement with established early childhood developmental surveillance programs, eclipsing disadvantaged families. The current study sought to address this by dovetailing developmental surveillance with immunization visits and other opportunistic contacts with children at general practices). While 53 General Practices were recruited, significant COVID-19 disruptions resulted in only 81 children being screened (both parent-administered and GP completed). Of the 81 children, 11 screened positive and all of them along with 5% of screen negatives (i.e. 4 children) received clinician-administered reference-standard assessment for autism and developmental delay (DD) using Autism Diagnostic Observation Schedule (ADOS), Autism Diagnostic Interview Schedule –Revised (ADI-R), and Mullen Scales of Early Learning (MSEL). All children found by reference-standard assessment to have probable autism and/or DD had screened positive during the screening process, and 90.9% of children who screened positive were found by reference-standard assessment to have probable DD or autism. The findings provide early evidence for the feasibility and usefulness of parent completed and GP administered developmental measures during opportunistic contacts with GPs as a promising method to facilitate early identification of DD or autism.
      pubtype: Academic Journal
      doctype:
        research
        tables/charts
        Journal Article
      ougenre: Article
    language: English
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