Logo image
Back
Effect of Brief Training to Identify Autism Spectrum Disorder During Toddler Well-Child Care Visits
Journal article   Open access   Peer reviewed

Effect of Brief Training to Identify Autism Spectrum Disorder During Toddler Well-Child Care Visits

Andrea Trubanova Wieckowski, Rebecca P Thomas, Chi-Ming A Chen, Ashley Zitter, Deborah A Fein, Marianne L Barton, Lauren B Adamson and Diana L Robins
Journal of developmental and behavioral pediatrics, v 42(8), pp 666-671
Oct 2021
DOI: https://doi.org/10.1097/DBP.0000000000000938
PMID: 34618724
Featured in Collection :   UN Sustainable Development Goals @ Drexel
url
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8497937View
Accepted (AM)Open Access (License Unspecified),  Open

Abstract

Autism Spectrum Disorder - diagnosis Child Child Care Child, Preschool Humans Mass Screening Social Behavior
To examine the effect of a brief Enhanced training using the information-motivation-behavior (IMB) change model on improving providers' surveillance rates and accuracy of autism spectrum disorder (ASD) detection. Toddlers (n = 5,672) were screened for ASD during their pediatric well-child visits. Pediatric providers (n = 120) were randomized to receive Enhanced (incorporating components of the IMB model) or Control training. Providers indicated whether they had an ASD concern at each well-child visit. Toddlers who were positive on any screener and/or whose provider indicated ASD concern were invited for a diagnostic evaluation. Differences in provider-indicated ASD concerns before and after training were evaluated using log-linear analyses. The Enhanced training did not have a significant effect on provider-endorsed ASD concerns (p = 0.615) or accuracy of endorsing concerns (p = 0.619). Providers in the Control training showed a significant reduction in indicating whether or not they had concerns after the training (from 71.9% to 64.3%), which did not occur in the Enhanced group. The Enhanced training led to more frequent endorsements of language (χ2 = 8.772, p = 0.003) and restricted and repetitive behavior (χ2 = 7.918, p = 0.005) concerns for children seen after training. Provider training had limited impact on ASD surveillance, indicating the importance of using formal screening instruments that rely on parent report during well-child visits to complement developmental surveillance. Future research should examine whether providers who indicate specific concerns are more likely to accurately refer children for ASD evaluations.

Metrics

12 Record Views
1 citations in Web of Science
1 citations in Scopus

Details

UN Sustainable Development Goals (SDGs)

This publication has contributed to the advancement of the following goals:

#3 Good Health and Well-Being

InCites Highlights

Data related to this publication, from InCites Benchmarking & Analytics tool:

Collaboration types
Domestic collaboration
Web of Science research areas
Behavioral Sciences
Pediatrics
Psychology, Developmental
Logo image