Journal article
Usual care for youth with autism spectrum disorder: Community-based providers' reported familiarity with treatment practices
Frontiers in psychiatry, v 13, pp 923025-923025
26 Jul 2022
PMCID: PMC9360540
PMID: 35958649
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
ObjectiveTo examine patterns and predictors of familiarity with transdisciplinary psychosocial (e.g., non-pharmacologic) practices for practitioners treating youths with autism spectrum disorder (ASD) in the United States. MethodPractitioners (n = 701) from behavioral, education, medical, and mental health backgrounds who worked with youth (ages 7-22) with ASD completed the Usual Care for Autism Survey, which assessed provider demographics and self-reported familiarity with transdisciplinary treatment practices for the most common referral problems of ASD. We examined relations between provider-, setting-, and client-level characteristics with familiarity of key groups of the treatment practices (practice sets). Practice sets were identified using exploratory factor analysis (EFA), and demographic predictors of practice subsets were examined using generalized estimating equations (GEE). ResultsThe EFA yielded a three-factor solution: (1) environmental modifications/antecedent strategies; (2) behavior analytic strategies; and (3) cognitive strategies, with overall familiarity ranked in this order. Medical providers indicated the least familiarity across disciplines. More experience with ASD and treating those with intellectual disabilities predicted greater familiarity with only environmental modifications/antecedent strategies and behavior analytic, but not cognitive strategies. Experience treating low SES clients predicted familiarity with environmental modification and behavior analytic strategies while experience treating high SES clients predicted familiarity with behavior analytic and cognitive strategies. ConclusionThis is the first study to identify transdisciplinary, interpretable sets of practices for treating youth with ASD based on community providers' reported familiarity. Results highlight factors associated with familiarity with practice sets, which is essential for mapping practice availability, and optimizing training and dissemination efforts for youth with ASD.
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Details
- Title
- Usual care for youth with autism spectrum disorder: Community-based providers' reported familiarity with treatment practices
- Creators
- Matthew D. Lerner - Stony Brook UniversityCynthia E. Brown - Stony Brook UniversityAksheya Sridhar - Michigan State UniversityJessica E. Tschida - Michigan State UniversityPeter Felsman - Stony Brook UniversityErin J. Libsack - Stony Brook UniversityConnor M. Kerns - University of British ColumbiaLauren J. Moskowitz - St. John's UniversityLatha Soorya - Rush University Medical CenterAllison Wainer - Rush University Medical CenterElizabeth Cohn - Hunter CollegeAmy Drahota - Michigan State University
- Publication Details
- Frontiers in psychiatry, v 13, pp 923025-923025
- Publisher
- Frontiers Media Sa
- Number of pages
- 13
- Grant note
- Pershing Charitable Trust K01MH093477; R01MH110585 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) K23HD087472 / Eunice Kennedy Shriver National Institute of Child Health and Human Development; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD) Brian Wright Memorial Autism Fund 381283 / Simons Foundation (SFARI) Adelphi University Center for Health Innovation
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000838288000001
- Scopus ID
- 2-s2.0-85135612770
- Other Identifier
- 991021861817804721
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- Collaboration types
- Domestic collaboration
- International collaboration
- Web of Science research areas
- Psychiatry