A Systematic Network of Autism Primary Care Services (SYNAPSE): A Model of Coproduction for the Management of Autism Spectrum Disorder

Kong, Xuejun; Li, Jun; Chien, Tiffany; Batalden, Maren; Hirsh, David

doi:10.1007/s10803-019-03922-4

Cited by 11 publications

(9 citation statements)

References 40 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It is possible that colocating services especially relevant to children with ASD (eg, speech therapy services, occupational therapy services) within primary care settings could improve coordination of care among families of children with ASD. This co-location of relevant services within the primary care setting is consistent with the Systematic Network of Autism Primary Care Services (SYNAPSE) model proposed by Kong and colleagues 25 , which incorporates elements of the medical home and healthcare coproduction, including obtaining input from caretakers of children with ASD when developing and implementing care protocols. Care coordinators embedded within a practice is another potential method to improve care coordination.…”

Section: Discussionsupporting

confidence: 64%

The Patient-Centered Medical Home: Mental Health and Parenting Stress in Mothers of Children With Autism

Limbers

Gutierrez

Cohen

2020

J Prim Care Community Health

View full text Add to dashboard Cite

Objective: This study examined the correlations between receiving care in patient-centered medical home and maternal reports of their mental health and parenting stress in a national sample of mothers of children with autism spectrum disorder (ASD). Method: Participants were 1108 mothers of children with ASD (average age = 10.6 years; 81% male) from the 2011-2012 National Survey of Children’s Health. Multiple linear regression analysis and polynomial logistic regression analysis were used to evaluate if having a child with ASD cared for in a patient-centered medical home was significantly associated with maternal reports of their parenting stress and mental health. We also assessed whether 5 indicators of the American Academy of Pediatrics medical home definition were differentially associated with maternal outcomes. Results: Receiving care in a patient-centered medical home was associated with maternal reports of less parenting stress (standardized β = −0.201; P < .001) and better mental health (odds ratios range from 0.204 to 0.360; P < .001) after controlling for sociodemographic variables. Of the 5 indicators of the medical home definition, only effective care coordination was significantly associated with maternal perceptions of their parenting stress and mental health. Conclusion: Future longitudinal studies are needed to assess the temporal associations between patient-centered medical home status and maternal perceptions of their mental health and parenting stress in mothers of children with ASD.

show abstract

Section: Discussionsupporting

confidence: 64%

The Patient-Centered Medical Home: Mental Health and Parenting Stress in Mothers of Children With Autism

Limbers

Gutierrez

Cohen

2020

J Prim Care Community Health

View full text Add to dashboard Cite

show abstract

“…ASD is a neurological and developmental disorder of uncertain etiopathogenesis. Recent research suggests that the gut microbiome [9][10][11][12][13], and to lesser extent, the oral microbiome [22][23][24] may play a role. As far as the latter is concerned, studies have been limited to the use of saliva which is site nonspecific, i.e.…”

Section: Discussionmentioning

confidence: 99%

“…Several studies have linked the gut microbiome to ASD [9][10][11][12][13] substantiating evidence for the so-called brain-gut-microbiome axis [14,15]. The latter refers, to the interactions between the central nervous system and gastrointestinal system, including its resident microbial community.…”

Section: Introductionmentioning

confidence: 92%

Tongue microbiome in children with autism spectrum disorder

Halboub

Homeida

Basode

et al. 2021

Journal of Oral Microbiology

View full text Add to dashboard Cite

Background:A few recent studies have characterized the salivary microbiome in association with Autism Spectrum Disorder (ASD). Here, we sought to assess if there is an association between the tongue microbiome and ASD. Methods: Tongue scrapping samples were obtained from 25 children with ASD and 38 neurotypical controls. The samples were sequenced for the 16S rRNA gene (V1-V3) and the resultant high-quality reads were assigned to the species-level using our previously described BLASTn-based algorithm. Downstream analyses of microbial profiles were conducted using QIIME, LEfSe, and R. Results: Independent of grouping, Prevotella, Streptococcus, Leptotrichia, Veillonella, Haemophilus and Rothia accounted for > 60% of the average microbiome. Haemophilus parainfluenzae, Rothia mucilaginosa, Prevotella melaninogenica and Neisseria flavescens/subflava were the most abundant species. Species richness and diversity did not significantly differ between the study groups. Thirteen species and three genera were differentially abundant between the two groups, e.g. enrichment of Actinomyces odontolyticus and Actinomyces lingnae and depletion of Campylobacter concisus and Streptococcus vestibularis in the ASD group. However, none of them withstood adjustment for multiple comparisons. Conclusion:The tongue microbiome of children with ASD was not significantly different from that of healthy control children, which is largely consistent with results from the literature.

show abstract

“…There is therefore a need for nurses and other healthcare professionals to ensure that care and support is timely, sensitive, supportive and evidence-based, with early signposting to, for example, information about ASD prognosis, interventions, education and local services and support networks (Crowe & Salt, 2015). In terms of design and delivery, nurses are in a prime position to co-produce services with fathers of children with ASD (Kong et al, 2020). This would enable nurse to develop and deliver evidence-informed programmes and local support groups and networks to provide information regarding ASD that are specific and responsive to the distinct needs of fathers (Dunlap & Filipek, 2020;Frye, 2016).…”

Section: Implications For Nursing Practicementioning

confidence: 99%

Experiences of fathers regarding the diagnosis of their child with autism spectrum disorder: A narrative review of the international research

Brown

Marsh

McCann

2021

Journal of Clinical Nursing

View full text Add to dashboard Cite

show abstract

A Systematic Network of Autism Primary Care Services (SYNAPSE): A Model of Coproduction for the Management of Autism Spectrum Disorder

Cited by 11 publications

References 40 publications

The Patient-Centered Medical Home: Mental Health and Parenting Stress in Mothers of Children With Autism

The Patient-Centered Medical Home: Mental Health and Parenting Stress in Mothers of Children With Autism

Tongue microbiome in children with autism spectrum disorder

Experiences of fathers regarding the diagnosis of their child with autism spectrum disorder: A narrative review of the international research

Contact Info

Product

Resources

About