The diagnosis of autism in community pediatric settings: Does advanced training facilitate practice change?

Swanson, Amy; Warren, Zachary; Stone, Wendy L.; Vehorn, Alison; Dohrmann, Elizabeth Howell; Humberd, Quentin

doi:10.1177/1362361313481507

Cited by 80 publications

(74 citation statements)

References 23 publications

(27 reference statements)

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“…Por lo tanto, este problema no solo compete a las familias sino a las entidades de salud, educación y al Gobierno. Obtener diagnósticos a tiempo, permite generar acciones e intervenciones que minimicen los costos de esta problemática (Belinchón, Hernández, & Sotillo, 2009;Knapp, Romeo & Beecham, 2009;Swanson et al, 2013).…”

Section: Discussionunclassified

Tamizaje del Síndrome de Asperger en estudiantes de dos ciudades de Colombia a través de las escalas CAST y ASSQ/ Childhood Asperger syndrome test in Colombian school children through cast questionnaire and ASSQ TESTS

2017

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Objetivo: Se realizó el tamizaje de niños y adolescentes estudiantes de Bucaramanga y Medellín con el fin de identificar manifestaciones del Síndrome de Asperger (SA). Método: Luego de la firma del consentimiento informado por parte de los padres, se escogió en forma aleatoria 1.600 padres de niños y adolescentes de instituciones educativas de Bucaramanga y Medellín. Se excluyeron los estudiantes con discapacidad intelectual. Las escalas CAST y ASSQ, útiles para la identificación de indicadores de riesgo para la presencia de SA, fueron aplicadas en diferente orden, considerándose positivos para SA los puntajes superiores o iguales a 15 para CAST y 22 para ASSQ. Para el análisis estadístico se usó Stata SE 12.1. Resultados: Se encontraron manifestaciones del SA en el 9,1 % de la muestra con la escala ASSQ (IC95 % 7,7 % a 10,6 %) y un 8,8 % con la escala CAST (IC95 % 7,2 % a 10,7 %). No se encontraron diferencias significativas por ciudad, estrato o edad; pero sí por sexo, siendo más frecuente en varones que en mujeres tanto en la escala CAST (ZW=-3.569, p<0.001) como en la ASSQ (ZW=-2.089, p=0.037). Discusión: Las dos escalas identificaron manifestaciones de SA siendo mayor la presencia en va- rones que en mujeres. Sin embargo, no se recomienda su uso en contexto clínico

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Section: Discussionunclassified

Tamizaje del Síndrome de Asperger en estudiantes de dos ciudades de Colombia a través de las escalas CAST y ASSQ/ Childhood Asperger syndrome test in Colombian school children through cast questionnaire and ASSQ TESTS

2017

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“…Na avaliação pós treinamento foi possível perceber mudanças significativas na atuação desses profissionais. Assim, houve um aumento de 85% na identificação desse transtorno em sua prática clínica (Swanson et al, 2013).…”

Section: Atuação Do Pediatra Na Realização Do Diagnósticounclassified

E agora Dr.? O pediatra diante do diagnóstico do Transtorno do Espectro Autista

Ferreira

Smeha

2018

PSIUNISC

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_________________________________________________________________________________ RESUMOO diagnóstico do Transtorno do Espectro Autista é realizado pela avaliação clínica, levando em consideração os critérios estabelecidos pelo Manual Diagnóstico e Estatístico de Transtornos Mentais (DSM V). O objetivo deste estudo foi identificar as percepções dos médicos pediatras sobre o diagnóstico e intervenção precoce nesse transtorno. Participaram do estudo oito pediatras. Os dados foram coletados com a utilização de um questionário sóciodemográfico e uma entrevista semiestruturada. Para analisar os dados foi utilizada a técnica de análise de conteúdo. Os resultados mostraram que apesar dos avanços no interesse e no conhecimento do diagnóstico do TEA pelos pediatras, ainda não foi suficiente para que eles realizem o referido diagnóstico e oportunizem a intervenção precoce. Palavras-chave:Transtorno do espectro autista. Diagnóstico. Intervenção precoce. RESUMENEl diagnóstico de Autism Spectrum Disorder se realiza mediante una evaluación clínica, teniendo en cuenta los criterios establecidos por el Diagnostic and Statistical Manual of Mental Disorders (DSM-V). El objetivo de este estudio fue identificar las percepciones de los pediatras sobre el diagnóstico y la intervención temprana en este desorden. Eight pediatría en el estudio. Los datos se utilizaron utilizando la sociodemográfica cuestionnaire y la entrevista semi-escrita. Para analizar la fecha, se utilizó la técnica de análisis de contenido. Los resultados obtenidos que demuestran que en el interés y el conocimiento del diagnóstico de ASD por pediatras, todavía no es suficiente para realizar este diagnóstico y para proporcionar una intervención temprana.Palabras-clave: Autismo. Diagnóstico. Intervención temprana.

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“…Kim & Lord, 2012). Staff training in the use of screening tools has been shown to increase expertise and diagnostic agreement in paediatric practice (Swanson et al, 2014). It is recommended in the National Autism Plan for Children [NAPC] (Le Couteur, Baird, & Mills, 2003) that in child services, at least one clinician in each area should be trained in one of the current diagnostic interviews and that staff should be trained in one of the currently recommended assessment tools, which could include observational tools.…”

Section: Introductionmentioning

confidence: 99%

A national study to investigate the clinical use of standardised instruments in autism spectrum disorder assessment of children and adults in Scotland

Rutherford

McKenzie

McClure

et al. 2016

Research in Autism Spectrum Disorders

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Background: There are few large scale studies about the nature and extent of the actual use of standardised assessments for Autism Spectrum Disorder diagnosis in clinical practice. This study compares and contrasts practice in diagnostic services for both adults and children. Method:We conducted an analysis of retrospective case notes from 150 cases (70 adult, 80 children) assessed for Autism Spectrum Disorder by 16 diagnostic services.Results: We found differences between adult and child services in staff training and use of standardised assessment during diagnosis. All child services had staff trained in and regularly using standardised assessments. Most adult services had staff trained in using instruments but only half used them regularly. Administration of standardised ASD assessments was ten times more likely in children than in adults (OR = 10.1; CI = 4.24, 24.0). Child services selected the ADOS as the standardised tool and Adult services selected the DISCO, with very little overlap. Decisions to administer standardised tools were not based on case complexity but rather the same process was applied to all referrals within a service. The three recommended components of assessment (clinical history, clinical observation and contextual information) were included for the majority of cases, although clinical observation was more frequently used with children than with adults. Conclusions:Based on the findings, we suggest a need for a wider range of appropriate assessments for use with adults, particularly those with an intellectual disability and for further research into the reasons behind the choices clinicians make during the assessment process. For child services in Scotland, there is a need for more training in use of current diagnostic interviews. Clinicians did not vary tools used based on complexity, suggesting that this is a notion still to be clearly defined and operationalised in clinical decision making about the use of standardised assessments.Key words: Autism Spectrum Disorder; Children; Adults; Assessment 2 Highlights  All child and most adult services had at least one clinician trained to use a standardised ASD assessment. Administration of standardised ASD diagnostic assessments was ten times more likely in children than in adults. ADOS was used almost exclusively by child services and DISCO was used in adult services.Other recommended tools were rarely or never used. The concept of case complexity remains undefined and this did not influence clinical decisions over administering standardised tools or not. Three recommended components of assessment (clinical history, clinical observation and contextual information) were used in most cases.3

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The diagnosis of autism in community pediatric settings: Does advanced training facilitate practice change?

Cited by 80 publications

References 23 publications

Tamizaje del Síndrome de Asperger en estudiantes de dos ciudades de Colombia a través de las escalas CAST y ASSQ/ Childhood Asperger syndrome test in Colombian school children through cast questionnaire and ASSQ TESTS

Tamizaje del Síndrome de Asperger en estudiantes de dos ciudades de Colombia a través de las escalas CAST y ASSQ/ Childhood Asperger syndrome test in Colombian school children through cast questionnaire and ASSQ TESTS

E agora Dr.? O pediatra diante do diagnóstico do Transtorno do Espectro Autista

A national study to investigate the clinical use of standardised instruments in autism spectrum disorder assessment of children and adults in Scotland

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