Tools for early screening of autism spectrum disorders in primary health care – a scoping review

Sobieski, Mateusz; Sobieska, Aleksandra; Sekułowicz, Małgorzata; Bujnowska–Fedak, Maria Magdalena

doi:10.1186/s12875-022-01645-7

Cited by 17 publications

(22 citation statements)

References 152 publications

(98 reference statements)

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“…Acknowledging the importance of the prevalence of FASD, general practitioners are in the front line both for the detection and diagnosis of FASD and for the message of prevention to women of childbearing age [ 18 , 19 ] as well as for the follow-up [ 20 – 24 ]. In contrast to another form of neurodevelopmental disorder, such as autism spectrum disorder, articles published in peer-reviewed journals related to the prevention actions of FASD by the general practitioner have not yet been included in a scoping review [ 25 ].…”

Section: Introductionmentioning

confidence: 99%

Scoping review on the role of the family doctor in the prevention and care of patients with foetal alcohol spectrum disorder

Leruste,

Doray,

Maillard

et al. 2024

BMC Prim. Care

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Background Foetal alcohol spectrum disorder (FASD) is the leading preventable cause of nongenetic mental disability. Given the patient care pathway, the General Practitioner (GP) is in the front line of prevention and identification of FASD. Acknowledging the importance of the prevalence of FASD, general practitioners are in the front line both for the detection and diagnosis of FASD and for the message of prevention to women of childbearing age as well as for the follow-up. Objectives The main objective of the scoping review was to propose a reference for interventions that can be implemented by a GP with women of childbearing age, their partners and patients with FASD. The final aim of this review is to contribute to the improvement of knowledge and quality of care of patients with FASD. Methods A scoping review was performed using databases of peer-reviewed articles following PRISMA guidelines. The search strategy was based on the selection and consultation of articles on five digital resources. The advanced search of these publications was established using the keywords for different variations of FASD: "fetal alcohol syndrome," "fetal alcohol spectrum disorder," "general medicine," "primary care," "primary care"; searched in French and English. Results Twenty-three articles meeting the search criteria were selected. The interventions of GPs in the management of patients with FASD are multiple: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. FASD seems still underdiagnosed. Conclusion The interventions of GPs in the management of patients with FASD are comprehensive: prevention, identification, diagnosis, follow-up, education, and the role of coordinator for patients, their families, and pregnant women and their partners. Prevention interventions would decrease the incidence of FASD, thereby reducing the incidence of mental retardation, developmental delays, and social, educational and legal issues. A further study with a cluster randomized trial with a group of primary care practitioners trained in screening for alcohol use during pregnancy would be useful to measure the impact of training on the alcohol use of women of childbearing age and on the clinical status of their children.

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Section: Introductionmentioning

confidence: 99%

Scoping review on the role of the family doctor in the prevention and care of patients with foetal alcohol spectrum disorder

Leruste,

Doray,

Maillard

et al. 2024

BMC Prim. Care

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“…The etiology of ASD is unknown, genetics, infection, and metabolic factors are effective in the formation of this disorder. These disorders occur in all 2 races, ethnic, and socioeconomic groups (1). The prevalence of ASD is still not clear, but the World Health has estimated its prevalence as 1 in every 160 children worldwide.…”

Section: Introductionmentioning

confidence: 99%

“…The prevalence of ASD is still not clear, but the World Health has estimated its prevalence as 1 in every 160 children worldwide. However, this prevalence varies from country to country, 3.13% in Iceland, 1.7% in the United States, 1.14% in Qatar, and 0.06% in Iran (1). The symptoms of this disorder appear early in life and around 30 months of age, and in fact, families report the initial onset of symptoms at 16 to 20 months of age (2).…”

Section: Introductionmentioning

confidence: 99%

“…Diagnosing ASD is a long-term and multistep process that includes examining the child's behaviors. It is possible to diagnose and screen these disorders by using different tools (1). Although ASD can be diagnosed before the age of 3, many children are not diagnosed until the age of 5, and this delay in diagnosis has a wide impact on the health of society (3).…”

Section: Introductionmentioning

confidence: 99%

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Psychometric properties of Autism Spectrum Disorders Screening Assessment Tools: Systematic Review

Ehteshami,

Mirzakhani,

Pashmdarfard

2023

MJIRI

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Background: Due to the prevalence of autism spectrum disorder (ASD), these children must be screened as soon as possible and receive the necessary and appropriate treatment. The purpose of this study was to examine all the ASD screening tools and examine their psychometric properties in available languages.Methods: This was a systematic review using the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines to review the articles published between 2000 and 2023 and were published in PubMed, EMBASE, ProQuest, and Scopus databases. English keywords were as follows: autism spectrum disorders (ASD), screening/screen, tools, psychometric properties, validity, reliability, translations, pervasive developmental disorders (PDD), and children. The COnsensus -based Standards for the selection of health Measurement Instruments (COSMIN) checklist were used to investigate the psychometric properties of the studies.Results: Among the 476 primary studies, 35 ASD screening tools (132 articles related to the psychometric properties of 35 ASD screening tools in different languages) were identified based on our criteria, and their psychometric properties were examined. Various tools, including performance-based, direct observation, interactive play, and parent and teacher reports tools, were included in the list of tools.Conclusion: Considering that each of these tools has advantages and limitations, they need to be selected and used according to the goals of the researchers and the therapists. Another important point is that many of these tools still need more extensive studies in relation to their psychometric properties.

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“…Autism spectrum disorder (ASD) is a neurodevelopmental disorder mainly involving impairments in language, communication, and social interaction. The patient with ASD shows narrow interests, stereotyped and repetitive behaviors, including a set of different neurodevelopmental alterations linked to abnormal brain development that begins already in the fetal period, long before the child's birth (1)(2)(3)(4).…”

Section: Introductionmentioning

confidence: 99%

Insights on dental care management and prevention in children with autism spectrum disorder (ASD). What is new?

Zerman

Zotti²,

Chirumbolo³

et al. 2022

Front. Oral. Health

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Autistic subjects represent a severe concern to dentistry due to the considerable difficulty in managing their oral health, maintaining routine toothbrushing, and preventing dental and periodontal problems. The social and economic burden of managing dental care in autism spectrum disorder (ASD) children is particularly cumbersome for families and public and private health expenditure, especially when children reach the dentist following a late diagnosis with evident oral health problems. An early diagnosis of ASD helps dentists better address these children's oral health. Unfortunately, insufficient attention is paid to the training and education of general pediatricians, dentists, and dental hygienists, allowing them to get to approach the different clinical aspects of ASD. Usually, children diagnosed with ASD are scheduled for dental appointments like their neurotypical peers, whereas their needs are typically complex and personalized. Scant attention is also devoted to these patients by commercial manufacturers of dental products and devices for oral hygiene and prevention of caries and periodontal diseases, leaving parents without the support and often failing when they address the oral health of autistic children. The difficulties of oral care do not derive simply from the behavior of ASD patients, as is commonly assumed, and therefore cannot be overcome solely by the patience and attention of parents and dentists. Genetics, dietary habits, sensory impairments, and cognition disorders are other causes contributing in various degrees to the impact on the mood and psychological reactions of autistic children towards dentists. How can we prevent teeth caries, periodontal disorders, and other oral health impairments by properly managing ASD children? This manuscript gives an up-to-date overview of these problems and helps to provide good remarks.

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Tools for early screening of autism spectrum disorders in primary health care – a scoping review

Cited by 17 publications

References 152 publications

Scoping review on the role of the family doctor in the prevention and care of patients with foetal alcohol spectrum disorder

Scoping review on the role of the family doctor in the prevention and care of patients with foetal alcohol spectrum disorder

Psychometric properties of Autism Spectrum Disorders Screening Assessment Tools: Systematic Review

Insights on dental care management and prevention in children with autism spectrum disorder (ASD). What is new?

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