Improving Autism and Developmental Screening and Referral in US Primary Care Practices Serving Latinos

Autor/inn/en	Zuckerman, Katharine E.; Chavez, Alison E.; Wilson, Laura; Unger, Katie; Reuland, Colleen; Ramsey, Katrina; King, Margaret; Scholz, Julie; Fombonne, Eric
Titel	Improving Autism and Developmental Screening and Referral in US Primary Care Practices Serving Latinos
Quelle	In: Autism: The International Journal of Research and Practice, 25 (2021) 1, S.288-299 (12 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Zuckerman, Katharine E.) ORCID (Fombonne, Eric)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1362-3613
DOI	10.1177/1362361320957461
Schlagwörter	Autism; Pervasive Developmental Disorders; Screening Tests; Comparative Analysis; Hispanic Americans; Early Intervention; Referral; Risk; Primary Health Care; Program Descriptions; Guidelines; Infants; Toddlers; Databases; Age Groups; Check Lists; Pediatrics; Oregon + Suchen Sie Ihr Suchwort? Autismus; Screening-Verfahren; Hispanic; Hispanoamerikaner; Risiko; Gesundheitsvorsorge; Richtlinien; Infant; Toddler; Toddlers; Kleinkind; Infants; Datenbank; Age grop; Altersgruppe; Checkliste; Klinische Sozialpädiatrie
Abstract	Improving autism spectrum disorder screening and referral in primary care may reduce autism spectrum disorder disparities for Latino children. The REAL-START intervention aimed to increase primary care provider adherence to autism spectrum disorder and developmental screening guidelines, and to increase Early Intervention referral for children at developmental risk in primary care clinics serving Latinos. This quasi-experimental study enrolled six Oregon primary care clinics. Clinic staff attended one initial and three follow-up trainings. Trainings addressed screening, billing, referral, and follow-up issues specific to Latinos. Clinic leaders met with a quality improvement facilitator to review performance. Medical record review measured screening and referral at 18- and 24-month well-child visits at baseline and 3, 6, 9, and 12 months. State Early Intervention database queries assessed Early Intervention eligibility. Overall, 2224 well-child visits were assessed (39% Latino). Clinics improved rates of autism spectrum disorder screening from 70% to 94% and general developmental screening from 62% to 95%. Adherence to screening guidelines increased from 46% to 91%. Proportion of children referred to Early Intervention was unchanged, but total referrals increased and age range of referred children broadened. Time to Early Intervention evaluation was slightly shorter among screening-age children. REAL-START may improve screening and referral for autism spectrum disorder and developmental delay in Latino communities. (As Provided).
Anmerkungen	SAGE Publications. 2455 Teller Road, Thousand Oaks, CA 91320. Tel: 800-818-7243; Tel: 805-499-9774; Fax: 800-583-2665; e-mail: journals@sagepub.com; Web site: http://sagepub.com
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01