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Testing Sensory and Multisensory Function in Children with Autism Spectrum Disorder
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Computer Decision Support Changes Physician Practice But Not Knowledge Regarding Autism Spectrum Disorders.

N S Bauer1, A E Carroll2, C Saha3

  • 1Indiana University School of Medicine, Department of Pediatrics, Section of Children's Health Services Research , Indianapolis, Indiana, USA ; Regenstrief Institute for Healthcare , Indianapolis, Indiana, USA.

Applied Clinical Informatics
|October 9, 2015
PubMed
Summary
This summary is machine-generated.

Adding an autism module to a computer decision support system (CDSS) improved autism screening rates in pediatric clinics but did not change physician knowledge or attitudes regarding autism spectrum disorder (ASD).

Keywords:
autism spectrum disorderclinical guidelinescomputer-based decision supportpediatricsprimary carescreening

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Area of Science:

  • Health Informatics
  • Pediatric Medicine
  • Autism Spectrum Disorder (ASD) Research

Background:

  • Primary care pediatricians face challenges in managing autism spectrum disorder (ASD).
  • Computer decision support systems (CDSS) can aid in clinical guideline adherence.
  • The effectiveness of a CDSS module for autism management in pediatric practice requires evaluation.

Purpose of the Study:

  • To evaluate if an autism module enhanced a CDSS to improve physician knowledge and clinical practice for ASD.
  • To assess changes in pediatricians' knowledge, beliefs, and self-reported practices related to autism.

Main Methods:

  • The CHICA (Child Health Improvement through Computer Automation) CDSS was updated with an autism module in two of four pediatric clinics.
  • Cross-sectional surveys were administered to pediatric users at baseline, 12 months, and 24 months post-implementation.
  • Surveys measured knowledge, beliefs, and self-reported practice patterns concerning autism.

Main Results:

  • Physician knowledge and perception of their role in autism diagnosis did not differ between intervention and control groups.
  • Routine use of parent-rated screening instruments for autism showed no baseline difference.
  • Intervention clinics demonstrated significantly higher consistent screening of eligible patients with validated autism tools at 12 and 24 months post-implementation.

Conclusions:

  • A CDSS module significantly improved the reported use of validated screening tools for ASD in primary pediatric care.
  • The CDSS module did not lead to significant changes in physician knowledge or attitudes regarding ASD.
  • Ongoing challenges with community resources for autism work-up and treatment persist.