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Improving Early Identification and Ongoing Care of Children With Autism Spectrum Disorder

Paul S Carbone1, Chuck Norlin2, Paul C Young2

  • 1Department of Pediatrics, University of Utah, Salt Lake City, Utah paul.carbone@hsc.utah.edu.

Pediatrics
|June 1, 2016
PubMed

Insights

A learning collaborative significantly increased autism spectrum disorder (ASD) screening rates in toddlers and improved pediatricians' confidence in caring for children with ASD. These improvements were sustained long-term, enhancing early diagnosis and treatment for ASD.

Area of Science:

  • Pediatric Primary Care
  • Developmental Pediatrics
  • Healthcare Quality Improvement

Background:

  • Autism spectrum disorder (ASD) screening adherence is often poor in primary care.
  • Pediatricians report low confidence in managing ASD care, indicating quality gaps.
  • Early identification and intervention are crucial for children with ASD.

Purpose of the Study:

  • To enhance ASD screening rates in toddlers within primary care settings.
  • To improve pediatricians' self-efficacy in providing care for children with ASD.
  • To address quality gaps in primary care for ASD identification and management.

Main Methods:

  • A 3-to-6-month learning collaborative (LC) involving 26 Utah primary care practices.
  • Monthly chart audits to track ASD screening tool administration at 18- and 24-month visits.
  • Pre- and post-LC physician surveys assessing self-efficacy and perceived barriers.

Main Results:

  • ASD screening increased from 15% to 91% during the LC, a statistically significant improvement (P < .001).
  • High screening rates were sustained by most practices 4 years post-LC.
  • Physicians reported significant improvements in ASD care self-efficacy and reduced perceived barriers.

Conclusions:

  • The learning collaborative effectively increased and sustained toddler ASD screening.
  • Physicians' self-efficacy in caring for children with ASD significantly improved.
  • Enhanced primary care screening, skills, and knowledge can improve ASD diagnosis, treatment, and outcomes.
Abstract

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