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Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Public Health

Background:

  • Delays in diagnosing autism spectrum disorder (ASD) are common.
  • Early detection and intervention are crucial for children with ASD.
  • Open communication between parents and providers is vital for timely ASD diagnosis.

Purpose of the Study:

  • To explore parents' experiences communicating early ASD concerns with primary care providers.
  • To identify strategies for improving conversations and shared decision-making in early ASD detection.

Main Methods:

  • Qualitative study using focus groups.
  • Conducted with 23 parents of children under 8 years old diagnosed with ASD.
  • Analyzed parent experiences through iterative, systematic thematic analysis.

Main Results:

  • Identified eight key themes in parent-provider communication regarding early ASD concerns.
  • Highlighted parental experiences with concern expression, information seeking, and barriers to action.
  • Results indicate a need for enhanced shared decision-making and process improvements.

Conclusions:

  • Primary care providers are essential in guiding parents through ASD concerns and referrals.
  • Strategies include prompt responses, shared decision-making, and ongoing support.
  • Improving communication facilitates better navigation of the service system for families.