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ECHO Autism Washington: Autism Diagnostic Evaluations in Primary Care
Jennifer Gerdts1, Karís A Casagrande1, Katherine J Bateman2
1Department of Psychiatry and Behavioral Sciences, University of Washington, Seattle, WA, USA.
Clinical Pediatrics
|June 3, 2024
Summary
The Extensions for Community Healthcare Outcomes (ECHO) Autism program significantly increased autism diagnoses by pediatric providers. Participation also reduced barriers and diagnostic referrals, enhancing community autism care capacity.
Area of Science:
- Pediatric Health
- Healthcare Education
- Autism Spectrum Disorder
Background:
- Community healthcare providers face challenges in diagnosing autism spectrum disorder (ASD).
- The Extensions for Community Healthcare Outcomes (ECHO) model offers telementoring to enhance specialized care capacity.
- ECHO Autism Washington aimed to improve autism-related healthcare delivery in primary care settings.
Purpose of the Study:
- To evaluate the impact of the ECHO Autism Washington program on pediatric providers' diagnostic practices and confidence.
- To assess changes in reported barriers to autism diagnosis and treatment.
- To measure the effect of the program on referrals to specialized autism clinics.
Main Methods:
- Seventy-seven pediatric providers participated in one year of the ECHO Autism Washington telementoring program.
- Self-report surveys were used to assess changes in autism diagnoses, barriers, confidence, and referrals.
- Statistical analyses, including ANOVA and t-tests, were employed to compare pre- and post-program data and compare with a control group.
Main Results:
- ECHO providers showed a significant increase in making autism diagnoses after one year (P = .008).
- Higher attendance correlated with more diagnoses (P = .045). Reported barriers decreased significantly (P < .001), and confidence increased (P < .001).
- Referrals to a specialized autism clinic significantly reduced among ECHO providers compared to non-ECHO providers (P < .001).
Conclusions:
- One year of ECHO Autism Washington participation led to significant improvements in autism diagnostic practices among pediatric providers.
- The program effectively increased diagnostic capacity, reduced barriers, and enhanced provider confidence in managing autism.
- ECHO Autism model shows promise in expanding community-based autism healthcare services.
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