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Characterizing Project ECHO Autism Case Recommendations and Implementation.
Catherine Bosyj1,2, Lisa Kanigsberg1, Anmol Patel1
1Autism Research Centre, Holland Bloorview Kids Rehabilitation Hospital, 150 Kilgour Road, East York, ON, ON, M4G 1R8, Canada.
The ECHO Ontario Autism program effectively enhances provider skills, with 74% of recommendations implemented. Participants reported improved care, diagnostic abilities, and interpersonal benefits, demonstrating the program
Area of Science:
- Autism Spectrum Disorder
- Healthcare Capacity Building
- Knowledge Translation
Background:
- The ECHO Ontario Autism program aims to enhance community providers' knowledge, skills, and confidence in managing autism spectrum disorder.
- Effective knowledge translation is crucial for improving autism care delivery.
Purpose of the Study:
- To summarize recommendations from the ECHO Ontario Autism program.
- To assess the uptake of these recommendations by community providers.
- To identify reasons for non-implementation and evaluate the program's perceived impact.
Main Methods:
- Analysis of 32 cases presented by 18 physicians, yielding 289 recommendations.
- Case-specific surveys to assess recommendation implementation and clinical impact.
- Inductive content analysis of provider responses regarding rejected recommendations and program impact.
Main Results:
- 74% (214/289) of recommendations were implemented.
- Primary reasons for non-implementation related to child/family factors.
- Providers reported positive influences on care approach, diagnostic capabilities, and interpersonal interactions.
Conclusions:
- Recommendations from ECHO Ontario Autism demonstrate moderate-to-high uptake in practice.
- The program offers benefits beyond case-specific recommendations, enhancing overall provider capacity and care quality.

