Faculty Collaboration Database

A Scoping Review of Diagnosis of Autism Spectrum Disorder in Primary Care. J Pediatr Health Care 2023;37(5):519-527

Date

05/14/2023

Pubmed ID

37178094

DOI

10.1016/j.pedhc.2023.04.003

Scopus ID

2-s2.0-85159202028 (requires institutional sign-in at Scopus site)

Abstract

INTRODUCTION: This scoping review was performed to collect, examine, and present literature on interventions promoting the diagnosis of Autism Spectrum Disorder (ASD) in U.S. primary health care settings.

METHOD: The literature searched was from 2011-2022, in the English language, in PubMed, CINAHL, Psych INFO, Cochrane, and Web of Science, for persons with autism or ASD aged ≤ 18 years.

RESULTS: Six studies met the search criteria, including a quality improvement project, a feasibility study, a pilot study, and three primary care provider (PCP) intervention trials. Measured outcomes included: accuracy of diagnosis (n = 4), practice change maintenance (n = 3), time to diagnosis (n = 2), specialty clinic appointment wait time (n = 1), PCP comfort making ASD diagnosis (n = 1), and increased ASD diagnosis (n = 1).

DISCUSSION: Results inform future implementation of PCP ASD diagnosis for the most obvious cases of ASD and research evaluating PCP training, using longitudinal measures of PCP knowledge of ASD and intention to diagnose.

Author List

Johnson NL, Fial A, Van Hecke AV, Whitmore K, Meyer K, Pena S, Carlson M, Koth KA

Authors

Norah Johnson PhD Assistant Professor in the College ofnursing department at Marquette University
Kathleen A. Koth DO Associate Professor in the Psychiatry and Behavioral Medicine department at Medical College of Wisconsin
Amy Van Hecke PhD Professor in the Psychology department at Marquette University

MESH terms used to index this publication - Major topics in bold

Autism Spectrum Disorder
Autistic Disorder
Humans
Language
Pilot Projects
Primary Health Care