ArticleJournal of developmental and behavioral pediatrics : JDBP
General Pediatrician-Staffed Behavioral/Developmental Access Clinic Decreases Time to Evaluation of Early Childhood Developmental Disorders.
Article in Journal of developmental and behavioral pediatrics : JDBP. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 16 papers, 3 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.
Who cites it
16 citing papers in PubMed, 3 syntheses or guidelines pooled it.
- Building Capacity: A Systematic Review of Training in the Diagnosis of Autism for Community-Based Clinicians.Autism research : official journal of the International Society for Autism Research · 2025Pooled it
- Service redesign interventions to reduce waiting time for paediatric rehabilitation and therapy services: A systematic review of the literature.Health & social care in the community · 2022Pooled it
- Building Capacity for Community Pediatric Autism Diagnosis: A Systemic Review of Physician Training Programs.Journal of developmental and behavioral pediatrics : JDBP · 2022Pooled it
- Factors Associated with Extreme Waiting Times for Child Developmental Diagnostic Assessments: A Mixed-Methods Service Evaluation in Sydney.Children (Basel, Switzerland) · 2026Article
- Personalized Lifespan Approach to Autism Assessment: A Clinical and System Framework for Developmentally Informed Assessment Across the Life-Course.Autism research : official journal of the International Society for Autism Research · 2026Article
- Pediatric subspecialty outreach clinics: reach and impact on access to care.BMC pediatrics · 2024Article
- Predictors of Subspecialty Appointment Scheduling and Completion for Patients Referred From a Pediatric Primary Care Clinic.Clinical pediatrics · 2024Article
- General and subspecialist pediatrician perspectives on barriers and strategies for referral: a latent profile analysis.BMC pediatrics · 2023Article
- Expanding Developmental and Behavioral Health Capacity in Pediatric Primary Care.Clinical pediatrics · 2023Article
- Development of Parent Guidelines for Parent-Performed Developmental Screening Tests.Journal of the Korean Academy of Child and Adolescent Psychiatry · 2023Article
- Transitions from short to long-term outcomes in pediatric critical care: considerations for clinical practice.Translational pediatrics · 2021Review
- Perspectives of infant active play: a qualitative comparison of working versus stay-at-home parents.BMC public health · 2021Article
- Pediatric subspecialty workforce: undersupply or over-demand?Pediatric research · 2020Article
- Increasing Access to Autism Spectrum Disorder Diagnostic Consultation in Rural and Underserved Communities: Streamlined Evaluation Within Primary Care.Journal of developmental and behavioral pediatrics : JDBP · 2020Article
- Beyond pass-fail: Examining the potential utility of two thresholds in the autism screening process.Autism research : official journal of the International Society for Autism Research · 2019Article
- Diagnostic Evaluation of Autism Spectrum Disorder in Pediatric Primary Care.Journal of primary care & community healthArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
4 authors.
Funding
Abstract
objectiveTo describe and evaluate the effectiveness of a quality improvement project to decrease wait time to evaluation for children referred to Developmental Behavioral Pediatricians (DBPs).
methodsThe authors created a Behavioral/Developmental Access Clinic (BDAC) staffed by a general pediatrician (GP) and pediatric psychologist. Clinicians in the BDAC provided comprehensive developmental evaluations for children in a discrete age range (<5 yr old). We describe the establishment of the BDAC along with referrals, diagnoses, and recommended follow-up for patients seen by the GP. We used 2-tailed t tests to compare the mean time with initial evaluation for patients seen in BDAC versus a DBP.
resultsSixty-three children were seen in BDAC over 6 months. Referrals from the BDAC included: physical/occupational/speech therapy (71%), psychology (35%), audiology (25%), genetics (14%), and neurology (8%). Five patients (8%) were diagnosed with autism spectrum disorder (ASD). Compared with time to appointment with a DBP (327 d), mean time to developmental assessment was shorter for the 45 patients who accepted earlier appointments in the BDAC (159 d), and for the 18 children seen in the BDAC as new referrals (11 d), p < .001. Follow-up with a DBP was recommended for 9 (50%) of the new patient referrals evaluated in BDAC.
conclusionThe BDAC allowed for earlier developmental assessment of young children, with potential for earlier diagnosis and treatment of developmental disorders, including ASD. Opportunity for initial evaluation in BDAC decreased the number of patients requiring evaluation by DBPs, improving access to this subspecialty in our institution.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.