Evidence map›Paper›PMID 29587698›Full record

Trial reportBMC psychiatry2018

A hybrid type I randomized effectiveness-implementation trial of patient navigation to improve access to services for children with autism spectrum disorder.

Sarabeth Broder-Fingert, Morgan Walls, Marilyn Augustyn, Rinad Beidas, David Mandell, Shannon Wiltsey-Stirman, Michael Silverstein, Emily Feinberg

Registry-linked trialOpen access · goldAbstract readMulticenter StudyRandomized Controlled Trial
In one paragraph

Trial report in BMC psychiatry, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02359084 (Early Identification and Service Linkage for Urban Children With Autism), which is not on this map. Cited by 23 papers.

0numbers the graph read from it
0cells of the map it votes in
23citing papers in PubMed
4.7field-weighted citation impact, top 6% of its field
1 · What the graph read from 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.

2 · The registry

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.

NCT02359084 nacompletednot on this map

Early Identification and Service Linkage for Urban Children With Autism

TypeinterventionalSponsorBoston UniversityRan2015 to 2021Enrolled340ConditionsAutism, Developmental Delay DisordersArmsFamily Navigation, Conventional Care Management
3 · Its place in the literature

Who cites it

23 citing papers in PubMed, 30 citations in OpenAlex.

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  6. Examining the use of implementation science in autism intervention research: A scoping review.Autism : the international journal of research and practice · 2025
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  7. The impact of state policy on early autism diagnosis: A qualitative investigation.Autism : the international journal of research and practice · 2025
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

8 authors at 3 institutions in 1 country.

Sarabeth Broder-FingertDepartment of Pediatrics, Boston University School of Medicine, Boston, MA, 02114, USA. Sarabeth.Broder-Fingert@bmc.org.
Morgan WallsDepartment of Pediatrics, Boston University School of Medicine, Boston, MA, 02114, USA.
Marilyn AugustynDivision of Developmental and Behavioral Pediatrics, Boston University School of Medicine, Boston, MA, 02114, USA.
Rinad BeidasCenter for Mental Health Policy and Services Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
David MandellCenter for Mental Health Policy and Services Research, Perelman School of Medicine, University of Pennsylvania, Philadelphia, PA, 19104, USA.
Shannon Wiltsey-StirmanNational Center for PTSD, Dissemination and Training Division, Menlo Park, CA, 94025, USA.
Michael SilversteinDepartment of Pediatrics, Boston University School of Medicine, Boston, MA, 02114, USA.
Emily FeinbergDepartment of Pediatrics, Boston University School of Medicine, Boston, MA, 02114, USA.
Boston University · USUniversity of Pennsylvania · USNational Center for PTSD · US

Funding

Early Identification and Service Linkage for Urban Children with Autism: Option 2 Testing Broadband Screening Instruments in Young ChildrenR01MH104355 · NIMH · BOSTON UNIVERSITY MEDICAL CAMPUS · PI FEINBERG, EMILY · 2014 to 2018
$6.0M
Moving Research to Practice for Child HealthK24HD081057 · NICHD · BOSTON MEDICAL CENTER · PI SILVERSTEIN, MICHAEL · 2014 to 2018
$886k
Evaluating Implementation of a Patient Navigator Intervention to Improve Access to Diagnostic and Treatment Services for Children with Autism Spectrum DisorderK23MH109673 · NIMH · UNIV OF MASSACHUSETTS MED SCH WORCESTER · PI BRODER-FINGERT, SARABETH · 2016 to 2020
$856k
NICHD NIH HHS K24 HD081057NIMH NIH HHS K23 MH109673NIMH NIH HHS K23MH109673NIMH NIH HHS K24HD081057NIMH NIH HHS R01 MH104355NIMH NIH HHS R01MH104355
6 · The paper itself

Abstract

backgroundSignificant racial, ethnic, and socioeconomic disparities exist in access to evidence-based treatment services for children with autism spectrum disorder (ASD). Patient Navigation (PN) is a theory-based care management strategy designed to reduce disparities in access to care. The purpose of this study is to test the effectiveness of PN a strategy to reduce disparities in access to evidence-based services for vulnerable children with ASD, as well as to explore factors that impact implementation.

methodsThis study uses a hybrid type I randomized effectiveness/implementation design to test effectiveness and collect data on implementation concurrently. It is a two-arm comparative effectiveness trial with a target of 125 participants per arm. Participants are families of children age 15-27 months who receive a positive screen for ASD at a primary care visit at urban clinics in Massachusetts (n = 6 clinics), Connecticut (n = 1), and Pennsylvania (n = 2). The trial measures diagnostic interval (number of days from positive screen to diagnostic determination) and time to receipt of evidence-based ASD services/recommended services (number of days from date of diagnosis to receipt of services) in those with PN compared to and activated control -Conventional Care Management - which is similar to care management received in a high quality medical home. At the same time, a mixed-method implementation evaluation is being carried out. DISCUSSION: This study will examine the effectiveness of PN to reduce the time to and receipt of evidence-based services for vulnerable children with ASD, as well as factors that influence implementation. Findings will tell us both if PN is an effective approach for improving access to evidence-based care for children with ASD, and inform future strategies for dissemination.

trial registrationNCT02359084 Registered February 1, 2015.

Indexed as

Autism Spectrum DisorderChildChild, PreschoolComparative Effectiveness ResearchConnecticutEthnicityFemaleHealthcare DisparitiesHealth Services AccessibilityHumansMaleMassachusettsPatient NavigationPennsylvaniaPrimary Health CareResearch DesignAutism spectrum disorderDisparitiesNavigation

Identifiers

PMID29587698
PMCPMC5870193
OpenAlexW2804358327

What OpenQuestion holds

Textmetadata
LicenceCC BY
Read underepoch 390

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.