Evidence map›Paper›PMID 29982896›Full record

ArticleJournal of autism and developmental disorders2018

Expanding the Capacity of Primary Care to Treat Co-morbidities in Children with Autism Spectrum Disorder.

Jeanne Van Cleave, Chloe Holifield, Ann M Neumeyer, James M Perrin, Erin Powers, Linda Van, Karen A Kuhlthau

Abstract read
PubMed Publisher
In one paragraph

Article in Journal of autism and developmental disorders, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 10 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
10citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

10 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Systematic Review: United States Workforce for Autism-Related Child Healthcare Services.Journal of the American Academy of Child and Adolescent Psychiatry · 2020
    Pooled it
  2. Article
  3. Mental health screening in pediatric primary care for children with autism.Autism : the international journal of research and practice · 2022
    Article
  4. Article
  5. Article
  6. Article
  7. Article
  8. Article
  9. Examining Primary Care Health Encounters for Adults With Autism Spectrum Disorder.The American journal of occupational therapy : official publication of the American Occupational Therapy Association
    Article
  10. Article
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

7 authors.

Jeanne Van CleaveAdult and Child Consortium for Health Outcomes Research and Delivery Science (ACCORDS), University of Colorado, Anschutz Medical Campus, 13199 E. Montview Blvd Suite 300, Aurora, CO, 80045, USA. jeannemarie.vancleave@childrenscolorado.org.ORCID http://orcid.org/0000-0002-7346-7467
Chloe HolifieldDepartment of Pediatrics, David Geffen School of Medicine at UCLA, 757 Westwood Plaza, Los Angeles, CA, 90095, USA.
Ann M NeumeyerLurie Center for Autism, MassGeneral Hospital for Children, 1 Maguire Rd, Lexington, MA, 02421, USA.
James M PerrinDepartment of Pediatrics, Harvard Medical School, A-111, 25 Shattuck Street, Boston, MA, 02115, USA.
Erin PowersUniversity of California, Irvine School of Medicine, 1001 Health Sciences Rd, Irvine, CA, 92617, USA.
Linda VanTouro College of Osteopathic Medicine, 230 West 125th Street, New York, NY, 10027, USA.
Karen A KuhlthauDepartment of Pediatrics, Harvard Medical School, A-111, 25 Shattuck Street, Boston, MA, 02115, USA.

Funding

Maternal and Child Health Bureau UA3 MC 11054
6 · The paper itself

Abstract

We examined barriers and facilitators to expanding primary care's capacity to manage conditions associated with autism spectrum disorder (ASD). We conducted semi-structured interviews with specialists, primary care providers (PCPs), primary care staff, and parents of children with ASD, discussing health/behavior problems encountered, co-management, and patient/family experience. Participants endorsed primary care as the right place for ASD-associated conditions. Specialists advising PCPs, in lieu of referrals, efficiently uses their expertise. PCPs' ability to manage ASD-associated conditions hinged on how behavioral aspects of ASD affected care delivery. Practices lacked ASD-specific policies but made individual-level accommodations and broader improvements benefitting children with ASD. Enhancing access to specialty expertise, particularly around ASD-associated behaviors, and building on current quality improvements appear important to expanding primary care.

Indexed as

Primary Health CareAttention Deficit Disorder with HyperactivityAutism Spectrum DisorderChildDelivery of Health CareFemaleHealth PersonnelHumansMaleParentsQualitative ResearchQuality ImprovementSpecializationAutism spectrum disordersHealthcare deliveryPrimary careQuality improvementSubspecialty care

Identifiers

PMID29982896

What OpenQuestion holds

Textmetadata
Read underepoch 390

Registered trials

None linked

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.