Evidence map›Paper›PMID 30859514›Full record

ArticleJournal of racial and ethnic health disparities2019

Caregiver Voices: Cross-Cultural Input on Improving Access to Autism Services.

Aubyn C Stahmer, Sarah Vejnoska, Suzannah Iadarola, Diondra Straiton, Francisco Reinosa Segovia, Paul Luelmo, Elizabeth H Morgan, Hyon Soo Lee, Asim Javed, Briana Bronstein and 7 more

Erratum issued Registry-linked trialOpen access · greenAbstract read
In one paragraph

Article in Journal of racial and ethnic health disparities, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. An erratum has been issued. It is linked to trial NCT07571434 (Piloting Clinic-based Unstuck and On Target in Ecuador), which is not on this map. Cited by 97 papers, 5 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
97citing papers in PubMed, 5 pooled it
16.6field-weighted citation impact, top 1% 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.

NCT07571434 nacompletednot on this mapstarted 2025, after this paper: background citation

Piloting Clinic-based Unstuck and On Target in Ecuador

TypeinterventionalSponsorUniversity of Colorado, DenverRan2025 to 2026Enrolled20ConditionsAutism Spectrum Disorder, Attention Deficit Disorder With Hyperactivity (ADHD)ArmsSpanish-Language Unstuck and On Target (SL-Unstuck)
3 · Its place in the literature

Who cites it

97 citing papers in PubMed, 5 syntheses or guidelines pooled it, 209 citations in OpenAlex.

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  16. Black Caregiver Perspectives During a Developmental Diagnostic Interview.Journal of autism and developmental disorders · 2026
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37 more citing papers are in PubMed but not listed here.

4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

17 authors at 8 institutions in 2 countries.

Aubyn C StahmerDepartments of Psychiatry, Psychology & Human Development, University of California, Davis MIND Institute, 2825 50th St, Sacramento, CA, 95817, USA. astahmer@ucdavis.edu.ORCID 0000-0002-1596-9848
Sarah VejnoskaDepartments of Psychiatry, Psychology & Human Development, University of California, Davis MIND Institute, 2825 50th St, Sacramento, CA, 95817, USA.
Suzannah IadarolaDivision of Developmental and Behavioral Pediatrics & Strong Center for Developmental Disabilities, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY, 14642, USA.
Diondra StraitonPerelman School of Medicine, Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., Rm. 3100, Philadelphia, PA, 19104, USA.
Francisco Reinosa SegoviaDepartment of Psychiatry, University of California, Los Angeles Graduate School of Education & Information Studies & Center for Autism Research & Treatment, UCLA Semel Institute 68-268, Los Angeles, CA, 90024, USA.
Paul LuelmoDepartment of Psychiatry, University of California, Los Angeles Graduate School of Education & Information Studies & Center for Autism Research & Treatment, UCLA Semel Institute 68-268, Los Angeles, CA, 90024, USA.
Elizabeth H MorganDepartments of Psychiatry, Psychology & Human Development, University of California, Davis MIND Institute, 2825 50th St, Sacramento, CA, 95817, USA.
Hyon Soo LeeDepartment of Psychiatry, University of California, Los Angeles Graduate School of Education & Information Studies & Center for Autism Research & Treatment, UCLA Semel Institute 68-268, Los Angeles, CA, 90024, USA.
Asim JavedDivision of Developmental and Behavioral Pediatrics & Strong Center for Developmental Disabilities, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY, 14642, USA.
Briana BronsteinPerelman School of Medicine, Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., Rm. 3100, Philadelphia, PA, 19104, USA.
Samantha HochheimerDivision of Developmental and Behavioral Pediatrics & Strong Center for Developmental Disabilities, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY, 14642, USA.
EunMi ChoCollege of Education, California State University, Sacramento, 6000 J St., Sacramento, CA, 95819, USA.
Aritz AranbarriDepartments of Psychiatry, Psychology & Human Development, University of California, Davis MIND Institute, 2825 50th St, Sacramento, CA, 95817, USA.
David MandellPerelman School of Medicine, Center for Mental Health Policy and Services Research, University of Pennsylvania, 3535 Market St., Rm. 3100, Philadelphia, PA, 19104, USA.
Elizabeth McGhee HassrickA.J. Drexel Autism Institute, Drexel University, 3020 Market Street | Suite 560, Philadelphia, PA, 19104, USA.
Tristram SmithDivision of Developmental and Behavioral Pediatrics & Strong Center for Developmental Disabilities, University of Rochester Medical Center, 265 Crittenden Blvd., Rochester, NY, 14642, USA.
Connie KasariDepartment of Psychiatry, University of California, Los Angeles Graduate School of Education & Information Studies & Center for Autism Research & Treatment, UCLA Semel Institute 68-268, Los Angeles, CA, 90024, USA.
University of California, Los Angeles · USUniversity of Rochester Medical Center · USUniversity of Pennsylvania · USUniversity of California, Davis · USCalifornia State University, Sacramento · USDrexel University · USHospital Sant Joan de Déu Barcelona · ESUniversity of California System · US

Funding

Research Project: Pathologic Significance of Maternal AutoantibodiesP50HD103526 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI JUDY A. VAN DE WATER · 2020 to 2026
$9.7M
Rodent Behavior CoreU54HD079125 · NICHD · UNIVERSITY OF CALIFORNIA AT DAVIS · PI ABBEDUTO, LEONARD J. · 2013 to 2019
$8.5M
NICHD NIH HHS P50 HD103526NICHD NIH HHS U54 HD079125
6 · The paper itself

Abstract

Decades of research have established that racial ethnic minority, low-income, and/or non-English speaking children with autism spectrum disorder (ASD) are diagnosed later than white children, and their families experience greater difficulty accessing services in the USA. Delayed access to timely diagnosis and early intervention may impact child outcomes and family quality of life. Despite their cognition of these disparities and their significant impact on the lives of those affected, explanations for the barriers experienced by underserved families are elusive, likely due to the complex interaction between structural and family factors. This study used qualitative methods to gather family and provider perspectives of perceived barriers and facilitators to obtaining an ASD diagnosis and accessing ASD-related services for underserved families. Themes from focus groups and interviews with families from three cultural groups (black, Hispanic/Latino, and Korean) and three primary languages (English, Korean, and Spanish) highlight specific barriers related to family, community, and systemic challenges as well as facilitators to accessing care for these populations. Family experiences are expanded upon with viewpoints from the providers who work with them. Recommendations are made for reducing disparities in the existing ASD service system including increasing professional, family, and community education; increasing culturally responsive care; improving provider-family partnerships; and addressing practical challenges to service access.

Indexed as

AdultAgedAutism Spectrum DisorderCaregiversChildChild, PreschoolCulturally Competent CareEthnicityFemaleHealthcare DisparitiesHealth Services AccessibilityHumansMaleMiddle AgedMinority GroupsPovertyAutism spectrum disorderCross-culturalParent perspectivesService access

Identifiers

PMID30859514
PMCPMC6936957
OpenAlexW2921391411

What OpenQuestion holds

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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.