ArticleJournal of developmental and behavioral pediatrics : JDBP2020
Increasing Access to Autism Spectrum Disorder Diagnostic Consultation in Rural and Underserved Communities: Streamlined Evaluation Within Primary Care.
Article in Journal of developmental and behavioral pediatrics : JDBP, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 21 papers, 2 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
21 citing papers in PubMed, 2 syntheses or guidelines pooled it, 41 citations in OpenAlex.
- 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
- A Longitudinal RCT of P-ESDM With and Without Parental Mindfulness Based Stress Reduction: Impact on Child Outcomes.Journal of autism and developmental disorders · 2022Trial
- Health databases and early identification of autism spectrum disorder: a scoping review.BMJ open · 2026Article
- Enigma of autism regression mechanistic pathways, clinical phenotypes, and early intervention implications.World journal of clinical pediatrics · 2026Review
- Safety-Constrained Agentic AI for Autism Screening: A Multimodal, Clinician-Guided Architecture.Cureus · 2026Article
- Barriers and Innovations Towards Accessing an Autism Diagnosis in Rural Northern Ontario: A Qualitative Study.Child: care, health and development · 2026Article
- Understanding disparities in autism diagnosis and care: A socioecological perspective.PLOS mental health · 2026Article
- Integration of an Artificial Intelligence-Based Autism Diagnostic Device into the ECHO Autism Primary Care Workflow: Prospective Observational Study.JMIR formative research · 2025Observational
- Caregiver Perspectives on the Use of Tele-Assessment for Toddlers with Developmental Concerns.Journal of autism and developmental disorders · 2025Article
- Accuracy of the Screening Tool for Autism in Toddlers and Young Children in the primary care setting.Autism : the international journal of research and practice · 2025Article
- Structure of subcortico-cortical tracts in middle-aged and older adults with autism spectrum disorder.Cerebral cortex (New York, N.Y. : 1991) · 2024Article
- A national research survey of childhood autism assessment services in the UK: empirical evidence of diagnostic practice, challenges and improvement opportunities.BMJ paediatrics open · 2024Article
- Article
- Diagnostic Accuracy of Primary Care Clinicians Across a Statewide System of Autism Evaluation.Pediatrics · 2023Article
- An observational study of individual child journeys through autism diagnostic pathways, and associated costs, in the UK National Health Service.Frontiers in rehabilitation sciences · 2023Article
- Toward Novel Tools for Autism Identification: Fusing Computational and Clinical Expertise.Journal of autism and developmental disorders · 2021Article
- COVID-19 Pandemic Highlights Access Barriers for Children with Autism Spectrum Disorder.Journal of developmental and behavioral pediatrics : JDBP · 2021Article
- Associations Among Referral Concerns, Screening Results, and Diagnostic Outcomes of Young Children Assessed in a Statewide Early Autism Evaluation Network.The Journal of pediatrics · 2021Article
- Pediatric Resident Participation in Primary Care Autism Evaluations: A Novel Continuity Clinic Training Opportunity.Journal of developmental and behavioral pediatrics : JDBPArticle
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
10 authors at 3 institutions in 1 country.
Funding
Abstract
objectivePreliminary feasibility and clinical utility research has demonstrated that implementation of a streamlined diagnostic model embedded within primary care (PC) clinics promotes early identification of young children with autism spectrum disorder (ASD). Use of this model results in dramatically reduced waits for diagnostic consultation, high levels of family/provider satisfaction, and reductions in referrals to overtaxed tertiary diagnostic centers. The current study extends this work by providing data before/after implementation of a streamlined model across a diverse range of PC clinics that provide health care to rural and underserved communities.
methodsThe streamlined assessment involved record/history review, diagnostic interview, standard rating scales, and an interactive screening tool. Eighty children between the ages of 19 and 47 months were seen across 5 different clinics. Data were collected through chart review.
resultsImplementation of streamlined model resulted in a significant decrease in latency to diagnostic conclusion from a mean of 144.7 to 49.9 days. Children were likely to experience a greater reduction in wait times if they were a PC patient versus a non-PC patient.
conclusionResults show significant reduction in wait times for ASD diagnostic decisions across both PC and non-PC patients. By reducing waits and identifying concerns more efficiently, we may increase the ability of families to access early intervention and support services.
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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.