Evidence map›Paper›PMID 33901728›Full record

Trial reportAcademic pediatrics2022

Reducing Barriers to Autism Screening in Community Primary Care: A Pragmatic Trial Using Web-Based Screening.

Kyle J Steinman, Wendy L Stone, Lisa V Ibañez, Shana M Attar

Open access · greenAbstract readPragmatic Clinical Trial
In one paragraph

Trial report in Academic pediatrics, 2022. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers.

0numbers the graph read from it
0cells of the map it votes in
6citing papers in PubMed
1.5field-weighted citation impact, top 19% 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.

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

6 citing papers in PubMed, 17 citations in OpenAlex.

  1. Article
  2. Article
  3. Article
  4. Article
  5. Association Between Early Developmental Milestones and Autism Spectrum Disorder.Research on child and adolescent psychopathology · 2023
    Article
  6. 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

4 authors at 1 institution in 1 country.

Kyle J SteinmanDepartment of Neurology, University of Washington (KJ Steinman), Seattle, Wash; Department of Psychiatry & Behavioral Sciences, University of Washington (KJ Steinman), Seattle, Wash; Department of Pediatrics, University of Washington, Seattle Children's Hospital (KJ Steinman), Seattle, Wash; Center for Integrative Brain Research, Seattle Children's Research Institute (KJ Steinman), Seattle, Wash. Electronic address: kylejs@uw.edu.
Wendy L StoneDepartment of Psychology, University of Washington (WL Stone, LV Ibañez, and SM Attar), Seattle, Wash.
Lisa V IbañezDepartment of Psychology, University of Washington (WL Stone, LV Ibañez, and SM Attar), Seattle, Wash.
Shana M AttarDepartment of Psychology, University of Washington (WL Stone, LV Ibañez, and SM Attar), Seattle, Wash.
University of Washington · US

Funding

A Screen-Refer-Treat (SRT) Model to Promote Earlier Access to ASD InterventionR01MH104302 · NIMH · UNIVERSITY OF WASHINGTON · PI STONE, WENDY L. · 2014 to 2018
$4.3M
NIMH NIH HHS R01 MH104302
6 · The paper itself

Abstract

objectiveTo determine whether an intervention addressing both logistical and knowledge barriers to early screening for autism spectrum disorder (ASD) increases evidence-based screening during 18-month well-child visits and primary care providers' (PCPs') perceived self-efficacy in caring for children with ASD.

methodsForty-six PCPs from 10 diverse practices across four counties in Washington State participated. PCPs attended a 2-hour training workshop on early recognition and care for toddlers with ASD and use of a REDCap-based version of the Modified Checklist for Autism in Toddlers-Revised with Follow-up (webM-CHAT-R/F) that provided automated presentation and scoring of follow-up questions. Data were collected at baseline and 6 months following each county's training window. PCPs' screening methods and rates and perceived self-efficacy regarding ASD care were measured by self-report and webM-CHAT-R/F use was measured via REDCap records.

resultsAt follow-up, 8 of the 10 practices were using the webM-CHAT-R/F routinely at 18-month visits. The proportion of PCPs reporting routine M-CHAT screening increased from 82% at baseline to 98% at follow-up (16% increase, 95% confidence interval [CI] 3%-28%; McNemar exact P = .02). The proportion using the M-CHAT-R/F follow-up interview questions increased from 33% to 82% (49% increase, 95% CI 30%-68%, exact McNemar test, P < .001). Significant increases in self-efficacy were found for all seven areas assessed (Ps ≤ .008).

conclusionsThis brief intervention increased PCPs' self-reported valid use of the M-CHAT-R/F at 18 months and their self-efficacy regarding ASD care. Combining educational information with a web-based ASD screen incorporating the M-CHAT-R/F follow-up questions may increase universal ASD screening with improved fidelity.

Indexed as

Autism Spectrum DisorderAutistic DisorderChecklistHumansInfantInternetMass ScreeningPrimary Health Careautism spectrum disorderprimary carescreening

Identifiers

PMID33901728
PMCPMC8536796
OpenAlexW3159161413

What OpenQuestion holds

Textmetadata
LicenceTDM
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.