Evidence map›Paper›PMID 33936332›Full record

ArticlePaediatrics & child health2021

Preschool autism services: A tale of two Canadian provinces and the implications for policy.

Isabel M Smith, Charlotte Waddell, Wendy J Ungar, Jeffrey den Otter, Patricia Murray, Francine Vezina, Barbara D'Entremont, Helen E Flanagan, Nancy Garon

Abstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Paediatrics & child health, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–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

0 citing papers in PubMed.

No citing paper in PubMed yet.

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

9 authors.

Isabel M SmithDepartment of Pediatrics, Dalhousie University, Halifax, Nova Scotia.ORCID https://orcid.org/0000-0001-5525-2123
Charlotte WaddellFaculty of Health Sciences, Simon Fraser University, Burnaby, British Columbia.
Wendy J UngarHospital for Sick Children Research Institute, Toronto, Ontario.
Jeffrey den OtterDepartment of Education and Early Childhood Development, Government of New Brunswick, Fredericton, New Brunswick.
Patricia MurrayDepartment of Health and Wellness, Government of Nova Scotia, Halifax, Nova Scotia.
Francine VezinaHealth Promotion and Mental Health & Addictions, Department of Health and Wellness, Government of Nova Scotia, Halifax, Nova Scotia.
Barbara D'EntremontDepartment of Psychology, University of New Brunswick, Fredericton, New Brunswick.
Helen E FlanaganAutism Research Centre, IWK Health Centre, Halifax, Nova Scotia.
Nancy GaronDepartment of Psychology, Mount Allison University, Sackville, New Brunswick.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

For children with autism spectrum disorder (ASD), a lifelong neurodevelopmental condition, assessment and treatment services vary widely across Canada-potentially creating inequities. To highlight this, the Preschool Autism Treatment Impact study compared children's services and outcomes in New Brunswick (NB) and Nova Scotia (NS). Diagnostic practices, service delivery models, wait times, and treatment approaches differed, as did children's 1-year outcomes and costs for families and the public sector. Considering NB and NS strengths, we suggest that an optimal system would include: rapid access to high-quality diagnostic and intervention services; adherence to research-informed practice guidelines; interventions to enhance parents' skills and self-efficacy; and measures to minimize financial burdens for families. Our results also suggest that provinces/territories must do more to ensure equitable access to effective services, including sharing and reporting on national comparative data. Canadian children with ASD deserve access to effective and consistent services, no matter where they live.

Indexed as

Autism spectrum disorderDiagnosisEarly interventionEconomic analysisPolicy

Identifiers

PMID33936332
PMCPMC8077201

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.