Evidence map›Paper›PMID 34154487›Full record

ArticleScandinavian journal of primary health care2021

General practitioners must acquire skills to communicate with child with Autism Spectrum Disorder to regain their values and role in the follow-up - phenomenological study.

Bernard Clary, Eva Marengo-Sorli, Agnès Oude-Engberink, Elodie Million, Sylvain Pavageau, Michel Amouyal, Philippe Serayet, François Carbonnel, Gérard Bourrel, Béatrice Lognos

Abstract read
In one paragraph

Article in Scandinavian journal of primary health care, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing 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

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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

3 citing papers in PubMed.

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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

10 authors.

Bernard ClaryDepartment of General Practice, Montpellier University, Montpellier, France.
Eva Marengo-SorliLaënnec General Practice Center, Trèbes, France.
Agnès Oude-EngberinkDepartment of General Practice, Montpellier University, Montpellier, France.
Elodie MillionDepartment of General Practice, Montpellier University, Montpellier, France.
Sylvain PavageauDepartment of General Practice, Montpellier University, Montpellier, France.
Michel AmouyalDepartment of General Practice, Montpellier University, Montpellier, France.
Philippe SerayetDepartment of General Practice, Montpellier University, Montpellier, France.
François CarbonnelDepartment of General Practice, Montpellier University, Montpellier, France.
Gérard BourrelDepartment of General Practice, Montpellier University, Montpellier, France.
Béatrice LognosDepartment of General Practice, Montpellier University, Montpellier, France.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

objectiveTo understand the perceptions and attitudes of general practitioners (GPs) regarding children with an Autism Spectrum Disorder (ASD).

designPhenomenological qualitative study.

settingThree focus groups, clinical settings. SUBJECTS: French GPs.

main outcome measures22 GPs took part in the study divided among three focus groups. They were volunteers to participate. Data were transcribed verbatim and analysed using a grounded theory data analysis, completed with a semiopragmatic analysis.

resultsRepresenting autism as a strange disorder in the doctor-patient relationship, GPs perceive a loss of sensory contact with the child with ASD that prevents the usual professional relationship between doctor and patient. They disengage themselves from monitoring the subject, concentrating on supporting the family. According to them, their role was to refer the patient to a specialist in the case of clinical intuition, but they have several reasons to give themselves time, all the more so because once the diagnosis is made, they lose sight of the patient and their place in the care pathway. GPs expressed the need to acquire skills and strategies to communicate with the autistic child to recover their role and values.

conclusionGPs are disconcerted by the idea of communicating with children with ASD, as it takes them out of their usual professional benchmarks. They need communication tools that enable them to regain their role and relational value of the patient-centred approach. Beyond this, the question of the 'ethics of care' of the patient with a joint attention disorder is raised.KEY POINTSGPs are disconcerted with the idea of communicating with children with ASD.GPs need communication tools that enable them to regain their role and relational value of the patient-centred approach.The question of the 'ethics of care' of the patient with a joint attention disorder is raised.

Indexed as

Autism Spectrum DisorderGeneral PractitionersChildFollow-Up StudiesHumansPhysician-Patient RelationsQualitative ResearchAutism Spectrum Disorder (ASD)childrenfamily practicegeneral practitionermental disordersqualitative research

Identifiers

PMID34154487
PMCPMC8293969

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