ArticleJournal of autism and developmental disorders2025
Preliminary Efficacy of Telehealth Family Navigation for Early Autism Services Access.
Article in Journal of autism and developmental disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT04861740 (Autism Access Link for Early Referral and Treatment), which is not on this map. Not yet cited in PubMed.
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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.
Autism Access Link for Early Referral and Treatment
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Authors and funding
8 authors.
Funding
Abstract
purposeIn-person family navigation accelerates autism diagnosis; however, effectiveness of telehealth autism navigation is unknown. This study tested preliminary efficacy of telehealth autism navigation.
methodIn this site-randomized pilot trial of telehealth autism family navigation, 7 clinics (66 primary care providers) were trained in autism screening and randomized to family navigation versus usual care. 49 children aged 12-54 months enrolled. We used Early Intervention/Early Childhood Special Education (EI/ECSE) and health records to compare navigation intervention and control arms on time from enrollment to EI/ECSE eligibility determination, percent receiving EI/ECSE eligibility determination within 6 months, percent of children receiving EI/ECSE referrals within 6 months, and percent receiving autism educational and medical diagnoses within 6 months.
resultsIn intention-to-treat analysis, 46.7% of the navigation (66.7% of those referred to EI/ECSE) and 36.8% of control families (87.5% of those referred to EI/ECSE) had EI/ECSE eligibility determinations. Median time to EI/ECSE eligibility determination was 66.5 days in navigation and 120 days in control. 70% of navigation and 42.1% of control children were referred to EI/ECSE. 23.8% of navigation and 0% of control children received an autism educational eligibility within 6 months, but 10% of navigation children versus 42.1% of control had autism medical diagnostic determination within 6 months. 50% of the navigation arm had < 4 navigator interactions.
conclusionTelehealth family navigation shows preliminary promise for improving access to services in EI/ECSE, especially for referral and evaluation. Access to medical diagnostic evaluation may need additional support. A larger trial can investigate longer-term services receipt. CLINICALTRIALS: GOV ID: NCT04861740, Registered 4/7/2021.
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