Jennifer Gerdts, Karís A Casagrande, Katherine J Bateman, Caitlin M Hudac, Alice Bravo, James Mancini, Jennifer Mannheim, Beth Ogata, Kate Orville, Gary A Stobbe
{"title":"华盛顿 ECHO 自闭症中心：自闭症初级医疗诊断评估。","authors":"Jennifer Gerdts, Karís A Casagrande, Katherine J Bateman, Caitlin M Hudac, Alice Bravo, James Mancini, Jennifer Mannheim, Beth Ogata, Kate Orville, Gary A Stobbe","doi":"10.1177/00099228241255866","DOIUrl":null,"url":null,"abstract":"<p><p><i>ECHO</i> (<i>Extensions for Community Healthcare Outcomes</i>) <i>Autism</i> is a telementoring learning model to increase community capacity for autism-related health care. Seventy-seven pediatric providers (mostly primary care, seeing exclusively Medicaid patient populations) enrolled in 1 year of <i>ECHO Autism Washington</i>. Analysis of self-report surveys showed a significant increase in autism diagnoses made by ECHO providers after 1 year, <i>F</i>(1, 65) = 7.52, <i>P</i> = .008. Providers who attended more sessions reported making more diagnoses, <i>F</i>(2, 613.26), <i>P</i> = .045. Of note, autism diagnoses were not externally validated. The total number of reported barriers reduced, <i>F</i>(2, 61) = 13.5), <i>P</i> < .001, and confidence ratings increased <i>F</i>(2, 60) = 24.21, <i>P <</i> .001. The average number of diagnostic referrals from ECHO providers to the state's largest autism specialty clinic significantly reduced, <i>t</i>(43) = 4.23, <i>P</i> < .001, with significantly fewer diagnostic referrals made during and after ECHO training compared with a comparison group of 28 non-ECHO providers, <i>t</i>(58.77) = -3.36, <i>P</i> < .001. Overall, 1 year of <i>ECHO Autism Washington</i> participation led to significant changes in autism diagnostic practices.</p>","PeriodicalId":10363,"journal":{"name":"Clinical Pediatrics","volume":" ","pages":"91-100"},"PeriodicalIF":1.0000,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":"0","resultStr":"{\"title\":\"ECHO Autism Washington: Autism Diagnostic Evaluations in Primary Care.\",\"authors\":\"Jennifer Gerdts, Karís A Casagrande, Katherine J Bateman, Caitlin M Hudac, Alice Bravo, James Mancini, Jennifer Mannheim, Beth Ogata, Kate Orville, Gary A Stobbe\",\"doi\":\"10.1177/00099228241255866\",\"DOIUrl\":null,\"url\":null,\"abstract\":\"<p><p><i>ECHO</i> (<i>Extensions for Community Healthcare Outcomes</i>) <i>Autism</i> is a telementoring learning model to increase community capacity for autism-related health care. Seventy-seven pediatric providers (mostly primary care, seeing exclusively Medicaid patient populations) enrolled in 1 year of <i>ECHO Autism Washington</i>. Analysis of self-report surveys showed a significant increase in autism diagnoses made by ECHO providers after 1 year, <i>F</i>(1, 65) = 7.52, <i>P</i> = .008. Providers who attended more sessions reported making more diagnoses, <i>F</i>(2, 613.26), <i>P</i> = .045. Of note, autism diagnoses were not externally validated. The total number of reported barriers reduced, <i>F</i>(2, 61) = 13.5), <i>P</i> < .001, and confidence ratings increased <i>F</i>(2, 60) = 24.21, <i>P <</i> .001. The average number of diagnostic referrals from ECHO providers to the state's largest autism specialty clinic significantly reduced, <i>t</i>(43) = 4.23, <i>P</i> < .001, with significantly fewer diagnostic referrals made during and after ECHO training compared with a comparison group of 28 non-ECHO providers, <i>t</i>(58.77) = -3.36, <i>P</i> < .001. Overall, 1 year of <i>ECHO Autism Washington</i> participation led to significant changes in autism diagnostic practices.</p>\",\"PeriodicalId\":10363,\"journal\":{\"name\":\"Clinical Pediatrics\",\"volume\":\" \",\"pages\":\"91-100\"},\"PeriodicalIF\":1.0000,\"publicationDate\":\"2025-01-01\",\"publicationTypes\":\"Journal Article\",\"fieldsOfStudy\":null,\"isOpenAccess\":false,\"openAccessPdf\":\"\",\"citationCount\":\"0\",\"resultStr\":null,\"platform\":\"Semanticscholar\",\"paperid\":null,\"PeriodicalName\":\"Clinical Pediatrics\",\"FirstCategoryId\":\"3\",\"ListUrlMain\":\"https://doi.org/10.1177/00099228241255866\",\"RegionNum\":4,\"RegionCategory\":\"医学\",\"ArticlePicture\":[],\"TitleCN\":null,\"AbstractTextCN\":null,\"PMCID\":null,\"EPubDate\":\"2024/6/3 0:00:00\",\"PubModel\":\"Epub\",\"JCR\":\"Q3\",\"JCRName\":\"PEDIATRICS\",\"Score\":null,\"Total\":0}","platform":"Semanticscholar","paperid":null,"PeriodicalName":"Clinical Pediatrics","FirstCategoryId":"3","ListUrlMain":"https://doi.org/10.1177/00099228241255866","RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":null,"EPubDate":"2024/6/3 0:00:00","PubModel":"Epub","JCR":"Q3","JCRName":"PEDIATRICS","Score":null,"Total":0}
ECHO Autism Washington: Autism Diagnostic Evaluations in Primary Care.
ECHO (Extensions for Community Healthcare Outcomes) Autism is a telementoring learning model to increase community capacity for autism-related health care. Seventy-seven pediatric providers (mostly primary care, seeing exclusively Medicaid patient populations) enrolled in 1 year of ECHO Autism Washington. Analysis of self-report surveys showed a significant increase in autism diagnoses made by ECHO providers after 1 year, F(1, 65) = 7.52, P = .008. Providers who attended more sessions reported making more diagnoses, F(2, 613.26), P = .045. Of note, autism diagnoses were not externally validated. The total number of reported barriers reduced, F(2, 61) = 13.5), P < .001, and confidence ratings increased F(2, 60) = 24.21, P < .001. The average number of diagnostic referrals from ECHO providers to the state's largest autism specialty clinic significantly reduced, t(43) = 4.23, P < .001, with significantly fewer diagnostic referrals made during and after ECHO training compared with a comparison group of 28 non-ECHO providers, t(58.77) = -3.36, P < .001. Overall, 1 year of ECHO Autism Washington participation led to significant changes in autism diagnostic practices.
期刊介绍：
Clinical Pediatrics (CLP) a peer-reviewed monthly journal, is a must read for the busy pediatrician. CLP contains state-of-the-art, accurate, concise and down-to earth information on practical, everyday child care topics whether they are clinical, scientific, behavioral, educational, or ethical.
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