Reducing Disparities in Timely Autism Diagnosis Through Family Navigation: Results From a Randomized Pilot Trial
Reducing Disparities in Timely Autism Diagnosis Through Family Navigation: Results From a Randomized Pilot Trial
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DOI：
10.1176/appi.ps.201500162
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发表时间：
2016-08-01
影响因子：
3.8
通讯作者：
Silverstein, Michael
中科院分区：
文献类型：
--
作者：
Feinberg, Emily;Abufhele, Marcela;Silverstein, Michael
目的：新出现的证据表明，自闭症谱系障碍（ASD）可以在18个月大时诊断出来，早期强化行为干预对ASD核心缺陷有积极影响。这项试点随机对照试验研究了使用适应形式的患者导航，家庭导航（FN），以提高及时诊断ASD的低收入家庭从racial-ethnic minority groups.Methods：40名儿童被随机分配到接受FN或常规护理的ASD诊断评估。结果：20例FN患儿中有19例完成了诊断评估，而接受常规治疗的19例患儿中有11例完成了诊断评估（风险比=3.21，95%可信区间=1.47-6.98，p
Objective: Emerging evidence suggests that autism spectrum disorder (ASD) can be diagnosed by age 18 months and that early intensive behavioral intervention positively affects ASD core deficits. This pilot randomized controlled trial examined the feasibility of using an adapted form of patient navigation, Family Navigation (FN), to improve timely diagnosis of ASD in low-income families from racial-ethnic minority groups.Methods: Forty children referred for an ASD diagnostic assessment were randomly allocated to receive FN or usual care. The primary outcome, time to diagnostic resolution, was assessed with survival analysis.Results: Nineteen of 20 FN children completed the diagnostic assessment, compared with 11 of 19 children receiving usual care (hazard ratio=3.21, 95% confidence interval=1.47-6.98, p