ECHO Autism: A New Model for Training Primary Care Providers in Best-Practice Care for Children With Autism
ECHO Autism: A New Model for Training Primary Care Providers in Best-Practice Care for Children With Autism
复制标题
DOI：
10.1177/0009922816648288
复制
发表时间：
2017-03-01
影响因子：
1.6
通讯作者：
Sohl, Kristin
中科院分区：
文献类型：
--
作者：
Mazurek, Micah O.;Brown, Rachel;Sohl, Kristin
患有自闭症谱系障碍(ASD)的儿童有复杂的医疗问题，但他们的医疗保健需求得不到满足的风险很高。初级保健提供者完全有能力满足这些需求；然而，他们往往缺乏自闭症方面的培训。这一试点项目开发和测试了一种新的模式，利用社区卫生保健结果扩展(ECHO)框架，培训初级保健提供者对自闭症的最佳实践护理。为期6个月的ECHO自闭症试点项目由12个双周诊所组成，专注于ASD症状的筛查和识别以及内科和精神科合并症的管理。参与者在基线(前测)和回声自闭症6个月后(后测)完成ASD儿童筛查和管理中的练习行为和自我效能的测量。在遵守ASD筛查指南和使用ASD特定资源方面，在自我效能方面观察到了显著的改善。参与者也表示对该计划的满意度很高。
Children with autism spectrum disorder (ASD) have complex medical problems, yet they are at high risk for unmet health care needs. Primary care providers are perfectly positioned to meet these needs; however, they often lack training in ASD. This pilot project developed and tested a new model for training primary care providers in best-practice care for ASD using the Extension for Community Healthcare Outcomes (ECHO) framework. The 6-month ECHO Autism pilot project consisted of 12 biweekly clinics focused on screening and identification of ASD symptoms and management of medical and psychiatric comorbidities. Participants completed measures of practice behavior and self-efficacy in screening and management of children with ASD at baseline (pretest) and after 6 months of ECHO Autism (posttest). Statistically significant improvements were observed in self-efficacy, in adherence to ASD screening guidelines, and in use of ASD-specific resources. Participants also reported high satisfaction with the program.