Reducing disparities in timely autism diagnosis through family navigation: results from a randomized pilot trial

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dc.contributor.authorFeinberg, Emily
dc.contributor.authorAbufhele, Marcela
dc.contributor.authorSandler, Jenna
dc.contributor.authorAugustyn, Marilyn
dc.contributor.authorCabral, Howard
dc.contributor.authorChen, Ning
dc.contributor.authorDiaz, Yaminette
dc.contributor.authorCesar, Zhandra
dc.contributor.authorAebi, Megan
dc.contributor.authorSilverstein, Michael
dc.date.accessioned2017-05-16T13:52:27Z
dc.date.available2017-05-16T13:52:27Z
dc.date.issued2016
dc.description.abstractOBJECTIVE: 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<.01). In regard to engagement of participants, 17 of 20 families (85%) met with the navigator for the targeted three in-person visits (median=4, range 1-9). CONCLUSIONS: FN may be a promising intervention to address barriers that impede timely ASD diagnosis.
dc.format.extent4
dc.identifier.citationPsychiatr Serv. 2016 Aug 1;67(8):912-5
dc.identifier.urihttp://hdl.handle.net/11447/1257
dc.identifier.urihttp://dx.doi.org/10.1176/appi.ps.201500162
dc.language.isoen_US
dc.publisherAmerican Psychiatric Association
dc.subjectautism spectrum disorder
dc.subjectdiagnosis
dc.subjectFamily Navigation
dc.subjectlow-income
dc.titleReducing disparities in timely autism diagnosis through family navigation: results from a randomized pilot trial
dc.typeArtículo

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