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A hybrid type I randomized effectiveness-implementation trial of patient navigation to improve access to services for children with autism spectrum disorder

Overview of attention for article published in BMC Psychiatry, March 2018
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Title
A hybrid type I randomized effectiveness-implementation trial of patient navigation to improve access to services for children with autism spectrum disorder
Published in
BMC Psychiatry, March 2018
DOI 10.1186/s12888-018-1661-7
Pubmed ID
Authors

Sarabeth Broder-Fingert, Morgan Walls, Marilyn Augustyn, Rinad Beidas, David Mandell, Shannon Wiltsey-Stirman, Michael Silverstein, Emily Feinberg

Abstract

Significant racial, ethnic, and socioeconomic disparities exist in access to evidence-based treatment services for children with autism spectrum disorder (ASD). Patient Navigation (PN) is a theory-based care management strategy designed to reduce disparities in access to care. The purpose of this study is to test the effectiveness of PN a strategy to reduce disparities in access to evidence-based services for vulnerable children with ASD, as well as to explore factors that impact implementation. This study uses a hybrid type I randomized effectiveness/implementation design to test effectiveness and collect data on implementation concurrently. It is a two-arm comparative effectiveness trial with a target of 125 participants per arm. Participants are families of children age 15-27 months who receive a positive screen for ASD at a primary care visit at urban clinics in Massachusetts (n = 6 clinics), Connecticut (n = 1), and Pennsylvania (n = 2). The trial measures diagnostic interval (number of days from positive screen to diagnostic determination) and time to receipt of evidence-based ASD services/recommended services (number of days from date of diagnosis to receipt of services) in those with PN compared to and activated control -Conventional Care Management - which is similar to care management received in a high quality medical home. At the same time, a mixed-method implementation evaluation is being carried out. This study will examine the effectiveness of PN to reduce the time to and receipt of evidence-based services for vulnerable children with ASD, as well as factors that influence implementation. Findings will tell us both if PN is an effective approach for improving access to evidence-based care for children with ASD, and inform future strategies for dissemination. NCT02359084 Registered February 1, 2015.

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Mendeley readers

Mendeley readers

The data shown below were compiled from readership statistics for 165 Mendeley readers of this research output. Click here to see the associated Mendeley record.

Geographical breakdown

Country Count As %
Unknown 165 100%

Demographic breakdown

Readers by professional status Count As %
Student > Master 20 12%
Researcher 19 12%
Student > Ph. D. Student 18 11%
Student > Bachelor 16 10%
Other 13 8%
Other 33 20%
Unknown 46 28%
Readers by discipline Count As %
Medicine and Dentistry 31 19%
Psychology 27 16%
Social Sciences 21 13%
Nursing and Health Professions 16 10%
Unspecified 3 2%
Other 12 7%
Unknown 55 33%
Attention Score in Context

Attention Score in Context

This research output has an Altmetric Attention Score of 1. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 25 April 2018.
All research outputs
#18,604,390
of 23,045,021 outputs
Outputs from BMC Psychiatry
#3,947
of 4,757 outputs
Outputs of similar age
#256,390
of 330,042 outputs
Outputs of similar age from BMC Psychiatry
#78
of 83 outputs
Altmetric has tracked 23,045,021 research outputs across all sources so far. This one is in the 11th percentile – i.e., 11% of other outputs scored the same or lower than it.
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