Lerner Matthew D, Brown Cynthia E, Sridhar Aksheya, Tschida Jessica E, Felsman Peter, Libsack Erin J, Kerns Connor M, Moskowitz Lauren J, Soorya Latha, Wainer Allison, Cohn Elizabeth, Drahota Amy
Department of Psychology, Stony Brook University, Stony Brook, NY, United States.
School of Graduate Psychology, Pacific University, Hillsboro, OR, United States.
Front Psychiatry. 2022 Jul 26;13:923025. doi: 10.3389/fpsyt.2022.923025. eCollection 2022.
To examine patterns and predictors of familiarity with transdisciplinary psychosocial (e.g., non-pharmacologic) practices for practitioners treating youths with autism spectrum disorder (ASD) in the United States.
Practitioners ( = 701) from behavioral, education, medical, and mental health backgrounds who worked with youth (ages 7-22) with ASD completed the Usual Care for Autism Survey, which assessed provider demographics and self-reported familiarity with transdisciplinary treatment practices for the most common referral problems of ASD. We examined relations between provider-, setting-, and client-level characteristics with familiarity of key groups of the treatment practices (practice sets). Practice sets were identified using exploratory factor analysis (EFA), and demographic predictors of practice subsets were examined using generalized estimating equations (GEE).
The EFA yielded a three-factor solution: (1) ; (2) ; and (3) , with overall familiarity ranked in this order. Medical providers indicated the least familiarity across disciplines. More experience with ASD and treating those with intellectual disabilities predicted greater familiarity with only and , but not . Experience treating low SES clients predicted familiarity with and while experience treating high SES clients predicted familiarity with and .
This is the first study to identify transdisciplinary, interpretable sets of practices for treating youth with ASD based on community providers' reported familiarity. Results highlight factors associated with familiarity with practice sets, which is essential for mapping practice availability, and optimizing training and dissemination efforts for youth with ASD.
研究美国治疗自闭症谱系障碍（ASD）青少年的从业者对跨学科心理社会（如非药物）治疗方法的熟悉程度模式及预测因素。
来自行为、教育、医学和心理健康领域、与7至22岁ASD青少年合作的701名从业者完成了自闭症常规护理调查，该调查评估了提供者的人口统计学特征以及对ASD最常见转诊问题的跨学科治疗方法的自我报告熟悉程度。我们研究了提供者、机构和服务对象层面的特征与治疗方法关键组（治疗方法集）熟悉程度之间的关系。使用探索性因素分析（EFA）确定治疗方法集，并使用广义估计方程（GEE）研究治疗方法子集的人口统计学预测因素。
探索性因素分析得出一个三因素解决方案：（1）；（2）；（3），总体熟悉程度按此顺序排列。医学提供者在各学科中表示熟悉程度最低。更多的ASD治疗经验和治疗智力残疾患者的经验仅预测对 和 的更高熟悉程度，而非 。治疗低社会经济地位服务对象的经验预测对 和 的熟悉程度，而治疗高社会经济地位服务对象的经验预测对 和 的熟悉程度。
这是第一项基于社区提供者报告的熟悉程度来确定治疗ASD青少年的跨学科、可解释治疗方法集的研究。结果突出了与治疗方法集熟悉程度相关的因素，这对于规划治疗方法的可及性以及优化针对ASD青少年的培训和推广工作至关重要。
