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本文引用的文献

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Diagnostic Accuracy of Primary Care Clinicians Across a Statewide System of Autism Evaluation.全州自闭症评估系统中初级保健临床医生的诊断准确性。
Pediatrics. 2023 Aug 1;152(2). doi: 10.1542/peds.2023-061188.
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ECHO (Extension for Community Healthcare Outcomes) Autism STAT: A Diagnostic Accuracy Study of Community-Based Primary Care Diagnosis of Autism Spectrum Disorder.社区医疗保健结果扩展项目(ECHO)自闭症STAT:一项关于社区基层医疗对自闭症谱系障碍诊断准确性的研究。
J Dev Behav Pediatr. 2023 Apr 1;44(3):e177-e184. doi: 10.1097/DBP.0000000000001172.
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Trends in Geographic Access to Board Certified Behavior Analysts Among Children with Autism Spectrum Disorder, 2018-2021.2018-2021 年自闭症谱系障碍儿童获得认证行为分析师的地理途径趋势。
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Interventions based on early intensive applied behaviour analysis for autistic children: a systematic review and cost-effectiveness analysis.基于早期密集应用行为分析的自闭症儿童干预措施:系统评价和成本效益分析。
Health Technol Assess. 2020 Jul;24(35):1-306. doi: 10.3310/hta24350.
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Delay to Early Intensive Behavioral Intervention and Educational Outcomes for a Medicaid-Enrolled Cohort of Children with Autism.延迟早期强化行为干预对参加医疗补助计划的自闭症儿童队列的教育结果的影响。
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Project AIM: Autism intervention meta-analysis for studies of young children.项目目标:对幼儿自闭症干预研究的荟萃分析。
Psychol Bull. 2020 Jan;146(1):1-29. doi: 10.1037/bul0000215. Epub 2019 Nov 25.
8
Standards of diagnostic assessment for autism spectrum disorder.自闭症谱系障碍的诊断评估标准。
Paediatr Child Health. 2019 Nov;24(7):444-460. doi: 10.1093/pch/pxz117. Epub 2019 Oct 24.
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Autism spectrum disorder: advances in diagnosis and evaluation.自闭症谱系障碍:诊断与评估的新进展。
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10
Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD).针对自闭症谱系障碍(ASD)幼儿的早期强化行为干预(EIBI)。
Cochrane Database Syst Rev. 2018 May 9;5(5):CD009260. doi: 10.1002/14651858.CD009260.pub3.

了解行为治疗师如何利用自闭症谱系障碍诊断信息进行干预计划制定。

Understanding how behaviour therapists use autism spectrum disorder diagnostic information for intervention planning.

作者信息

Caven Isabelle, Nguyen Claire, Wiegelmann Justine, Laframboise Erica, Penner Melanie

机构信息

Holland Bloorview Kids Rehabilitation Hospital, Toronto, ON, Canada.

Department of Paediatrics, Michael Garron Hospital, Toronto, ON, Canada.

出版信息

Front Psychiatry. 2023 Sep 25;14:1242748. doi: 10.3389/fpsyt.2023.1242748. eCollection 2023.

DOI:10.3389/fpsyt.2023.1242748
PMID:37822797
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC10564585/
Abstract

Understanding how behaviour therapists incorporate diagnostic assessments into their intervention planning can help to streamline assessment procedures and facilitate communication. The objectives are to identify what information from the diagnostic assessment is received by behaviour therapists and which assessment elements are most important and relevant for treatment planning. Behaviour therapists, identified through Ontario registries, were surveyed about their use of diagnostic information in treatment planning. Seventy-one behaviour therapists completed the survey (response rate = 35.5%). The diagnostic information most frequently received by respondents included brief (69%) and detailed (49.2%) physician/psychologist report, speech/language assessment report (52.1%) and individualised education plan (50.7%). Most respondents indicated that information from the physician/psychologist report is often out-dated (74.6% Agree/Strongly Agree). There was variable agreement that the information in the diagnostic package influences the type and quantity of treatment. These findings demonstrate that while diagnostic assessments received by behaviour therapists are important to their planning, other independently obtained sources of information, such as client interviews, are relatively more important to this process. The diagnostic assessment is one tool to inform treatment planning; however, up-to-date information about the child's needs is likely to be more informative.

摘要

了解行为治疗师如何将诊断评估纳入其干预计划,有助于简化评估程序并促进沟通。目标是确定行为治疗师从诊断评估中获得了哪些信息,以及哪些评估要素对治疗计划最为重要和相关。通过安大略省的登记处确定了行为治疗师,并对他们在治疗计划中使用诊断信息的情况进行了调查。71名行为治疗师完成了调查(回复率 = 35.5%)。受访者最常收到的诊断信息包括简短(69%)和详细(49.2%)的医生/心理学家报告、言语/语言评估报告(52.1%)和个性化教育计划(50.7%)。大多数受访者表示,医生/心理学家报告中的信息往往过时(74.6%同意/强烈同意)。对于诊断包中的信息会影响治疗的类型和数量,存在不同程度的认同。这些发现表明,虽然行为治疗师收到的诊断评估对他们的计划很重要,但其他独立获取的信息来源,如与客户的面谈,在这个过程中相对更重要。诊断评估是为治疗计划提供信息的一种工具;然而,关于儿童需求的最新信息可能更具参考价值。