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安大略省医生关于自闭症谱系障碍的知识队列研究:一项混合方法研究。

A cohort of Ontario physicians' knowledge regarding autism spectrum disorder: a mixed methods study.

作者信息

Davin Nathaniel, Watson Shelley, Harding Kelly, Ghaderi Golnaz

机构信息

Psychology, Laurentian University, Sudbury, Canada.

出版信息

Int J Dev Disabil. 2022 Dec 19;70(5):915-924. doi: 10.1080/20473869.2022.2149101. eCollection 2024.

Abstract

Employing a mixed methods approach, this study examined the knowledge and information Ontario physicians have concerning Autism Spectrum Disorder (ASD). Physicians are at the front line when it comes to identifying ASD. The Healthcare Professional Questionnaire was filled out by 46 physicians and 16 filled out the Knowledge about Childhood Autism among Health Workers Questionnaire (KCAHW) before being asked to participate in a semi-structured interview in which 7 participated. Paediatricians and psychiatrist reported having the highest levels of knowledge. Findings revealed that physicians are lacking in information regarding some early signs (i.e. social smiling = 50%), added diagnostic criteria (i.e. hypo-reactivity to sensory information = 56%), and the prevalence rate of ASD (average estimate of 1 in 1109). Additionally, exposure to individuals with ASD was found to be a facilitator to knowledge acquisition regarding ASD. The physicians recommended a road map method to disseminate information and increase knowledge and awareness. Implications of the findings include what areas of knowledge and information need to be increased, and how knowledge and competency can be increased, to better care for this population.

摘要

本研究采用混合研究方法,调查了安大略省医生对自闭症谱系障碍(ASD)的知识和信息掌握情况。在识别ASD方面,医生处于一线位置。46名医生填写了《医疗保健专业人员调查问卷》,16名医生在被邀请参加7人参与的半结构化访谈之前填写了《卫生工作者关于儿童自闭症的知识调查问卷》(KCAHW)。儿科医生和精神科医生报告称拥有最高水平的知识。研究结果显示,医生在一些早期症状(如社交微笑,知晓率为50%)、补充诊断标准(如对感觉信息反应低下,知晓率为56%)以及ASD患病率(平均估计为1109人中1例)方面缺乏信息。此外,发现接触ASD患者有助于获取关于ASD的知识。医生们推荐采用路线图方法来传播信息并增加知识和认识。研究结果的影响包括需要增加哪些知识和信息领域,以及如何提高知识和能力,以便更好地照顾这一群体。

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Early detection for autism spectrum disorder in young children.幼儿自闭症谱系障碍的早期检测。
Paediatr Child Health. 2019 Nov;24(7):424-443. doi: 10.1093/pch/pxz119. Epub 2019 Oct 24.
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Family Physicians' Awareness of Autism Spectrum Disorder: Results from a Survey Study.家庭医生对自闭症谱系障碍的认知:一项调查研究的结果
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