MEMBERS

If you are a member of the network, please log in to access Network content and tools. If you do not have a username, contact your site principal investigator or site coordinator and request that they complete a membership request for you. If you have forgotten your password, you may CLICK HERE.


AS ATN

You are here

Effectiveness of the Extension for Community Health Outcomes Model as Applied to Primary Care for Autism A Partial Stepped-Wedge Randomized Clinical Trial

TitleEffectiveness of the Extension for Community Health Outcomes Model as Applied to Primary Care for Autism A Partial Stepped-Wedge Randomized Clinical Trial
Publication TypeManuscript
Year of Publication2020
AuthorsMazurek, MO, Parker, RA, Chan, J, Kuhlthau, KA, Sohl, K
Collection TitleJAMA Pediatrics
Date PublishedMarch 9, 2020
Keywordsairp
DOI10.1001/jamapediatrics.2019.6306
Summary

Aims and Objectives:
ECHO Autism model uses technology to train and mentor primary care providers (PCPs) in best-practice care for children with autism. This study was conducted to see if the ECHO model is effective in improving providers’ clinical practice, knowledge, and self-efficacy regarding autism screening and care management.

Method:
Primary care physicians (PCP) participated in a 6-month ECHO Autism program. The program was delivered by 10 academic medical center sites. Two random sites were chosen to launch their program every three months. The ECHO Autism program used Zoom to connect the PCPs to a team of experts. There were 148 participants studied between December 2016 and November 2018. The main outcomes were autism screening practices and care management. The researchers also examined PCP knowledge and self-confidence. All outcomes were measured at baseline, mid-ECHO, post-ECHO, and 3 months after ECHO.

Results:
Participants were 82% female (n = 108), 76% white (n = 100), and 6% Hispanic or Latino (n = 8). The median age was 46 years. Significant changes in autism screening and care of children with autism were not observed. Participants demonstrated improvements in knowledge and self-confidence.

Conclusions:
The ECHO model can improve PCP knowledge and confidence. There was little evidence to support for achieving practice change.