Skip to main content
Top
Gepubliceerd in:

01-06-2012 | Original Paper

Engaging Pediatricians in Developmental Screening: The Effectiveness of Academic Detailing

Auteurs: Lisa Honigfeld, Laura Chandhok, Kenneth Spiegelman

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 6/2012

Log in om toegang te krijgen
share
DELEN

Deel dit onderdeel of sectie (kopieer de link)

  • Optie A:
    Klik op de rechtermuisknop op de link en selecteer de optie “linkadres kopiëren”
  • Optie B:
    Deel de link per e-mail

Abstract

Use of formal developmental screening tools in the pediatric medical home improves early identification of children with developmental delays and disorders, including Autism Spectrum Disorders. A pilot study evaluated the impact of an academic detailing module in which trainers visited 43 pediatric primary care practices to provide education about implementing developmental screening tools in well-child services. Attendees responded to a post presentation survey stating that they planned to implement screening in their practices. Medicaid billing data showed an increase in the state’s overall rate of screening. An audit of medical charts in five practices that received the training and five that did not showed higher screening rates in practices that received the training as well as higher rates after the training than before. These pilot study results indicate the potential of academic detailing as an effective strategy for improving rates of developmental screening.
Literatuur
go back to reference American Academy of Pediatrics Council on Children with Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee, & Medical Home Initiatives for Children with Special Needs Project Committee. (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics, 118(1), 405–420. American Academy of Pediatrics Council on Children with Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee, & Medical Home Initiatives for Children with Special Needs Project Committee. (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics, 118(1), 405–420.
go back to reference American Medical Association. (2010). CPT 2010 Professional Edition. Chicago. American Medical Association. (2010). CPT 2010 Professional Edition. Chicago.
go back to reference Baron-Cohen, S., Cox, A., Baird, G., Swettenham, J., Nightengale, N., Morgan, K., et al. (1996). Psychological markers in the detection of autism in infancy in a large population. British Journal of Psychiatry, 168, 158–163.PubMedCrossRef Baron-Cohen, S., Cox, A., Baird, G., Swettenham, J., Nightengale, N., Morgan, K., et al. (1996). Psychological markers in the detection of autism in infancy in a large population. British Journal of Psychiatry, 168, 158–163.PubMedCrossRef
go back to reference Bethell, C., Reuland, C., Schor, E., Abrahms, M., & Halfon, N. (2011) Rates of Parent-Centered Developmental Screening: Disparities and Links to Services Access. Pediatrics, doi: 10.1542/peds.2010-0424. Bethell, C., Reuland, C., Schor, E., Abrahms, M., & Halfon, N. (2011) Rates of Parent-Centered Developmental Screening: Disparities and Links to Services Access. Pediatrics, doi: 10.​1542/​peds.​2010-0424.
go back to reference Center for Financing, Access and Cost Trends (2007). Agency for Healthcare Research and Quality: Medical Expenditure Panel Survey. Retrieved 11/11/2010. Center for Financing, Access and Cost Trends (2007). Agency for Healthcare Research and Quality: Medical Expenditure Panel Survey. Retrieved 11/11/2010.
go back to reference Cloutier, M. M., & Wakefield, D. B. (2011). Translation of a pediatric asthma-management program into a community in Connecticut. Pediatrics, 127(1), 11–18.PubMedCrossRef Cloutier, M. M., & Wakefield, D. B. (2011). Translation of a pediatric asthma-management program into a community in Connecticut. Pediatrics, 127(1), 11–18.PubMedCrossRef
go back to reference Connecticut Department of Social Services. (personal communication, July 1, 2010). Connecticut Department of Social Services. (personal communication, July 1, 2010).
go back to reference Dosreis, S., Weiner, C. L., Johnson, L., & Newschaffer, C. J. (2006). Autism spectrum disorder screening and management practices among general pediatric providers. Journal of Developmental and Behavioral Pediatrics, 27(2 Suppl), S88–S94.PubMedCrossRef Dosreis, S., Weiner, C. L., Johnson, L., & Newschaffer, C. J. (2006). Autism spectrum disorder screening and management practices among general pediatric providers. Journal of Developmental and Behavioral Pediatrics, 27(2 Suppl), S88–S94.PubMedCrossRef
go back to reference Duncan, P. M., Duncan, E. D., & Swanson, J. (2008). Bright Futures: The screening table recommendations. Pediatric Annals, 37(3), 152–158.PubMed Duncan, P. M., Duncan, E. D., & Swanson, J. (2008). Bright Futures: The screening table recommendations. Pediatric Annals, 37(3), 152–158.PubMed
go back to reference Earls, M. F., & Hay, S. S. (2006). Setting the stage for success: Implementation of developmental and behavioral screening and surveillance in primary care practice–the North Carolina Assuring Better Child Health and Development (ABCD) Project. Pediatrics, 118(1), e183–e188.PubMedCrossRef Earls, M. F., & Hay, S. S. (2006). Setting the stage for success: Implementation of developmental and behavioral screening and surveillance in primary care practice–the North Carolina Assuring Better Child Health and Development (ABCD) Project. Pediatrics, 118(1), e183–e188.PubMedCrossRef
go back to reference Filipek, P. A., Accardo, P. J., Ashwal, S., Baranek, G. T., Cook, E. H., Jr., Dawson, G., et al. (2000). Practice parameter: Screening and diagnosis of autism: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Child Neurology Society. Neurology, 55(4), 468–479.PubMedCrossRef Filipek, P. A., Accardo, P. J., Ashwal, S., Baranek, G. T., Cook, E. H., Jr., Dawson, G., et al. (2000). Practice parameter: Screening and diagnosis of autism: Report of the Quality Standards Subcommittee of the American Academy of Neurology and the Child Neurology Society. Neurology, 55(4), 468–479.PubMedCrossRef
go back to reference Finkelstein, J. A., Davis, R. L., Dowell, S. F., Metlay, J. P., Soumerai, S. B., Rifas-Shiman, S. L., et al. (2001). Reducing antibiotic use in children: A randomized trial in 12 practices. Pediatrics, 108(1), 1–7.PubMedCrossRef Finkelstein, J. A., Davis, R. L., Dowell, S. F., Metlay, J. P., Soumerai, S. B., Rifas-Shiman, S. L., et al. (2001). Reducing antibiotic use in children: A randomized trial in 12 practices. Pediatrics, 108(1), 1–7.PubMedCrossRef
go back to reference Freemantle, N., Harvey, E. L., Wolf, F., Grimshaw, J. M., Grilli, R., & Bero, L. A. (2000). Printed educational materials: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev(2), CD000172. Freemantle, N., Harvey, E. L., Wolf, F., Grimshaw, J. M., Grilli, R., & Bero, L. A. (2000). Printed educational materials: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev(2), CD000172.
go back to reference Gaines, R., Missiuna, C., Egan, M., & McLean, J. (2008). Educational outreach and collaborative care enhances physician’s perceived knowledge about Developmental Coordination Disorder. BMC Health Serv Res, 8, 21.PubMedCrossRef Gaines, R., Missiuna, C., Egan, M., & McLean, J. (2008). Educational outreach and collaborative care enhances physician’s perceived knowledge about Developmental Coordination Disorder. BMC Health Serv Res, 8, 21.PubMedCrossRef
go back to reference Glascoe, F. P. (2003). Parents’ evaluation of developmental status: How well do parents’ concerns identify children with behavioral and emotional problems? Clin Pediatr (Phila), 42(2), 133–138.CrossRef Glascoe, F. P. (2003). Parents’ evaluation of developmental status: How well do parents’ concerns identify children with behavioral and emotional problems? Clin Pediatr (Phila), 42(2), 133–138.CrossRef
go back to reference Golnik, A., Ireland, M., & Borowsky, I. W. (2009). Medical homes for children with autism: A physician survey. Pediatrics, 123(3), 966–971.PubMedCrossRef Golnik, A., Ireland, M., & Borowsky, I. W. (2009). Medical homes for children with autism: A physician survey. Pediatrics, 123(3), 966–971.PubMedCrossRef
go back to reference Heckman, J. J. (2006). Skill formation and the economics of investing in disadvantaged children. Science, 312(5782), 1900–1902.PubMedCrossRef Heckman, J. J. (2006). Skill formation and the economics of investing in disadvantaged children. Science, 312(5782), 1900–1902.PubMedCrossRef
go back to reference Hix-Small, H., Marks, K., Squires, J., & Nickel, R. (2007). Impact of implementing developmental screening at 12 and 24 months in a pediatric practice. Pediatrics, 120(2), 381–389.PubMedCrossRef Hix-Small, H., Marks, K., Squires, J., & Nickel, R. (2007). Impact of implementing developmental screening at 12 and 24 months in a pediatric practice. Pediatrics, 120(2), 381–389.PubMedCrossRef
go back to reference Honigfeld, L., & McKay, K. (2006). Barriers to enhancing practice-based developmental services. Journal of Developmental and Behavioral Pediatrics, 27(1 Suppl), S30–33; discussion S34–37, S50–32. Honigfeld, L., & McKay, K. (2006). Barriers to enhancing practice-based developmental services. Journal of Developmental and Behavioral Pediatrics, 27(1 Suppl), S30–33; discussion S34–37, S50–32.
go back to reference Johnson, C. P., & Myers, S. M. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120(5), 1183–1215.PubMedCrossRef Johnson, C. P., & Myers, S. M. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120(5), 1183–1215.PubMedCrossRef
go back to reference Kaye, N., & May, J. (2009). State Policy Improvements that Support Effective Identification of Children At-Risk for Developmental Delay: Finding from the ABCD Screening Academy. Portland: National Academy of State Health Policy. Kaye, N., & May, J. (2009). State Policy Improvements that Support Effective Identification of Children At-Risk for Developmental Delay: Finding from the ABCD Screening Academy. Portland: National Academy of State Health Policy.
go back to reference King, T. M., Tandon, S. D., Macias, M. M., Healy, J. A., Duncan, P. M., Swigonski, N. L., et al. (2010). Implementing developmental screening and referrals: Lessons learned from a national project. Pediatrics, 125(2), 350–360.PubMedCrossRef King, T. M., Tandon, S. D., Macias, M. M., Healy, J. A., Duncan, P. M., Swigonski, N. L., et al. (2010). Implementing developmental screening and referrals: Lessons learned from a national project. Pediatrics, 125(2), 350–360.PubMedCrossRef
go back to reference Kleinman, J. M., Robins, D. L., Ventola, P. E., Pandey, J., Boorstein, H. C., Esser, E. L., et al. (2008). The modified checklist for autism in toddlers: A follow-up study investigating the early detection of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(5), 827–839.PubMedCrossRef Kleinman, J. M., Robins, D. L., Ventola, P. E., Pandey, J., Boorstein, H. C., Esser, E. L., et al. (2008). The modified checklist for autism in toddlers: A follow-up study investigating the early detection of autism spectrum disorders. Journal of Autism and Developmental Disorders, 38(5), 827–839.PubMedCrossRef
go back to reference Mandell, D. S., Novak, M. M., & Zubritsky, C. D. (2005). Factors associated with age of diagnosis among children with autism spectrum disorders. Pediatrics, 116(6), 1480–1486.PubMedCrossRef Mandell, D. S., Novak, M. M., & Zubritsky, C. D. (2005). Factors associated with age of diagnosis among children with autism spectrum disorders. Pediatrics, 116(6), 1480–1486.PubMedCrossRef
go back to reference McKay, K. (2006). Evaluating model programs to support dissemination. An evaluation of strengthening the developmental surveillance and referral practices of child health providers. J Dev Behav Pediatr, 27(1 Suppl), S26–29; discussion S34–27, S50–22. McKay, K. (2006). Evaluating model programs to support dissemination. An evaluation of strengthening the developmental surveillance and referral practices of child health providers. J Dev Behav Pediatr, 27(1 Suppl), S26–29; discussion S34–27, S50–22.
go back to reference Miller, J. S., Gabrielsen, T., Villalobos, M., Alleman, R., Wahmhoff, N., Carbone, P. S., et al. (2011). The each child study: Systematic screening for autism spectrum disorders in a pediatric setting. Pediatrics, 127(5), 866–871.PubMedCrossRef Miller, J. S., Gabrielsen, T., Villalobos, M., Alleman, R., Wahmhoff, N., Carbone, P. S., et al. (2011). The each child study: Systematic screening for autism spectrum disorders in a pediatric setting. Pediatrics, 127(5), 866–871.PubMedCrossRef
go back to reference O’Brien, M. A., Rogers, S., Jamtvedt, G., Oxman, A. D., Odgaard-Jensen, J., Kristoffersen, D. T., et al. (2007). Educational outreach visits: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev(4), CD000409. O’Brien, M. A., Rogers, S., Jamtvedt, G., Oxman, A. D., Odgaard-Jensen, J., Kristoffersen, D. T., et al. (2007). Educational outreach visits: Effects on professional practice and health care outcomes. Cochrane Database Syst Rev(4), CD000409.
go back to reference Radecki, L., Sand-Loud, N., O’Connor, K. G., Sharp, S., & Olson, L. M. (2011). Trends in the use of standardized tools for developmental screening in early childhood: 2002–2009. Pediatrics, 128(1), 14–19.PubMedCrossRef Radecki, L., Sand-Loud, N., O’Connor, K. G., Sharp, S., & Olson, L. M. (2011). Trends in the use of standardized tools for developmental screening in early childhood: 2002–2009. Pediatrics, 128(1), 14–19.PubMedCrossRef
go back to reference Robins, D. L. (2008). Screening for autism spectrum disorders in primary care settings. Autism, 12(5), 537–556.PubMedCrossRef Robins, D. L. (2008). Screening for autism spectrum disorders in primary care settings. Autism, 12(5), 537–556.PubMedCrossRef
go back to reference Robins, D., Fein, D., Barton, M., Jones, G., Byrne, J., Hinchey, M., et al. (1999). The M-CHAT: Early detection of autism. Storrs, CT: University of Connecticut. Robins, D., Fein, D., Barton, M., Jones, G., Byrne, J., Hinchey, M., et al. (1999). The M-CHAT: Early detection of autism. Storrs, CT: University of Connecticut.
go back to reference Robins, D. L., et al. (2001). The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders’. Journal of Autism and Developmental Disorders, 31(2), 131–144.PubMedCrossRef Robins, D. L., et al. (2001). The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders’. Journal of Autism and Developmental Disorders, 31(2), 131–144.PubMedCrossRef
go back to reference Sand, N., Silverstein, M., Glascoe, F. P., Gupta, V. B., Tonniges, T. P., & O’Connor, K. G. (2005). Pediatricians’ reported practices regarding developmental screening: Do guidelines work? Do they help? Pediatrics, 116(1), 174–179.PubMedCrossRef Sand, N., Silverstein, M., Glascoe, F. P., Gupta, V. B., Tonniges, T. P., & O’Connor, K. G. (2005). Pediatricians’ reported practices regarding developmental screening: Do guidelines work? Do they help? Pediatrics, 116(1), 174–179.PubMedCrossRef
go back to reference Schechter, N. L., Bernstein, B. A., Zempsky, W. T., Bright, N. S., & Willard, A. K. (2010). Educational outreach to reduce immunization pain in office settings. Pediatrics, 126(6), e1514–e1521.PubMedCrossRef Schechter, N. L., Bernstein, B. A., Zempsky, W. T., Bright, N. S., & Willard, A. K. (2010). Educational outreach to reduce immunization pain in office settings. Pediatrics, 126(6), e1514–e1521.PubMedCrossRef
go back to reference Schonwald, A., Huntington, N., Chan, E., Risko, W., & Bridgemohan, C. (2009). Routine developmental screening implemented in urban primary care settings: More evidence of feasibility and effectiveness. Pediatrics, 123, 660–668.PubMedCrossRef Schonwald, A., Huntington, N., Chan, E., Risko, W., & Bridgemohan, C. (2009). Routine developmental screening implemented in urban primary care settings: More evidence of feasibility and effectiveness. Pediatrics, 123, 660–668.PubMedCrossRef
go back to reference Shattuck, P. T., Durkin, M., Maenner, M., Newschaffer, C., Mandell, D. S., Wiggins, L., et al. (2009). Timing of identification among children with an autism spectrum disorder: Findings from a population-based surveillance study. Journal of the American Academy of Child and Adolescent Psychiatry, 48(5), 474–483.PubMedCrossRef Shattuck, P. T., Durkin, M., Maenner, M., Newschaffer, C., Mandell, D. S., Wiggins, L., et al. (2009). Timing of identification among children with an autism spectrum disorder: Findings from a population-based surveillance study. Journal of the American Academy of Child and Adolescent Psychiatry, 48(5), 474–483.PubMedCrossRef
go back to reference Sia, C., Tonniges, T. F., Osterhus, E., & Taba, S. (2004). History of the medical home concept. Pediatrics, 113(5 Suppl), 1473–1478.PubMed Sia, C., Tonniges, T. F., Osterhus, E., & Taba, S. (2004). History of the medical home concept. Pediatrics, 113(5 Suppl), 1473–1478.PubMed
go back to reference Sices, L., Feudtner, C., McLaughlin, J., Drotar, D., & Williams, M. (2003). How do primary care physicians identify young children with developmental delays? A national survey. Journal of Developmental and Behavioral Pediatrics, 24(6), 409–417.PubMedCrossRef Sices, L., Feudtner, C., McLaughlin, J., Drotar, D., & Williams, M. (2003). How do primary care physicians identify young children with developmental delays? A national survey. Journal of Developmental and Behavioral Pediatrics, 24(6), 409–417.PubMedCrossRef
go back to reference Snow, A. V., & Lecavalier, L. (2008). Sensitivity and specificity of the Modified Checklist for Autism in Toddlers and the Social Communication Questionnaire in preschoolers suspected of having pervasive developmental disorders. Autism, 12(6), 627–644.PubMedCrossRef Snow, A. V., & Lecavalier, L. (2008). Sensitivity and specificity of the Modified Checklist for Autism in Toddlers and the Social Communication Questionnaire in preschoolers suspected of having pervasive developmental disorders. Autism, 12(6), 627–644.PubMedCrossRef
go back to reference Soumerai, S. B. (1998). Principles and uses of academic detailing to improve the management of psychiatric disorders. The International Journal of Psychiatry in Medicine, 28(1), 81–96.CrossRef Soumerai, S. B. (1998). Principles and uses of academic detailing to improve the management of psychiatric disorders. The International Journal of Psychiatry in Medicine, 28(1), 81–96.CrossRef
go back to reference Soumerai, S. B., & Avorn, J. (1990). Principles of educational outreach (‘academic detailing’) to improve clinical decision making. JAMA, 263(4), 549–556.PubMedCrossRef Soumerai, S. B., & Avorn, J. (1990). Principles of educational outreach (‘academic detailing’) to improve clinical decision making. JAMA, 263(4), 549–556.PubMedCrossRef
go back to reference Soumerai, S. B., Salem-Schatz, S., Avorn, J., Casteris, C. S., Ross-Degnan, D., & Popovsky, M. A. (1993). A controlled trial of educational outreach to improve blood transfusion practice. JAMA, 270(8), 961–966.PubMedCrossRef Soumerai, S. B., Salem-Schatz, S., Avorn, J., Casteris, C. S., Ross-Degnan, D., & Popovsky, M. A. (1993). A controlled trial of educational outreach to improve blood transfusion practice. JAMA, 270(8), 961–966.PubMedCrossRef
go back to reference Squires, J., Bricker, D., & Potter, L. (1997). Revision of a parent-completed development screening tool: Ages and Stages Questionnaires. Journal of Pediatric Psychology, 22(3), 313–328.PubMedCrossRef Squires, J., Bricker, D., & Potter, L. (1997). Revision of a parent-completed development screening tool: Ages and Stages Questionnaires. Journal of Pediatric Psychology, 22(3), 313–328.PubMedCrossRef
Metagegevens
Titel
Engaging Pediatricians in Developmental Screening: The Effectiveness of Academic Detailing
Auteurs
Lisa Honigfeld
Laura Chandhok
Kenneth Spiegelman
Publicatiedatum
01-06-2012
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 6/2012
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-011-1344-4

Andere artikelen Uitgave 6/2012

Journal of Autism and Developmental Disorders 6/2012 Naar de uitgave