Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults

This study examined waiting times for diagnostic assessment of Autism Spectrum Disorder in 11 adult services, prior to and following the implementation of a 12 month change program. Methods to support change are reported and a multi-level modelling approach determined the effect of the change progra...

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Autores principales: Rutherford, Marion, Forsyth, Kirsty, McKenzie, Karen, McClure, Iain, Murray, Aja, McCartney, Deborah, Irvine, Linda, O’Hare, Anne
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2018
Materias:
Original Paper
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061014/
https://www.ncbi.nlm.nih.gov/pubmed/29502151
http://dx.doi.org/10.1007/s10803-018-3501-5
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author Rutherford, Marion
Forsyth, Kirsty
McKenzie, Karen
McClure, Iain
Murray, Aja
McCartney, Deborah
Irvine, Linda
O’Hare, Anne
author_facet Rutherford, Marion
Forsyth, Kirsty
McKenzie, Karen
McClure, Iain
Murray, Aja
McCartney, Deborah
Irvine, Linda
O’Hare, Anne
author_sort Rutherford, Marion
collection PubMed
description This study examined waiting times for diagnostic assessment of Autism Spectrum Disorder in 11 adult services, prior to and following the implementation of a 12 month change program. Methods to support change are reported and a multi-level modelling approach determined the effect of the change program on overall wait times. Results were statistically significant (b = − 0.25, t(136) = − 2.88, p = 0.005). The average time individuals waited for diagnosis across all services reduced from 149.4 days prior to the change program and 119.5 days after it, with an average reduction of 29.9 days overall. This innovative intervention provides a promising framework for service improvement to reduce the wait for diagnostic assessment of ASD in adults across the range of spectrum presentations.
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spelling pubmed-60610142018-08-09 Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults Rutherford, Marion Forsyth, Kirsty McKenzie, Karen McClure, Iain Murray, Aja McCartney, Deborah Irvine, Linda O’Hare, Anne J Autism Dev Disord Original Paper This study examined waiting times for diagnostic assessment of Autism Spectrum Disorder in 11 adult services, prior to and following the implementation of a 12 month change program. Methods to support change are reported and a multi-level modelling approach determined the effect of the change program on overall wait times. Results were statistically significant (b = − 0.25, t(136) = − 2.88, p = 0.005). The average time individuals waited for diagnosis across all services reduced from 149.4 days prior to the change program and 119.5 days after it, with an average reduction of 29.9 days overall. This innovative intervention provides a promising framework for service improvement to reduce the wait for diagnostic assessment of ASD in adults across the range of spectrum presentations. Springer US 2018-03-03 2018 /pmc/articles/PMC6061014/ /pubmed/29502151 http://dx.doi.org/10.1007/s10803-018-3501-5 Text en © The Author(s) 2018 Open AccessThis article is distributed under the terms of the Creative Commons Attribution 4.0 International License (http://creativecommons.org/licenses/by/4.0/), which permits unrestricted use, distribution, and reproduction in any medium, provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license, and indicate if changes were made.
spellingShingle Original Paper
Rutherford, Marion
Forsyth, Kirsty
McKenzie, Karen
McClure, Iain
Murray, Aja
McCartney, Deborah
Irvine, Linda
O’Hare, Anne
Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults
title Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults
title_full Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults
title_fullStr Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults
title_full_unstemmed Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults
title_short Implementation of a Practice Development Model to Reduce the Wait for Autism Spectrum Diagnosis in Adults
title_sort implementation of a practice development model to reduce the wait for autism spectrum diagnosis in adults
topic Original Paper
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6061014/
https://www.ncbi.nlm.nih.gov/pubmed/29502151
http://dx.doi.org/10.1007/s10803-018-3501-5
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