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A study to assess the effectiveness of primary-care based family navigation (FN) intervention versus traditional care management in:<\/p>\n
With a population of 340 families of children ages 15 to 27 months who are referred for a developmental evaluation at Boston Medical Center, Children’s Hospital of Pennsylvania or Yale.<\/p>\n
Project EARLY Study Measures<\/strong><\/p>\n For all families intervention began at time of confirmed positive screen and continued for 100 days post diagnostic resolution.<\/p>\n Family navigation intervention:\u00a0<\/strong><\/p>\n Family navigators were trained during a 4 day workshop on behavior change strategies, and training in ASD and community services.<\/p>\n Care management intervention:<\/strong><\/p>\n Overview:<\/strong> We are looking to complete a second ADOS (Autism Diagnostic Observation Schedule) assessment for children enrolled in Project EARLY to track children’s stability of symptoms over time. The first ADOS is completed as part of standard care during the child’s developmental assessment at the clinic, but an additional ADOS is not part of the standard of care at any of the research sites. This second ADOS will be done about a year after the initial ADOS.<\/p>\n Overview:<\/strong> Common measures required by NIMH (National Institute of Mental Health) administered at 12-month follow up to access child cognitive function.<\/p>\n Overview: <\/b>We are looking to understand the implementation of the family navigation protocol in Project EARLY as well as parents’ satisfaction with and perception of family navigation. To do this, we are conducting interviews with research staff, clinicians, navigators, and parents about their experience when using Family Navigators.<\/p>\n Overview: <\/b>This study serves as a supplement to Project EARLY and is examining the use of a new questionnaire, the Infant-Toddler Checklist (IT Checklist), for children between the ages of 11-20 months to see if we can identify any possible concerns sooner. We want to see if the IT Checklist works better than the questionnaires currently used –\u00a0 the Parents\u2019 Evaluation of Developmental Status (PEDS) which families complete beginning at 6 months, and the Modified Checklist for Autism in Toddlers Revised with Follow Up (MCHAT-R\/F) which families complete at their child\u2019s 18 and 24 month checkups.<\/p>\n Family Navigators:<\/strong>\u00a0Jenny Acevedo, Andrea Chu,\u00a0<\/span><\/span><\/span>Plyce<\/span><\/span>\u00a0<\/span>Fuchu, Mitsouka\u00a0<\/span><\/span><\/span>Exantus, Ivys Fernandez-Pastrana, Julianna Gardener,\u00a0<\/span><\/span><\/span>Samia<\/span><\/span>\u00a0<\/span>Omer\u00a0<\/span><\/span>\u200b<\/span><\/p>\n Boston Medical Center:<\/strong>\u00a0Emily Feinberg, ScD CPNP (PI); Marilyn Augustyn, MD; Sarabeth Broder-<\/span><\/span>Fingert, MD; Howard Cabral, PhD; Yaminette Diaz-Linhart, MPH; Jenna Eilenberg, MPH;\u00a0<\/span><\/span><\/span>Nicole Melita, Julia Levinson, MSc; Greg Patts, MPH\u00a0<\/span><\/span>\u200b<\/span><\/p>\n Children’s Hospital of Pennsylvania:\u00a0<\/strong>Amanda Bennett, MD (site PI); Manju Abraham, MSc;\u00a0<\/span>Nathan Blum, MD; Samantha\u00a0<\/span>Corrati<\/span>, James Guevara, MD MPH\u00a0<\/span><\/p>\n Yale:<\/strong>\u00a0Carol Weitzman, MD (site PI); Marisol\u00a0<\/span><\/span><\/span>Credle<\/span><\/span>, MA; Ada\u00a0<\/span><\/span><\/span>Fenick<\/span><\/span>, MD;\u00a0<\/span><\/span><\/span>Ashly Gonzalez\u00a0<\/span><\/span><\/p>\n\n
\nFamily Navigation<\/strong><\/h4>\n
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\n2<\/b>nd<\/b>\u00a0Autism Diagnostic Observation Schedule (ADOS)<\/b><\/h4>\n
\nVineland\/Mullen Measures<\/strong><\/h4>\n
\nEvaluating Implementation of a Patient Navigator Intervention to Improve Access to Diagnostic and Treatment Services for Children with Autism Spectrum Disorder<\/strong><\/h4>\n
\nInfant-Toddler (IT) Checklist<\/strong><\/h4>\n
\nContributors<\/b><\/h4>\n
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