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Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis

Research output: Contribution to journalReview article

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Identifying and managing care for children with autism spectrum disorders in general practice : A systematic review and narrative synthesis. / Coughlan, Barry; Duschinsky, Robbie; O'Connor, Mary Ellen; Woolgar, Matt.

In: Health and Social Care in the Community, Vol. 28, No. 6, 01.11.2020, p. 1928-1941.

Research output: Contribution to journalReview article

Harvard

Coughlan, B, Duschinsky, R, O'Connor, ME & Woolgar, M 2020, 'Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis', Health and Social Care in the Community, vol. 28, no. 6, pp. 1928-1941. https://doi.org/10.1111/hsc.13098

APA

Coughlan, B., Duschinsky, R., O'Connor, M. E., & Woolgar, M. (2020). Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis. Health and Social Care in the Community, 28(6), 1928-1941. https://doi.org/10.1111/hsc.13098

Vancouver

Coughlan B, Duschinsky R, O'Connor ME, Woolgar M. Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis. Health and Social Care in the Community. 2020 Nov 1;28(6):1928-1941. https://doi.org/10.1111/hsc.13098

Author

Coughlan, Barry ; Duschinsky, Robbie ; O'Connor, Mary Ellen ; Woolgar, Matt. / Identifying and managing care for children with autism spectrum disorders in general practice : A systematic review and narrative synthesis. In: Health and Social Care in the Community. 2020 ; Vol. 28, No. 6. pp. 1928-1941.

Bibtex Download

@article{c9eaa81e56cb4662a61c370fa7fa3fe6,
title = "Identifying and managing care for children with autism spectrum disorders in general practice: A systematic review and narrative synthesis",
abstract = "Many healthcare systems are organised such that General Practitioners (GPs) often have a key role in identifying autism spectrum disorders (hereafter collectively referred to as autism) in children. In this review, we explored what GPs know about autism and the factors that influence their ability to identify and manage care for their patients with autism in practice. We conducted a systematic narrative review using eight electronic databases. These included Embase and MEDLINE via Ovid, Web of Knowledge, PsycINFO via Ebscohost, PubMed, Scopus, ProQuest Dissertations and Thesis, and Applied Social Sciences Index and Abstracts (ASSIA) via ProQuest. Our search yielded 2,743 citations. Primary research studies were included, and we did not impose any geographical, language or date restrictions. We identified 17 studies that met our inclusion criteria. Studies included in the review were conducted between 2003 and 2019. We thematically synthesised the material and identified the following themes: the prototypical image of a child with autism; experience, sources of information, and managing care; barriers to identification; strategies to aid in identification; and characteristics that facilitate expertise. Together, the findings from this review present a mixed picture of GP knowledge and experiences in identifying autism and managing care for children with the condition. At one end of the continuum, there were GPs who had not heard of autism or endorsed outmoded aetiological theories. Others, however, demonstrated a sound knowledge of the conditions but had limited confidence in their ability to identify the condition. Many GPs and researchers alike called for more training and this might be effective. However, framing the problem as one of a lack of training risks silences the array of organisational factors that impact on a GP's ability to provide care for these patients.",
keywords = "ASD, autism, experiences, family practice, general practitioners, GPs, knowledge, neurodevelopment, primary care, systematic review",
author = "Barry Coughlan and Robbie Duschinsky and O'Connor, {Mary Ellen} and Matt Woolgar",
year = "2020",
month = nov,
day = "1",
doi = "10.1111/hsc.13098",
language = "English",
volume = "28",
pages = "1928--1941",
journal = "Health and Social Care in the Community",
issn = "0966-0410",
publisher = "Wiley-Blackwell",
number = "6",

}

RIS (suitable for import to EndNote) Download

TY - JOUR

T1 - Identifying and managing care for children with autism spectrum disorders in general practice

T2 - A systematic review and narrative synthesis

AU - Coughlan, Barry

AU - Duschinsky, Robbie

AU - O'Connor, Mary Ellen

AU - Woolgar, Matt

PY - 2020/11/1

Y1 - 2020/11/1

N2 - Many healthcare systems are organised such that General Practitioners (GPs) often have a key role in identifying autism spectrum disorders (hereafter collectively referred to as autism) in children. In this review, we explored what GPs know about autism and the factors that influence their ability to identify and manage care for their patients with autism in practice. We conducted a systematic narrative review using eight electronic databases. These included Embase and MEDLINE via Ovid, Web of Knowledge, PsycINFO via Ebscohost, PubMed, Scopus, ProQuest Dissertations and Thesis, and Applied Social Sciences Index and Abstracts (ASSIA) via ProQuest. Our search yielded 2,743 citations. Primary research studies were included, and we did not impose any geographical, language or date restrictions. We identified 17 studies that met our inclusion criteria. Studies included in the review were conducted between 2003 and 2019. We thematically synthesised the material and identified the following themes: the prototypical image of a child with autism; experience, sources of information, and managing care; barriers to identification; strategies to aid in identification; and characteristics that facilitate expertise. Together, the findings from this review present a mixed picture of GP knowledge and experiences in identifying autism and managing care for children with the condition. At one end of the continuum, there were GPs who had not heard of autism or endorsed outmoded aetiological theories. Others, however, demonstrated a sound knowledge of the conditions but had limited confidence in their ability to identify the condition. Many GPs and researchers alike called for more training and this might be effective. However, framing the problem as one of a lack of training risks silences the array of organisational factors that impact on a GP's ability to provide care for these patients.

AB - Many healthcare systems are organised such that General Practitioners (GPs) often have a key role in identifying autism spectrum disorders (hereafter collectively referred to as autism) in children. In this review, we explored what GPs know about autism and the factors that influence their ability to identify and manage care for their patients with autism in practice. We conducted a systematic narrative review using eight electronic databases. These included Embase and MEDLINE via Ovid, Web of Knowledge, PsycINFO via Ebscohost, PubMed, Scopus, ProQuest Dissertations and Thesis, and Applied Social Sciences Index and Abstracts (ASSIA) via ProQuest. Our search yielded 2,743 citations. Primary research studies were included, and we did not impose any geographical, language or date restrictions. We identified 17 studies that met our inclusion criteria. Studies included in the review were conducted between 2003 and 2019. We thematically synthesised the material and identified the following themes: the prototypical image of a child with autism; experience, sources of information, and managing care; barriers to identification; strategies to aid in identification; and characteristics that facilitate expertise. Together, the findings from this review present a mixed picture of GP knowledge and experiences in identifying autism and managing care for children with the condition. At one end of the continuum, there were GPs who had not heard of autism or endorsed outmoded aetiological theories. Others, however, demonstrated a sound knowledge of the conditions but had limited confidence in their ability to identify the condition. Many GPs and researchers alike called for more training and this might be effective. However, framing the problem as one of a lack of training risks silences the array of organisational factors that impact on a GP's ability to provide care for these patients.

KW - ASD

KW - autism

KW - experiences

KW - family practice

KW - general practitioners

KW - GPs

KW - knowledge

KW - neurodevelopment

KW - primary care

KW - systematic review

UR - http://www.scopus.com/inward/record.url?scp=85087912033&partnerID=8YFLogxK

U2 - 10.1111/hsc.13098

DO - 10.1111/hsc.13098

M3 - Review article

AN - SCOPUS:85087912033

VL - 28

SP - 1928

EP - 1941

JO - Health and Social Care in the Community

JF - Health and Social Care in the Community

SN - 0966-0410

IS - 6

ER -

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