Autism spectrum disorder: advances in evidence-based practice

Anagnostou, Evdokia; Zwaigenbaum, Lonnie; Szatmári, Péter; Fombonne, Éric; Fernandez, Bridget A.; Woodbury‐Smith, Marc; Brian, Jessica; Bryson, Susan E.; Smith, Isabel M.; Drmic, Irene; Buchanan, Janet A.; Roberts, Wendy; Scherer, Stephen W.

doi:10.1503/cmaj.121756

Cited by 181 publications

(168 citation statements)

References 87 publications

(76 reference statements)

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“…There is some dissent to this opinion, including from a group of Canadian ASD experts who propose a clinical pathway in which a diagnosis of ASD can be conferred by an experienced pediatrician, developmental pediatrician, child psychiatrist, or clinical psychologist, provided the child meets the diagnostic criteria 153. The Diagnostic and Statistical Manual of Mental Disorders, fifth edition (DSM-5) does not specify necessary personnel, but does outline that the diagnosis should be accompanied by a comment on the presence of cognitive or language impairment (or both) 1…”

Section: Personnel Involved In the Diagnostic Assessment Of Asdmentioning

confidence: 99%

Autism spectrum disorder: advances in diagnosis and evaluation

Zwaigenbaum

Penner

2018

BMJ

Self Cite

192

137

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Autism spectrum disorder (ASD) has a variety of causes, and its clinical expression is generally associated with substantial disability throughout the lifespan. Recent advances have led to earlier diagnosis, and deep phenotyping efforts focused on high risk infants have helped advance the characterization of early behavioral trajectories. Moreover, biomarkers that measure early structural and functional connectivity, visual orienting, and other biological processes have shown promise in detecting the risk of autism spectrum disorder even before the emergence of overt behavioral symptoms. Despite these advances, the mean age of diagnosis is still 4-5 years. Because of the broad consistency in published guidelines, parameters for high quality comprehensive assessments are available; however, such models are resource intensive and high demand can result in greatly increased waiting times. This review describes advances in detecting early behavioral and biological markers, current options and controversies in screening for the disorder, and best practice in its diagnostic evaluation including emerging data on innovative service models.

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Section: Personnel Involved In the Diagnostic Assessment Of Asdmentioning

confidence: 99%

Autism spectrum disorder: advances in diagnosis and evaluation

Zwaigenbaum

Penner

2018

BMJ

Self Cite

192

137

View full text Add to dashboard Cite

show abstract

“…The common goal of autism interventions is to address quality of life issues by improving skills that can remove barriers to learning and facilitate independence and best practice utilises methods based in Applied Behaviour Analysis (ABA) (Anagnostou et al 2014;Maurice et al 2001). In fact, there is a highly statistically significant relationship between ABA-based interventions and optimal outcomes (Fein et al 2013;Orinstein et al 2014).…”

mentioning

confidence: 99%

Autism and ABA: The Gulf Between North America and Europe

Keenan

Dillenburger

Röttgers

et al. 2014

Rev J Autism Dev Disord

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“…New discoveries and understandings of the etiologies of prevalent childhood disabilities such as cerebral palsy and autism spectrum disorders are dispelling putative beliefs and providing exciting new avenues using evidence-based approaches that may infl uence the long-term developmental trajectories of children and youth with complex communication needs. For example, see the development of functional communication in children with cerebral palsy (Vos et al, 2014) and advances in evidence-based practice in autism (Anagnostou et al, 2014).…”

Section: Recommendations For Future Researchmentioning

confidence: 99%

Towards Advancing Knowledge Translation of AAC Outcomes Research for Children and Youth with Complex Communication Needs

Ryan

Shepherd

Renzoni

et al. 2015

Augmentative and Alternative Communication

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The production of new knowledge in augmentative and alternative communication (AAC) requires effective processes to leverage the different perspectives of researchers and knowledge users and improve prospects for utilization in clinical settings. This article describes the motivation, planning, process, and outcomes for a novel knowledge translation workshop designed to infl uence future directions for AAC outcomes research for children with complex communication needs. Invited knowledge users from 20 pediatric AAC clinics and researchers engaged in the collaborative development of research questions using a framework designed for the AAC fi eld. The event yielded recommendations for research and development priorities that extend from the early development of language, communication, and literacy skills in very young children, to novel but unproven strategies that may advance outcomes in transitioning to adulthood.

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Autism spectrum disorder: advances in evidence-based practice

Cited by 181 publications

References 87 publications

Autism spectrum disorder: advances in diagnosis and evaluation

Autism spectrum disorder: advances in diagnosis and evaluation

Autism and ABA: The Gulf Between North America and Europe

Towards Advancing Knowledge Translation of AAC Outcomes Research for Children and Youth with Complex Communication Needs

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