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Record W3209567651 · doi:10.1037/pro0000413

Barriers, facilitators, and experiences of the autism assessment process: A systematic review of qualitative research with health professionals.

2021· review· en· W3209567651 on OpenAlex
Abby Howes, Maya E. Burns, Andrew Surtees

Why this work is in the frame

A frame that forgets how it found something cannot be audited. These are the routes that admitted this work.

aboutThe title or abstract carries a Canadian signal from the geographic lexicon.
no affNo Canadian affiliation: this work is invisible to an affiliation-only frame.
No Canadian affiliation. An affiliation-only frame, the usual design, would never have seen this work. It is one of the works that make the case for inverting the frame.

Bibliographic record

VenueProfessional Psychology Research and Practice · 2021
Typereview
Languageen
FieldNeuroscience
TopicAutism Spectrum Disorder Research
Canadian institutionsnot available
Fundersnot available
KeywordsAutismQualitative researchHealth professionalsPsychologyProcess (computing)Systematic reviewMedical educationNursingMedicineMEDLINEHealth careComputer scienceSociologyDevelopmental psychologyPolitical science

Abstract

fetched live from OpenAlex

Experiences of professionals diagnosing Autism Spectrum Disorder (ASD) have been significantly under-researched. Around 1%–2% of children in developed countries receive a diagnosis of ASD. Early diagnosis is crucial as delayed diagnosis risks missing the opportunity to receive early interventions which can improve developmental outcomes and quality of life. The purpose of this article was to identify systematically and summarize the experiences and perceptions of health professionals who diagnose ASD. Seven articles were identified, through a systematic search of four databases and the reference lists of identified articles. The articles were critically appraised, and their results were summarized. All articles scored well on the risk of bias assessment. The articles included research from the United States of America, the United Kingdom, Canada, and Belgium. Themes from articles were considered under five topics: barriers, facilitators, diagnostic process, informing of a diagnosis, and postdiagnosis. Clinical implications emphasize the need for clear guidelines, multidisciplinary teams, and a clear process for providing information on the diagnosis and relevant services to parents. Training implications highlight the need to train health professionals on how diagnostic tools and professional judgments can be integrated. Training should also help make professionals aware of the barriers that they may face when diagnosing ASD. Future research is needed to increase the literature on professionals’ experiences of diagnosing ASD and focus on the impact this can have on the health professionals themselves.

Fetched live from OpenAlex and de-inverted. Abstracts are not stored in this database: the inverted indexes are 8.6 GB of the frame’s 9.3 GB of text, and the host has 13 GB free.

Full frame distilled prediction

Teacher imitation

Not calibrated prevalence, not ground truth. Human validation pending. Learned from the 10,348 direct Codex labels and 10,348 direct Gemma labels. Candidate is the union of thresholded teacher heads; consensus is their intersection. These outputs are machine_predicted_unvalidated and are not human labels or direct frontier model labels.

metaresearch head score (Codex)0.047
metaresearch head score (Gemma)0.047
Version: codex-gemma-dda1882f352aValidation status: machine_predicted_unvalidated
Candidate categoriesMetaresearch, Science and technology studies, Research integrity
Consensus categoriesMetaresearch, Science and technology studies
DomainCandidate signal: none · Consensus signal: none
Study designCandidate signal: Systematic review · Consensus signal: Systematic review
GenreCandidate signal: Review · Consensus signal: Review
Teacher disagreement score0.061
Threshold uncertainty score1.000

Codex and Gemma teacher scores by category

CategoryCodexGemma
Metaresearch0.0470.047
Meta-epidemiology (narrow)0.0000.000
Meta-epidemiology (broad)0.0030.000
Bibliometrics0.0010.004
Science and technology studies0.0010.005
Scholarly communication0.0000.000
Open science0.0010.001
Research integrity0.0000.005
Insufficient payload (model declined to judge)0.0000.000

Machine scores (provisional)

The two teacher heads of the student model, read on this work. A score orders the frame for review; it never asserts a category, and the validation status ships verbatim with every row.

Baseline scores from an immature model (maturity gate not passed, 7 training rounds). Scores rank; they never assert a category.

Opus teacher head0.424
GPT teacher head0.685
Teacher spread0.261 · how far apart the two teachers sit on this one work
Validation statusscore_only:v0-immature-baseline · verbatim from the scoring run: score_only means the number may rank works, and no category label ships from it