Primary Care Physicians’ Knowledge of Autism and Evidence-Based Interventions for Autism: A Systematic Review
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Given the increasing prevalence of autism and the importance of early intervention, it is imperative that primary care physicians (PCPs) have a thorough knowledge of autism in order to offer families appropriate guidance and support. This study comprised a systematic review of research assessing PCPs’ knowledge of autism and evidence-based interventions for individuals with autism. Results indicated that PCPs in a majority of studies had inadequate knowledge of autism and its associated treatments. A variety of variables were associated with PCPs’ knowledge including personal experiences with autism, continuing medical education on autism, and years of clinical experience. Results are discussed with regard to their implications for further education in autism for PCPs and future research.
KeywordsPrimary care General practice Physician Doctor Evidence-based intervention Autism
Compliance with Ethical Standards
This article does not contain any studies with human participants or animals performed by any of the authors.
Conflict of Interest
The authors declare that they have no conflict of interest.
- Baio, J., Wiggins, L., Christensen, D. L., Maenner, M. J., Daniels, J., Warren, Z., et al. (2018). Prevalence of autism spectrum disorder among children aged 8 years - autism and developmental disabilities monitoring network, 11 sites, United States, 2014. Morbidity and Mortality Weekly Report: Surveillance Summaries, 67(SS-6), 1–23. https://doi.org/10.15585/mmwr.mm6745a7.CrossRefGoogle Scholar
- Bauer, N. S., Carroll, A. E., Saha, C., & Downs, S. M. (2015). Computer decision support changes physician practice but not knowledge regarding autism spectrum disorders. Applied Clinical Informatics, 6(3), 454–465. https://doi.org/10.4338/ACI-2014-09-RA-0084.CrossRefPubMedPubMedCentralGoogle Scholar
- Centers for Disease Control and Prevention. (2012). [Online] [cited 2018 April 10]. Available from URL: http://www.cdc.gov/ncbddd/autism/data.html.
- Eseigbe, E. E., Nuhu, F. T., Sheikh, T. L., Eseigbe, P., Sanni, K. A., & Olisah, V. O. (2015). Knowledge of childhood autism and challenges of management among medical doctors in Kaduna State, Northwest Nigeria. Autism Research and Treatment, 892301, 1–6. https://doi.org/10.1155/2015/892301.CrossRefGoogle Scholar
- Filipek, P. A., Accardo, P. J., Ashwal, S., Baranek, G. T., Cook, E. H., Dawson, G., et al. (2000). Practice parameter: screening and diagnosis of autism: report of the Quality Standards Subcommittee of the American Academy of Neurology and the Child Neurology Society. Neurology, 55(4), 468–479. https://doi.org/10.1212/WNL.55.4.468.CrossRefPubMedGoogle Scholar
- Garg, P., Lillystone, D., Dossetor, D., Kefford, C., & Chong, S. (2014). An exploratory survey for understanding perceptions, knowledge and educational needs of general practitioners regarding autistic disorders in New South Wales (NSW), Australia. Journal of Clinical and Diagnostic Research, 8(7), PC01–PC09. https://doi.org/10.7860/JCDR/2014/8243.4527.CrossRefPubMedGoogle Scholar
- Gona, J. K., Newton, C. R., Rimba, K., Mapenzi, R., Kihara, M., Van de Vijver, F. J., & Abubakar, A. (2015). Parents’ and professionals’ perceptions on causes and treatment options for autism spectrum disorders (autism) in a multicultural context on the Kenyan Coast. PLoS One, 10(8), 1–13. https://doi.org/10.1371/journal.pone.0132729.CrossRefGoogle Scholar
- Haider, A., & Shehzad, S. (2015). Survey regarding the need of intensive training workshops for the autism community. Pakistan Journal of Medical and Health Sciences, 9(4, OCT – DEC) 1325-1328.Google Scholar
- Imran, N., Chaudry, M. R., Azeem, M. W., Bhatti, M. R., Choudhary, Z. I., & Cheema, M. A. (2011). A survey of autism knowledge and attitudes among the healthcare professionals in Lahore, Pakistan. BMC Pediatrics, 11, 107. https://doi.org/10.1186/1471-2431-11-107.CrossRefPubMedPubMedCentralGoogle Scholar
- Lydon, S., Cupples, M. E., Murphy, A. W., Hart, N., & OʼConnor, P. (2017). A systematic review of measurement tools for the proactive assessment of patient safety in general practice. Journal of Patient Safety. https://doi.org/10.1097/PTS.0000000000000350.
- Martin, J. L. R., Pérez, V., Sacristán, M., & Álvarez, E. (2005). Is grey literature essential for a better control of publication bias in psychiatry? An example from three meta-analyses of schizophrenia. European Psychiatry, 20(8), 550–553. https://doi.org/10.1016/j.eurpsy.2005.03.011.CrossRefPubMedGoogle Scholar
- McIntosh, C. E., Thomas, C. M., Allen, R. A., & Edwards, J. A. (2015). Using a combination of teaching and learning strategies and standardized patient for a successful autism simulation. Clinical Simulation in Nursing, 11(3), 143–152. https://doi.org/10.1016/j.ecns.2014.11.008.CrossRefGoogle Scholar
- Moher, D., Liberati, A., Tetzlaff, J., Altman, D. G., & Prisma Group. (2009). Preferred reporting items for systematic reviews and meta-analyses: the PRISMA statement. Annals of Internal Medicine, 151(4), 264–269. https://doi.org/10.7326/0003-4819-151-4-200908180-00135.CrossRefPubMedGoogle Scholar
- Morrison, A., Polisena, J., Husereau, D., Moulton, K., Clark, M., Fiander, M., et al. (2012). The effect of English-language restriction on systematic review-based meta-analyses: a systematic review of empirical studies. International Journal of Technology Assessment in Health Care, 28(2), 138–144. https://doi.org/10.1017/S0266462312000086.CrossRefPubMedGoogle Scholar
- Olejnik, L. (2004). How to appropriately & safely approach, assess & manage autistic patients. Journal of Emergency Medical Services, 29, 57–64.Google Scholar
- Reichow, B., Barton, E. E., Boyd, B. A., & Hume, K. (2012). Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (autism). Cochrane Database of Systematic Reviews, (10), CD009260. https://doi.org/10.1002/14651858.CD009260.pub2.
- Saketkoo, L., Anderson, D., Rice, J., Rogan, A., & Lazarus, C. J. (2004). DEVELOPMENTS: effects of a disability awareness and skills training workshop on senior medical students as assessed with self ratings and performance on a standardized patient case. Teaching and Learning in Medicine, 16(4), 345–354. https://doi.org/10.1207/s15328015tlm1604_7.CrossRefPubMedGoogle Scholar
- Self, T. L., Coufal, K., & Parham, D. F. (2010). Allied healthcare providers’ role in screening for autism spectrum disorders. Journal of Allied Health, 39, 165–174.Google Scholar
- Unigwe, S., Buckley, C., Crane, L., Kenny, L., Remington, A., & Pellicano, E. (2017). GPs’ confidence in caring for their patients on the autism spectrum: an online self-report study. British Journal of General Practice, 67(659), e445–e452. https://doi.org/10.3399/bjgp17X690449.CrossRefPubMedGoogle Scholar
- Volkmar, F. R., Wiesner, L. A., & Westphal, A. (2006). Healthcare issues for children on the autism spectrum. Current Opinion in Psychiatry, 19(4), 361–366. https://doi.org/10.1097/01.yco.0000228754.64743.66.CrossRefPubMedGoogle Scholar
- Williams, P., Tomchek, S., Grau, R., Bundy, M., Davis, D., & Kleinert, H. (2012). Parent and physician perceptions of medical home care for children with autism spectrum disorders in the state of Kentucky. Clinical Pediatrics, 51(11), 1071–1078. https://doi.org/10.1177/0009922812460333.CrossRefPubMedGoogle Scholar
- Wong, C., Odom, S. L., Hume, K. A., Cox, A. W., Fettig, A., Kucharczyk, S., et al. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: a comprehensive review. Journal of Autism and Developmental Disorders, 45(7), 1951–1966. https://doi.org/10.1007/s10803-014-2351-z.CrossRefGoogle Scholar
- Zerbo, O., Massolo, M. L., Qian, Y., & Croen, L. A. (2015). A study of physician knowledge and experience with autism in adults in a large integrated healthcare system. Journal of Autism and Developmental Disorders, 45(12), 4002–4014. https://doi.org/10.1007/s10803-015-2579-2.CrossRefPubMedGoogle Scholar