Integration of Family Navigation into ECHO Autism for Pediatric Primary Care in Underserved Communities.

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Title: Integration of Family Navigation into ECHO Autism for Pediatric Primary Care in Underserved Communities.
Authors: Mazurek, Micah O. (AUTHOR), Nevill, Rose E. (AUTHOR), Orlando, Karen (AUTHOR), Page, Keith (AUTHOR), Howard, Mya (AUTHOR), Davis, Beth Ellen (AUTHOR)
Source: Journal of Autism & Developmental Disorders. Oct2025, Vol. 55 Issue 10, p3553-3564. 12p.
Subjects: Treatment of autism, Medically underserved areas, Health services accessibility, Community health services, Interdisciplinary education, Curriculum, Research funding, Self-efficacy, Children with disabilities, Primary health care, Evaluation of human services programs, Pilot projects, Questionnaires, Family roles, Continuing medical education, Descriptive statistics, Patient-centered care, Pediatrics, Telemedicine, Early intervention (Education), Family-centered care, Asperger's syndrome, Medical screening, Learning strategies, Comparative studies, Medical referrals, Integrated health care delivery, Children
Geographic Terms: Virginia
Abstract: Children with autism from underserved communities face complex system-, provider-, and family-level barriers to accessing timely diagnosis and early intervention. The current study evaluated the preliminary effects and feasibility of a new program (ECHO Autism LINKS) that integrated pediatric primary care provider (PCP) training with family navigation (FN) to bridge the gaps between screening, referral, and service access. Three cohorts of PCPs (n = 42) participated in the program, which consisted of 60-minute sessions delivered by Zoom twice per month for 12 months. Each session included didactics, case-based learning, and collaborative discussion with participants and an interdisciplinary team of experts. Family navigators were members of the expert team and provided FN services to families referred by PCP participants. Program attendance and engagement were strong, with 40 cases presented and 258 families referred for FN services, most of whom (83%) needed help accessing and connecting with services, and 13% required ongoing support due to complex needs. PCPs demonstrated significant improvements in self-efficacy in providing best-practice care for children with autism, reported high satisfaction, and observed improved knowledge and practice as a result of the program. The results of this initial pilot provide support for the feasibility, acceptability, and preliminary efficacy of the ECHO Autism LINKS program. The model holds promise in addressing complex barriers to healthcare access by providing both PCPs and families with the knowledge and support they need. Future research is needed to evaluate the efficacy and effectiveness of the program in improving child and family outcomes. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
Database: Psychology and Behavioral Sciences Collection
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  Data: Integration of Family Navigation into ECHO Autism for Pediatric Primary Care in Underserved Communities.
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  Data: <searchLink fieldCode="AR" term="%22Mazurek%2C+Micah+O%2E%22">Mazurek, Micah O.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Nevill%2C+Rose+E%2E%22">Nevill, Rose E.</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Orlando%2C+Karen%22">Orlando, Karen</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Page%2C+Keith%22">Page, Keith</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Howard%2C+Mya%22">Howard, Mya</searchLink> (AUTHOR)<br /><searchLink fieldCode="AR" term="%22Davis%2C+Beth+Ellen%22">Davis, Beth Ellen</searchLink> (AUTHOR)
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  Data: <searchLink fieldCode="JN" term="%22Journal+of+Autism+%26+Developmental+Disorders%22">Journal of Autism & Developmental Disorders</searchLink>. Oct2025, Vol. 55 Issue 10, p3553-3564. 12p.
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  Data: Children with autism from underserved communities face complex system-, provider-, and family-level barriers to accessing timely diagnosis and early intervention. The current study evaluated the preliminary effects and feasibility of a new program (ECHO Autism LINKS) that integrated pediatric primary care provider (PCP) training with family navigation (FN) to bridge the gaps between screening, referral, and service access. Three cohorts of PCPs (n = 42) participated in the program, which consisted of 60-minute sessions delivered by Zoom twice per month for 12 months. Each session included didactics, case-based learning, and collaborative discussion with participants and an interdisciplinary team of experts. Family navigators were members of the expert team and provided FN services to families referred by PCP participants. Program attendance and engagement were strong, with 40 cases presented and 258 families referred for FN services, most of whom (83%) needed help accessing and connecting with services, and 13% required ongoing support due to complex needs. PCPs demonstrated significant improvements in self-efficacy in providing best-practice care for children with autism, reported high satisfaction, and observed improved knowledge and practice as a result of the program. The results of this initial pilot provide support for the feasibility, acceptability, and preliminary efficacy of the ECHO Autism LINKS program. The model holds promise in addressing complex barriers to healthcare access by providing both PCPs and families with the knowledge and support they need. Future research is needed to evaluate the efficacy and effectiveness of the program in improving child and family outcomes. [ABSTRACT FROM AUTHOR]
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  Data: <i>Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.</i> (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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      – Type: doi
        Value: 10.1007/s10803-024-06445-9
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        Text: English
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      – SubjectFull: Treatment of autism
        Type: general
      – SubjectFull: Medically underserved areas
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      – SubjectFull: Health services accessibility
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      – SubjectFull: Community health services
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      – SubjectFull: Research funding
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      – SubjectFull: Self-efficacy
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      – SubjectFull: Children with disabilities
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      – SubjectFull: Primary health care
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      – SubjectFull: Evaluation of human services programs
        Type: general
      – SubjectFull: Pilot projects
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      – SubjectFull: Questionnaires
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      – SubjectFull: Family roles
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      – SubjectFull: Virginia
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      – TitleFull: Integration of Family Navigation into ECHO Autism for Pediatric Primary Care in Underserved Communities.
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              Text: Oct2025
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