Training Physical Therapists in Early ASD Screening
Physical therapists (PTs) are often one of the first professionals to evaluate children at risk. To examine the effect of an early screening training on pediatric PTs’: (1) knowledge of autism spectrum disorder (ASD), (2) clinical self-efficacy, and (3) identification of markers. Twenty-six PTs participated in a 2-day “Early ASD Screening” workshop. The ASD Knowledge and Self-Efficacy Questionnaire, and video case study analysis were completed pre- and post-training. Changes following training were significant for ASD knowledge related to etiology and learning performance, early signs, risk factors, and clinical self-efficacy. Rating the videoed case study after the training, was significantly more accurate than it was before. Training PTs is important for enhancing early identification of ASD.
KeywordsEarly screening ASD Physical therapy Training Knowledge Self-efficacy Healthcare providers
We wish to thank Mrs. Malka Stoller, Head of Pediatric Physical Therapy Services, the Ministry of Health, Israel and Mrs. Danya Hofi head of the Physical Therapy School in Tel-Hashomer, Tel-Aviv University. This study was part of the third author's master thesis.
AB and OA have made substantial contributions to conception, design, acquisition of data, analysis, and manuscript writing. GY was involved in the design and coordination of the workshop, data management, analysis and helped draft the manuscript. SL and TG participated in the acquisition of the data by delivering parts of the workshop and in revising the manuscript. All authors read and approved the final manuscript.
Compliance with Ethical Standards
Conflict of interest
All authors declare that they have no conflict of interest.
All procedures performed in studies involving human participants were in accordance with the Ethical Standards of the Institutional and/or National Research Committee and with the 1964 Helsinki Declaration and its later amendments or comparable ethical standards.
Informed consent was obtained from all individual participants included in the study.
- Adam, Y. (2014). Diagnosis and treatment of ASD: Knowledge, self-efficacy and attitudes of speech–language pathologists in Israel. Unpublished Master’s Thesis. University of Tel-Aviv, Israel (in Hebrew).Google Scholar
- Atun-Einy, O., Lotan, M., Harel, Y., Shavit, E., Burstein, S., & Kempner, G. (2013). Physical therapy for young children diagnosed with autism spectrum disorders—Clinical frameworks model in an Israeli setting. Frontiers in Pediatrics, 1, 19. https://doi.org/10.3389/fped.2013.00019.CrossRefPubMedPubMedCentralGoogle Scholar
- Bandura, A. (1986). Social foundations of thought and action: A social cognitive theory. Englewood Cliffs, NJ: Prentice-Hall.Google Scholar
- Barbaro, J., Ridgway, L., & Dissanayake, C. (2011). Developmental surveillance of infants and toddlers by maternal and child health nurses in an Australian community-based setting: Promoting the early identification of autism spectrum disorders. Journal of Pediatric Nursing, 26(4), 334–347. https://doi.org/10.1016/j.pedn.2010.04.007.CrossRefPubMedGoogle Scholar
- Brisson, J., Warreyn, P., Serres, J., Foussier, S., & Adrien-Louis, J. (2012). Motor anticipation failure in infants with autism: A retrospective analysis of feeding situations. Autism: The International Journal of Research and Practice, 16(4), 420–429. https://doi.org/10.1177/1362361311423385.CrossRefGoogle Scholar
- Clark, A., Browne, S., Boardman, L., Hewitt, L., & Light, S. (2016). Implementing UK Autism Policy and National Institute for Health and Care Excellence guidance—Assessing the impact of Autism training for frontline staff in community learning disabilities teams. British Journal of Learning Disabilities, 44(2), 103–110. https://doi.org/10.1111/bld.12116.CrossRefGoogle Scholar
- Crais, E. R., McComish, C. S., Humphreys, B. P., Watson, L. R., Baranek, G. T., Reznick, J. S., Christian, R. B., & Earls, M. (2014). Pediatric healthcare professionals’ views on autism spectrum disorder screening at 12–18 months. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-014-2101-2.CrossRefPubMedGoogle Scholar
- Dawson, G., Rogers, S., Munson, J., Smith, M., Winter, J., Greenson, J., Donaldson, J., & Varley, J. (2010). Randomized, controlled trial of an intervention for toddlers with autism: The Early Start Denver Model. Pediatrics, 125(1), e17–e23. https://doi.org/10.1542/peds/2009-0958.CrossRefPubMedGoogle Scholar
- Elmensdorp, S. T. (2011). Training physicians on the early behavioral characteristics of autism: The use of a brief, group didactic training module. Doctoral Dissertation. University of California, Santa Barbara, CA.Google Scholar
- Filipek, P. A., Accardo, P. J., Baranek, G. T., Cook, E. H., Dawson, G., Gordon, B., Gravel, J. S., Johnson, C. P., Kallen, R. L., Levy, S. E., Minshew, N. J., Ozonoff, S., Prizant, B. M., Rapin, I., Rogers, S. J., Stone, W. L., Teplin, S., Tuchman, R. F., & Volkmar, F. R. (1999). The screening and diagnosis of autistic spectrum disorders. Journal of Autism and Developmental Disorders, 29(6), 439–484.CrossRefGoogle 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(1), 107. https://doi.org/10.1007/s10803-011-1344-4.CrossRefPubMedPubMedCentralGoogle Scholar
- Janvier, Y. M., Harris, J. F., Coffield, C. N., Louis, B., Xie, M., Cidav, Z., & Mandell, D. S. (2016). Screening for autism spectrum disorder in underserved communities: Early childcare providers as reporters. Autism, 20, 364–373. https://doi.org/10.1177/1362361315585055.CrossRefPubMedGoogle Scholar
- Kairys, S. W., & Petrova, A. (2016). Role of participation of pediatricians in the “Activated Autism Practice” program in practicing children with Autism Spectrum Disorders at the primary pare setting. Global Pediatric Health, 3, 1–6. https://doi.org/10.1177/2333794X16663544&%23x200F;.CrossRefGoogle Scholar
- Lemcke, S., Juul, S., Parner, E. T., Lauritsen, M. B., & Thorsen, P. (2013). Early signs of autism in toddlers: A follow-up study in the Danish National Birth Cohort. Journal of Autism and Developmental Disorders, 43(10), 2366–2375. https://doi.org/10.1007/s10803-013-1785-z.CrossRefPubMedGoogle Scholar
- Limperopoulos, C., Bassan, H., Sullivan, N. R., Soul, J. S., Robertson, R. L. Jr., Moore, M., Ringer, S. A., Volpe, J. J., & du Plessis, A. J. (2008). Positive screening for autism in ex-preterm infants: Prevalence and risk factors. Pediatrics, 121(4), 758–765. https://doi.org/10.1542/peds.2007-2158.CrossRefPubMedPubMedCentralGoogle Scholar
- Menon, A., Korner-Bitensky, N., Kastner, M., McKibbon, K., & Straus, S. (2009). Strategies for rehabilitation professionals to move evidence-based knowledge into practice: A systematic review. Journal of Rehabilitation Medicine, 41(13), 1024–1032. https://doi.org/10.2340/16501977-0451.CrossRefPubMedGoogle Scholar
- Ozonoff, S., Young, G. S., Goldring, S., Greiss-Hess, L., Herrera, A. M., Steele, J., et al. (2008). Gross motor development, movement abnormalities, and early identification of Autism. Journal of Autism and Developmental Disorders, 38(4), 644–656. https://doi.org/10.1007/s10803-007-0430-0.CrossRefPubMedGoogle Scholar
- Peacock, G., & Lin, S. C. (2012). Enhancing early identification and coordination of intervention services for young children with autism spectrum disorders: Report from the act early regional summit project. Disability and Health Journal, 5(1), 55–59. https://doi.org/10.1016/j.dhjo.2011.10.001.CrossRefPubMedGoogle Scholar
- Pierce, K., Carter, C., Weinfeld, M., Desmond, J., Hazin, R., Bjork, R., & Gallagher, N. (2011). Detecting, studying, and treating autism early: The one-year well-baby check-up approach. The Journal of Pediatrics, 159(3), 458–465. https://doi.org/10.1016/j.jpeds.2011.02.036.CrossRefPubMedPubMedCentralGoogle Scholar
- Provost, B., Lopez, B. R., & Heimerl, S. (2007). A comparison of motor delays in young children: Autism spectrum disorder, developmental delay, and developmental concerns. Journal of Autism and Developmental Disorders, 37(2), 321–328. https://doi.org/10.1007/s10803-006-0170-6.CrossRefPubMedGoogle Scholar
- Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The Modified Checklist for Autism in Toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144. https://doi.org/10.1023/A:1010738829569.CrossRefGoogle Scholar
- Sacrey, L. A. R., Zwaigenbaum, L., Bryson, S., Brian, J., Smith, I. M., Roberts, W., Szatmari, P., Roncadin, C., Garon, N., Novakm, C., Vaillancourt, T., McCormick, T., MacKinnon, B., Sanne, J., & Armstrong, V. (2015). Can parents’ concerns predict autism spectrum disorder? A prospective study of high-risk siblings from 6 to 36 months of age. Journal of the American Academy of Child and Adolescent Psychiatry, 54(6), 470–478. https://doi.org/10.1016/j.jaac.2015.03.014.CrossRefPubMedGoogle Scholar
- Scott, S. D., Albrecht, L., O’Leary, K., Ball, G. D., Hartling, L., Hofmeyer, A., Jones, C. A., Klassen, T. P., Burns, K., Newton, A. S., Thompson, D., & Dryden, D. M. (2012). Systematic review of knowledge translation strategies in the allied health professions. Implementation Science, 7(1), 70. https://doi.org/10.1186/1748-5908-7-70.CrossRefPubMedGoogle Scholar
- Sices, L., Feudtner, C., McLaughlin, J., Drotar, D., & Williams, M. (2003). How do primary care physicians identify young children with developmental delays? A national survey. Journal of Developmental and Behavioral Pediatrics, 24(6), 409–417. https://doi.org/10.1097/00004703-200312000-00002.CrossRefPubMedGoogle Scholar
- Zwaigenbaum, L., Bryson, S., Lord, C., Rogers, S., Carter, A., Carver, L., Chawarska, K., Constantino, J., Dawson, G., Dobkins, K., Fein, D., Iverson, J., Klin, A., Landa, R., Messinger, D., Ozonoff, S., Sigman, M., Stone, W., Tager-Flusberg, H., & Yirmiya, N. (2009). Clinical assessment and management of toddlers with suspected autism spectrum disorder: Insights from studies of high-risk infants. Pediatrics, 123(5), 1383–1391. https://doi.org/10.1542/peds/2008-1606.CrossRefPubMedPubMedCentralGoogle Scholar