ID-5184 Wonca Abstracts supplement A-K 13-10-23 - Flipbook - Page 64
WONCA 2023 Supplement 1: WONCA 2023 abstracts (A–K)
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Developmental surveillance for autism in general practice:
Research and insights by an applied researcher and general
practitioner with lived experience
A/Prof Josephine Barbaro1, James Best2
1
Olga Tennison Autism Research Centre, La Trobe University, 2The Royal Australian College of
General Practitioners
Background
Access to appropriate supports and services early in life has been shown to promote positive
developmental outcomes for autistic children. However, significant challenges remain in the early
identification of autism in general practice.
Objectives
As part of a cluster randomised control trial, this study examined and compared the perspectives
and experiences of Australian general practitioners (GPs) in using a highly accurate developmental
surveillance tool for autism from infancy to preschool (Social Attention and Communication
Surveillance [SACS]; JAMA Open 2022) via a digital program with those using the usual care pathway.
Methods
A qualitative research methodology was utilised; all GPs from South-western Sydney (NSW) and
Melbourne (Victoria) who participated in the study were invited. Consenting GPs were interviewed over
the phone/online or in person, with interviews audio recorded, transcribed and coded. An inductive
interpretive approach was adopted, and data were analysed thematically.
Results
In all, 23 GPs (NSW: n = 11; Victoria: n = 12) agreed to be interviewed, with data saturation reached.
Nine major themes emerged: common enablers included the role of GPs in early identification and
support, enhanced communication between professionals and relationship building with patients, and
access to standardised screening tools. Specific facilitators to the feasibility and acceptability of the
program included having access to autism-specific screening tools (eg SACS) to increase confidence
and the importance of GP participation in further research and education. Several practical and
socioeconomic barriers were identified, including limited knowledge and uptake of screening tools,
supporting GPs in developmental/paediatrics training, streamlined screening processes and funding
and resources.
Conclusions
The study highlighted the beneficial usage of digital screening tools such as SACS for developmental
surveillance of autism from infancy to preschool. The need for practice and policy changes, including
further training of GPs, and sufficient time and public healthcare funding to complete developmental
surveillance, was highlighted.
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