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

Only 28 of 42 pediatric clinicians completed both pre and post surveys, so the self-efficacy change is based on that smaller analysed group. There was no control or comparison group, so the improvement cannot be separated from time, maturation, or other changes. The program combined pediatric clinician training and family navigation, so the contribution of either component alone cannot be separated. The study did not include direct measures of child or family outcomes, such as age at diagnosis, age at intervention, time between referral and access, or family stress. Results are self-report from clinicians who volunteered and attended an average of 67.6% of sessions, so they may not show actual practice change. The study was a pilot in Virginia, so it may not apply to other regions or health systems.

The supplied text states that the funder was the Maternal and Child Health Bureau. It does not provide an author conflict-of-interest statement.

Do not read the self-efficacy increase as proof that children got earlier diagnosis or services. The study had no control group, only 28 of 42 clinicians completed both surveys, and it did not measure child or family outcomes.