{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,24]],"date-time":"2026-10-24T10:02:55Z","timestamp":1792836175735,"version":"4.5.0"},"reference-count":34,"publisher":"Wiley","issue":"8","license":[{"start":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T00:00:00Z","timestamp":1690761600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Autism Research"],"published-print":{"date-parts":[[2023,8]]},"abstract":"<jats:title>Abstract<\/jats:title>\n                  <jats:p>\n                    Autistic adults experience significant unmet healthcare needs, with opportunities for improvement in both the systems and the practitioners who serve this population. Primary care physicians\/practitioners (PCPs) are a natural choice to provide comprehensive care to autistic adults but often lack experience in serving this population. This pilot study developed and tested an Extension for Community Healthcare Outcomes (ECHO) Autism model adapted from our previous work, focused specifically on training PCPs in best\u2010practice care for autistic adults. The project was informed directly by the perspectives and preferences of autistic adults, caregivers, and PCPs. Two consecutive cohorts of PCPs participated in ECHO Autism Adult Healthcare sessions. Each cohort met 1\u2009h twice a month for 6\u2009months, with 37 PCPs (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200920 in Cohort 1, and\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200917 in Cohort 2) participating. Based on findings from the first cohort, adjustments were made to refine the session preparation, curriculum, conduct of the ECHO, resources, and evaluation. After participation in the ECHO Autism program, PCP self\u2010efficacy and satisfaction improved, while the number of perceived barriers did not change. Knowledge did not improve significantly in Cohort 1, but after adjustments to the training model, participants in Cohort 2 showed significant knowledge gains. While attention to systems of care is critical to addressing barriers in healthcare in the autistic population, the ECHO Autism Adult Healthcare model is feasible and holds promise for improving PCP satisfaction and self\u2010efficacy in working with autistic adults.\n                  <\/jats:p>","DOI":"10.1002\/aur.2996","type":"journal-article","created":{"date-parts":[[2023,7,31]],"date-time":"2023-07-31T03:43:33Z","timestamp":1690775013000},"page":"1619-1629","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":12,"title":["<scp>ECHO<\/scp>\n                    autism adult healthcare: Training community clinicians to provide quality care for autistic adults"],"prefix":"10.1002","volume":"16","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1624-7636","authenticated-orcid":false,"given":"Beth A.","family":"Malow","sequence":"first","affiliation":[{"name":"Sleep Disorders Division, Department of Neurology Vanderbilt 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USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Rachel","family":"Loftin","sequence":"additional","affiliation":[{"name":"Department of Psychiatry and Behavioral Sciences Northwestern University  Chicago Illinois USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"David","family":"Caudel","sequence":"additional","affiliation":[{"name":"Frist Center for Autism and Innovation, Department of Engineering Vanderbilt University  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Hess","sequence":"additional","affiliation":[{"name":"Behavioral Health, Child Development Center Nationwide Children's Hospital  Columbus Ohio USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Alexander","family":"Westphal","sequence":"additional","affiliation":[{"name":"Department of Psychiatry Yale School of Medicine  New Haven Connecticut USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Joshua","family":"Smith","sequence":"additional","affiliation":[{"name":"Division of Child and Adolescent Psychiatry, Department of Psychiatry and Behavioral Sciences Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Janet","family":"Shouse","sequence":"additional","affiliation":[{"name":"Vanderbilt Kennedy Center for Excellence in Developmental Disabilities Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3645-3469","authenticated-orcid":false,"given":"Nancy","family":"Cheak\u2010Zamora","sequence":"additional","affiliation":[{"name":"Department of Health Sciences University of Missouri  Columbia Missouri USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Kristin","family":"Sohl","sequence":"additional","affiliation":[{"name":"Department of Child Health University of Missouri School of Medicine  Columbia Missouri 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