{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2025,11,3]],"date-time":"2025-11-03T20:37:40Z","timestamp":1762202260770,"version":"build-2065373602"},"reference-count":29,"publisher":"Wiley","issue":"7","license":[{"start":{"date-parts":[[2025,9,7]],"date-time":"2025-09-07T00:00:00Z","timestamp":1757203200000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"}],"funder":[{"DOI":"10.13039\/501100003921","name":"Department of Health and Aged Care, Australian Government","doi-asserted-by":"publisher","award":["GO2647"],"award-info":[{"award-number":["GO2647"]}],"id":[{"id":"10.13039\/501100003921","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/501100001774","name":"University of Sydney","doi-asserted-by":"publisher","id":[{"id":"10.13039\/501100001774","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Drug and Alcohol Review"],"published-print":{"date-parts":[[2025,11]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>The Australian Guide to the Diagnosis of fetal alcohol spectrum disorder (FASD), developed in 2016, is currently under review. This study aimed to understand how the Guide is used in practice and identify factors influencing its implementation.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional online survey was conducted with Australian health practitioners involved in the assessment and diagnosis of FASD. The Clinician Guideline Determinants Questionnaire was used. Quantitative data were summarised descriptively and content analysis was applied to open\u2010ended questions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Of 333 survey sessions, 232 participants consented and 136 completed the survey. Most respondents were paediatricians (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200954, 37%) or psychologists (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200949, 33%). Although most clinicians felt confident using the Guide, only 44.1% agreed it clearly described the underlying evidence, and just 21% felt it adequately reflected patient preferences. Key enablers included clear, easy\u2010to\u2010follow guidance (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200945, 36.3%); ease of access (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200918, 14.5%) and familiarity with the Guide (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200914, 11.3%). Common barriers were lack of access to appropriate clinicians, time and cost constraints (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200925, 24.8%); concerns about the evidence base (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200916, 15.8%); and lack of familiarity or skills (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u20098, 7.9%).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Discussion and Conclusions<\/jats:title>\n                    <jats:p>Findings highlight strong clinician engagement with the 2016 Guide but also identify areas for improvement, particularly around evidence transparency and alignment with person\u2010centred care. By engaging with stakeholders and improving guidelines based on clinician feedback, we can improve the quality of care and support for individuals with FASD and their families.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/dar.70030","type":"journal-article","created":{"date-parts":[[2025,9,8]],"date-time":"2025-09-08T06:40:36Z","timestamp":1757313636000},"page":"2080-2090","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Understanding the Determinants of Use of the Australian\u00a0Guide to Diagnosis of Fetal Alcohol Spectrum\u00a0Disorder: Informing the Review, Development and Dissemination of New National Clinical Practice Guidelines"],"prefix":"10.1111","volume":"44","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-9813-5613","authenticated-orcid":false,"given":"Natasha","family":"Reid","sequence":"first","affiliation":[{"name":"Child Health Research Centre The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jayden","family":"Logan","sequence":"additional","affiliation":[{"name":"Child Health Research Centre The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasmine","family":"Wong","sequence":"additional","affiliation":[{"name":"School of Psychology The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Zachary","family":"Munn","sequence":"additional","affiliation":[{"name":"Health Evidence Synthesis, Recommendations, and Impact, School of Public Health Adelaide University  Adelaide Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Chelsea","family":"Vanderpeet","sequence":"additional","affiliation":[{"name":"Child Health Research Centre The University of Queensland  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Nicole","family":"Hayes","sequence":"additional","affiliation":[{"name":"Child Health Research Centre The University of Queensland  Brisbane Australia"},{"name":"School of Education Queensland University of Technology  Brisbane Australia"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"name":"the Australian FASD Guidelines Consortium","sequence":"additional","affiliation":[],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,9,7]]},"reference":[{"doi-asserted-by":"publisher","key":"e_1_2_10_2_1","DOI":"10.1176\/appi.books.9780890425596"},{"doi-asserted-by":"publisher","key":"e_1_2_10_3_1","DOI":"10.1111\/acer.14385"},{"doi-asserted-by":"publisher","key":"e_1_2_10_4_1","DOI":"10.3390\/ijerph192013144"},{"volume-title":"The Challenge of Fetal Alcohol Syndrome: Overcoming Secondary Disabilities","year":"1997","author":"Streissguth A.","key":"e_1_2_10_5_1"},{"unstructured":"A. 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