{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T15:37:10Z","timestamp":1770305830208,"version":"3.49.0"},"reference-count":56,"publisher":"Wiley","issue":"3","license":[{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc\/4.0\/"},{"start":{"date-parts":[[2025,12,10]],"date-time":"2025-12-10T00:00:00Z","timestamp":1765324800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","award":["W81XWH\u201019\u20101\u20100580"],"award-info":[{"award-number":["W81XWH\u201019\u20101\u20100580"]}],"id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]},{"DOI":"10.13039\/100000090","name":"Congressionally Directed Medical Research Programs","doi-asserted-by":"publisher","award":["W81XWH\u201019\u20101\u20100581"],"award-info":[{"award-number":["W81XWH\u201019\u20101\u20100581"]}],"id":[{"id":"10.13039\/100000090","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["J intellect Disabil Res"],"published-print":{"date-parts":[[2026,2]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Autistic adults describe difficulties accessing high\u2010quality primary care services. Primary care practitioners (PCPs) report a lack of confidence and knowledge in working with autistic adults. The Extension for Community Healthcare Outcomes (ECHO) model is a longitudinal clinician education program that utilises a \u2018hub and spoke\u2019 model, community\u2010building strategies and peer case\u2010based learning to improve the care of patients with medical complexity.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>The present study utilised the ECHO model (\u2018ECHO Autism Adult Healthcare\u2019) to train PCPs in how to best care for autistic adults. We used a qualitative approach to examine the PCPs' subjective experiences of participating in the training. We used a qualitative descriptive framework to explore the experiences of 22 PCPs who completed the ECHO Autism Adult Healthcare program. Semi\u2010structured Zoom interviews examined the support and education needs of PCPs and the benefits and challenges of the program. Three researchers worked collaboratively to code transcripts, testing inter\u2010rater reliability to establish reliability and coding consistency.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>Four themes were identified: (1) the benefits of hearing from a wide range of perspectives, (2) establishing and supporting an interactive and engaging climate, (3) building a sense of community and (4) the meaningfulness and usability of resources and information. Overall, participants appreciated the multidisciplinary hub team members' expertise, especially those with lived experiences. Several participants enjoyed the ECHO format, as it encourages active discussion and engagement. PCPs indicated that they felt connected with the hub team and participants. They remarked on the usefulness of provided resources and their ability to implement them into clinical care.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>These results can guide the development and implementation of future training programs. The ECHO model has the potential to become a best practice for delivering medical education. Broad implementation of the ECHO model shows significant benefits for PCPs and patients with medical complexity compared to more traditional forms of CME.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jir.70069","type":"journal-article","created":{"date-parts":[[2025,12,11]],"date-time":"2025-12-11T01:54:19Z","timestamp":1765418059000},"page":"274-286","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["The Power of ECHO Autism: Improving Confidence and Holistic Care for Autistic Adults"],"prefix":"10.1111","volume":"70","author":[{"ORCID":"https:\/\/orcid.org\/0000-0003-3645-3469","authenticated-orcid":false,"given":"Nancy","family":"Cheak\u2010Zamora","sequence":"first","affiliation":[{"name":"Department of Public Health University of Texas at San Antonio  San Antonio Texas USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Jessica","family":"Smith","sequence":"additional","affiliation":[{"name":"Department of Human Services University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Mya","family":"Howard","sequence":"additional","affiliation":[{"name":"Department of Human Services University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Beth","family":"Malow","sequence":"additional","affiliation":[{"name":"Vanderbilt Kennedy Center for Excellence in Developmental Disabilities Vanderbilt University  Nashville Tennessee USA"},{"name":"Sleep Disorders Division, Department of Neurology Vanderbilt University Medical Center  Nashville Tennessee USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kristin","family":"Sohl","sequence":"additional","affiliation":[{"name":"Department of Pediatrics University of Missouri  Columbia Missouri USA"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Micah","family":"Mazurek","sequence":"additional","affiliation":[{"name":"Department of Human Services University of Virginia  Charlottesville Virginia USA"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"311","published-online":{"date-parts":[[2025,12,10]]},"reference":[{"key":"e_1_2_11_2_1","doi-asserted-by":"publisher","DOI":"10.1080\/10872981.2021.1936435"},{"issue":"2","key":"e_1_2_11_3_1","first-page":"272","article-title":"Ensuring the Quality of the Findings of Qualitative Research: Looking at Trustworthiness Criteria","volume":"5","author":"Anney V. N.","year":"2014","journal-title":"Journal of Emerging Trends in Educational Research and Policy Studies"},{"key":"e_1_2_11_4_1","doi-asserted-by":"publisher","DOI":"10.1377\/hlthaff.2011.0278"},{"key":"e_1_2_11_5_1","doi-asserted-by":"publisher","DOI":"10.1191\/1478088706qp063oa"},{"key":"e_1_2_11_6_1","doi-asserted-by":"publisher","DOI":"10.1108\/AIA\u201003\u20102017\u20100007"},{"key":"e_1_2_11_7_1","doi-asserted-by":"publisher","DOI":"10.1097\/MD.0000000000020899"},{"key":"e_1_2_11_8_1","doi-asserted-by":"publisher","DOI":"10.1177\/0049124113500475"},{"key":"e_1_2_11_9_1","doi-asserted-by":"publisher","DOI":"10.1542\/peds.2015\u20101850"},{"key":"e_1_2_11_10_1","doi-asserted-by":"publisher","DOI":"10.3390\/educsci14080910"},{"key":"e_1_2_11_11_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000000872"},{"key":"e_1_2_11_12_1","article-title":"A Flipped Classroom and Case\u2010Based Curriculum to Prepare Medical Students for Vaccine\u2010Related Conversations With Parents","volume":"13","author":"Coleman A.","year":"2017","journal-title":"MedEdPORTAL Journal of Teaching Learning Resources"},{"key":"e_1_2_11_13_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361315577517"},{"key":"e_1_2_11_14_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0b013e31820dfacf"},{"key":"e_1_2_11_15_1","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen\u20102021\u2010056904"},{"key":"e_1_2_11_16_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361320931265"},{"key":"e_1_2_11_17_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010020\u201004414\u20106"},{"key":"e_1_2_11_18_1","doi-asserted-by":"publisher","DOI":"10.1370\/afm.2284"},{"key":"e_1_2_11_19_1","unstructured":"GlobalData Plc. \u201cThe Complexities of Physician Supply and Demand: Projections From 2021 to 2036.\u201d Published online2024."},{"key":"e_1_2_11_20_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jadohealth.2016.01.011"},{"key":"e_1_2_11_21_1","doi-asserted-by":"publisher","DOI":"10.1093\/jpepsy\/jsx142"},{"key":"e_1_2_11_22_1","volume-title":"The Practice of Qualitative Research","author":"Hesse\u2010Biber S.","year":"2016"},{"key":"e_1_2_11_23_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.114.160192"},{"key":"e_1_2_11_24_1","doi-asserted-by":"publisher","DOI":"10.3389\/fresc.2023.1096314"},{"key":"e_1_2_11_25_1","doi-asserted-by":"publisher","DOI":"10.1371\/journal.pone.0033224"},{"key":"e_1_2_11_26_1","doi-asserted-by":"publisher","DOI":"10.57264\/cer\u20102023\u20100051"},{"key":"e_1_2_11_27_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390\u2010021\u201001465\u2010y"},{"key":"e_1_2_11_28_1","doi-asserted-by":"publisher","DOI":"10.1002\/aur.2996"},{"key":"e_1_2_11_29_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010019\u201004049\u20102"},{"key":"e_1_2_11_30_1","doi-asserted-by":"publisher","DOI":"10.1177\/0009922816648288"},{"key":"e_1_2_11_31_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpeds.2020.01.014"},{"key":"e_1_2_11_32_1","doi-asserted-by":"publisher","DOI":"10.1001\/jamapediatrics.2019.6306"},{"key":"e_1_2_11_33_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.rasd.2021.101862"},{"key":"e_1_2_11_34_1","doi-asserted-by":"publisher","DOI":"10.1089\/aut.2021.0069"},{"key":"e_1_2_11_35_1","doi-asserted-by":"publisher","DOI":"10.4137\/JMECD.S20377"},{"key":"e_1_2_11_36_1","volume-title":"Qualitative Data Analysis: A Methods Sourcebook","author":"Miles M. B.","year":"2020"},{"issue":"2","key":"e_1_2_11_37_1","first-page":"61","article-title":"Autistics Speak but Are They Heard","volume":"7","author":"Milton D.","year":"2013","journal-title":"Medical Sociology Online"},{"key":"e_1_2_11_38_1","unstructured":"National Institute for Health and Care Excellence (NICE). forthcoming. Published online 2013.https:\/\/www.nice.org.uk\/guidance\/cg170."},{"key":"e_1_2_11_39_1","doi-asserted-by":"publisher","DOI":"10.1177\/1362361315576221"},{"key":"e_1_2_11_40_1","doi-asserted-by":"publisher","DOI":"10.1007\/s11606\u2010012\u20102262\u20107"},{"key":"e_1_2_11_41_1","doi-asserted-by":"publisher","DOI":"10.2196\/13094"},{"key":"e_1_2_11_42_1","doi-asserted-by":"publisher","DOI":"10.1001\/jama.2015.4138"},{"key":"e_1_2_11_43_1","doi-asserted-by":"publisher","DOI":"10.1177\/1609406917733847"},{"key":"e_1_2_11_44_1","doi-asserted-by":"publisher","DOI":"10.1097\/ACM.0000000000004749"},{"key":"e_1_2_11_45_1","doi-asserted-by":"publisher","DOI":"10.1002\/1098-240X(200008)23:4<334::AID-NUR9>3.0.CO;2-G"},{"key":"e_1_2_11_46_1","doi-asserted-by":"publisher","DOI":"10.1097\/DBP.0000000000001060"},{"key":"e_1_2_11_47_1","doi-asserted-by":"publisher","DOI":"10.1080\/08897077.2019.1694617"},{"key":"e_1_2_11_48_1","doi-asserted-by":"publisher","DOI":"10.3389\/fmed.2022.1022026"},{"key":"e_1_2_11_49_1","doi-asserted-by":"publisher","DOI":"10.5014\/ajot.2019.037226"},{"key":"e_1_2_11_50_1","doi-asserted-by":"publisher","DOI":"10.28945\/3502"},{"key":"e_1_2_11_51_1","unstructured":"The ECHO Model. forthcoming. Project ECHO. Accessed May 8 2024.https:\/\/projectecho.unm.edu\/model\/."},{"key":"e_1_2_11_52_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.dhjo.2016.11.002"},{"key":"e_1_2_11_53_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40489\u2010021\u201000279\u20102"},{"key":"e_1_2_11_54_1","doi-asserted-by":"publisher","DOI":"10.1186\/s13229\u2010023\u201000565\u20102"},{"key":"e_1_2_11_55_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010015\u20102386\u20109"},{"key":"e_1_2_11_56_1","doi-asserted-by":"publisher","DOI":"10.1177\/13623613231172865"},{"key":"e_1_2_11_57_1","doi-asserted-by":"publisher","DOI":"10.1007\/s10803\u2010015\u20102579\u20102"}],"container-title":["Journal of Intellectual Disability Research"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jir.70069","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jir.70069","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jir.70069","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,2,5]],"date-time":"2026-02-05T02:07:24Z","timestamp":1770257244000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jir.70069"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2025,12,10]]},"references-count":56,"journal-issue":{"issue":"3","published-print":{"date-parts":[[2026,2]]}},"alternative-id":["10.1111\/jir.70069"],"URL":"https:\/\/doi.org\/10.1111\/jir.70069","archive":["Portico"],"relation":{},"ISSN":["0964-2633","1365-2788"],"issn-type":[{"value":"0964-2633","type":"print"},{"value":"1365-2788","type":"electronic"}],"subject":[],"published":{"date-parts":[[2025,12,10]]},"assertion":[{"value":"2025-02-16","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-11-25","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2025-12-10","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}