5 results on '"Rujuta Wilson"'
Search Results
2. The diagnostic journey of genetically defined neurodevelopmental disorders
- Author
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Juliana Simon, Carly Hyde, Vidya Saravanapandian, Rujuta Wilson, Charlotte Distefano, Aaron Besterman, and Shafali Jeste
- Subjects
Neurodevelopmental disorders ,Genetic testing ,Diagnostic journey ,Neurosciences. Biological psychiatry. Neuropsychiatry ,RC321-571 - Abstract
Abstract Background The development of advanced genetic technologies has resulted in rapid identification of genetic etiologies of neurodevelopmental disorders (NDDs) and has transformed the classification and diagnosis of various NDDs. However, diagnostic genetics has far outpaced our ability to provide timely medical counseling, guidance, and care for patients with genetically defined NDDs. These patients and their caregivers present with an unmet need for care coordination across multiple domains including medical, developmental, and psychiatric care and for educational resources and guidance from care professionals. After a genetic diagnosis is made, families also face several barriers in access to informed diagnostic evaluations and medical support. Methods As part of Care and Research in Neurogenetics (CARING), a multidisciplinary clinical program for children and adults with neurogenetic disorders, we conducted qualitative clinical interviews about the diagnostic journey of families. This included the overall timeline to receiving diagnoses, experiences before and after diagnosis, barriers to care, and resources that helped them to navigate the diagnostic process. Results A total of 37 interviews were conducted with parents of children ages 16 months to 33 years. Several key themes were identified: (1) delays between initial caregiver observations and formal developmental or genetic diagnoses; (2) practical barriers to clinical evaluation and care, including long wait times for an appointment, lack of insurance coverage, availability of local evaluations, transportation difficulties, and native language differences; (3) the importance of being part of a patient advocacy group to help navigate the diagnostic journey; and (4) unique challenges faced by adults (18 years or older). Conclusions Families of children with complex neurodevelopmental and genetic disabilities face numerous challenges in finding adequate medical care and services for their child. They experience considerable delays in receiving timely diagnoses and face significant barriers that further delay the process of receiving access to services needed for the child’s continued care. The gaps indicated in this study speak to the need for more comprehensive coordination of care for patients with intellectual and developmental disabilities, as well as the development of systematic, disorder-specific resources both for providers and families in order to improve patient outcomes.
- Published
- 2022
- Full Text
- View/download PDF
3. A Brief Report: Community Supportiveness May Facilitate Participation of Children With Autism Spectrum Disorder in Their Community and Reduce Feelings of Isolation in Their Caregivers
- Author
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Bethany D. Devenish, Carmel Sivaratnam, Ebony Lindor, Nicole Papadopoulos, Rujuta Wilson, Jane McGillivray, and Nicole J. Rinehart
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autism spectral disorder ,community participation ,children ,caregivers ,stress ,Psychology ,BF1-990 - Abstract
Children with autism spectrum disorder (ASD) participate at lower rates in their community, and their caregivers experience higher levels of stress, in comparison to families of typically developing (TD) children. The social model of disability positions the environment as the central issue when children with disabilities are unable to participate, yet little is known about the relationship between poor community support, reduced community participation in children with ASD, and caregiver stress. This study examined caregiver perceptions of community supportiveness for the community participation of 48 children with ASD (aged 5–12 years), alongside caregiver-reported child ASD symptom severity, adaptive functioning, and caregiver stress. Community supportiveness predicted child involvement, but not attendance, when child characteristics were held constant. Caregiver perceptions of low community supportiveness significantly predicted caregiver feelings of isolation. The importance of modifying community programs to better support inclusion of children with ASD is discussed.
- Published
- 2020
- Full Text
- View/download PDF
4. The Autism Intervention Research Network on Physical Health (AIR-P) Charter
- Author
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Alice A, Kuo, Emily, Hotez, Kashia A, Rosenau, Candace, Gragnani, Priyanka, Fernandes, Madeline, Haley, Dawn, Rudolph, Lisa A, Croen, Maria L, Massolo, Laura, Graham Holmes, Paul, Shattuck, Lindsay, Shea, Rujuta, Wilson, Julian A, Martinez-Agosto, Heather M, Brown, Patrick S R, Dwyer, Dena L, Gassner, Steven K, Kapp, Ari, Ne'eman, Jacalyn G, Ryan, T C, Waisman, Zachary J, Williams, Jessica N, DiBari, Dana M, Foney, Lauren R, Ramos, and Michael D, Kogan
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Case-Control Studies ,Pediatrics, Perinatology and Child Health ,Humans ,Autistic Disorder - Published
- 2021
5. The Autism Intervention Research Network on Physical Health (AIR-P) Research Agenda
- Author
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Alice A, Kuo, Emily, Hotez, Kashia A, Rosenau, Candace, Gragnani, Priyanka, Fernandes, Madeline, Haley, Dawn, Rudolph, Lisa A, Croen, Maria L, Massolo, Laura Graham, Holmes, Paul, Shattuck, Lindsay, Shea, Rujuta, Wilson, Julian A, Martinez-Agosto, Heather M, Brown, Patrick S R, Dwyer, Dena L, Gassner, Steven K, Kapp, Ari, Ne'eman, Jacalyn G, Ryan, T C, Waisman, Zachary J, Williams, Jessica N, DiBari, Dana M, Foney, Lauren R, Ramos, and Michael D, Kogan
- Subjects
Pediatrics, Perinatology and Child Health ,Chronic Disease ,Quality of Life ,Humans ,Autistic Disorder ,United States - Abstract
OBJECTIVES In the United States, autistic individuals experience disproportionate physical and mental health challenges relative to non-autistic individuals, including higher rates of co-occurring and chronic conditions and lower physical, social, and psychological health-related quality of life. The Autism Intervention Research Network on Physical Health (AIR-P) is an interdisciplinary, multicenter research network for scientific collaboration and infrastructure that aims to increase the life expectancy and quality of life for autistic individuals, with a focus on underserved or vulnerable populations. The current paper describes the development of the AIR-P Research Agenda. METHODS Development of the research agenda involved an iterative and collaborative process between the AIR-P Advisory Board, Steering Committee, and Autistic Researcher Review Board. The methodology consisted of 3 phases: (1) ideation and design, (2) literature review and synthesis; and (3) network engagement. RESULTS Six core research priorities related to the health of autistic individuals were identified: (1) primary care services and quality, (2) community-based lifestyle interventions, (3) health systems and services, (4) gender, sexuality, and reproductive health, (5) neurology, and (6) genetics. Specific topics within each of these priorities were identified. Four cross-cutting research priorities were also identified: (1) neurodiversity-oriented care, (2) facilitating developmental transitions, (3) methodologically rigorous intervention studies, and (4) addressing health disparities. CONCLUSIONS The AIR-P Research Agenda represents an important step forward for enacting large-scale health-promotion efforts for autistic individuals across the lifespan. This agenda will catalyze autism research in historically underrepresented topic areas while adopting a neurodiversity-oriented approach to health-promotion.
- Published
- 2021
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