Abstract
The importance of accurate identification and high-quality intervention for individuals with autism spectrum disorder (ASD) is indisputable. Clinicians from multiple professions need adequate knowledge of ASD to make appropriate referrals to specialists, conduct thorough evaluations, and provide effective interventions. ASD knowledge development for many professionals may start at the pre-service training level. An interdisciplinary sample consisting of trainees from Leadership Education in Neurodevelopmental and Related Disabilities (LEND) programs and University Centers for Excellence in Developmental Disabilities (UCEDDs) across the country (N = 155) was evaluated on their objectively measured ASD knowledge using the ASKSP-R. Self-reported knowledge of ASD and self-reported confidence in providing services to individuals who have ASD was evaluated using a 0–100 scale. Results from an ANOVA demonstrated a significant difference in objectively measured knowledge across disciplines, F(7, 146) = 4.68, p < .001. Specifically, trainees in psychology had significantly higher levels of objectively measured ASD knowledge than trainees in physical/occupational therapy, social work, and non-clinical disciplines. Pre-service and professional development experiences predicted trainees’ objectively measured ASD knowledge, self-reported ASD knowledge, and self-reported confidence. Implications and recommendations regarding interdisciplinary training to improve outcomes for individuals with ASD are discussed.
Similar content being viewed by others
References
Alexeeff, S. E., Yau, V., Qian, Y., Davignon, M., Lynch, F., Crawford, P., Davis, R., & Croen, L. A. (2017). Medical condition in the first years of life associated with future diagnosis of ASD in children. Journal of Autism and Developmental Disorders, 47, 2067–2079. https://doi.org/10.1007/s10803-017-3130-4
American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association.
Austriaco, K., Aban, I., Willig, J., & Kong, M. (2019). Contemporary trainee knowledge of autism: How prepared are our future providers? Frontiers in Pediatrics, 26, 1–8.
Beverly, B. L., & Wooster, D. (2018). An interprofessional education initiative for allied health students preparing to serve individuals with autism spectrum disorder. Interprofessional Practice and Education, 47, 90–95.
Cambell, J. M., Ogletree, B., Rose, A., & Price, J. (2020). Interdisciplinary evaluation of autism spectrum disorder. In J. D. Shahidullah & K. R. Mezher (Eds.), Interprofessional care coordination for pediatric autism spectrum disorder: Translating research into practice (pp. 47–64). Springer.
Cox, D. J. (2012). From interdisciplinary to integrated care of the child with autism: The essential role for a code of ethics. Journal of Autism and Developmental Disorders, 42, 2729–2738.
da Silva, L., Alckmin-Carvalho, V., Teixeira, M. C. T. V., & Paula, C. S. (2018). Psychologists training on autism: A cross-sectional study with undergraduate students. Psicologia: Teoria e Pratica, 20, 138–152. https://doi.org/10.5935/1980-6906/psicologia.v20n3p153-166
George, D., & Mallery, P. (2016). IBM SPSS statistics 23 step by step. Routledge.
Gerdts, J., Mancini, J., Fox, E., Rhoads, C., Ward, T., Easley, E., & Bernier, R. A. (2018). Interdisciplinary team evaluation: An effective method for diagnostic assessment of ASD. Journal of Developmental and Behavioral Pediatrics. https://doi.org/10.1097/DBP.0000000000000549.
Ghaderi, G., & Watson, S. L. (2018). In medical school, you get far more training on medical stuff than developmental stuff: Perspectives on ASD from Ontario physicians. Journal of Autism and Developmental Disorders, 49, 681–691.
Harris, B., McClain, M. B., Schwartz, S., & Haverkamp, C. R. (2020). Knowledge of autism spectrum disorder among school psychology graduate students. Contemporary School Psychology. https://doi.org/10.1007/s40688-019-00266-9
Harris, P. A., Taylor, R., Thielke, R., Payne, J., Gonzalez, N., & Conde, J. G. (2009). Research electronic data capture (REDCap): A metadata-driven methodology and workflow process for providing translational research informatics support. Journal of Biomedical Informatics, 42, 377–381.
Harrison, A. J., Slane, M. M., Hoang, L., & Campbell, J. M. (2017). An international review of autism knowledge assessment measures. Autism, 21, 262–275. https://doi.org/10.1177/1362361316638786
Helm, D. T., Holt, J., Conklin, K., Pariseau, C., & Pearson, S. (2010). Interdisciplinary training guide (4th ed.). Association of University Centers on Disabilities.
Holley, M. I., Ravenscroft, S., Brukilacchio, B., Engelmann, M., & Fikki, A. (2020). Dell Children’s (S)TAAR model of early autism assessment. In J. D. Shahidullah & K. R. Mezher (Eds.), Interprofessional care coordination for pediatric autism spectrum disorder: Translating research into practice (pp. 65–84). Springer.
Howard, G., & Dawson, G. (2020). The early start denver model (ESDM). In J. D. Shahidullah & K. R. Mezher (Eds.), Interprofessional care coordination for pediatric autism spectrum disorder: Translating research into practice (pp. 357–368). Springer.
Ibrahim, A. (2020). Practicum students’ views about field experience program for children with autism spectrum disorders. International Journal of Education and Practice, 8(3), 457–467.
Joshi, G., Wozniak, J., Petty, C., Martelon, M. K., Fried, R., Bolfek, A., Kotte, A., Stevens, J., Furtak, S. L., Bourgeois, M., Caruso, J., Caron, A., & Biederman, J. (2013). Psychiatric comorbidity and functioning in a clinically referred population of adults with autism Spectrum disorders: A comparative study. Journal of Autism and Developmental Disorders, 43, 1314–1325.
Kentrou, V., de Veld, D. M. J., Mataw, K. J. K., & Begeer, S. (2019). Delayed autism spectrum disorder recognition in children and adolescents previously diagnosed with attention-deficit/hyperactivity disorder. Autism, 23, 1065–1072.
Levy, S. E., Giarelli, E., Lee, L., Schieve, L. A., Kirby, R. S., Cunniff, C., Nicolas, J., Reaven, J., & Rice, C. E. (2010). Autism spectrum disorder and co-occurring developmental, psychiatric, and medical conditions among children in multiple populations of the United States. Journal of Developmental and Behavioral Pediatrics, 31, 267–275.
Loutzenhiser, L., & Hadjistavropoulos, H. (2008). Enhancing interprofessional patient-centered practice for children with autism spectrum disorders: A pilot project with pre-licensure health students. Journal of Interprofessional Care, 22, 429–431.
Low, H. M., Lee, L. W., & Che Ahmad, A. (2018). Preparing special education pre-service teachers to address the speech, language and communication needs of students with ASD: A needs assessment. Speech, Language, and Hearing, 21, 142–151. https://doi.org/10.1080/2050571X.2017.1336346
Macy, M., Squires, J. K., & Barton, E. E. (2009). Providing optimal opportunities: Structuring practicum experiences in early intervention and early childhood special education preservice programs. Topics in Early Childhood Special Education, 28(4), 209–218.
Maternal and Child Health Bureau. (2019). Leadership education in neurodevelopmental and related disorders fact sheet. Maternal and Child Health Bureau.
Matson, J. L., & Goldin, R. L. (2013). Comorbidity and autism: Trends, topics and future directions. Research in Autism Spectrum Disorders, 7, 1228–1233.
Mattila, M. L., Hurtig, T., Haapsamo, H., Jussila, K., Kuusikko-Gauffin, S., Kielinen, M., Linna, S. L., Ebeling, H., Bloigu, R., Joskitt, L., Pauls, D. L., & Moilanen, I. (2010). Comorbid psychiatric disorders associated with Asperger syndrome/high-functioning autism: A community- and clinic-based study. Journal of Autism and Developmental Disorders, 40, 1080–1093.
McClain, M. B., Harris, B., Haverkamp, C. R., Golson, M. E., & Schwartz, S. E. (2020b). The ASKSP Revised (ASKSP-R) as a measure of ASD knowledge for professional populations. Journal of Autism and Developmental Disorders, 50, 998–1006.
McClain, M. B., Harris, B., Schwartz, K. J., Haverkamp, C. R., & Golson, M. E. (2019). Development and validation of the autism spectrum knowledge scale-professional version: Preliminary analysis. Open Science Framework. https://doi.org/10.17605/OSF.IO/8M9UB.
McClain, M. B., Haverkamp, C. R., Holt, J., Peacock, G. G., & Winter, S. (2020a). Interprofessional education and training. In M. B. McClain, J. D. Shahidullah, & K. R. Mezher (Eds.), Interprofessional care coordination for pediatric autism spectrum disorder: Translating research into practice (pp. 369–384). Springer.
McConky, R., & Bhlirgri, S. (2003). Children with autism attending preschool facilities: The experiences and perceptions of staff. Early Child Development and Care, 173, 445–452. https://doi.org/10.1080/0300443032000086926
McCormack, G., Dillon, A. C., Healy, O., Walsh, C., & Lydon, S. (2019). Primary care physicians’ knowledge of autism and evidence-based interventions for autism: A systematic review. Review Journal of Autism and Developmental Disorders, 7, 226–241. https://doi.org/10.1007/s40489-019-00189-4
McMahon, C. M., Stoll, B., & Linthicum, M. (2020). Perceived versus actual autism knowledge in the general population. Research in Autism Spectrum Disorders, 71, 101499. https://doi.org/10.1016/j.rasd.2019.101499
National Autism Center. (2015). Findings and conclusions, national standards project, phase 2: Addressing the need for evidence-based practice guidelines for autism spectrum disorder. National Autism Center.
National Institute for Health and Clinical Excellence (NICE). (2011). Autism spectrum disorder in under 19s: Recognition, referral and diagnosis. National Institute for Health and Clinical Excellence.
Ozonoff, S. E., Rogers, S. J., & Hendren, R. L. (2003). Autism spectrum disorders: A research review for practitioners. American Psychiatric Publishing, Inc.
Paynter, J., Sulek, R., Luskin-Saxby, S., Trembath, D., & Keen, D. (2018). Allied health professionals’ knowledge and use of ASD interventions practices. Journal of Autism and Developmental Disorders, 48, 2335–2349.
Reichow, B. (2012). Overview of meta-analyses on early intensive behavioral intervention for young children with autism spectrum disorders. Journal of Autism and Developmental Disorders, 42, 512–520.
Rogers, S. J., & Dawson, G. (2010). The Early Start Denver Model for young children with autism: Promoting language, learning, and engagement. Guilford Press.
Salazar, F., Baird, G., Chandler, S., Tseng, E., O’sullivan, T., Howlin, P., Pickles, A., & Simonoff, E. (2015). Co-occurring psychiatric disorders in preschool and elementary school-aged children with autism spectrum disorder. Journal of Autism and Developmental Disorders, 45, 2283–2294.
Schwartz, H., & Drager, K. D. (2008). Training and knowledge in autism among speech-language pathologists: A survey. Language Speech and Hearing Services in Schools, 39, 66–77.
Simons, L., Fehr, L., Blank, N., Connell, H., Georganas, D., Fernandez, D., & Peterson, V. (2012). Lessons learned from experiential learning: What do students learn from a practicum/internship? International Journal of Teaching and Learning in Higher Education, 24(3), 325–334.
Stewart, J. R., Vigil, D. C., Ryst, E., & Yang, W. (2014). Refining best practices for the diagnosis of autism: A comparison between individual healthcare practitioner diagnosis and transdisciplinary assessment. Nevada Journal of Public Health, 11, 1–12.
Strunk, J. A. (2009). School nurses’ knowledge of autism spectrum disorder. The Journal of School Nursing, 25, 445–452.
Volkmar, F., Siegel, M., Woodbury-Smith, M., King, B., & McCracken, J. (2014). Practice parameters for the assessment and treatment of children and adolescents with autism spectrum disorder. Journal of the American Academy of Child and Adolescent Psychiatry, 53, 237–257.
Wong, C., Odom, S. L., Hume, K. A., Cox, A. W., Fettig, A., Kucharczyk, S., Brock, M. E., Plavnick, J. B., Fleury, V. P., & Schultz, T. R. (2015). Evidence-based practices for children, youth, and young adults with autism spectrum disorder: A comprehensive review. Journal of Autism and Developmental Disorders, 45, 1951–1966.
Zerbo, O., Massolo, M. L., Qian, Y., & Croen, L. A. (2015). A study of physician knowledge and experience with autism in adults in a large integrated healthcare system. Journal of Autism and Developmental Disorders, 45(12), 4002–4014.
Author information
Authors and Affiliations
Contributions
LB participated in the design, coordination, recruitment of participants, and drafted and revised the manuscript; CH participated in the design, recruitment of participants, data entry and helped with drafting the manuscript; RL participated in the design, recruitment of patients, statistical analysis and interpretation of data and helped with drafting the manuscript; RF participated in the design, recruitment of participants, and helped with drafting the manuscript; MBM and VS participated in the design and general supervision of the research study. All authors read and approved the final manuscript.
Corresponding author
Ethics declarations
Conflict of Interest
All authors declare no conflict of interest.
Ethical Approval
All procedures performed in studies involving human participants were in accordance with the ethical standards of the Internal Review Board at Utah State University, Logan, Utah.
Informed Consent
Informed consent was obtained from all individual participants prior to participating in the research study.
Additional information
Publisher's Note
Springer Nature remains neutral with regard to jurisdictional claims in published maps and institutional affiliations.
Rights and permissions
About this article
Cite this article
Bono, L.K., Haverkamp, C.R., Lindsey, R.A. et al. Assessing Interdisciplinary Trainees’ Objective and Self-Reported Knowledge of Autism Spectrum Disorder and Confidence in Providing Services. J Autism Dev Disord 52, 376–391 (2022). https://doi.org/10.1007/s10803-021-04948-3
Accepted:
Published:
Issue Date:
DOI: https://doi.org/10.1007/s10803-021-04948-3