Autism spectrum disorder Mental and Behavioural Disorders
Conditions
Interventions
GP practices will be randomised to either a health-check arm (delivering the health check) or a usual-care arm. GP practices in the health check arm will be trained on autism and the delivery of the h
Sponsors
Cumbria Northumberland Tyne and Wear NHS Foundation Trust
Eligibility
Sex/Gender
All
Inclusion criteria
Inclusion criteria: 1. Autistic adults (aged 18 years old and over) registered at participating general practices, whose formal autism spectrum diagnosis is known to their GP; participants have had an autism diagnosis given by a NHS Multidisciplinary team. 2. Carers and supporters of autistic people 3. GP Practice staff involved in delivering the health check to autistic adults
Exclusion criteria
Exclusion criteria: 1. Aged 17 years and under 2. Participants with no formal diagnosis of autism spectrum disorder 3. Attendance at an NHS learning disability health check in the last 12 months or who are anticipated to attend one in the next 3 months 4. Unable to consent and do not have a relative or supporter who can support them or who can answer on their behalf 5. Final stages of a terminal illness 6. GP considers it inappropriate to invite them (e.g. due to family circumstances such as a recent bereavement)
Design outcomes
Primary
| Measure | Time frame |
|---|---|
| Incidence of new health needs/conditions detected and met at 9 months measured by gathering relevant information from the participant's GP health records using a Health Records Data Collection Form at 9 months | — |
Secondary
| Measure | Time frame |
|---|---|
| 1. Extent of health monitoring and health promotion needs being met at 9 months measured by gathering relevant information from the participant's GP health records using a Health Records Data Collection Form and a Lifestyle Outcomes Questionnaire at 9 months 2. Incidence of social needs identified at 9 months measured by gathering relevant information from the participant's GP health records using a Health Records Data Collection Form at 9 months 3. Health check acceptance and refusal rates measured by gathering relevant information from GP Practices delivering the health check post-health check 4. Views of autistic people and professionals, and where appropriate carers and supporters, about the acceptability of the health check, its utility, and future use measured using a Health Check Evaluation Questionnaire and semi-structured interviews post-health check 5. Information about the digital version of the pre-appointment questionnaire (e.g. time to complete and whether completed in one visit) measured using a Health Check Evaluation Questionnaire and semi-structured interviews post health check 6. Serious adverse events measured using the Serious Adverse Event form 7. Change in participant or carer-related general health measured using: 7.1 EQ-5D-5L at baseline, 3, 6, and 9 months 2.2 Short-Form Health Survey version 2 (SF-36 v2) at baseline, 3, 6, and 9 months 7.2 Primary Care Outcomes Questionnaire (PCOQ) at baseline, 3, and 9 months 8. Changes in primary and secondary health and social care resource usage and costs measured using a Health Resource Usage Questionnaire at baseline, 3, 6, and 9 months 9. Healthcare costs per participant to the NHS and PSS over 9 months for each area of resource use measured using a Health Resource Usage Questionnaire and Health Check Evaluation Questionnaire at 9 months 10. Participant and care-borne costs at 9 months will be measured using a Time and Travel Questionnaire at 9 months 11. Utility scores derived from response to the | — |
Countries
England, United Kingdom
Contacts
Public ContactHelen Taylor
Outcome results
None listed