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Feasibility and Potential Impact of the Building Alliances to Meet Autism Needs in Clinical Encounters (BALANCE) Program
Objectives: This study explored the feasibility and potential impact of BALANCE.
Methods: BALANCE was implemented in the day surgery unit of a Canadian pediatric tertiary care hospital. All HCPs were shown the toolkit and invited to complete BALANCE. HCPs self-reported on barriers to and the delivery of FCC at baseline, post-intervention, and three-month follow-up. Linear mixed-effect models were used for analysis. HCPs also rated the feasibility of BALANCE and provided suggestions for improvement.
Results: Of the 106 interdisciplinary healthcare providers on the unit, 70 consented to participate. Of these, 62 started BALANCE, 53 completed all modules. HCPs reported significant reductions in barriers from baseline to post-intervention that were sustained at follow-up, and significant increases in delivery of FCC from baseline to follow-up. More than 95% of HCPs rated modules as usable, acceptable, and feasible. The most common theme regarding improvement was to equalize sound levels across modules.
Conclusions: The implementation of BALANCE was successful, indicating feasibility. BALANCE has the potential to address barriers to care and improve the delivery of FCC to children with ASD. Challenges with the delivery of FCC to children with ASD occur across healthcare contexts; BALANCE could be adapted for other care settings.