Abstract
OBJECTIVE: To apply video feedback method in the training of primary screening and assessment skills for autism among community child care workers, and evaluate its effectiveness, providing ideas for future operational training at the grassroots level. METHODS: After conducting centralized training and supervision on the first level screening of autism for community child care workers, they will shoot videos of the first level screening operation skills according to the key points. They will use monthly community meetings to report on the videos and discuss and analyze them. After a period of time, they will provide feedback on the videos again to enhance the first level screening skills of community child care workers for autism. Evaluate the effectiveness of video feedback method in learning primary screening skills for autism through video ratings, questionnaire surveys, interviews, and other methods. RESULTS: After three consecutive months of video feedback training, 58 grassroots staff members in the district mastered the key operational points of autism screening through behavioral observation assessments. This standardized the first-level autism screening process across 13 community health service centers and 18 pediatric care clinics in Jiading District. Participants believe that the video feedback method has a good effect on skill learning. After conducting video feedback learning, the child protection team's performance in several indicators such as reasonable positioning during screening (P = 0.022), parental interference (P = 0.029), guidance language (P = 0.002), and body movements in language items (P = 0.016) has improved, and the overall video score has also increased (P < 0.001). CONCLUSION: After the centralized operational training, multiple video feedbacks may effectively improve the screening.