Improving quality of life for Autism Spectrum Disorders patients by promoting strategies for early diagnosis and preventive measures

Project summary

Project acronym
IQUALASD
Main Thematic area
C - Health
C.3 - Improving public health by implementing evidence-based preventive strategies;
health
Key words
autism spectrum disorder
quality of life
public health
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Principal investigator
Magdalena Budișteanu
Megaphone
Project promoter
SPITALUL CLINIC DE PSIHIATRIE PROF.DR.ALEXANDRU OBREGIA
Euro
Funding
RO Research Programme - EEA Grants
Users
Partners
University of Oslo
INSTITUTUL NATIONAL DE CERCETARE-DEZVOLTARE IN DOMENIUL PATOLOGIEI SI STIINTELOR BIOMEDICALE "VICTOR
Pin 01
Location
Bucharest
Calendar
Period of implementation
2019-07-31 to 2024-04-30

Project in a nutshell

The main activities of the project included enrollment of patient and control groups, deep clinical phenotyping of patients with ASDs, neuroimaging evaluation, and genetic investigations using genome-wide (array-CGH, sequencing) and targeted approaches (fragile X syndrome etiologic testing). The output was represented by genetic data, such as genomic profiles obtained by chromosomal microarray, FMR1 methylation profiles / repeat expansion evaluation (male patients) and sequencing data. 

Data analysis activities integrated all data and allowed phenotype-genotype correlations, clinical interpretation of genetic and MRI findings as well as statistical analyses. These activities led to the establishment of clinical, neuroimagistic and genetic data sets, and the set-up of a database. Besides the contribution to a better understanding of the genetic mechanisms of ASD, the data represented the foundation for elaboration and development of the Romanian Registry of patients with ASD. 

Although the Registry data recording have started with the patients with ASDs enrolled in this study, other patients with ASD evaluated in our hospital will also be included. Part of our project results were published in international journals with a high visibility, and were presented at national and international scientific manifestations. A project website was created for dissemination of project activities and results.

Scientific results


publication
Publications
7
conference
Conferences
43



Throughout the project was established a constant collaboration with the doctors involved in the care of children with ASD, such as family doctors and pediatricians; data related to the early diagnosis and somatic conditions of children with ASD were disseminated at national conferences for family doctors and pediatricians and at national pediatrics congresses.

Also, the collaboration with foundations involved in the treatment of patients with ASD. Thus, the researchers collaborated with the Foundation for children with ASD and ADHD and with speech therapists, in order to increase the awareness and knowledge regarding the role of genetic factors in the etiology of ASD and in the management plan. All information generated by their project related to complex evaluation and genetic aspects of ASD were distributed through the project website / social media, scientific manifestations (conferences, congresses, workshops), articles published in scientific journals.

Socio-economic impact

The project generated significant results for the patients with ASDs and the specialists involved in their management. Thus, a complex protocol evaluation for early diagnosis of ASD, which includes clinical, dysmorphological, and psychologic evaluation, MRI studies, and genetic tests, was developed. 

The project demonstrated the important role of genetic studies for the identification of ASD etiology and the establishment of optimal protocols for interrogation of known syndromic ASDs genetic changes and characterization of rare genomic and sequence variants with clinical relevance. This complex evaluation of patients with ASD generated a personalized management plan, including both recommendation for specific therapies and follow-up plan. These results also helped the doctors from different specialties to improve their knowledge in the field of ASD. 

An important result of the project was the registry for patients with ASD which will offer data for further epidemiological, clinical and genetic studies. This information can be used by the health care authorities to further develop public the health policies for ASD. Thus, the results of the project will help the translation of multidisciplinary data into predictors for disease trajectory of ASD and personalized decision making, such as stratify interventions and treatment.

Research in the spotlight

Preventive medical and social strategies are the key-point in improving quality of life for children, teens and young adults with Autism Spectrum Disorders (ASD). In a collaborative research project Dr. Budisteanu and her team is developing strategies for early clinical recognition and diagnosis of ASD.  

They create and implement a comprehensive protocol for genetic testing and biomedical imaging in order to recommendations for patient-centered intervention plans. Keep watching research in the spotlight to find out which is the social impact of such a project in terms of development of social/school/professional integration programs.





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