增强型远程健康平台对自闭症谱系障碍(ASD)诊断可能性增加的幼儿的验证。

IF 3.2 2区 心理学 Q1 PSYCHOLOGY, DEVELOPMENTAL
Michael J Morrier, Allison J Schwartz, Catherine E Rice, Amanda Platner, Opal Y Ousley, Sara Kassem, Ashwin V Krishnan, Catherine Lord, Christopher J Smith, Ron Oberleitner
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引用次数: 0

摘要

在全球新冠肺炎大流行之前,开始对自闭症谱系障碍(ASD)可能性增加的幼儿使用远程健康评估;然而,在疫情期间,远程健康评估作为面对面评估的替代方案的价值变得更加明确。自然主义观察诊断评估™), 先前被证明是评估异步行为以进行早期诊断的有效和可靠的工具,它被增强为添加行为的同步集合,以帮助临床医生对ASD进行鉴别诊断。本研究旨在验证通过NODA Enhanced(NODA-E™) 与金标准IPA相比。49名年龄在16.0-32.1个月大的幼儿通过社区儿科办公室和三级ASD诊所招募,参加了NODA-E和IPA评估。两种评估方案在总体诊断方面高度一致(49例中有46例;93.6%;κ = .878),社会沟通和社会互动的特异性诊断标准(SCI;范围95.9-98%;κ = .918-.959),以及限制性和重复性行为的四个标准中的两个(RRB;范围87.8-98%;κ = .755和.959)。RRB的两个子类别的一致性较低(范围为65.3-67.3%;κ = .306和.347)。NODA-E是一种可以帮助临床医生使用通过远程医疗收集的异步和同步信息进行可靠和有效的早期ASD诊断的工具,并在临床医生的评估工具箱中提供了一个额外的工具。
本文章由计算机程序翻译,如有差异,请以英文原文为准。

Validation of an Enhanced Telehealth Platform for Toddlers at Increased Likelihood for a Diagnosis of Autism Spectrum Disorder (ASD).

Validation of an Enhanced Telehealth Platform for Toddlers at Increased Likelihood for a Diagnosis of Autism Spectrum Disorder (ASD).

Use of telehealth assessments for toddlers at increased likelihood of autism spectrum disorder (ASD) began prior to the global COVID-19 pandemic; however, the value of telehealth assessments as an alternative to in-person assessment (IPA) became clearer during the pandemic. The Naturalistic Observation Diagnosis Assessment (NODA™), previously demonstrated as a valid and reliable tool to evaluate asynchronous behaviors for early diagnosis, was enhanced to add synchronous collection of behaviors to assist clinicians in making a differential diagnosis of ASD. This study was conducted to validate the information gathered through NODA-Enhanced (NODA-E™) as compared to a gold standard IPA. Forty-nine toddlers aged 16.0-32.1 months of age, recruited through community pediatric offices and a tertiary ASD clinic, participated in both NODA-E and IPA assessments. There was high agreement between the two assessment protocols for overall diagnosis (46 of 49 cases; 93.6%; κ = .878), specific diagnostic criteria for social communication and social interaction (SCI; range 95.9-98%; κ = .918-.959), and for two of four criteria specified for restricted and repetitive behaviors (RRB; range 87.8-98%; κ = .755 and .959). There was lower agreement for two subcategories of RRBs (range 65.3-67.3%; κ = .306 and .347). NODA-E is a tool that can assist clinicians in making reliable and valid early ASD diagnoses using both asynchronous and synchronous information gathered via telehealth and offers an additional tool within a clinician's assessment toolbox.

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来源期刊
CiteScore
8.00
自引率
10.30%
发文量
433
期刊介绍: The Journal of Autism and Developmental Disorders seeks to advance theoretical and applied research as well as examine and evaluate clinical diagnoses and treatments for autism and related disabilities. JADD encourages research submissions on the causes of ASDs and related disorders, including genetic, immunological, and environmental factors; diagnosis and assessment tools (e.g., for early detection as well as behavioral and communications characteristics); and prevention and treatment options. Sample topics include: Social responsiveness in young children with autism Advances in diagnosing and reporting autism Omega-3 fatty acids to treat autism symptoms Parental and child adherence to behavioral and medical treatments for autism Increasing independent task completion by students with autism spectrum disorder Does laughter differ in children with autism? Predicting ASD diagnosis and social impairment in younger siblings of children with autism The effects of psychotropic and nonpsychotropic medication with adolescents and adults with ASD Increasing independence for individuals with ASDs Group interventions to promote social skills in school-aged children with ASDs Standard diagnostic measures for ASDs Substance abuse in adults with autism Differentiating between ADHD and autism symptoms Social competence and social skills training and interventions for children with ASDs Therapeutic horseback riding and social functioning in children with autism Authors and readers of the Journal of Autism and Developmental Disorders include sch olars, researchers, professionals, policy makers, and graduate students from a broad range of cross-disciplines, including developmental, clinical child, and school psychology; pediatrics; psychiatry; education; social work and counseling; speech, communication, and physical therapy; medicine and neuroscience; and public health.
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