دورية أكاديمية
Multi-Stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities
| العنوان: | Multi-Stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities |
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| اللغة: | English |
| المؤلفون: | Eisenhower, Abbey, Martinez Pedraza, Frances, Sheldrick, R. Christopher, Frenette, Elizabeth, Hoch, Noah, Brunt, Sophie, Carter, Alice S. (ORCID |
| المصدر: | Journal of Autism and Developmental Disorders. Mar 2021 51(3):868-883. |
| الإتاحة: | Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://link.springer.com/ |
| Peer Reviewed: | Y |
| Page Count: | 16 |
| تاريخ النشر: | 2021 |
| Sponsoring Agency: | Health Resources and Services Administration (DHHS) National Institute of Mental Health (DHHS/NIH) |
| Contract Number: | R40MC26195 R01MH104400 |
| نوع الوثيقة: | Journal Articles Reports - Research |
| Descriptors: | Autism, Pervasive Developmental Disorders, At Risk Persons, Racial Differences, Language Usage, Health Insurance, English Language Learners, Access to Health Care, Screening Tests, Clinical Diagnosis, Disability Identification, Toddlers, Preschool Children, Minority Group Children, Predictor Variables, Participation |
| DOI: | 10.1007/s10803-020-04429-z |
| تدمد: | 0162-3257 |
| مستخلص: | Health disparities in ASD detection affect children's access to subsequent interventions. We examined potential disparities in implementation of a multi-stage ASD screening and diagnostic evaluation protocol in Part C Early Intervention with 4943 children ages 14-36 months (mean 22.0 months; 62.9% boys, 73.3% children of color, 34.9% non-English-primary language, 64.5% publicly-insured). Participation and follow-through were high (64.9% and 65.3% at first- and second-stage screening, respectively, 84.6% at diagnostic evaluation). Logistic regressions identified predictors of screening participation and outcomes at each stage; demographic differences (race, language, public insurance) were observed only at first-stage screening and reflected higher participation for children of color and higher positive screens for publicly-insured children. Results suggest the multi-stage screening protocol shows promise in addressing disparities in early diagnosis. |
| Abstractor: | As Provided |
| Entry Date: | 2021 |
| رقم الأكسشن: | EJ1289479 |
| قاعدة البيانات: | ERIC |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 0162-3257 |
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| DOI: | 10.1007/s10803-020-04429-z |