دورية أكاديمية
A Randomized Trial of the Accuracy of Novel Telehealth Instruments for the Assessment of Autism in Toddlers
| العنوان: | A Randomized Trial of the Accuracy of Novel Telehealth Instruments for the Assessment of Autism in Toddlers |
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| اللغة: | English |
| المؤلفون: | Laura L. Corona (ORCID |
| المصدر: | Journal of Autism and Developmental Disorders. 2024 54(6):2069-2080. |
| 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: | 12 |
| تاريخ النشر: | 2024 |
| Sponsoring Agency: | National Institute of Mental Health (NIMH) (DHHS/NIH) Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH) National Center for Advancing Translational Sciences (NCATS) (DHHS/NIH) |
| Contract Number: | R21MH118539 U54HD08321 5UL1TR00224303 |
| نوع الوثيقة: | Journal Articles Reports - Research |
| Descriptors: | Autism Spectrum Disorders, Toddlers, Videoconferencing, Access to Health Care, Screening Tests, Telecommunications, Comparative Analysis, Evaluation Methods, Identification, Allied Health Personnel, Child Caregivers, Attitudes, Accuracy |
| Assessment and Survey Identifiers: | Mullen Scales of Early Learning, Vineland Adaptive Behavior Scales, Autism Diagnostic Observation Schedule |
| DOI: | 10.1007/s10803-023-05908-9 |
| تدمد: | 0162-3257 1573-3432 |
| مستخلص: | Purpose: Telemedicine approaches to autism (ASD) assessment have become increasingly common, yet few validated tools exist for this purpose. This study presents results from a clinical trial investigating two approaches to tele-assessment for ASD in toddlers. Methods: 144 children (29% female) between 17 and 36 months of age (mean = 2.5 years, SD = 0.33 years) completed tele-assessment using either the TELE-ASD-PEDS (TAP) or an experimental remote administration of the Screening Tool for Autism in Toddlers (STAT). All children then completed traditional in-person assessment with a blinded clinician, using the Mullen Scales of Early Learning (MSEL), Vineland Adaptive Behavior Scales, 3rd Edition (VABS-3), and Autism Diagnostic Observation Schedule (ADOS-2). Both tele-assessment and in-person assessment included a clinical interview with caregivers. Results: Results indicated diagnostic agreement for 92% of participants. Children diagnosed with ASD following in-person assessment who were missed by tele-assessment (n = 8) had lower scores on tele- and in-person ASD assessment tools. Children inaccurately identified as having ASD by tele-assessment (n = 3) were younger than other children and had higher developmental and adaptive behavior scores than children accurately diagnosed with ASD by tele-assessment. Diagnostic certainty was highest for children correctly identified as having ASD via tele-assessment. Clinicians and caregivers reported satisfaction with tele-assessment procedures. Conclusion: This work provides additional support for the use of tele-assessment for identification of ASD in toddlers, with both clinicians and families reporting broad acceptability. Continued development and refinement of tele-assessment procedures is recommended to optimize this approach for the needs of varying clinicians, families, and circumstances. |
| Abstractor: | As Provided |
| Entry Date: | 2024 |
| رقم الأكسشن: | EJ1426526 |
| قاعدة البيانات: | ERIC |
Find this article in full text from Springer Verlag. 
Full Text Finder | تدمد: | 0162-3257 1573-3432 |
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| DOI: | 10.1007/s10803-023-05908-9 |