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- Title
A Randomized Trial of the Accuracy of Novel Telehealth Instruments for the Assessment of Autism in Toddlers.
- Authors
Corona, Laura L.; Wagner, Liliana; Hooper, Madison; Weitlauf, Amy; Foster, Tori E.; Hine, Jeffrey; Miceli, Alexandra; Nicholson, Amy; Stone, Caitlin; Vehorn, Alison; Warren, Zachary
- Abstract
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.
- Subjects
DIAGNOSIS of autism; PREDICTIVE tests; SATISFACTION; RESEARCH funding; INTERVIEWING; RANDOMIZED controlled trials; DESCRIPTIVE statistics; AGE distribution; PSYCHOLOGICAL adaptation; TELEMEDICINE; CAREGIVERS; JOB satisfaction; CHILD development; NEEDS assessment; SENSITIVITY &; specificity (Statistics); CHILD behavior; CAREGIVER attitudes; CHILDREN
- Publication
Journal of Autism & Developmental Disorders, 2024, Vol 54, Issue 6, p2069
- ISSN
0162-3257
- Publication type
Article
- DOI
10.1007/s10803-023-05908-9