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Auteur Vilhjalmur RAFNSSON |
Documents disponibles écrits par cet auteur (2)
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Implementing an early detection program for autism in primary healthcare: Screening, education of healthcare professionals, referrals for diagnostic evaluation, and early intervention / Sigrídur Lóa JONSDOTTIR in Research in Autism Spectrum Disorders, 77 (September 2020)
[article]
Titre : Implementing an early detection program for autism in primary healthcare: Screening, education of healthcare professionals, referrals for diagnostic evaluation, and early intervention Type de document : Texte imprimé et/ou numérique Auteurs : Sigrídur Lóa JONSDOTTIR, Auteur ; Evald SAEMUNDSEN, Auteur ; Sesselja GUDMUNDSDOTTIR, Auteur ; Gyda S. HARALDSDOTTIR, Auteur ; Aslaug Heida PALSDOTTIR, Auteur ; Vilhjalmur RAFNSSON, Auteur Article en page(s) : 101616 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder Early detection Screening M-CHAT-R/F Well-child care Education Index. décimale : PER Périodiques Résumé : Background Improving early detection of children with autism spectrum disorder (ASD) is critical because it allows for earlier intervention, which has been shown to improve outcomes in core behavioral and skill deficits related to ASD. We studied the implementation of an early detection program for ASD in primary healthcare and evaluated its results. Method Nine primary healthcare centers in the capital area of Reykjavik, Iceland were randomly selected for participation. The program included the following: screening for ASD with the Modified Checklist for Autism in Toddlers, Revised with Follow-up during routine developmental surveillance at 30 months of age; education of well-child care professionals; referrals for diagnostic evaluation; and early intervention. Results Among the 1586 children screened, 26 screened positive and 25 were evaluated, of whom 18 were diagnosed with ASD and six with other neurodevelopmental disorders, giving positive predictive values (PPVs) of 0.72 and 0.96, respectively. The screening detected eight children with ASD who were missed by other referrers. The mean time from screening to intervention was 3.56 months (SD = 4.00), and 18.28 months (SD = 2.72) from screening to diagnostic evaluation. Of the well-child care professionals who attended an educational course, 79 % had not received prior education on ASD. Participation in the course contributed to increased self-perceived knowledge and confidence in identifying behaviors indicating ASD. Conclusion The screening was well received by stakeholders, and PPV for ASD was relatively high, providing evidence of its feasibility. The long wait-time for diagnostic evaluation and the lack of ASD education among well-child care professionals needs to be addressed. En ligne : https://doi.org/10.1016/j.rasd.2020.101616 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432
in Research in Autism Spectrum Disorders > 77 (September 2020) . - 101616[article] Implementing an early detection program for autism in primary healthcare: Screening, education of healthcare professionals, referrals for diagnostic evaluation, and early intervention [Texte imprimé et/ou numérique] / Sigrídur Lóa JONSDOTTIR, Auteur ; Evald SAEMUNDSEN, Auteur ; Sesselja GUDMUNDSDOTTIR, Auteur ; Gyda S. HARALDSDOTTIR, Auteur ; Aslaug Heida PALSDOTTIR, Auteur ; Vilhjalmur RAFNSSON, Auteur . - 101616.
Langues : Anglais (eng)
in Research in Autism Spectrum Disorders > 77 (September 2020) . - 101616
Mots-clés : Autism spectrum disorder Early detection Screening M-CHAT-R/F Well-child care Education Index. décimale : PER Périodiques Résumé : Background Improving early detection of children with autism spectrum disorder (ASD) is critical because it allows for earlier intervention, which has been shown to improve outcomes in core behavioral and skill deficits related to ASD. We studied the implementation of an early detection program for ASD in primary healthcare and evaluated its results. Method Nine primary healthcare centers in the capital area of Reykjavik, Iceland were randomly selected for participation. The program included the following: screening for ASD with the Modified Checklist for Autism in Toddlers, Revised with Follow-up during routine developmental surveillance at 30 months of age; education of well-child care professionals; referrals for diagnostic evaluation; and early intervention. Results Among the 1586 children screened, 26 screened positive and 25 were evaluated, of whom 18 were diagnosed with ASD and six with other neurodevelopmental disorders, giving positive predictive values (PPVs) of 0.72 and 0.96, respectively. The screening detected eight children with ASD who were missed by other referrers. The mean time from screening to intervention was 3.56 months (SD = 4.00), and 18.28 months (SD = 2.72) from screening to diagnostic evaluation. Of the well-child care professionals who attended an educational course, 79 % had not received prior education on ASD. Participation in the course contributed to increased self-perceived knowledge and confidence in identifying behaviors indicating ASD. Conclusion The screening was well received by stakeholders, and PPV for ASD was relatively high, providing evidence of its feasibility. The long wait-time for diagnostic evaluation and the lack of ASD education among well-child care professionals needs to be addressed. En ligne : https://doi.org/10.1016/j.rasd.2020.101616 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=432 Validation of the Modified Checklist for Autism in Toddlers, Revised with Follow-up in a Population Sample of 30-Month-Old Children in Iceland: A Prospective Approach / Sigrídur Lóa JONSDOTTIR in Journal of Autism and Developmental Disorders, 52-4 (April 2022)
[article]
Titre : Validation of the Modified Checklist for Autism in Toddlers, Revised with Follow-up in a Population Sample of 30-Month-Old Children in Iceland: A Prospective Approach Type de document : Texte imprimé et/ou numérique Auteurs : Sigrídur Lóa JONSDOTTIR, Auteur ; Evald SAEMUNDSEN, Auteur ; Brynjolfur Gauti JONSSON, Auteur ; Vilhjalmur RAFNSSON, Auteur Article en page(s) : p.1507-1522 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis Checklist Child, Preschool Follow-Up Studies Humans Iceland Infant Mass Screening Autism spectrum disorder Early detection M-chat-r/f Screening Index. décimale : PER Périodiques Résumé : The Modified Checklist for Autism in Toddlers, Revised with Follow-up was validated on a population sample in Reykjavik, Iceland. The participants (N=1585) were screened in well-child care at age 30 months and followed up for at least 2 years to identify autism cases. The sensitivity, specificity, positive and negative predictive values were 0.62, 0.99, 0.72, and 0.99, respectively. True-positive children were diagnosed 10 months earlier than false-negative children. Autism symptom severity and the proportions of children with verbal and performance IQs/DQs?70 were similar between groups. Although the sensitivity was suboptimal, the screening contributed to lowering the age at diagnosis for many children. Adding autism-specific screening to the well-child care program should be considered. En ligne : http://dx.doi.org/10.1007/s10803-021-05053-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475
in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1507-1522[article] Validation of the Modified Checklist for Autism in Toddlers, Revised with Follow-up in a Population Sample of 30-Month-Old Children in Iceland: A Prospective Approach [Texte imprimé et/ou numérique] / Sigrídur Lóa JONSDOTTIR, Auteur ; Evald SAEMUNDSEN, Auteur ; Brynjolfur Gauti JONSSON, Auteur ; Vilhjalmur RAFNSSON, Auteur . - p.1507-1522.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 52-4 (April 2022) . - p.1507-1522
Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder/diagnosis Checklist Child, Preschool Follow-Up Studies Humans Iceland Infant Mass Screening Autism spectrum disorder Early detection M-chat-r/f Screening Index. décimale : PER Périodiques Résumé : The Modified Checklist for Autism in Toddlers, Revised with Follow-up was validated on a population sample in Reykjavik, Iceland. The participants (N=1585) were screened in well-child care at age 30 months and followed up for at least 2 years to identify autism cases. The sensitivity, specificity, positive and negative predictive values were 0.62, 0.99, 0.72, and 0.99, respectively. True-positive children were diagnosed 10 months earlier than false-negative children. Autism symptom severity and the proportions of children with verbal and performance IQs/DQs?70 were similar between groups. Although the sensitivity was suboptimal, the screening contributed to lowering the age at diagnosis for many children. Adding autism-specific screening to the well-child care program should be considered. En ligne : http://dx.doi.org/10.1007/s10803-021-05053-1 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=475