[article]
Titre : |
Validation of an Enhanced Telehealth Platform for Toddlers at Increased Likelihood for a Diagnosis of Autism Spectrum Disorder (ASD) |
Type de document : |
Texte imprimé et/ou numérique |
Auteurs : |
Michael J. MORRIER, Auteur ; Allison J. SCHWARTZ, Auteur ; Catherine E. RICE, Auteur ; Amanda PLATNER, Auteur ; Opal Y. OUSLEY, Auteur ; Sara KASSEM, Auteur ; Ashwin V. KRISHNAN, Auteur ; Catherine LORD, Auteur ; Christopher J. SMITH, Auteur ; Ron OBERLEITNER, Auteur |
Article en page(s) : |
p.4019-4033 |
Langues : |
Anglais (eng) |
Index. décimale : |
PER Périodiques |
Résumé : |
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%; ? = .878), specific diagnostic criteria for social communication and social interaction (SCI; range 95.9-98%; ? = .918-.959), and for two of four criteria specified for restricted and repetitive behaviors (RRB; range 87.8-98%; ? = .755 and .959). There was lower agreement for two subcategories of RRBs (range 65.3-67.3%; ? = .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. |
En ligne : |
https://doi.org/10.1007/s10803-023-06116-1 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=536 |
in Journal of Autism and Developmental Disorders > 54-11 (November) . - p.4019-4033
[article] Validation of an Enhanced Telehealth Platform for Toddlers at Increased Likelihood for a Diagnosis of Autism Spectrum Disorder (ASD) [Texte imprimé et/ou numérique] / Michael J. MORRIER, Auteur ; Allison J. SCHWARTZ, Auteur ; Catherine E. RICE, Auteur ; Amanda PLATNER, Auteur ; Opal Y. OUSLEY, Auteur ; Sara KASSEM, Auteur ; Ashwin V. KRISHNAN, Auteur ; Catherine LORD, Auteur ; Christopher J. SMITH, Auteur ; Ron OBERLEITNER, Auteur . - p.4019-4033. Langues : Anglais ( eng) in Journal of Autism and Developmental Disorders > 54-11 (November) . - p.4019-4033
Index. décimale : |
PER Périodiques |
Résumé : |
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%; ? = .878), specific diagnostic criteria for social communication and social interaction (SCI; range 95.9-98%; ? = .918-.959), and for two of four criteria specified for restricted and repetitive behaviors (RRB; range 87.8-98%; ? = .755 and .959). There was lower agreement for two subcategories of RRBs (range 65.3-67.3%; ? = .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. |
En ligne : |
https://doi.org/10.1007/s10803-023-06116-1 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=536 |
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