Utilizing two-tiered screening for early detection of autism spectrum disorder / M. KHOWAJA in Autism, 22-7 (October 2018)  

Public ISBD [article]  inAutism > 22-7 (October 2018) . - p.881-890 Titre : Utilizing two-tiered screening for early detection of autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : M. KHOWAJA, Auteur ; Diana L. ROBINS, Auteur ; Lauren B. ADAMSON, Auteur Article en page(s) : p.881-890 Langues : Anglais (eng) Mots-clés : M-chat  M-chat-r  Stat  autism  early detection  screening Index. décimale : PER Périodiques Résumé : Despite advances in autism screening practices, challenges persist, including barriers to implementing universal screening in primary care and difficulty accessing services. The high false positive rate of Level 1 screening methods presents especially daunting difficulties because it increases the need for comprehensive autism evaluations. This study explored whether two-tiered screening-combining Level 1 (Modified Checklist for Autism in Toddlers, Revised with Follow-Up) and Level 2 (Screening Tool for Autism in Toddlers and Young Children) measures-improves the early detection of autism. This study examined a sample of 109 toddlers who screened positive on Level 1 screening and completed a Level 2 screening measure prior to a diagnostic evaluation. Results indicated that two-tiered screening reduced the false positive rate using published Screening Tool for Autism in Toddlers and Young Children cutoffs compared to Level 1 screening alone, although at a cost to sensitivity. However, alternative Screening Tool for Autism in Toddlers and Young Children scoring in the two-tiered screening improved both positive predictive value and sensitivity. Exploratory analyses were conducted, including comparison of autism symptoms and clinical profiles across screening subsamples. Recommendations regarding clinical implications of two-tiered screening and future areas of research are presented. En ligne : http://dx.doi.org/10.1177/1362361317712649 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370 [article] Utilizing two-tiered screening for early detection of autism spectrum disorder [Texte imprimé et/ou numérique] / M. KHOWAJA, Auteur ; Diana L. ROBINS, Auteur ; Lauren B. ADAMSON, Auteur . - p.881-890. Langues : Anglais (eng) in Autism > 22-7 (October 2018) . - p.881-890 Mots-clés : M-chat  M-chat-r  Stat  autism  early detection  screening Index. décimale : PER Périodiques Résumé : Despite advances in autism screening practices, challenges persist, including barriers to implementing universal screening in primary care and difficulty accessing services. The high false positive rate of Level 1 screening methods presents especially daunting difficulties because it increases the need for comprehensive autism evaluations. This study explored whether two-tiered screening-combining Level 1 (Modified Checklist for Autism in Toddlers, Revised with Follow-Up) and Level 2 (Screening Tool for Autism in Toddlers and Young Children) measures-improves the early detection of autism. This study examined a sample of 109 toddlers who screened positive on Level 1 screening and completed a Level 2 screening measure prior to a diagnostic evaluation. Results indicated that two-tiered screening reduced the false positive rate using published Screening Tool for Autism in Toddlers and Young Children cutoffs compared to Level 1 screening alone, although at a cost to sensitivity. However, alternative Screening Tool for Autism in Toddlers and Young Children scoring in the two-tiered screening improved both positive predictive value and sensitivity. Exploratory analyses were conducted, including comparison of autism symptoms and clinical profiles across screening subsamples. Recommendations regarding clinical implications of two-tiered screening and future areas of research are presented. En ligne : http://dx.doi.org/10.1177/1362361317712649 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=370

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