What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early Intervention / R. C. SHELDRICK in Journal of Autism and Developmental Disorders, 49-6 (June 2019)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 49-6 (June 2019) . - p.2304-2319 Titre : What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early Intervention Type de document : Texte imprimé et/ou numérique Auteurs : R. C. SHELDRICK, Auteur ; E. FRENETTE, Auteur ; J. D. VERA, Auteur ; T. I. MACKIE, Auteur ; F. MARTÍNEZ-PEDRAZA, Auteur ; N. HOCH, Auteur ; A. EISENHOWER, Auteur ; A. FETTIG, Auteur ; Alice S. CARTER, Auteur Article en page(s) : p.2304-2319 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Costs  Decision-making  Process assessment  Screening Index. décimale : PER Périodiques Résumé : U.S. guidelines for detecting autism emphasize screening and also incorporate clinical judgment. However, most research focuses on the former. Among 1,654 children participating in a multi-stage screening protocol for autism, we used mixed methods to evaluate: (1) the effectiveness of a clinical decision rule that encouraged further assessment based not only on positive screening results, but also on parent or provider concern, and (2) the influence of shared decision-making on screening administration. Referrals based on concern alone were cost-effective in the current study, and reported concerns were stronger predictors than positive screens of time-to-complete referrals. Qualitative analyses suggest a dynamic relationship between parents' concerns, providers' concerns, and screening results that is central to facilitating shared decision-making and influencing diagnostic assessment. En ligne : https://dx.doi.org/10.1007/s10803-019-03913-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=400 [article] What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early Intervention [Texte imprimé et/ou numérique] / R. C. SHELDRICK, Auteur ; E. FRENETTE, Auteur ; J. D. VERA, Auteur ; T. I. MACKIE, Auteur ; F. MARTÍNEZ-PEDRAZA, Auteur ; N. HOCH, Auteur ; A. EISENHOWER, Auteur ; A. FETTIG, Auteur ; Alice S. CARTER, Auteur . - p.2304-2319. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 49-6 (June 2019) . - p.2304-2319 Mots-clés : Autism spectrum disorder  Costs  Decision-making  Process assessment  Screening Index. décimale : PER Périodiques Résumé : U.S. guidelines for detecting autism emphasize screening and also incorporate clinical judgment. However, most research focuses on the former. Among 1,654 children participating in a multi-stage screening protocol for autism, we used mixed methods to evaluate: (1) the effectiveness of a clinical decision rule that encouraged further assessment based not only on positive screening results, but also on parent or provider concern, and (2) the influence of shared decision-making on screening administration. Referrals based on concern alone were cost-effective in the current study, and reported concerns were stronger predictors than positive screens of time-to-complete referrals. Qualitative analyses suggest a dynamic relationship between parents' concerns, providers' concerns, and screening results that is central to facilitating shared decision-making and influencing diagnostic assessment. En ligne : https://dx.doi.org/10.1007/s10803-019-03913-5 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=400

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