Multi-stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities / Abbey EISENHOWER in Journal of Autism and Developmental Disorders, 51-3 (March 2021)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 51-3 (March 2021) . - p.868-883 Titre : Multi-stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities Type de document : texte imprimé Auteurs : Abbey EISENHOWER, Auteur ; Frances MARTINEZ-PEDRAZA, Auteur ; R. Christopher SHELDRICK, Auteur ; Elizabeth FRENETTE, Auteur ; Noah HOCH, Auteur ; Sophie BRUNT, Auteur ; Alice S. CARTER, Auteur Article en page(s) : p.868-883 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Early detection  Health disparities  Screening Index. décimale : PER Périodiques Résumé : Health disparities in ASD detection affect children's access to subsequent interventions. We examined potential disparities in implementation of a multi-stage ASD screening and diagnostic evaluation protocol in Part C Early Intervention with 4943 children ages 14-36 months (mean 22.0 months; 62.9% boys, 73.3% children of color, 34.9% non-English-primary language, 64.5% publicly-insured). Participation and follow-through were high (64.9% and 65.3% at first- and second-stage screening, respectively, 84.6% at diagnostic evaluation). Logistic regressions identified predictors of screening participation and outcomes at each stage; demographic differences (race, language, public insurance) were observed only at first-stage screening and reflected higher participation for children of color and higher positive screens for publicly-insured children. Results suggest the multi-stage screening protocol shows promise in addressing disparities in early diagnosis. En ligne : http://dx.doi.org/10.1007/s10803-020-04429-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443 [article] Multi-stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities [texte imprimé] / Abbey EISENHOWER, Auteur ; Frances MARTINEZ-PEDRAZA, Auteur ; R. Christopher SHELDRICK, Auteur ; Elizabeth FRENETTE, Auteur ; Noah HOCH, Auteur ; Sophie BRUNT, Auteur ; Alice S. CARTER, Auteur . - p.868-883. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 51-3 (March 2021) . - p.868-883 Mots-clés : Autism spectrum disorder  Early detection  Health disparities  Screening Index. décimale : PER Périodiques Résumé : Health disparities in ASD detection affect children's access to subsequent interventions. We examined potential disparities in implementation of a multi-stage ASD screening and diagnostic evaluation protocol in Part C Early Intervention with 4943 children ages 14-36 months (mean 22.0 months; 62.9% boys, 73.3% children of color, 34.9% non-English-primary language, 64.5% publicly-insured). Participation and follow-through were high (64.9% and 65.3% at first- and second-stage screening, respectively, 84.6% at diagnostic evaluation). Logistic regressions identified predictors of screening participation and outcomes at each stage; demographic differences (race, language, public insurance) were observed only at first-stage screening and reflected higher participation for children of color and higher positive screens for publicly-insured children. Results suggest the multi-stage screening protocol shows promise in addressing disparities in early diagnosis. En ligne : http://dx.doi.org/10.1007/s10803-020-04429-z Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=443

What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early Intervention / R. Christopher 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 Auteurs : R. Christopher SHELDRICK, Auteur ; Elizabeth FRENETTE, Auteur ; Juan Diego VERA, Auteur ; Thomas I. MACKIE, Auteur ; Frances MARTINEZ-PEDRAZA, Auteur ; Noah HOCH, Auteur ; Abbey EISENHOWER, Auteur ; Angel 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] / R. Christopher SHELDRICK, Auteur ; Elizabeth FRENETTE, Auteur ; Juan Diego VERA, Auteur ; Thomas I. MACKIE, Auteur ; Frances MARTINEZ-PEDRAZA, Auteur ; Noah HOCH, Auteur ; Abbey EISENHOWER, Auteur ; Angel 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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