[article]
Titre : |
Short caregiver interview and play observation for early screening of autism spectrum disorder: Behavior development screening for toddlers (BeDevel) |
Type de document : |
Texte imprimé et/ou numérique |
Auteurs : |
Guiyoung BONG, Auteur ; S. Y. KIM, Auteur ; D. Y. SONG, Auteur ; J. H. KIM, Auteur ; Y. HONG, Auteur ; N. H. YOON, Auteur ; H. SUNWOO, Auteur ; J. Y. JANG, Auteur ; M. OH, Auteur ; J. M. KIM, Auteur ; K. S. LEE, Auteur ; S. JUNG, Auteur ; C. W. CHOI, Auteur ; J. S. RYU, Auteur ; H. J. YOO, Auteur |
Article en page(s) : |
p.1472-1483 |
Langues : |
Anglais (eng) |
Mots-clés : |
Autism Spectrum Disorder/diagnosis Autistic Disorder Caregivers Child Child, Preschool Humans Infant Male Mass Screening Reproducibility of Results autism spectrum disorder early detection screening social referencing |
Index. décimale : |
PER Périodiques |
Résumé : |
This study validates behavior development screening for toddlers (BeDevel), which utilizes a combination of short caregiver interviews (BeDevel-I) and semistructured play observations (BeDevel-P). The data of 431 toddlers (male 66.2%; mean age (SD) = 29.11 (8.59) months; ASD, n = 201; developmental delay, n = 46; typically developing, n = 184), aged 18?~?42?months, were included in the validation of BeDevel. The best clinical estimate diagnosis, screening rate, validity, sensitivity, and reliability of BeDevel were determined based on data cross-sectionally collected using BeDevel and existing diagnostic/screening instruments: autism diagnostic observation schedule (ADOS), autism diagnostic interview (ADI-R), Vineland adaptive behavior scales-II (VABS-II), social response scales (SRS), sequenced language scale for infants (SELSI), Korean childhood autism rating scale (K-CARS), and Korean social communication questionnaire (K-SCQ). The k values of BeDevel-I and BeDevel-P were 0.055?~?0.732 and 0.291?~?0.752, respectively. Items related to social referencing in BeDevel-P had a particularly high diagnostic validity (k = 0.483?~?0.684). Reliabilities of BeDevel-I and BeDevel-P were sufficient (Cronbach's alpha = 0.86?~?0.88 and 0.92?~?0.95, respectively). BeDevel-I and BeDevel-P showed high sensitivity (BeDevel-I: 85.00?~?89.29%; BeDevel-P: 85.00?~?91.75%), specificity (BeDevel-I: 77.55?~?89.55%; BeDevel-P: 85.09?~?97.01%), PPV (BeDevel-I: 70.83?~?88.54%; BeDevel-P: 81.52?~?94.68%), and NPV (BeDevel-I: 76.00?~?95.24%; BeDevel-P: 84.62?~?95.45%). The agreement between the composite BeDevel score and ADOS, ADI-R, K-CARS, and K-SCQ was >67.6% (range = 67.6?~?90.8%). Combining a short caregiver interview and direct play observation is a valid and reliable screening process. More studies on social referencing as an important early marker are needed. BeDevel can be utilized as a secondary screening instrument before diagnostic confirmation in clinical and community settings. LAY SUMMARY: BeDevel, which consists of a short caregiver interview and direct play observation, is a valid and reliable screening instrument for autism spectrum disorder (ASD). We suggest that BeDevel can be utilized as a secondary instrument before administering diagnostic assessments in clinical and community settings. More studies examining social referencing as a potential behavioral marker of ASD are needed. |
En ligne : |
http://dx.doi.org/10.1002/aur.2510 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449 |
in Autism Research > 14-7 (July 2021) . - p.1472-1483
[article] Short caregiver interview and play observation for early screening of autism spectrum disorder: Behavior development screening for toddlers (BeDevel) [Texte imprimé et/ou numérique] / Guiyoung BONG, Auteur ; S. Y. KIM, Auteur ; D. Y. SONG, Auteur ; J. H. KIM, Auteur ; Y. HONG, Auteur ; N. H. YOON, Auteur ; H. SUNWOO, Auteur ; J. Y. JANG, Auteur ; M. OH, Auteur ; J. M. KIM, Auteur ; K. S. LEE, Auteur ; S. JUNG, Auteur ; C. W. CHOI, Auteur ; J. S. RYU, Auteur ; H. J. YOO, Auteur . - p.1472-1483. Langues : Anglais ( eng) in Autism Research > 14-7 (July 2021) . - p.1472-1483
Mots-clés : |
Autism Spectrum Disorder/diagnosis Autistic Disorder Caregivers Child Child, Preschool Humans Infant Male Mass Screening Reproducibility of Results autism spectrum disorder early detection screening social referencing |
Index. décimale : |
PER Périodiques |
Résumé : |
This study validates behavior development screening for toddlers (BeDevel), which utilizes a combination of short caregiver interviews (BeDevel-I) and semistructured play observations (BeDevel-P). The data of 431 toddlers (male 66.2%; mean age (SD) = 29.11 (8.59) months; ASD, n = 201; developmental delay, n = 46; typically developing, n = 184), aged 18?~?42?months, were included in the validation of BeDevel. The best clinical estimate diagnosis, screening rate, validity, sensitivity, and reliability of BeDevel were determined based on data cross-sectionally collected using BeDevel and existing diagnostic/screening instruments: autism diagnostic observation schedule (ADOS), autism diagnostic interview (ADI-R), Vineland adaptive behavior scales-II (VABS-II), social response scales (SRS), sequenced language scale for infants (SELSI), Korean childhood autism rating scale (K-CARS), and Korean social communication questionnaire (K-SCQ). The k values of BeDevel-I and BeDevel-P were 0.055?~?0.732 and 0.291?~?0.752, respectively. Items related to social referencing in BeDevel-P had a particularly high diagnostic validity (k = 0.483?~?0.684). Reliabilities of BeDevel-I and BeDevel-P were sufficient (Cronbach's alpha = 0.86?~?0.88 and 0.92?~?0.95, respectively). BeDevel-I and BeDevel-P showed high sensitivity (BeDevel-I: 85.00?~?89.29%; BeDevel-P: 85.00?~?91.75%), specificity (BeDevel-I: 77.55?~?89.55%; BeDevel-P: 85.09?~?97.01%), PPV (BeDevel-I: 70.83?~?88.54%; BeDevel-P: 81.52?~?94.68%), and NPV (BeDevel-I: 76.00?~?95.24%; BeDevel-P: 84.62?~?95.45%). The agreement between the composite BeDevel score and ADOS, ADI-R, K-CARS, and K-SCQ was >67.6% (range = 67.6?~?90.8%). Combining a short caregiver interview and direct play observation is a valid and reliable screening process. More studies on social referencing as an important early marker are needed. BeDevel can be utilized as a secondary screening instrument before diagnostic confirmation in clinical and community settings. LAY SUMMARY: BeDevel, which consists of a short caregiver interview and direct play observation, is a valid and reliable screening instrument for autism spectrum disorder (ASD). We suggest that BeDevel can be utilized as a secondary instrument before administering diagnostic assessments in clinical and community settings. More studies examining social referencing as a potential behavioral marker of ASD are needed. |
En ligne : |
http://dx.doi.org/10.1002/aur.2510 |
Permalink : |
https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449 |
|