Associations of screen use with cognitive development in early childhood: the ELFE birth cohort / Shuai YANG in Journal of Child Psychology and Psychiatry, 65-5 (May 2024)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.680-693 Titre : Associations of screen use with cognitive development in early childhood: the ELFE birth cohort Type de document : Texte imprimé et/ou numérique Auteurs : Shuai YANG, Auteur ; Mélèa SAÏD, Auteur ; Hugo PEYRE, Auteur ; Franck RAMUS, Auteur ; Marion TAINE, Auteur ; Evelyn C. LAW, Auteur ; Marie-Noëlle DUFOURG, Auteur ; Barbara HEUDE, Auteur ; Marie-Aline CHARLES, Auteur ; Jonathan Y. BERNARD, Auteur Article en page(s) : p.680-693 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Background The associations of screen use with children's cognition are not well evidenced and recent, large, longitudinal studies are needed. We aimed to assess the associations between screen use and cognitive development in the French nationwide birth cohort. Methods Time and context of screen use were reported by parents at ages 2, 3.5 and 5.5. Vocabulary, non-verbal reasoning and general cognitive development were assessed with the MacArthur-Bates Communicative Development Inventory (MB) at age 2, the Picture Similarities subtest from the British Ability Scales (PS) at age 3.5 and the Child Development Inventory (CDI) at ages 3.5 and 5.5. Outcome variables were age-adjusted and standardized (mean = 100, SD = 15). Multiple imputations were performed among children (N = 13,763) with ?1 screen use information and ?1 cognitive measures. Cross-sectional and longitudinal associations between screen use and cognitive development were assessed by linear regression models adjusted for sociodemographic and birth factors related to the family and children, and children's lifestyle factors competing with screen use. Baseline cognitive scores were further considered in longitudinal analysis. Results TV-on during family meals at age 2, not screen time, was associated with lower MB scores at age 2 (? [95% CI] = ?1.67 [?2.21, ?1.13]) and CDI scores at age 3.5 (?0.82 [?1.31, ?0.33]). In cross-sectional analysis, screen time was negatively associated with CDI scores at ages 3.5 (?0.67 [?0.94, ?0.40]) and 5.5 (?0.47 [?0.77, ?0.16]), and, in contrast, was positively associated with PS scores (0.39 [0.07, 0.71]) at age 3.5. Screen time at age 3.5?years was not associated with CDI scores at age 5.5?years. Conclusions Our study found weak associations of screen use with cognition after controlling for sociodemographic and children's birth factors and lifestyle confounders, and suggests that the context of screen use matters, not solely screen time, in children's cognitive development. En ligne : https://doi.org/10.1111/jcpp.13887 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526 [article] Associations of screen use with cognitive development in early childhood: the ELFE birth cohort [Texte imprimé et/ou numérique] / Shuai YANG, Auteur ; Mélèa SAÏD, Auteur ; Hugo PEYRE, Auteur ; Franck RAMUS, Auteur ; Marion TAINE, Auteur ; Evelyn C. LAW, Auteur ; Marie-Noëlle DUFOURG, Auteur ; Barbara HEUDE, Auteur ; Marie-Aline CHARLES, Auteur ; Jonathan Y. BERNARD, Auteur . - p.680-693. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 65-5 (May 2024) . - p.680-693 Index. décimale : PER Périodiques Résumé : Background The associations of screen use with children's cognition are not well evidenced and recent, large, longitudinal studies are needed. We aimed to assess the associations between screen use and cognitive development in the French nationwide birth cohort. Methods Time and context of screen use were reported by parents at ages 2, 3.5 and 5.5. Vocabulary, non-verbal reasoning and general cognitive development were assessed with the MacArthur-Bates Communicative Development Inventory (MB) at age 2, the Picture Similarities subtest from the British Ability Scales (PS) at age 3.5 and the Child Development Inventory (CDI) at ages 3.5 and 5.5. Outcome variables were age-adjusted and standardized (mean = 100, SD = 15). Multiple imputations were performed among children (N = 13,763) with ?1 screen use information and ?1 cognitive measures. Cross-sectional and longitudinal associations between screen use and cognitive development were assessed by linear regression models adjusted for sociodemographic and birth factors related to the family and children, and children's lifestyle factors competing with screen use. Baseline cognitive scores were further considered in longitudinal analysis. Results TV-on during family meals at age 2, not screen time, was associated with lower MB scores at age 2 (? [95% CI] = ?1.67 [?2.21, ?1.13]) and CDI scores at age 3.5 (?0.82 [?1.31, ?0.33]). In cross-sectional analysis, screen time was negatively associated with CDI scores at ages 3.5 (?0.67 [?0.94, ?0.40]) and 5.5 (?0.47 [?0.77, ?0.16]), and, in contrast, was positively associated with PS scores (0.39 [0.07, 0.71]) at age 3.5. Screen time at age 3.5?years was not associated with CDI scores at age 5.5?years. Conclusions Our study found weak associations of screen use with cognition after controlling for sociodemographic and children's birth factors and lifestyle confounders, and suggests that the context of screen use matters, not solely screen time, in children's cognitive development. En ligne : https://doi.org/10.1111/jcpp.13887 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=526

Validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) in primary care clinics in Singapore / Siew Pang CHAN ; Evelyn C. LAW ; Shang Chee CHONG ; Ramkumar AISHWORIYA in Autism, 28-7 (July 2024)  

Public ISBD [article]  inAutism > 28-7 (July 2024) . - p.1758-1771 Titre : Validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) in primary care clinics in Singapore Type de document : Texte imprimé et/ou numérique Auteurs : Siew Pang CHAN, Auteur ; Evelyn C. LAW, Auteur ; Shang Chee CHONG, Auteur ; Ramkumar AISHWORIYA, Auteur Article en page(s) : p.1758-1771 Langues : Anglais (eng) Mots-clés : autism  autism spectrum disorder  children  Modified Checklist for Autism in Toddlers  Revised with Follow-Up  primary care  screening  M-CHAT-R/F Index. décimale : PER Périodiques Résumé : Screening for autism in childhood has been advocated as a part of standard care. Challenges exist with screening implementation and performance of screening tools in clinical practice. This study aimed to examine the validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) for screening of autism in Singapore. Caregivers completed the M-CHAT-R/F as a part of the routine 18-month well-child visit in seven primary care clinics. Screening and follow-up interviews were administered by trained nursing staff. Children screened positive and a subset of those screened negative underwent diagnostic assessments for autism, which included an Autism Diagnostic Observation Schedule, Second Edition. Participants were 5336 multiethnic children (mean age 18.6?+?0.9?months, 51.3% male gender). In total, 113 (2.1%) were screened positive, of which 54 (1.0%) were classified to have autism after their diagnostic assessment. Sensitivity of the M-CHAT-R/F was 88.6%, specificity 71.4%, and positive predictive value 90.7% for an autism diagnosis. The majority of respondents rated the screening process as feasible within the clinic setting. The M-CHAT-R/F had acceptable psychometric properties and high feasibility when used in primary care settings in Singapore. Recommendations for implementation of systematic screening and future research are presented. Lay abstract Systematic screening for autism in early childhood has been suggested to improve eventual outcomes by facilitating earlier diagnosis and access to intervention. However, clinical implementation of screening has to take into account effectiveness and feasibility of use within a healthcare setting for accurate diagnosis of autism. In Singapore, autism screening using a structured screening tool is not currently employed as a part of routine well-child visits for children in primary care clinics. In this study, 5336 children (aged 17-20?months) were screened for autism using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) during their 18-month well-child visit in seven primary care clinics. Screening and follow-up interviews were administered by nursing staff at each clinic. Children screened positive and a portion of those screened negative then underwent diagnostic assessments to determine whether they met the diagnostic criteria for autism. In total, 113 (2.1%) were screened positive, of which 54 (1.0%) met the criteria for autism. Children who screened positive and received a diagnosis accessed autism-specific intervention at an average age of 22?months. Nurses and physicians rated the acceptability and practicality of the M-CHAT-R/F highly. Therefore, the M-CHAT-R/F questionnaire was an effective and feasible tool for autism screening among 18-month-old children in this study. Future studies will be designed to determine the optimal age of screening and role of repeated screening in Singapore, as well as to better understand any potential improved outcomes nationwide compared with pre-implementation of autism screening. En ligne : https://dx.doi.org/10.1177/13623613231205748 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=531 [article] Validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) in primary care clinics in Singapore [Texte imprimé et/ou numérique] / Siew Pang CHAN, Auteur ; Evelyn C. LAW, Auteur ; Shang Chee CHONG, Auteur ; Ramkumar AISHWORIYA, Auteur . - p.1758-1771. Langues : Anglais (eng) in Autism > 28-7 (July 2024) . - p.1758-1771 Mots-clés : autism  autism spectrum disorder  children  Modified Checklist for Autism in Toddlers  Revised with Follow-Up  primary care  screening  M-CHAT-R/F Index. décimale : PER Périodiques Résumé : Screening for autism in childhood has been advocated as a part of standard care. Challenges exist with screening implementation and performance of screening tools in clinical practice. This study aimed to examine the validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) for screening of autism in Singapore. Caregivers completed the M-CHAT-R/F as a part of the routine 18-month well-child visit in seven primary care clinics. Screening and follow-up interviews were administered by trained nursing staff. Children screened positive and a subset of those screened negative underwent diagnostic assessments for autism, which included an Autism Diagnostic Observation Schedule, Second Edition. Participants were 5336 multiethnic children (mean age 18.6?+?0.9?months, 51.3% male gender). In total, 113 (2.1%) were screened positive, of which 54 (1.0%) were classified to have autism after their diagnostic assessment. Sensitivity of the M-CHAT-R/F was 88.6%, specificity 71.4%, and positive predictive value 90.7% for an autism diagnosis. The majority of respondents rated the screening process as feasible within the clinic setting. The M-CHAT-R/F had acceptable psychometric properties and high feasibility when used in primary care settings in Singapore. Recommendations for implementation of systematic screening and future research are presented. Lay abstract Systematic screening for autism in early childhood has been suggested to improve eventual outcomes by facilitating earlier diagnosis and access to intervention. However, clinical implementation of screening has to take into account effectiveness and feasibility of use within a healthcare setting for accurate diagnosis of autism. In Singapore, autism screening using a structured screening tool is not currently employed as a part of routine well-child visits for children in primary care clinics. In this study, 5336 children (aged 17-20?months) were screened for autism using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) during their 18-month well-child visit in seven primary care clinics. Screening and follow-up interviews were administered by nursing staff at each clinic. Children screened positive and a portion of those screened negative then underwent diagnostic assessments to determine whether they met the diagnostic criteria for autism. In total, 113 (2.1%) were screened positive, of which 54 (1.0%) met the criteria for autism. Children who screened positive and received a diagnosis accessed autism-specific intervention at an average age of 22?months. Nurses and physicians rated the acceptability and practicality of the M-CHAT-R/F highly. Therefore, the M-CHAT-R/F questionnaire was an effective and feasible tool for autism screening among 18-month-old children in this study. Future studies will be designed to determine the optimal age of screening and role of repeated screening in Singapore, as well as to better understand any potential improved outcomes nationwide compared with pre-implementation of autism screening. En ligne : https://dx.doi.org/10.1177/13623613231205748 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=531

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