Early Identification of ASD Through Telemedicine: Potential Value for Underserved Populations / A. Pablo JUAREZ in Journal of Autism and Developmental Disorders, 48-8 (August 2018)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2601-2610 Titre : Early Identification of ASD Through Telemedicine: Potential Value for Underserved Populations Type de document : texte imprimé Auteurs : A. Pablo JUAREZ, Auteur ; Amy S. WEITLAUF, Auteur ; Ann NICHOLSON, Auteur ; Anna PASTERNAK, Auteur ; Neill A. BRODERICK, Auteur ; Jeffrey F. HINE, Auteur ; J. Alacia STAINBROOK, Auteur ; Zachary WARREN, Auteur Article en page(s) : p.2601-2610 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Diagnosis  Telemedicine  Young children Index. décimale : PER Périodiques Résumé : Increasing access to diagnostic services is crucial for identifying ASD in young children. We therefore evaluated a telemedicine assessment procedure. First, we compared telediagnostic accuracy to blinded gold-standard evaluations (n = 20). ASD cases identified via telemedicine were confirmed by in-person evaluation. However, 20% of children diagnosed with ASD in-person were not diagnosed via telemedicine. Second, we evaluated telediagnostic feasibility and acceptability in a rural catchment. Children (n = 45) and caregivers completed the telemedicine procedure and provided feedback. Families indicated high levels of satisfaction. Remote diagnostic clinicians diagnosed 62% of children with ASD, but did not feel capable of ruling-in or out ASD in 13% of cases. Findings support preliminary feasibility, accuracy, and clinical utility of telemedicine-based assessment of ASD for young children. En ligne : http://dx.doi.org/10.1007/s10803-018-3524-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367 [article] Early Identification of ASD Through Telemedicine: Potential Value for Underserved Populations [texte imprimé] / A. Pablo JUAREZ, Auteur ; Amy S. WEITLAUF, Auteur ; Ann NICHOLSON, Auteur ; Anna PASTERNAK, Auteur ; Neill A. BRODERICK, Auteur ; Jeffrey F. HINE, Auteur ; J. Alacia STAINBROOK, Auteur ; Zachary WARREN, Auteur . - p.2601-2610. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 48-8 (August 2018) . - p.2601-2610 Mots-clés : Autism spectrum disorder  Diagnosis  Telemedicine  Young children Index. décimale : PER Périodiques Résumé : Increasing access to diagnostic services is crucial for identifying ASD in young children. We therefore evaluated a telemedicine assessment procedure. First, we compared telediagnostic accuracy to blinded gold-standard evaluations (n = 20). ASD cases identified via telemedicine were confirmed by in-person evaluation. However, 20% of children diagnosed with ASD in-person were not diagnosed via telemedicine. Second, we evaluated telediagnostic feasibility and acceptability in a rural catchment. Children (n = 45) and caregivers completed the telemedicine procedure and provided feedback. Families indicated high levels of satisfaction. Remote diagnostic clinicians diagnosed 62% of children with ASD, but did not feel capable of ruling-in or out ASD in 13% of cases. Findings support preliminary feasibility, accuracy, and clinical utility of telemedicine-based assessment of ASD for young children. En ligne : http://dx.doi.org/10.1007/s10803-018-3524-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=367

A Longitudinal RCT of P-ESDM With and Without Parental Mindfulness Based Stress Reduction: Impact on Child Outcomes / Amy S. WEITLAUF in Journal of Autism and Developmental Disorders, 52-12 (December 2022)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 52-12 (December 2022) . - p.5403-5413 Titre : A Longitudinal RCT of P-ESDM With and Without Parental Mindfulness Based Stress Reduction: Impact on Child Outcomes Type de document : texte imprimé Auteurs : Amy S. WEITLAUF, Auteur ; Neill A. BRODERICK, Auteur ; Alacia STAINBROOK, Auteur ; James C. SLAUGHTER, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Catherine G. HERRINGTON, Auteur ; Amy NICHOLSON, Auteur ; Madeline SANTULLI, Auteur ; Kristin DORRIS, Auteur ; LaTamara Jackson GARRETT, Auteur ; Michelle HOPTON, Auteur ; Amy KINSMAN, Auteur ; Mary MORTON, Auteur ; Ashley VOGEL, Auteur ; Elisabeth M. DYKENS, Auteur ; A. Pablo JUAREZ, Auteur ; Zachary WARREN, Auteur Année de publication : 2022 Article en page(s) : p.5403-5413 Langues : Anglais (eng) Mots-clés : Child  Humans  Autism Spectrum Disorder/diagnosis  Mindfulness  Parents/psychology  Early Intervention, Educational  Autistic Disorder/therapy  Autism spectrum disorder  P-esdm  Young children  conflicts of interest relevant to this article to disclose. Index. décimale : PER Périodiques Résumé : This randomized controlled trial (NCT03889821) examined Mindfulness Based Stress Reduction (MBSR) in conjunction with the Parent-implemented Early Start Denver Model (P-ESDM). A previous report described improved metrics of parental distress (Weitlauf et al. in Pediatrics 145(Supplement 1):S81-S92, 2020). This manuscript examines child outcomes. 63 children with ASD (< 36 months) and their parents received 12 P-ESDM sessions. Half of parents also received MBSR. Longitudinal examination of whole sample means revealed modest improvements in autism severity, cognitive, and adaptive skills. There was not a significant time × group interaction for children whose parents received MBSR. Future work should examine more proximal markers of child or dyadic change to enhance understanding of the impact of providing direct treatment for parents as part of early intervention initiatives. En ligne : http://dx.doi.org/10.1007/s10803-021-05399-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=489 [article] A Longitudinal RCT of P-ESDM With and Without Parental Mindfulness Based Stress Reduction: Impact on Child Outcomes [texte imprimé] / Amy S. WEITLAUF, Auteur ; Neill A. BRODERICK, Auteur ; Alacia STAINBROOK, Auteur ; James C. SLAUGHTER, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Catherine G. HERRINGTON, Auteur ; Amy NICHOLSON, Auteur ; Madeline SANTULLI, Auteur ; Kristin DORRIS, Auteur ; LaTamara Jackson GARRETT, Auteur ; Michelle HOPTON, Auteur ; Amy KINSMAN, Auteur ; Mary MORTON, Auteur ; Ashley VOGEL, Auteur ; Elisabeth M. DYKENS, Auteur ; A. Pablo JUAREZ, Auteur ; Zachary WARREN, Auteur . - 2022 . - p.5403-5413. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 52-12 (December 2022) . - p.5403-5413 Mots-clés : Child  Humans  Autism Spectrum Disorder/diagnosis  Mindfulness  Parents/psychology  Early Intervention, Educational  Autistic Disorder/therapy  Autism spectrum disorder  P-esdm  Young children  conflicts of interest relevant to this article to disclose. Index. décimale : PER Périodiques Résumé : This randomized controlled trial (NCT03889821) examined Mindfulness Based Stress Reduction (MBSR) in conjunction with the Parent-implemented Early Start Denver Model (P-ESDM). A previous report described improved metrics of parental distress (Weitlauf et al. in Pediatrics 145(Supplement 1):S81-S92, 2020). This manuscript examines child outcomes. 63 children with ASD (< 36 months) and their parents received 12 P-ESDM sessions. Half of parents also received MBSR. Longitudinal examination of whole sample means revealed modest improvements in autism severity, cognitive, and adaptive skills. There was not a significant time × group interaction for children whose parents received MBSR. Future work should examine more proximal markers of child or dyadic change to enhance understanding of the impact of providing direct treatment for parents as part of early intervention initiatives. En ligne : http://dx.doi.org/10.1007/s10803-021-05399-6 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=489

Measuring the service system impact of a novel telediagnostic service program for young children with autism spectrum disorder / J. Alacia STAINBROOK in Autism, 23-4 (May 2019)  

Public ISBD [article]  inAutism > 23-4 (May 2019) . - p.1051-1056 Titre : Measuring the service system impact of a novel telediagnostic service program for young children with autism spectrum disorder Type de document : texte imprimé Auteurs : J. Alacia STAINBROOK, Auteur ; Amy S. WEITLAUF, Auteur ; A. Pablo JUAREZ, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Jeffrey F. HINE, Auteur ; Neill A. BRODERICK, Auteur ; Ann NICHOLSON, Auteur ; Zachary WARREN, Auteur Article en page(s) : p.1051-1056 Langues : Anglais (eng) Mots-clés : autism spectrum disorder  diagnosis  screening  technology Index. décimale : PER Périodiques Résumé : As prevalence of autism spectrum disorder continues to increase, so too does the need for timely, accessible diagnostic consultation. The present work extends from a previous study which provided preliminary evidence for the feasibility of expert clinicians to utilize telemedicine to triage autism spectrum disorder risk in young children. However, it did not examine whether a telediagnostic model had a demonstrable impact on tertiary care center referrals and usage. We therefore examined whether the introduction of telemedicine-based diagnostic consultation for families served by a rural medical facility affected referrals overall as well as to a metropolitan tertiary care diagnostic center. Results suggest that telemedicine diagnostic consultation in partnership with a referring early intervention system may positively impact referrals for diagnostic evaluation as well as the ability of families to schedule and attend appointments. En ligne : http://dx.doi.org/10.1177/1362361318787797 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=397 [article] Measuring the service system impact of a novel telediagnostic service program for young children with autism spectrum disorder [texte imprimé] / J. Alacia STAINBROOK, Auteur ; Amy S. WEITLAUF, Auteur ; A. Pablo JUAREZ, Auteur ; Julie LOUNDS TAYLOR, Auteur ; Jeffrey F. HINE, Auteur ; Neill A. BRODERICK, Auteur ; Ann NICHOLSON, Auteur ; Zachary WARREN, Auteur . - p.1051-1056. Langues : Anglais (eng) in Autism > 23-4 (May 2019) . - p.1051-1056 Mots-clés : autism spectrum disorder  diagnosis  screening  technology Index. décimale : PER Périodiques Résumé : As prevalence of autism spectrum disorder continues to increase, so too does the need for timely, accessible diagnostic consultation. The present work extends from a previous study which provided preliminary evidence for the feasibility of expert clinicians to utilize telemedicine to triage autism spectrum disorder risk in young children. However, it did not examine whether a telediagnostic model had a demonstrable impact on tertiary care center referrals and usage. We therefore examined whether the introduction of telemedicine-based diagnostic consultation for families served by a rural medical facility affected referrals overall as well as to a metropolitan tertiary care diagnostic center. Results suggest that telemedicine diagnostic consultation in partnership with a referring early intervention system may positively impact referrals for diagnostic evaluation as well as the ability of families to schedule and attend appointments. En ligne : http://dx.doi.org/10.1177/1362361318787797 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=397

Screening Options in Autism Telediagnosis: Examination of TAP, M-CHAT-R, and DCI Concordance and Predictive Value in a Telediagnostic Model / Amy S. WEITLAUF in Journal of Autism and Developmental Disorders, 55-9 (September 2025)  

Public ISBD [article]  inJournal of Autism and Developmental Disorders > 55-9 (September 2025) . - p.3129-3139 Titre : Screening Options in Autism Telediagnosis: Examination of TAP, M-CHAT-R, and DCI Concordance and Predictive Value in a Telediagnostic Model Type de document : texte imprimé Auteurs : Amy S. WEITLAUF, Auteur ; Tori FOSTER, Auteur ; James C. SLAUGHTER, Auteur ; Mary FLECK, Auteur ; Jill HARRIS, Auteur ; Caroline N. COFFIELD, Auteur ; Kathleen SIMCOE, Auteur ; Jenny BAGGETT, Auteur ; Alacia STAINBROOK, Auteur ; Zachary E. WARREN, Auteur Article en page(s) : p.3129-3139 Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Tele-assessment of autism in early childhood has increased. However, it is unclear how autism screening tools (M-CHAT-R, DCI) function as part of tele-assessment and relate to a commonly used tele-assessment instrument, the TAP. 361 families from a clinically referred sample of children (mean age: 27.63 months, sd = 4.86 months) completed the M-CHAT-R and DCI prior to a tele-assessment visit utilizing the TAP. Data was collected on demographic background, measure scores, and diagnostic outcome. No significant differences in measure scores or diagnostic findings emerged in age at referral, age group, age at diagnosis, or child sex, ethnicity, or racial background. The M-CHAT-R and DCI correlated strongly and positively. Older age was associated with lower risk scores on screening instruments. Children with autism had significantly higher scores on all screener and subdomain scores, with the exception of DCI Behavior. Subdomains of the DCI emerged as the strongest predictor of diagnostic outcome. Both the DCI total score and the M-CHAT-R significantly related to diagnostic outcome and TAP score in this tele-assessment model, regardless of child age or sex. Findings also support use of the DCI for children under 24 months of age. En ligne : https://doi.org/10.1007/s10803-024-06427-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566 [article] Screening Options in Autism Telediagnosis: Examination of TAP, M-CHAT-R, and DCI Concordance and Predictive Value in a Telediagnostic Model [texte imprimé] / Amy S. WEITLAUF, Auteur ; Tori FOSTER, Auteur ; James C. SLAUGHTER, Auteur ; Mary FLECK, Auteur ; Jill HARRIS, Auteur ; Caroline N. COFFIELD, Auteur ; Kathleen SIMCOE, Auteur ; Jenny BAGGETT, Auteur ; Alacia STAINBROOK, Auteur ; Zachary E. WARREN, Auteur . - p.3129-3139. Langues : Anglais (eng) in Journal of Autism and Developmental Disorders > 55-9 (September 2025) . - p.3129-3139 Index. décimale : PER Périodiques Résumé : Tele-assessment of autism in early childhood has increased. However, it is unclear how autism screening tools (M-CHAT-R, DCI) function as part of tele-assessment and relate to a commonly used tele-assessment instrument, the TAP. 361 families from a clinically referred sample of children (mean age: 27.63 months, sd = 4.86 months) completed the M-CHAT-R and DCI prior to a tele-assessment visit utilizing the TAP. Data was collected on demographic background, measure scores, and diagnostic outcome. No significant differences in measure scores or diagnostic findings emerged in age at referral, age group, age at diagnosis, or child sex, ethnicity, or racial background. The M-CHAT-R and DCI correlated strongly and positively. Older age was associated with lower risk scores on screening instruments. Children with autism had significantly higher scores on all screener and subdomain scores, with the exception of DCI Behavior. Subdomains of the DCI emerged as the strongest predictor of diagnostic outcome. Both the DCI total score and the M-CHAT-R significantly related to diagnostic outcome and TAP score in this tele-assessment model, regardless of child age or sex. Findings also support use of the DCI for children under 24 months of age. En ligne : https://doi.org/10.1007/s10803-024-06427-x Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=566

Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system / Kathleen SIMCOE in Autism, 29-1 (January 2025)  

Public ISBD [article]  inAutism > 29-1 (January 2025) . - p.207-221 Titre : Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system Type de document : texte imprimé Auteurs : Kathleen SIMCOE, Auteur ; J. Alacia STAINBROOK, Auteur ; Kate T. CHAZIN, Auteur ; Elaina SCHNELLE, Auteur ; Liliana WAGNER, Auteur ; Madison HOOPER, Auteur ; A. Pablo JUAREZ, Auteur ; Zachary WARREN, Auteur Article en page(s) : p.207-221 Langues : Anglais (eng) Mots-clés : autism  early intervention  naturalistic developmental behavioral interventions  telehealth Index. décimale : PER Périodiques Résumé : Despite the clear efficacy and appeal of naturalistic developmental behavioral interventions for families of young children, they are often difficult for families to access due to the limited availability of trained service providers. In recent years, telehealth has emerged as an effective tool for overcoming issues related to access, especially in rural and underserved communities. However, while telehealth offers a strategy to connect with families, it does not address the limited availability of trained providers. In this article, we provide an overview of a statewide model developed to increase access to naturalistic developmental behavioral interventions for families while building the capacity of early intervention providers. Through this model, expert consultants connect to caregivers and providers via telehealth to provide information and coaching over a limited series of visits. Collectively, child, caregiver, and provider outcomes support the effectiveness, acceptability, and feasibility of this model while demonstrating that services can be provided successfully to diverse participants.Lay abstractMany families seek access to evidence-based therapy to support their child?s learning. Naturalistic developmental behavioral intervention is a set of practices that use a child?s natural motivation and interest to teach skills in everyday routines. Many families find naturalistic developmental behavioral interventions appealing and they have been proven to be effective. However, families may not be able to enroll in naturalistic developmental behavioral intervention-based programs due to the limited availability of trained service providers. Telehealth is the use of technology to engage with care providers, including doctors and therapists. Telehealth is an effective tool for improving access to services, especially for people in rural and underserved communities. Telehealth offers a way for providers to connect with families but it does not address the low numbers of trained providers. In this article, we share a statewide model developed to increase access to naturalistic developmental behavioral interventions for families while increasing training opportunities for early intervention providers. Through this model, expert consultants worked with caregivers and providers via telehealth for a brief series of visits. During these visits, consultants taught caregivers and providers strategies based in naturalistic developmental behavioral interventions. Feedback from caregivers and providers, along with improvement in child skills, show that this model was effective and acceptable. En ligne : https://dx.doi.org/10.1177/13623613241273081 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=544 [article] Use of telemediated caregiver coaching to increase access to naturalistic developmental behavioral interventions within a statewide early intervention system [texte imprimé] / Kathleen SIMCOE, Auteur ; J. Alacia STAINBROOK, Auteur ; Kate T. CHAZIN, Auteur ; Elaina SCHNELLE, Auteur ; Liliana WAGNER, Auteur ; Madison HOOPER, Auteur ; A. Pablo JUAREZ, Auteur ; Zachary WARREN, Auteur . - p.207-221. Langues : Anglais (eng) in Autism > 29-1 (January 2025) . - p.207-221 Mots-clés : autism  early intervention  naturalistic developmental behavioral interventions  telehealth Index. décimale : PER Périodiques Résumé : Despite the clear efficacy and appeal of naturalistic developmental behavioral interventions for families of young children, they are often difficult for families to access due to the limited availability of trained service providers. In recent years, telehealth has emerged as an effective tool for overcoming issues related to access, especially in rural and underserved communities. However, while telehealth offers a strategy to connect with families, it does not address the limited availability of trained providers. In this article, we provide an overview of a statewide model developed to increase access to naturalistic developmental behavioral interventions for families while building the capacity of early intervention providers. Through this model, expert consultants connect to caregivers and providers via telehealth to provide information and coaching over a limited series of visits. Collectively, child, caregiver, and provider outcomes support the effectiveness, acceptability, and feasibility of this model while demonstrating that services can be provided successfully to diverse participants.Lay abstractMany families seek access to evidence-based therapy to support their child?s learning. Naturalistic developmental behavioral intervention is a set of practices that use a child?s natural motivation and interest to teach skills in everyday routines. Many families find naturalistic developmental behavioral interventions appealing and they have been proven to be effective. However, families may not be able to enroll in naturalistic developmental behavioral intervention-based programs due to the limited availability of trained service providers. Telehealth is the use of technology to engage with care providers, including doctors and therapists. Telehealth is an effective tool for improving access to services, especially for people in rural and underserved communities. Telehealth offers a way for providers to connect with families but it does not address the low numbers of trained providers. In this article, we share a statewide model developed to increase access to naturalistic developmental behavioral interventions for families while increasing training opportunities for early intervention providers. Through this model, expert consultants worked with caregivers and providers via telehealth for a brief series of visits. During these visits, consultants taught caregivers and providers strategies based in naturalistic developmental behavioral interventions. Feedback from caregivers and providers, along with improvement in child skills, show that this model was effective and acceptable. En ligne : https://dx.doi.org/10.1177/13623613241273081 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=544

Utilization of telemedicine to support caregivers of young children with ASD and their Part C service providers: a comparison of intervention outcomes across three models of service delivery / Laura L. CORONA in Journal of Neurodevelopmental Disorders, 13 (2021)  

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