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Auteur S. DUFEK |
Documents disponibles écrits par cet auteur (2)
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Measuring outcome in an early intervention program for toddlers with autism spectrum disorder: use of a curriculum-based assessment / Elizabeth C. BACON in Autism Research and Treatment, 2014 (2014)
[article]
Titre : Measuring outcome in an early intervention program for toddlers with autism spectrum disorder: use of a curriculum-based assessment Type de document : Texte imprimé et/ou numérique Auteurs : Elizabeth C. BACON, Auteur ; S. DUFEK, Auteur ; L. SCHREIBMAN, Auteur ; Aubyn C. STAHMER, Auteur ; K. PIERCE, Auteur ; E. COURCHESNE, Auteur Langues : Anglais (eng) Index. décimale : PER Périodiques Résumé : Measuring progress of children with autism spectrum disorder (ASD) during intervention programs is a challenge faced by researchers and clinicians. Typically, standardized assessments of child development are used within research settings to measure the effects of early intervention programs. However, the use of standardized assessments is not without limitations, including lack of sensitivity of some assessments to measure small or slow progress, testing constraints that may affect the child's performance, and the lack of information provided by the assessments that can be used to guide treatment planning. The utility of a curriculum-based assessment is discussed in comparison to the use of standardized assessments to measure child functioning and progress throughout an early intervention program for toddlers with risk for ASD. Scores derived from the curriculum-based assessment were positively correlated with standardized assessments, captured progress masked by standardized assessments, and early scores were predictive of later outcomes. These results support the use of a curriculum-based assessment as an additional and appropriate method for measuring child progress in an early intervention program. Further benefits of the use of curriculum-based measures for use within community settings are discussed. En ligne : http://dx.doi.org/10.1155/2014/964704 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=331
in Autism Research and Treatment > 2014 (2014)[article] Measuring outcome in an early intervention program for toddlers with autism spectrum disorder: use of a curriculum-based assessment [Texte imprimé et/ou numérique] / Elizabeth C. BACON, Auteur ; S. DUFEK, Auteur ; L. SCHREIBMAN, Auteur ; Aubyn C. STAHMER, Auteur ; K. PIERCE, Auteur ; E. COURCHESNE, Auteur.
Langues : Anglais (eng)
in Autism Research and Treatment > 2014 (2014)
Index. décimale : PER Périodiques Résumé : Measuring progress of children with autism spectrum disorder (ASD) during intervention programs is a challenge faced by researchers and clinicians. Typically, standardized assessments of child development are used within research settings to measure the effects of early intervention programs. However, the use of standardized assessments is not without limitations, including lack of sensitivity of some assessments to measure small or slow progress, testing constraints that may affect the child's performance, and the lack of information provided by the assessments that can be used to guide treatment planning. The utility of a curriculum-based assessment is discussed in comparison to the use of standardized assessments to measure child functioning and progress throughout an early intervention program for toddlers with risk for ASD. Scores derived from the curriculum-based assessment were positively correlated with standardized assessments, captured progress masked by standardized assessments, and early scores were predictive of later outcomes. These results support the use of a curriculum-based assessment as an additional and appropriate method for measuring child progress in an early intervention program. Further benefits of the use of curriculum-based measures for use within community settings are discussed. En ligne : http://dx.doi.org/10.1155/2014/964704 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=331 The first five minutes: Initial impressions during autism spectrum disorder diagnostic evaluations in young children / A. T. WIECKOWSKI in Autism Research, 14-9 (September 2021)
[article]
Titre : The first five minutes: Initial impressions during autism spectrum disorder diagnostic evaluations in young children Type de document : Texte imprimé et/ou numérique Auteurs : A. T. WIECKOWSKI, Auteur ; A. DE MARCHENA, Auteur ; Y. ALGUR, Auteur ; L. NICHOLS, Auteur ; S. FERNANDES, Auteur ; R. P. THOMAS, Auteur ; L. A. MCCLURE, Auteur ; S. DUFEK, Auteur ; Deborah A. FEIN, Auteur ; Lauren B. ADAMSON, Auteur ; A. STAHMER, Auteur ; Diana L. ROBINS, Auteur Article en page(s) : p.1923-1934 Langues : Anglais (eng) Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder Child Child, Preschool Early Diagnosis Family Humans autism spectrum disorder clinician confidence in diagnosis diagnosis early detection initial impression toddlers Index. décimale : PER Périodiques Résumé : Diagnosticians report that autism spectrum disorder (ASD) is immediately apparent in some, but not all, children ultimately diagnosed. Clinicians' initial diagnostic impressions have implications for ASD early detection, yet the literature raises questions about their accuracy. This study explores diagnostic impressions of ASD specialists made within the first 5?minutes of meeting a young child and investigates factors associated with the match between initial impressions and final diagnoses. Participants were children (n = 294, aged 12-53?months) referred for an ASD evaluation as part of multi-site ASD screening studies. After 5?minutes observing each child, clinicians with expertise diagnosing ASD recorded if they thought the child would meet criteria for ASD following a complete evaluation, and recorded their confidence in this impression. Clinicians' initial impressions matched the final diagnosis in 81% of cases. Ninety-two percent of cases initially thought to have ASD met criteria following a full evaluation; however, 24% of cases initially thought not to have ASD also met criteria, suggesting a high miss rate. Clinicians were generally confident in their initial impressions, reporting highest confidence for children initially thought correctly not to have ASD. ASD behavioral presentation, but not demographic characteristics or developmental level, were associated with matching initial impression and final diagnosis, and confidence. Brief observations indicating ASD should trigger referral to intervention services, but are likely to under-detect positive cases and should not be used to rule out ASD, highlighting the need to incorporate information beyond initial clinical impression. LAY SUMMARY: When children come in for an autism evaluation, clinicians often form early impressions-before doing any formal testing-about whether the child has autism. We studied how often these early impressions match the final diagnosis, and found that clinicians could not easily rule out autism (many children who initially appeared not to have autism were ultimately diagnosed), but were generally accurate ruling in autism (when a child appeared to have autism within 5?minutes, they were almost always so diagnosed). En ligne : http://dx.doi.org/10.1002/aur.2536 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449
in Autism Research > 14-9 (September 2021) . - p.1923-1934[article] The first five minutes: Initial impressions during autism spectrum disorder diagnostic evaluations in young children [Texte imprimé et/ou numérique] / A. T. WIECKOWSKI, Auteur ; A. DE MARCHENA, Auteur ; Y. ALGUR, Auteur ; L. NICHOLS, Auteur ; S. FERNANDES, Auteur ; R. P. THOMAS, Auteur ; L. A. MCCLURE, Auteur ; S. DUFEK, Auteur ; Deborah A. FEIN, Auteur ; Lauren B. ADAMSON, Auteur ; A. STAHMER, Auteur ; Diana L. ROBINS, Auteur . - p.1923-1934.
Langues : Anglais (eng)
in Autism Research > 14-9 (September 2021) . - p.1923-1934
Mots-clés : Autism Spectrum Disorder/diagnosis Autistic Disorder Child Child, Preschool Early Diagnosis Family Humans autism spectrum disorder clinician confidence in diagnosis diagnosis early detection initial impression toddlers Index. décimale : PER Périodiques Résumé : Diagnosticians report that autism spectrum disorder (ASD) is immediately apparent in some, but not all, children ultimately diagnosed. Clinicians' initial diagnostic impressions have implications for ASD early detection, yet the literature raises questions about their accuracy. This study explores diagnostic impressions of ASD specialists made within the first 5?minutes of meeting a young child and investigates factors associated with the match between initial impressions and final diagnoses. Participants were children (n = 294, aged 12-53?months) referred for an ASD evaluation as part of multi-site ASD screening studies. After 5?minutes observing each child, clinicians with expertise diagnosing ASD recorded if they thought the child would meet criteria for ASD following a complete evaluation, and recorded their confidence in this impression. Clinicians' initial impressions matched the final diagnosis in 81% of cases. Ninety-two percent of cases initially thought to have ASD met criteria following a full evaluation; however, 24% of cases initially thought not to have ASD also met criteria, suggesting a high miss rate. Clinicians were generally confident in their initial impressions, reporting highest confidence for children initially thought correctly not to have ASD. ASD behavioral presentation, but not demographic characteristics or developmental level, were associated with matching initial impression and final diagnosis, and confidence. Brief observations indicating ASD should trigger referral to intervention services, but are likely to under-detect positive cases and should not be used to rule out ASD, highlighting the need to incorporate information beyond initial clinical impression. LAY SUMMARY: When children come in for an autism evaluation, clinicians often form early impressions-before doing any formal testing-about whether the child has autism. We studied how often these early impressions match the final diagnosis, and found that clinicians could not easily rule out autism (many children who initially appeared not to have autism were ultimately diagnosed), but were generally accurate ruling in autism (when a child appeared to have autism within 5?minutes, they were almost always so diagnosed). En ligne : http://dx.doi.org/10.1002/aur.2536 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=449