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Journal of Autism and Developmental Disorders

Gepubliceerd in:

23-09-2023 | Original Paper

Validation of an Enhanced Telehealth Platform for Toddlers at Increased Likelihood for a Diagnosis of Autism Spectrum Disorder (ASD)

Auteurs: Michael J. Morrier, Allison J. Schwartz, Catherine E. Rice, Amanda Platner, Opal Y. Ousley, Sara Kassem, Ashwin V. Krishnan, Catherine Lord, Christopher J. Smith, Ron Oberleitner

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 11/2024

Abstract

Use of telehealth assessments for toddlers at increased likelihood of autism spectrum disorder (ASD) began prior to the global COVID-19 pandemic; however, the value of telehealth assessments as an alternative to in-person assessment (IPA) became clearer during the pandemic. The Naturalistic Observation Diagnosis Assessment (NODA™), previously demonstrated as a valid and reliable tool to evaluate asynchronous behaviors for early diagnosis, was enhanced to add synchronous collection of behaviors to assist clinicians in making a differential diagnosis of ASD. This study was conducted to validate the information gathered through NODA-Enhanced (NODA-E™) as compared to a gold standard IPA. Forty-nine toddlers aged 16.0–32.1 months of age, recruited through community pediatric offices and a tertiary ASD clinic, participated in both NODA-E and IPA assessments. There was high agreement between the two assessment protocols for overall diagnosis (46 of 49 cases; 93.6%; κ = .878), specific diagnostic criteria for social communication and social interaction (SCI; range 95.9–98%; κ = .918—.959), and for two of four criteria specified for restricted and repetitive behaviors (RRB; range 87.8–98%; κ = .755 and .959). There was lower agreement for two subcategories of RRBs (range 65.3–67.3%; κ = .306 and .347). NODA-E is a tool that can assist clinicians in making reliable and valid early ASD diagnoses using both asynchronous and synchronous information gathered via telehealth and offers an additional tool within a clinician’s assessment toolbox.

vorige artikel Greater Physical Activity is Associated with Lower Rates of Anxiety and Depression Among Autistic and ADHD Youth: National Survey of Children’s Health 2016–2020

volgende artikel An Examination of Family Transmission of Traits Measured by the Social Responsiveness Scale—Short Form

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Titel: Validation of an Enhanced Telehealth Platform for Toddlers at Increased Likelihood for a Diagnosis of Autism Spectrum Disorder (ASD)
Auteurs: Michael J. Morrier
Allison J. Schwartz
Catherine E. Rice
Amanda Platner
Opal Y. Ousley
Sara Kassem
Ashwin V. Krishnan
Catherine Lord
Christopher J. Smith
Ron Oberleitner
Publicatiedatum: 23-09-2023
Uitgeverij: Springer US
Gepubliceerd in: Journal of Autism and Developmental Disorders / Uitgave 11/2024
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI: https://doi.org/10.1007/s10803-023-06116-1

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