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Gepubliceerd in: Journal of Autism and Developmental Disorders 6/2019

05-02-2019 | Original Paper

What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early Intervention

Auteurs: R. Christopher Sheldrick, Elizabeth Frenette, Juan Diego Vera, Thomas I. Mackie, Frances Martinez-Pedraza, Noah Hoch, Abbey Eisenhower, Angel Fettig, Alice S. Carter

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 6/2019

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Abstract

U.S. guidelines for detecting autism emphasize screening and also incorporate clinical judgment. However, most research focuses on the former. Among 1,654 children participating in a multi-stage screening protocol for autism, we used mixed methods to evaluate: (1) the effectiveness of a clinical decision rule that encouraged further assessment based not only on positive screening results, but also on parent or provider concern, and (2) the influence of shared decision-making on screening administration. Referrals based on concern alone were cost-effective in the current study, and reported concerns were stronger predictors than positive screens of time-to-complete referrals. Qualitative analyses suggest a dynamic relationship between parents’ concerns, providers’ concerns, and screening results that is central to facilitating shared decision-making and influencing diagnostic assessment.

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Metagegevens
Titel
What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early Intervention
Auteurs
R. Christopher Sheldrick
Elizabeth Frenette
Juan Diego Vera
Thomas I. Mackie
Frances Martinez-Pedraza
Noah Hoch
Abbey Eisenhower
Angel Fettig
Alice S. Carter
Publicatiedatum
05-02-2019
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 6/2019
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-019-03913-5