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Journal of Autism and Developmental Disorders

Gepubliceerd in:

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

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.

vorige artikel Psychotropic Medication Use for Adults with Autism Spectrum Disorder who Receive Services and Supports Through Adult Developmental Disability Services in the United States

volgende artikel The Experiences of College Students on the Autism Spectrum: A Comparison to Their Neurotypical Peers

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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

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