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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

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Ægisdóttir, S., White, M. J., Spengler, P. M., Maugherman, A. S., Anderson, L. A., Cook, R. S., et al. (2006). The meta-analysis of clinical judgment project: Fifty-six years of accumulated research on clinical versus statistical prediction. The Counseling Psychologist, 34(3), 341–382. https://doi.org/10.1177/0011000005285875.CrossRef

Balogh, E., Miller, B. T., Ball, J., & Institute of Medicine (U.S.). Committee on Diagnostic Error in Health Care. (2015). Improving diagnosis in health care. Washington, DC: The National Academies Press. https://doi.org/10.17226/21794.CrossRef

Briggs-Gowan, M., & Carter, A. S. (2006). Brief infant toddler social emotional assessment (BITSEA). (pp. 17–19) London: Pearson.

Brożek, J. L., Akl, E. A., Alonso-Coello, P., Lang, D., Jaeschke, R., Williams, J. W., … Schünemann, H. J. (2009, May). Grading quality of evidence and strength of recommendations in clinical practice guidelines: Part 1 of 3. An overview of the GRADE approach and grading quality of evidence about interventions. Allergy: European Journal of Allergy and Clinical Immunology. https://doi.org/10.1111/j.1398-9995.2009.01973.x.CrossRefPubMed

Calzada, L. R., Pistrang, N., & Mandy, W. P. (2012). High-functioning autism and Asperger’s disorder: Utility and meaning for families. Journal of Autism and Developmental Disorders, 42(2), 230–243.CrossRef

Creswell, J. W., Klassen, A. C., Clark, P., V. L., & Smith, C., K (2011). Best practices for mixed methods research in the health sciences. Bethesda: Commissioned by the Office of Behavioral and Social Sciences Research.CrossRef

Curran, G. M., Bauer, M., Mittman, B., Pyne, J. M., & Stetler, C. (2012). Effectiveness-implementation hybrid designs: Combining elements of clinical effectiveness and implementation research to enhance public health impact. Medical Care, 50(3), 217.CrossRefPubMedPubMedCentral

Dawes, R., Faust, D., & Meehl, P. (1989). Clinical versus actuarial judgment. Science, 243(4899), 1668–1674. https://doi.org/10.1126/science.2648573.CrossRefPubMed

Fryback, D. G., & Thornbury, J. R. (1991). The efficacy of diagnostic imaging. Medical Decision Making, 11(2), 88–94.CrossRefPubMed

Fusch, P. I., & Ness, L. R. (2015). Are we there yet? Data saturation in qualitative research. The Qualitative Report, 20(9), 1408–1416.

Gayes, L. A., & Steele, R. G. (2014). A meta-analysis of motivational interviewing interventions for pediatric health behavior change. Journal of Consulting and Clinical Psychology, 82(3), 521.CrossRefPubMed

Giserman Kiss, I., Feldman, M. S., Sheldrick, R. C., & Carter, A. S. (2017). Developing autism screening criteria for the brief infant toddler social emotional assessment (BITSEA). Journal of Autism and Developmental Disorders, 47(5), 1269–1277. https://doi.org/10.1007/s10803-017-3044-1.CrossRefPubMed

Godoy, L., & Carter, A. S. (2013). Identifying and addressing mental health risks and problems in primary care pediatric settings: A model to promote developmental and cultural competence. American Journal of Orthopsychiatry, 83(1), 73–88. https://doi.org/10.1111/ajop.12005.CrossRef

Godoy, L., Mian, N. D., Eisenhower, A. S., & Carter, A. S. (2014). Pathways to service receipt: Modeling parent help-seeking for childhood mental health problems. Administration and Policy in Mental Health and Mental Health Services Research, 41(4), 469–479. https://doi.org/10.1007/s10488-013-0484-6.CrossRefPubMed

Grove, W. M., & Meehl, P. E. (1996). Comparative efficiency of informal (subjective, impressionistic) and formal (mechanical, algorithmic) prediction procedures: The clinical-statistical controversy. Psychology, Public Policy, and Law, 2(2), 293–323. https://doi.org/10.1037/1076-8971.2.2.293.CrossRef

Grove, W. M., Zald, D. H., Lebow, B. S., Snitz, B. E., & Nelson, C. (2000). Clinical versus mechanical prediction: A meta-analysis. Psychological Assessment, 12(1), 19–30. https://doi.org/10.1037/1040-3590.12.1.19.CrossRefPubMed

Guinchat, V., Chamak, B., Bonniau, B., Bodeau, N., Perisse, D., Cohen, D., & Danion, A. (2012). Very early signs of autism reported by parents include many concerns not specific to autism criteria. Research in Autism Spectrum Disorders, 6(2), 589–601.CrossRef

Johnson, C. P., & Myers, S. M. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120(5), 1183–1215.CrossRefPubMed

King, T. M., Tandon, S. D., Macias, M. M., et al. (2010). Implementing developmental screening and referrals: Lessons learned from a national project. Pediatrics, 125(2), 350–360.CrossRefPubMed

Lord, C., Risi, S., Lambrecht, L., Cook, E. H., Leventhal, B. L., DiLavore, P. C., et al. (2000). Autism diagnostic observation schedule (ADOS). Journal of Autism and Developmental Disorders. https://doi.org/10.1007/BF02211841.CrossRefPubMed

McPheeters, M. L., Weitlauf, A., Vehorn, A., Taylor, C., Sathe, N. A., Krishnaswami, S., et al. (2015). Screening for autism spectrum disorder in young children: A systematic evidence review for the U.S. preventive services task force. AHRQ Publication No., 13-05185, EF-1, (121), 202.

Council on Children with Disabilities, Section on Developmental Behavioral Pediatrics, Bright Futures Steering Committee & Medical Home Initiatives for Children With Special Needs Project Advisory Committee. (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics, 118(1), 405–420. https://doi.org/10.1542/peds.2006-1231.CrossRef

Meehl, P. E. (1959). A comparison of clinicians with five statistical methods of identifying psychotic MMPI profiles. Journal of Counseling Psychology, 6(2), 102–109. https://doi.org/10.1037/h0049190.CrossRef

Meehl, P. E., & Rosen, A. (1955). Antecedent probability and the efficiency of psychometric signs, patterns, or cutting scores. Psychological Bulletin, 52(3), 194.CrossRefPubMed

Mullen, E. M. (1995). Mullen scales of early learning, AGS Edition: Manual and item administrative books. (pp. 1–92). Noida: American Guidance Services Inc.

Ozonoff, S., Young, G. S., Landa, R. J., Brian, J., Bryson, S., Charman, T., … Zwaigenbaum, L. (2015). Diagnostic stability in young children at risk for autism spectrum disorder: A baby siblings research consortium study. Journal of Child Psychology and Psychiatry, 56(9), 988–998.CrossRefPubMed

Pauker, S. G., & Kassirer, J. P. (1980). The threshold approach to clinical decision making. New England Journal of Medicine, 302(20), 1109–1117.CrossRef

Pizur-Barnekow, K., Muusz, M., McKenna, C., O’Connor, E., & Cutler, A. (2013). Service coordinators’ perceptions of autism-specific screening and referral practices in early intervention. Topics in Early Childhood Special Education, 33(3), 153–161.CrossRef

Robins, D. L., Casagrande, K., Barton, M., Chen, C.-M. A., Dumont-Mathieu, T., & Fein, D. (2013). Validation of the modified checklist for autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics, 133(1), 37–45.CrossRefPubMed

Robins, D. L., Fein, D., Barton, M. L., & Green, J. A. (2001). The modified checklist for autism in toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders. Journal of Autism and Developmental Disorders, 31(2), 131–144.CrossRefPubMed

Salisbury, L., Nyce, J. D., Hannum, C., Sheldrick, R. C., & Perrin, E. C. (2018). Sensitivity and Specificity of 2 Autism Screeners Among Referred Children Between 16 and 48 Months of Age. Journal of Developmental and Behavioral Pediatrics, 39, 254–258.PubMed

Sanders, S., Doust, J., & Glasziou, P. (2015). A systematic review of studies comparing diagnostic clinical prediction rules with clinical judgment. PLOS ONE, 10(6), e0128233. https://doi.org/10.1371/journal.pone.0128233.CrossRefPubMedPubMedCentral

Sheldrick, R. C., Benneyan, J. C., Kiss, I. G., Briggs-Gowan, M. J., Copeland, W., & Carter, A. S. (2015). Thresholds and accuracy in screening tools for early detection of psychopathology. Journal of Child Psychology and Psychiatry and Allied Disciplines, 56(9), 936–948. https://doi.org/10.1111/jcpp.12442.CrossRef

Sheldrick, R. C., Breuer, D. J., Hassan, R., Chan, K., Polk, D., & Benneyan, J. (2016). A system dynamics model of clinical decision thresholds for the detection of developmental-behavioral disorders. Implementation Science, 11, 1–14. https://doi.org/10.1186/s13012-016-0517-0.CrossRef

Sheldrick, R. C., & Garfinkel, D. (2017). Is a Positive developmental-behavioral screening score sufficient to justify referral? A review of evidence and theory. Academic Pediatrics, 17(5), 464–470. https://doi.org/10.1016/j.acap.2017.01.016.CrossRefPubMedPubMedCentral

Smith, N. J., Sheldrick, R. C., & Perrin, E. C. (2013). An abbreviated screening instrument for autism spectrum disorders. Infant Mental Health Journal, 34(2), 149–155. https://doi.org/10.1002/imhj.21356.CrossRef

Sparrow, S. S., Cicchetti, D. V., & Saulnier, C. A. (2016). Vineland adaptive behavior scales, (3rd ed.). London: Pearson.

Stahmer, A. C. (2007). The basic structure of community early intervention programs for children with autism: Provider descriptions. Journal of Autism and Developmental Disorders, 37(7), 1344–1354.CrossRefPubMed

Stahmer, A. C., Collings, N. M., & Palinkas, L. A. (2005). Early intervention practices for children with autism: Descriptions from community providers. Focus on Autism and Other Developmental Disabilities, 20(2), 66–79.CrossRefPubMedPubMedCentral

Stone, W. L., Coonrod, E. E., & Ousley, O. Y. (2000). Brief report: Screening tool for autism in two-year-olds (STAT): Development and preliminary data. Journal of Autism and Developmental Disorders, 30(6), 607–612. https://doi.org/10.1023/A:1005647629002.CrossRefPubMed

Stone, W. L., McMahon, C. R., & Henderson, L. M. (2008). Use of the screening tool for autism in two-year-olds (STAT) for children under 24 months. Autism, 12(5), 557–573. https://doi.org/10.1177/1362361308096403.CrossRefPubMed

Swets, J. A., Dawes, R. M., & Monahan, J. (2000). Psychological science can improve diagnostic decisions. Psychological Science in the Public Interest, 1(1), 1–26. https://doi.org/10.1111/1529-1006.001.CrossRefPubMed

Tobin, G. A., & Begley, C. M. (2004). Methodological rigour within a qualitative framework. Journal of Advanced Nursing, 48(4), 388–396.CrossRefPubMed

Trikalinos, T. A., Siebert, U., & Lau, J. (2009). Decision-analytic modeling to evaluate benefits and harms of medical tests: Uses and limitations. Medical Decision Making, 29(5), E22–E29. https://doi.org/10.1177/0272989X09345022.CrossRefPubMed

Wiggins, L. D., Levy, S. E., Daniels, J., Schieve, L., Croen, L. A., DiGuiseppi, C., et al. (2015). Autism spectrum disorder symptoms among children enrolled in the Study to Explore Early Development (SEED). Journal of Autism and Developmental Disorders, 45(10), 3183–3194.CrossRefPubMedPubMedCentral

Willms, D. G., Best, J. A., Taylor, D. W., Gilbert, J. R., Wilson, D. M. C., Lindsay, E. A., & Singer, J. (1990). A Systematic approach for using qualitative methods in primary prevention research. Medical Anthropology Quarterly, 4(4), 391–409. https://doi.org/10.2307/649223.CrossRef

Zuckerman, K. E., Sinche, B., Cobian, M., Cervantes, M., Mejia, A., Becker, T., & Nicolaidis, C. (2014a). Conceptualization of autism in the Latino community and its relationship with early diagnosis. Journal of Developmental and Behavioral Pediatrics: JDBP, 35(8), 522.CrossRefPubMed

Zuckerman, K. E., Sinche, B., Mejia, A., Cobian, M., Becker, T., & Nicolaidis, C. (2014b). Latino parents’ perspectives on barriers to autism diagnosis. Academic Pediatrics, 14(3), 301–308.CrossRefPubMedPubMedCentral

Zwaigenbaum, L., Bauman, M. L., Fein, D., Pierce, K., Buie, T., Davis, P. A., et al. (2015). Early screening of autism spectrum disorder: Recommendations for practice and research. Pediatrics, 136(Supplement 1), S41–S59.CrossRefPubMed

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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