Paisley: Preliminary validation of a novel app-based e-Screener for ASD in children 18-36 months.

Autor: Honaker MG; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.; Vanderbilt Kennedy Center, Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Nashville, Tennessee, USA., Weitlauf AS; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.; Vanderbilt Kennedy Center, Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Nashville, Tennessee, USA., Swanson AR; Vanderbilt Kennedy Center, Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Nashville, Tennessee, USA.; Adaptive Technology Consulting, Nashville, Tennessee, USA., Hooper M; Department of Psychology, Vanderbilt University, Nashville, Tennessee, USA., Sarkar N; Adaptive Technology Consulting, Nashville, Tennessee, USA.; Department of Mechanical Engineering, Vanderbilt University, Nashville, Tennessee, USA., Wade J; Adaptive Technology Consulting, Nashville, Tennessee, USA., Warren ZE; Department of Pediatrics, Vanderbilt University Medical Center, Nashville, Tennessee, USA.; Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, Tennessee, USA.; Department of Special Education, Vanderbilt University, Nashville, Tennessee, USA.
Jazyk: angličtina
Zdroj: Autism research : official journal of the International Society for Autism Research [Autism Res] 2023 Oct; Vol. 16 (10), pp. 1963-1975. Date of Electronic Publication: 2023 Aug 21.
DOI: 10.1002/aur.2997
Abstrakt: The purpose of this study was to assess the validity of an autism e-screener, Paisley, when utilized in a clinical research setting via a tablet application. The Paisley application used a series of play-based activities, all of which incorporated varying aspects of the ASD-PEDS. Participants included children (18-36 months; n = 198) referred for evaluation of autism spectrum disorder (ASD) and community providers (n = 66) with differing levels of familiarity with ASD. Community providers administered the Paisley application to children who then completed a comprehensive psychological evaluation. Based on comprehensive evaluation, 75% of children met diagnostic criteria for ASD. Paisley scores were significantly higher for children diagnosed with ASD (15.06) versus those not diagnosed (9.34). The newly determined cutoff ASD-PEDS cutoff score of 13 had significantly higher specificity and positive predictive value than the originally proposed cutoff of 11. Results support the use of Paisley by community providers to identify autism risk in toddlers. Limitations and strengths of the work, as well as opportunities for future clinical validation, are described.
(© 2023 International Society for Autism Research, Wiley Periodicals LLC.)
Databáze: MEDLINE
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