Systematic approach to school-based assessments for autism spectrum disorders to reduce inequalities: a feasibility study in 10 primary schools
| Autor: | Geoff Morgan, Brian Kelly, Barry Wright, Mark Mon-Williams, Kuldeep Sohal, Sara Mansoor, Kalliopi Konstantopoulou, Cathy Hulin |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
050103 clinical psychology
Autism Spectrum Disorder Psychological intervention Ethnic group child & adolescent psychiatry lcsh:Medicine Pilot Projects behavioral disciplines and activities Autism Diagnostic Observation Schedule Neurodevelopmental disorder mental disorders Medicine Humans 0501 psychology and cognitive sciences Prospective Studies Prospective cohort study Child Schools business.industry lcsh:R 05 social sciences Paediatrics General Medicine Foundation Stage medicine.disease Checklist Autism Spectrum Disorders Autism developmental neurology & neurodisability Feasibility Studies Inequalities business community child health 050104 developmental & child psychology Clinical psychology |
| Zdroj: | BMJ Open BMJ Open, Vol 11, Iss 1 (2021) |
| ISSN: | 2044-6055 |
| Popis: | ObjectivesThis was a pilot study to explore whether the Early Years Foundation Stage Profile (EYFSP) carried out by UK teachers within the ‘reception’ year, combined with the Social Communication Questionnaire (SCQ), can lead to early identification of children with autism spectrum disorders (ASD) and early access to intervention and can reduce inequity in access to assessment and intervention.DesignPragmatic prospective cohort.SettingTen primary schools from the SHINE project in Bradford.Participants587 pupils from 10 schools who transitioned from reception to year 1 in July 2017 and had the EYFSP completed were included in the final study.InterventionsThe assessment involved a multidisciplinary team of three staff who completed Autism Diagnostic Interview–Revised, Autism Diagnostic Observation Schedule Version 2, classroom observations with an ASD checklist, a teacher-based ASD questionnaire and a final consensus meeting.Primary outcome measureNational Institute for Health and Care Excellence guideline-compliant clinical diagnosis of ASD.Secondary outcome measuresAge of diagnosis, demographic data and feasibility parameters.ResultsChildren with low scores on the EYFSP were more likely to score above the SCQ threshold of 12, indicating potential autism (50% compared with 19% of children with high scores on the EYFSP (pConclusionsWe identified nine new children with a diagnosis of ASD, all from ethnic minorities, suggesting that this process may be addressing the inequalities in early diagnosis found in previous studies. All children who scored above the SCQ threshold required support (ie, had a neurodevelopmental disorder), indicating the EYFSP questionnaire captured ‘at-risk’ children. |
| Databáze: | OpenAIRE |
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