The Relationship Between Clinicians’ Confidence and Accuracy, and the Influence of Child Characteristics, in the Screening of Autism Spectrum Disorder
Autor: | Darren Hedley, Neil Brewer, Mirko Uljarević, Rose E. Nevill, Eric Butter, James A. Mulick |
---|---|
Rok vydání: | 2016 |
Předmět: |
Male
medicine.medical_specialty Autism Spectrum Disorder Low Confidence Predictor variables Independent predictor Correlation 03 medical and health sciences 0302 clinical medicine Developmental and Educational Psychology medicine Humans 0501 psychology and cognitive sciences Psychiatry Referral and Consultation Clinical judgement 05 social sciences Infant medicine.disease Autism spectrum disorder Child Preschool Autism Diagnostic assessment Female Clinical Competence Psychology 030217 neurology & neurosurgery 050104 developmental & child psychology Clinical psychology |
Zdroj: | Journal of Autism and Developmental Disorders. 46:2340-2348 |
ISSN: | 1573-3432 0162-3257 |
Popis: | The study examined the confidence accuracy relationship, and the influence of child characteristics on clinician confidence, when predicting a diagnosis of Autism Spectrum Disorder during screening of 125 referred children aged under 3.5 years. The diagnostic process included observation, interview, language and developmental testing. Clinical judgement accuracy was compared against final diagnosis for high and low confidence levels (with confidence assessed on a 0-100 % scale). We identified a significant CA relationship with predictive accuracy highest at confidence levels of 90-100 %. Parent report of unusual behaviors was the only significant independent predictor of confidence. Clinicians' confidence may be important when evaluating decisions to refer, or not to refer, children for further diagnostic assessment. |
Databáze: | OpenAIRE |
Externí odkaz: |