The Relative Utility of Concurrent Sources of Information for Diagnosis of Autism Spectrum Disorder in Early Childhood
The development of effective screening methods for Autism Spectrum Disorder (ASD) in early childhood remains a public health priority for communities around the world. Little is known regarding the concurrence between parent concerns about ASD and formal ASD diagnostic methods. This study aimed to e...
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| Format: | Article |
| Language: | English |
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Frontiers Media S.A.
2020-08-01
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| Series: | Frontiers in Pediatrics |
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| Online Access: | https://www.frontiersin.org/article/10.3389/fped.2020.00486/full |
| _version_ | 1818333801819930624 |
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| author | Sara Arastoo Sara Arastoo Maryam M. Abdullah Maryam M. Abdullah Julie Youssef Julie Youssef Yuqing Guo Sabrina E. B. Schuck Wendy A. Goldberg Joseph Donnelly Joseph Donnelly Kimberley D. Lakes Kimberley D. Lakes Kimberley D. Lakes |
| author_facet | Sara Arastoo Sara Arastoo Maryam M. Abdullah Maryam M. Abdullah Julie Youssef Julie Youssef Yuqing Guo Sabrina E. B. Schuck Wendy A. Goldberg Joseph Donnelly Joseph Donnelly Kimberley D. Lakes Kimberley D. Lakes Kimberley D. Lakes |
| author_sort | Sara Arastoo |
| collection | DOAJ |
| description | The development of effective screening methods for Autism Spectrum Disorder (ASD) in early childhood remains a public health priority for communities around the world. Little is known regarding the concurrence between parent concerns about ASD and formal ASD diagnostic methods. This study aimed to examine the relationships among a priori parental ASD concern, ADOS classification, and a physician specialist's diagnosis. One hundred and thirty-four toddlers (74% male; mean age = 31.8 months, SD 4.4) received an evaluation at a university center specializing in ASD and neurodevelopmental disorders. Correspondence between a priori parental ASD suspicion and physician diagnosis of ASD was 61% (p = 0.028). Correspondence between a priori parental suspicion of ASD and ADOS ASD classification was 57% (p = 0.483). Correspondence between ADOS classification and physician diagnosis of ASD was 88% (p = 0.001). Our results have implications for evaluations in low resource regions of the world where access to physician specialists may be limited; the high correspondence between ADOS classification and a physician specialist's diagnosis supports the use of trained ADOS evaluators, such as field health workers or early childhood educators, in a tiered screening process designed to identify those most in need of a specialist's evaluation. Our results also have implications for public health efforts to provide parent education to enable parents to monitor their child's development and share concerns with their providers. Parent awareness and expression of concern coupled with timely responses from providers may lead toward earlier identification of ASD, and other neurodevelopmental disorders, and hence, generate opportunities for earlier and more personalized intervention approaches, which in turn may help improve long-term outcomes. Empowering parents and community members to screen for ASD may be especially important in regions of the world where access to formal diagnosis is limited. |
| first_indexed | 2024-12-13T13:57:25Z |
| format | Article |
| id | doaj.art-d5e5902df3784b93bfadd1cd18803b20 |
| institution | Directory Open Access Journal |
| issn | 2296-2360 |
| language | English |
| last_indexed | 2024-12-13T13:57:25Z |
| publishDate | 2020-08-01 |
| publisher | Frontiers Media S.A. |
| record_format | Article |
| series | Frontiers in Pediatrics |
| spelling | doaj.art-d5e5902df3784b93bfadd1cd18803b202022-12-21T23:42:51ZengFrontiers Media S.A.Frontiers in Pediatrics2296-23602020-08-01810.3389/fped.2020.00486555955The Relative Utility of Concurrent Sources of Information for Diagnosis of Autism Spectrum Disorder in Early ChildhoodSara Arastoo0Sara Arastoo1Maryam M. Abdullah2Maryam M. Abdullah3Julie Youssef4Julie Youssef5Yuqing Guo6Sabrina E. B. Schuck7Wendy A. Goldberg8Joseph Donnelly9Joseph Donnelly10Kimberley D. Lakes11Kimberley D. Lakes12Kimberley D. Lakes13David Geffen School of Medicine, University of California, Los Angeles, Los Angeles, CA, United StatesCenter for Autism and Neurodevelopmental Disorders, School of Medicine, University of California, Irvine, Irvine, CA, United StatesCenter for Autism and Neurodevelopmental Disorders, School of Medicine, University of California, Irvine, Irvine, CA, United StatesGreater Good Science Center, University of California, Berkeley, Berkeley, CA, United StatesCenter for Autism and Neurodevelopmental Disorders, School of Medicine, University of California, Irvine, Irvine, CA, United StatesDepartment of Pediatrics, Stanford University, Palo Alto, CA, United StatesSue & Bill Gross School of Nursing, University of California, Irvine, Irvine, CA, United StatesDepartment of Pediatrics, School of Medicine, University of California, Irvine, Irvine, CA, United StatesDepartment of Psychological Science, University of California, Irvine, Irvine, CA, United StatesCenter for Autism and Neurodevelopmental Disorders, School of Medicine, University of California, Irvine, Irvine, CA, United StatesDepartment of Pediatrics, School of Medicine, University of California, Irvine, Irvine, CA, United StatesCenter for Autism and Neurodevelopmental Disorders, School of Medicine, University of California, Irvine, Irvine, CA, United StatesDepartment of Pediatrics, School of Medicine, University of California, Irvine, Irvine, CA, United StatesDepartment of Psychiatry and Neuroscience, School of Medicine, University of California, Riverside, Riverside, CA, United StatesThe development of effective screening methods for Autism Spectrum Disorder (ASD) in early childhood remains a public health priority for communities around the world. Little is known regarding the concurrence between parent concerns about ASD and formal ASD diagnostic methods. This study aimed to examine the relationships among a priori parental ASD concern, ADOS classification, and a physician specialist's diagnosis. One hundred and thirty-four toddlers (74% male; mean age = 31.8 months, SD 4.4) received an evaluation at a university center specializing in ASD and neurodevelopmental disorders. Correspondence between a priori parental ASD suspicion and physician diagnosis of ASD was 61% (p = 0.028). Correspondence between a priori parental suspicion of ASD and ADOS ASD classification was 57% (p = 0.483). Correspondence between ADOS classification and physician diagnosis of ASD was 88% (p = 0.001). Our results have implications for evaluations in low resource regions of the world where access to physician specialists may be limited; the high correspondence between ADOS classification and a physician specialist's diagnosis supports the use of trained ADOS evaluators, such as field health workers or early childhood educators, in a tiered screening process designed to identify those most in need of a specialist's evaluation. Our results also have implications for public health efforts to provide parent education to enable parents to monitor their child's development and share concerns with their providers. Parent awareness and expression of concern coupled with timely responses from providers may lead toward earlier identification of ASD, and other neurodevelopmental disorders, and hence, generate opportunities for earlier and more personalized intervention approaches, which in turn may help improve long-term outcomes. Empowering parents and community members to screen for ASD may be especially important in regions of the world where access to formal diagnosis is limited.https://www.frontiersin.org/article/10.3389/fped.2020.00486/fullneurodevelopmental disordersdevelopmental disabilitiesAutismdiagnosisADOSparent concern |
| spellingShingle | Sara Arastoo Sara Arastoo Maryam M. Abdullah Maryam M. Abdullah Julie Youssef Julie Youssef Yuqing Guo Sabrina E. B. Schuck Wendy A. Goldberg Joseph Donnelly Joseph Donnelly Kimberley D. Lakes Kimberley D. Lakes Kimberley D. Lakes The Relative Utility of Concurrent Sources of Information for Diagnosis of Autism Spectrum Disorder in Early Childhood Frontiers in Pediatrics neurodevelopmental disorders developmental disabilities Autism diagnosis ADOS parent concern |
| title | The Relative Utility of Concurrent Sources of Information for Diagnosis of Autism Spectrum Disorder in Early Childhood |
| title_full | The Relative Utility of Concurrent Sources of Information for Diagnosis of Autism Spectrum Disorder in Early Childhood |
| title_fullStr | The Relative Utility of Concurrent Sources of Information for Diagnosis of Autism Spectrum Disorder in Early Childhood |
| title_full_unstemmed | The Relative Utility of Concurrent Sources of Information for Diagnosis of Autism Spectrum Disorder in Early Childhood |
| title_short | The Relative Utility of Concurrent Sources of Information for Diagnosis of Autism Spectrum Disorder in Early Childhood |
| title_sort | relative utility of concurrent sources of information for diagnosis of autism spectrum disorder in early childhood |
| topic | neurodevelopmental disorders developmental disabilities Autism diagnosis ADOS parent concern |
| url | https://www.frontiersin.org/article/10.3389/fped.2020.00486/full |
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