Adaptation of assessment of pervasive developmental disorder in lower income countries

The project aimed to investigate the possibility of adaptation of assessments for diagnosing Pervasive Developmental Disorder in a Southeast Asian country. This paper presents a personal project, at first created for humanitarian purposes. The main difficulties were the nonadaptation of the materia...

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Main Author: Leslie Marneau
Format: Article
Language:English
Published: Rajanagarindra Institute of Child Development 2017-01-01
Series:International Journal of Child Development and Mental Health
Subjects:
Online Access:https://www.tci-thaijo.org/index.php/cdmh/article/view/76747
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author Leslie Marneau
author_facet Leslie Marneau
author_sort Leslie Marneau
collection DOAJ
description The project aimed to investigate the possibility of adaptation of assessments for diagnosing Pervasive Developmental Disorder in a Southeast Asian country. This paper presents a personal project, at first created for humanitarian purposes. The main difficulties were the nonadaptation of the material, and the confusion between autism and mental retardation. The project took place in a special education centre in Vientiane, Laos. It involved 23 children who first screened positive with M-CHAT. Out of the 23 children participating in the project, 13 were diagnosed with a PDD. The scores at ADOS and ADI-R matched, showing that the use of the gold standard may be considered as relevant in Laos. However, a study on a bigger sample has to confirm this conclusion. The results showed the need to adapt the material of ADOS, as well as the necessity of collaboration with local experts and developing awareness of autism. This study result is inconclusive concerning the epidemiology of autism in Laos, regarding the small size of the sample. The factors associated with the difficulties of the diagnosis process in Laos may be found in others area of South-East Asia. The specificities of Laos concerning the diagnosis of autism are: tonal language, lower access to information, lower or no access to specific medical resources on autism, rural population, difference in the use of toys, reasons of parental first worries, diversity of population and languages.
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spelling doaj.art-e45085beb6ce4c00813409d166c8b7fb2022-12-22T03:14:57ZengRajanagarindra Institute of Child DevelopmentInternational Journal of Child Development and Mental Health2286-74812586-887X2017-01-0151222876747Adaptation of assessment of pervasive developmental disorder in lower income countriesLeslie Marneau0Clinical Psychologist, A Bus for Autism, France.The project aimed to investigate the possibility of adaptation of assessments for diagnosing Pervasive Developmental Disorder in a Southeast Asian country. This paper presents a personal project, at first created for humanitarian purposes. The main difficulties were the nonadaptation of the material, and the confusion between autism and mental retardation. The project took place in a special education centre in Vientiane, Laos. It involved 23 children who first screened positive with M-CHAT. Out of the 23 children participating in the project, 13 were diagnosed with a PDD. The scores at ADOS and ADI-R matched, showing that the use of the gold standard may be considered as relevant in Laos. However, a study on a bigger sample has to confirm this conclusion. The results showed the need to adapt the material of ADOS, as well as the necessity of collaboration with local experts and developing awareness of autism. This study result is inconclusive concerning the epidemiology of autism in Laos, regarding the small size of the sample. The factors associated with the difficulties of the diagnosis process in Laos may be found in others area of South-East Asia. The specificities of Laos concerning the diagnosis of autism are: tonal language, lower access to information, lower or no access to specific medical resources on autism, rural population, difference in the use of toys, reasons of parental first worries, diversity of population and languages.https://www.tci-thaijo.org/index.php/cdmh/article/view/76747Laosautismadaptationlowerincomeepidemiology
spellingShingle Leslie Marneau
Adaptation of assessment of pervasive developmental disorder in lower income countries
International Journal of Child Development and Mental Health
Laos
autism
adaptation
lowerincome
epidemiology
title Adaptation of assessment of pervasive developmental disorder in lower income countries
title_full Adaptation of assessment of pervasive developmental disorder in lower income countries
title_fullStr Adaptation of assessment of pervasive developmental disorder in lower income countries
title_full_unstemmed Adaptation of assessment of pervasive developmental disorder in lower income countries
title_short Adaptation of assessment of pervasive developmental disorder in lower income countries
title_sort adaptation of assessment of pervasive developmental disorder in lower income countries
topic Laos
autism
adaptation
lowerincome
epidemiology
url https://www.tci-thaijo.org/index.php/cdmh/article/view/76747
work_keys_str_mv AT lesliemarneau adaptationofassessmentofpervasivedevelopmentaldisorderinlowerincomecountries