Utility of Diagnostic Classification for Children 0-5 to Assess Features of Autism: Comparing In-person and COVID-19 Telehealth Evaluations

By FYH News Team

Published on June 16, 2022

[ad_1]

doi: 10.1007/s10803-022-05606-y.

Online ahead of print.

Affiliations

¹ College of Social and Behavioral Sciences, Northwest University, 6710 108th Ave NE, Kirkland, WA, 98033, USA. sara.holtman@northwestu.edu.
² Fraser, 3333 University Ave SE, Minneapolis, MN, 55414, USA. sara.holtman@northwestu.edu.
³ College of Social and Behavioral Sciences, Northwest University, 6710 108th Ave NE, Kirkland, WA, 98033, USA.
⁴ Fraser, 3333 University Ave SE, Minneapolis, MN, 55414, USA.
⁵ Department of Educational Psychology, University of Minnesota, Twin Cities, 3333 University Ave SE, Minneapolis, MN, 55414, USA.

Item in Clipboard

Sara Julsrud Holtman et al.

J Autism Dev Disord.

2022.

doi: 10.1007/s10803-022-05606-y.

Online ahead of print.

Affiliations

¹ College of Social and Behavioral Sciences, Northwest University, 6710 108th Ave NE, Kirkland, WA, 98033, USA. sara.holtman@northwestu.edu.
² Fraser, 3333 University Ave SE, Minneapolis, MN, 55414, USA. sara.holtman@northwestu.edu.
³ College of Social and Behavioral Sciences, Northwest University, 6710 108th Ave NE, Kirkland, WA, 98033, USA.
⁴ Fraser, 3333 University Ave SE, Minneapolis, MN, 55414, USA.
⁵ Department of Educational Psychology, University of Minnesota, Twin Cities, 3333 University Ave SE, Minneapolis, MN, 55414, USA.

Item in Clipboard

Abstract

Logistic regression was used to examine the use of Autism Spectrum diagnostic categories from pre-COVID-19 in-person evaluations and COVID-19 telehealth evaluations at a specialist community mental health clinic. The diagnostic classification for children 0-5 (DC: 0-5) affords a wider range of diagnoses that allowed for inferences of clinician certainty of diagnosis. Use of full criteria diagnoses was significantly lower from telehealth evaluations during the pandemic, and was less certain for younger children, some non-English speakers, and children reporting Native American/Alaska Native race. Higher Child Behavior Checklist (CBCL) ASD subscale scores, lower CBCL total scores, and global developmental delay diagnoses predicted greater use of full ASD diagnoses. Findings suggest factors that could identify children appropriate for telehealth evaluations.

Keywords:

Autism spectrum disorder; COVID-19; DC: 0–5; Diagnostic decision making; Logistic regression; Telehealth.

References

1. Achenbach, T. M., & Rescorla, L. A. (2000). Manual for the ASEBA preschool forms & profiles: An integrated system of multi-informant assessment; child behavior checklist for ages 1 1/2–5. University of Vermont.
1. Akaike, H. (1974). A new look at the statistical model identification. IEEE Transactions on Automatic Control, 19(6), 716–723. https://doi.org/10.1109/TAC.1974.1100705
  
  –
  
  DOI
1. Alfuraydan, M., Croxall, J., Hurt, L., Kerr, M., & Brophy, S. (2020). Use of telehealth for facilitating the diagnostic assessment of autism spectrum disorder (ASD): A scoping review. PLoS ONE, 15(7), 1–16. https://doi.org/10.1371/journal.pone.0236415
  
  –
  
  DOI
1. American Psychiatric Association. (2013). Diagnostic and statistical manual of mental disorders (5th ed.). American Psychiatric Association. https://doi.org/10.1176/appi.books.9780890425596
  
  –
  
  DOI
1. American Psychological Association. (2021). Stress in America 2021: Stress and decision-making during the pandemic. Retrieved December 1, 2021, from https://www.apa.org/news/press/releases/stress/2021/decision-making-octo…

[ad_2]

Source link

Abstract

References

Trending Topics

Features