Journal ArticleDOI
The Each Child Study: Systematic Screening for Autism Spectrum Disorders in a Pediatric Setting
Judith Miller,Terisa P. Gabrielsen,Michele E. Villalobos,Rebecca Alleman,Natalie Wahmhoff,Paul S. Carbone,Brandon Segura +6 more
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TLDR
A partnership between pediatricians and autism specialists resulted in effective, systematic autism screening, and future studies should examine how to create effective systems of care.Abstract:
OBJECTIVE: The goal of this study was to investigate the feasibility and outcome of a systematic autism screening process for all toddlers (aged 14–30 months) in a large, community-based pediatric practice. METHODS: All toddlers who presented to the clinic during the 6-month screening period were eligible. We used 2 screening questionnaires and allowed physicians to refer directly to capture as many children as possible. Receptionists and medical assistants distributed and collected screening questionnaires; research staff did all scoring and follow-up, either by telephone or in person when indicated. RESULTS: We obtained a high rate of screening (80% of eligible children). Of the 796 children screened, 3 had already been diagnosed with an autism spectrum disorder (ASD); an additional 10 children who showed signs of early ASD that warranted further evaluation or intervention were identified. Formal screening measures identified more children with ASD than did clinical judgment or caregiver concerns; however, no single method (ie, questionnaire, caregiver concerns, provider concerns) identified all children with signs of early ASD. We had excellent participation from racially and ethnically diverse families, including Spanish-speaking families. Thirty-two percent of the children who were screened did not present for a well-child visit during the study period and were screened at a sick visit, follow-up visit, or injection appointment. CONCLUSIONS: A partnership between pediatricians and autism specialists resulted in effective, systematic autism screening. Future studies should examine how to create effective systems of care.read more
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Journal ArticleDOI
Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research
Lonnie Zwaigenbaum,Margaret L. Bauman,Deborah Fein,Karen Pierce,Timothy Buie,Patricia A. Davis,Craig J. Newschaffer,Diana L. Robins,Amy M. Wetherby,Roula Choueiri,Connie Kasari,Wendy L. Stone,Nurit Yirmiya,Annette Estes,Robin L Hansen,James C. McPartland,Marvin R. Natowicz,Alice S. Carter,Doreen Granpeesheh,Zoe Mailloux,Susanne Smith Roley,Sheldon L. Wagner +21 more
TL;DR: Current evidence indicates that screening in children aged 18 to 24 months can assist in early detection of autism spectrum disorder, consistent with current American Academy of Pediatrics’ recommendations.
Therapies for Children With Autism Spectrum Disorder: Behavioral Interventions Update
Amy S. Weitlauf,Melissa L McPheeters,Brittany Peters,Nila A Sathe,Rebekah Travis,Rachel Aiello,Edwin Williamson,Jeremy Veenstra-VanderWeele,Shanthi Krishnaswami,Rebecca N Jerome,Zachary Warren +10 more
TL;DR: A prior systematic review of interventions for children (0-12 years) with autism spectrum disorder (ASD) focusing on recent studies of behavioral interventions was published in 2013.
Journal ArticleDOI
Screening Young Children for Autism Spectrum Disorders in Primary Practice
TL;DR: The authors review several early screening tools currently in use and offer recommendations for integrating autism specific screening into primary care practice.
Journal ArticleDOI
The First Year Inventory: a longitudinal follow-up of 12-month-old to 3-year-old children
TL;DR: The results suggest that the First Year Inventory is a promising tool for identifying 12-month-old infants who are at risk for an eventual diagnosis of autism spectrum disorder.
Journal ArticleDOI
Evidence-based milestone ages as a framework for developmental surveillance
TL;DR: A novel, five-sector milestone framework with upper limits, referenced to the best available level of evidence, is presented and may help physicians to better recognize failed milestones to facilitate early identification of children at risk for developmental disorders.
References
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Journal ArticleDOI
Autism Diagnostic Interview-Revised: a revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders
TL;DR: The revised interview has been reorganized, shortened, modified to be appropriate for children with mental ages from about 18 months into adulthood and linked to ICD-10 and DSM-IV criteria.
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The autism diagnostic observation schedule-generic: a standard measure of social and communication deficits associated with the spectrum of autism.
Catherine Lord,Susan Risi,Linda Lambrecht,Edwin H. Cook,Bennett L. Leventhal,Pamela C. DiLavore,Andrew Pickles,Michael Rutter +7 more
TL;DR: Algorithm sensitivities and specificities for autism and PD DNOS relative to nonspectrum disorders were excellent, with moderate differentiation of autism from PDDNOS.
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Mullen Scales of Early Learning
TL;DR: The Mullen Scales of Early Learning (MSEL) as mentioned in this paper includes five scales that provide information on cognitive and motor ability, including Gross Motor (0-33 months only), Visual Reception, Fine Motor, Expressive Language and Receptive Language.
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The Modified Checklist for Autism in Toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders.
TL;DR: Six items pertaining to social relatedness and communication were found to have the best discriminability between children diagnosed with and without autism/PDD.
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Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening
John C. Duby,Paul H. Lipkin,Michelle M. Macias,Lynn M. Wegner,Paula Duncan,Joseph F. Hagan,W. Carl Cooley,Nancy L. Swigonski,Paul G. Biondich,Donald J. Lollar,Jill Ackermann,Amy Brin,Mary Crane,Amy Gibson,Stephanie Mucha Skipper,Darcy Steinberg-Hastings,Melissa Capers +16 more
TL;DR: The authors recommend that developmental surveillance be incorporated at every well-child preventive care visit, and children diagnosed with developmental disorders should be identified as children with special health care needs, and chronic-condition management should be initiated.