What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early ... View Full Text


Ontology type: schema:ScholarlyArticle     


Article Info

DATE

2019-02-05

AUTHORS

R. Christopher Sheldrick, Elizabeth Frenette, Juan Diego Vera, Thomas I. Mackie, Frances Martinez-Pedraza, Noah Hoch, Abbey Eisenhower, Angel Fettig, Alice S. Carter

ABSTRACT

U.S. guidelines for detecting autism emphasize screening and also incorporate clinical judgment. However, most research focuses on the former. Among 1,654 children participating in a multi-stage screening protocol for autism, we used mixed methods to evaluate: (1) the effectiveness of a clinical decision rule that encouraged further assessment based not only on positive screening results, but also on parent or provider concern, and (2) the influence of shared decision-making on screening administration. Referrals based on concern alone were cost-effective in the current study, and reported concerns were stronger predictors than positive screens of time-to-complete referrals. Qualitative analyses suggest a dynamic relationship between parents' concerns, providers' concerns, and screening results that is central to facilitating shared decision-making and influencing diagnostic assessment. More... »

PAGES

1-16

References to SciGraph publications

Identifiers

URI

http://scigraph.springernature.com/pub.10.1007/s10803-019-03913-5

DOI

http://dx.doi.org/10.1007/s10803-019-03913-5

DIMENSIONS

https://app.dimensions.ai/details/publication/pub.1111949398

PUBMED

https://www.ncbi.nlm.nih.gov/pubmed/30726534


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