Observation-centered Approach to ASD Assessment in Tanzania
Observation-centered Approach to ASD Assessment in Tanzania
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DOI：
10.1352/1934-9556-52.5.330
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发表时间：
2014-10-01
影响因子：
1.8
通讯作者：
Morrow, Eric M.
中科院分区：
文献类型：
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作者：
Harrison, Ashley J.;Zimak, Eric H.;Morrow, Eric M.
在许多低收入国家，缺乏自闭症谱系障碍（ASD）的评估服务。将为在坦桑尼亚有限的有效资源范围内进行跨文化评估提供指导方针。通过检查行为，社会和适应性差异，我们能够提供与最佳实践标准相一致的41名儿童在坦桑尼亚2-21岁的鉴别诊断评价。我们描述了一个灵活的，行为观察工具，儿童自闭症评定量表，第二版（CARS 2），收集诊断信息的文化敏感的方式的效用。我们观察到ASD组的CARS 2评分显著高于一般延迟对照组，F = 21.09，p <0.001，eta（2）= 0.37。还提出了对现行评估工具进行文化调整的其他建议，以便在坦桑尼亚等没有规范工具的国家使用。
In many lower-income countries, there is a paucity of assessment services for autism spectrum disorders (ASD)., Guidelines will be provided for conducting cross-cultural assessments in the context of limited validated resources in Tanzania. By examining behavioral, social, and adaptive differences we were able to provide differential diagnostic evaluations aligning with best practice standards for 41 children in Tanzania age 2-21 years. We describe the utility of a flexible, behavioral observation instrument, the Childhood Autism Rating Scales, Second Edition (CARS2), to gather diagnostic information in a culturally sensitive manner. We observed that the ASD group was characterized by significantly higher scores on the CARS2, F = 21.09, p < .001, eta(2) = .37, than the general delay comparison group. Additional recommendations are provided for making cultural adaptations to current assessment instruments for use in a country without normed instruments, such as Tanzania.