Early Identification of ASD Through Telemedicine: Potential Value for Underserved Populations
Early Identification of ASD Through Telemedicine: Potential Value for Underserved Populations
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DOI：
10.1007/s10803-018-3524-y
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发表时间：
2018-08-01
影响因子：
3.9
通讯作者：
Warren, Zachary
中科院分区：
文献类型：
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作者：
Juarez, A. Pablo;Weitlauf, Amy S.;Warren, Zachary
增加获得诊断服务的机会对于识别幼儿ASD至关重要。因此，我们评估了远程医疗评估程序。首先，我们比较了远程诊断的准确性，盲金标准评估（n = 20）。通过远程医疗确定的ASD病例通过亲自评估确认。然而，20%的ASD儿童没有通过远程医疗诊断出来。其次，我们评估了远程诊断的可行性和可接受性，在农村集水区。儿童（n = 45）和照顾者完成了远程医疗程序，并提供反馈。家庭表示高度满意。远程诊断临床医生诊断出62%的ASD儿童，但在13%的病例中无法确定是否患有ASD。研究结果支持初步的可行性，准确性和临床效用的远程医疗为基础的评估ASD的幼儿。
Increasing access to diagnostic services is crucial for identifying ASD in young children. We therefore evaluated a telemedicine assessment procedure. First, we compared telediagnostic accuracy to blinded gold-standard evaluations (n = 20). ASD cases identified via telemedicine were confirmed by in-person evaluation. However, 20% of children diagnosed with ASD in-person were not diagnosed via telemedicine. Second, we evaluated telediagnostic feasibility and acceptability in a rural catchment. Children (n = 45) and caregivers completed the telemedicine procedure and provided feedback. Families indicated high levels of satisfaction. Remote diagnostic clinicians diagnosed 62% of children with ASD, but did not feel capable of ruling-in or out ASD in 13% of cases. Findings support preliminary feasibility, accuracy, and clinical utility of telemedicine-based assessment of ASD for young children.