Validation of an Enhanced Telehealth Platform for Toddlers at Increased Likelihood for a Diagnosis of Autism Spectrum Disorder (ASD).
Validation of an Enhanced Telehealth Platform for Toddlers at Increased Likelihood for a Diagnosis of Autism Spectrum Disorder (ASD).
复制标题
验证增强型幼儿远程医疗平台，提高诊断自闭症谱系障碍 (ASD) 的可能性。
DOI：
10.1007/s10803-023-06116-1
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发表时间：
2023
影响因子：
3.9
通讯作者：
Oberleitner,Ron
中科院分区：
文献类型：
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作者：
Morrier,MichaelJ;Schwartz,AllisonJ;Rice,CatherineE;Platner,Amanda;Ousley,OpalY;Kassem,Sara;Krishnan,AshwinV;Lord,Catherine;Smith,ChristopherJ;Oberleitner,Ron
Use of telehealth assessments for toddlers at increased likelihood of autism spectrum disorder (ASD) began prior to the global COVID-19 pandemic; however, the value of telehealth assessments as an alternative to in-person assessment (IPA) became clearer during the pandemic. The Naturalistic Observation Diagnosis Assessment (NODA™), previously demonstrated as a valid and reliable tool to evaluate asynchronous behaviors for early diagnosis, was enhanced to add synchronous collection of behaviors to assist clinicians in making a differential diagnosis of ASD. This study was conducted to validate the information gathered through NODA-Enhanced (NODA-E™) as compared to a gold standard IPA. Forty-nine toddlers aged 16.0–32.1 months of age, recruited through community pediatric offices and a tertiary ASD clinic, participated in both NODA-E and IPA assessments. There was high agreement between the two assessment protocols for overall diagnosis (46 of 49 cases; 93.6%; κ = .878), specific diagnostic criteria for social communication and social interaction (SCI; range 95.9–98%; κ = .918—.959), and for two of four criteria specified for restricted and repetitive behaviors (RRB; range 87.8–98%; κ = .755 and .959). There was lower agreement for two subcategories of RRBs (range 65.3–67.3%; κ = .306 and .347). NODA-E is a tool that can assist clinicians in making reliable and valid early ASD diagnoses using both asynchronous and synchronous information gathered via telehealth and offers an additional tool within a clinician’s assessment toolbox.
