Approaches to Enhancing the Early Detection of Autism Spectrum Disorders: A Systematic Review of the Literature

Daniels, Amy; Halladay, Alycia; Shih, Andy; Elder, Lauren; Dawson, Geraldine

doi:10.1016/j.jaac.2013.11.002

Cited by 107 publications

(94 citation statements)

References 51 publications

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“…The results show that most of these children in the southeastern region of Norway are diagnosed at a mean age of 46.4 months. This is in line with other international studies (8,17,(26)(27), and it is considerably later than research has indicated it possible (4,15). The study also explored the possible factors that affect the diagnostic age of children with ASD.…”

Section: Discussionsupporting

confidence: 81%

“…This study found that the age at referral did not differ significantly among the referring agencies, except for children who were referred through child welfare services. Several factors may contribute to the late referral, including comorbid conditions and challenges as a result of parental reluctance (15,18,20,28). All referring agencies in Norway observe children during consultations that last from 20 to 60 minutes, and there are often several months between such consultations.…”

Section: Discussionmentioning

confidence: 99%

“…The actual mean diagnostic age for children with ASD is higher at approximately 48 months of age, and diagnosis sometimes occurs even later (12)(13)(14)(15). Relevant studies of diagnostic age are outlined in Table 1.…”

mentioning

confidence: 99%

See 2 more Smart Citations

The Early Diagnosis of Preschool Children with Autism Spectrum Disorder in Norway: a Study of Diagnostic Age and Its Associated Factors

Larsen

2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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The early identification of autism spectrum disorder is important to ensure access to early intervention. Much research has focused on the identification of early behavioral symptoms and screening. This study examines referral for diagnostic assessment, diagnostic age, and factors associated with diagnostic age for children with autism spectrum disorder. The results of this study indicate that children are referred and diagnosed later than they should be. Previous research has identified a valid time for the identification and diagnosis of this disorder as well as the diagnostic procedures and types of clinics that are associated with the appropriate diagnostic age.

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Section: Discussionsupporting

confidence: 81%

Section: Discussionmentioning

confidence: 99%

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The Early Diagnosis of Preschool Children with Autism Spectrum Disorder in Norway: a Study of Diagnostic Age and Its Associated Factors

Larsen

2014

Scandinavian Journal of Child and Adolescent Psychiatry and Psychology

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“…9 The uptake of ASD screening into pediatric practice has been modest. 10,11 Although potential facilitatorsand barriers to ASD screening have been researched and debated, [11][12][13] screening rates in many regions of the United States remain low.…”

mentioning

confidence: 99%

“…Community-based interventions aimed at implementing or increasing utilization of ASD screening have emphasized training primary care physicians and their front-line staff, providing ongoing technical assistance (eg, scoring, data management support), and clear referral pathways for specialized assessments. 9,11,[14][15][16][17] However, ongoing debate regarding whether there is sufficient evidence in support of ASD screening to warrant widespread practice change 8,18 may undermine the degree to which community pediatricians are adopting the AAP policy.…”

mentioning

confidence: 99%

Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research

et al. 2015

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This article reviews current evidence for autism spectrum disorder (ASD) screening based on peer-reviewed articles published to December 2013. Screening provides a standardized process to ensure that children are systematically monitored for early signs of ASD to promote earlier diagnosis. The current review indicates that screening in children aged 18 to 24 months can assist in early detection, consistent with current American Academy of Pediatrics' recommendations. We identify ASD-specific and broadband screening tools that have been ev-aluated in large community samples which show particular promise in terms of accurate classification and clinical utility. We also suggest strategies to help overcome challenges to implementing ASD screening in community practice, as well as priorities for future research. Pediatrics 2015;136:S41-S59

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Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics

Downs

Bauer²,

Saha

et al. 2019

JAMA Netw Open

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IMPORTANCE Universal early screening for autism spectrum disorder (ASD) is recommended but not routinely performed. OBJECTIVE To determine whether computer-automated screening and clinical decision support can improve ASD screening rates in pediatric primary care practices. DESIGN, SETTING, AND PARTICIPANTS This cluster randomized clinical trial, conducted between November 16, 2010, and November 21, 2012, compared ASD screening rates among a random sample of 274 children aged 18 to 24 months in urban pediatric clinics of an inner-city county hospital system with or without an ASD screening module built into an existing decision support software system.

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Approaches to Enhancing the Early Detection of Autism Spectrum Disorders: A Systematic Review of the Literature

Cited by 107 publications

References 51 publications

The Early Diagnosis of Preschool Children with Autism Spectrum Disorder in Norway: a Study of Diagnostic Age and Its Associated Factors

The Early Diagnosis of Preschool Children with Autism Spectrum Disorder in Norway: a Study of Diagnostic Age and Its Associated Factors

Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research

Effect of a Computer-Based Decision Support Intervention on Autism Spectrum Disorder Screening in Pediatric Primary Care Clinics

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