Johnny L Matson, Megan M Callahan, Joshua J Montrenes
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引用次数: 0
摘要
目的:早期识别自闭症谱系障碍(ASD)通过筛选诊断措施是一个高度优先。目前，由于需要更好的敏感性和特异性，对一种筛查方法尚无共识。在这项研究中，我们报告了Baby -BISCUIT的开发和应用，这是一个基于婴儿和婴儿自闭症特征筛查(BISCUIT)中修改的项目子集的六项筛选器。方法:在路易斯安那州早期步骤项目的年度筛查中，对504名年龄在17- 39个月之间的儿童进行了测试，这些儿童包括被确定有神经发育和其他健康障碍风险的幼儿。结果:探索性因素分析得出单因素解决方案(X2 = 48.62, df = 9, p =)结论:本研究结果表明，BABY-BISCUIT有潜力成为一种简短且易于管理的ASD筛查工具，以告知是否需要进一步的ASD评估。建议进一步研究已建立的ASD措施的收敛效度。
Development and initial testing of the BABY-BISCUIT in an at-risk population.
Purpose: Early identification of autism spectrum disorder (ASD) via screeners for diagnostic measures are a high priority. At present, there is no consensus on one screener due to the need for better sensitivity and specificity. In this study, we report on the development and utility of the BABY-BISCUIT, a six-item screener based on a modified subset of items from the Baby and Infant Screen for Children with aUtIsm Traits (BISCUIT).
Methods: A sample of 504 children between 17-3 9months of age, who consisted of toddlers identified as at-risk for neurodevelopmental and other health disorders, were tested during an annual screening through the Louisiana EarlySteps program.
Results: An exploratory factor analysis yielded a one-factor solution (X2 = 48.62, df = 9, p = <.001). High sensitivity (i.e., 100.0%) at the cost of reduced specificity (i.e., 33.3%, AUC = 0.957) was found for an optimal screening cutoff score of 1.
Conclusions: Findings from this study suggest that the BABY-BISCUIT has the potential to be a short and easily administered screener for ASD to inform whether further ASD assessment is necessary. Further investigation of convergent validity with established ASD measures is recommended.
期刊介绍：
Developmental Neurorehabilitation aims to enhance recovery, rehabilitation and education of people with brain injury, neurological disorders, and other developmental, physical and intellectual disabilities. Although there is an emphasis on childhood, developmental disability can be considered from a lifespan perspective. This perspective acknowledges that development occurs throughout a person’s life and thus a range of impairments or diseases can cause a disability that can affect development at any stage of life.
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