Title |
Early Identification of ASD Through Telemedicine: Potential Value for Underserved Populations
|
---|---|
Published in |
Journal of Autism and Developmental Disorders, March 2018
|
DOI | 10.1007/s10803-018-3524-y |
Pubmed ID | |
Authors |
A. Pablo Juárez, Amy S. Weitlauf, Amy Nicholson, Anna Pasternak, Neill Broderick, Jeffrey Hine, J. Alacia Stainbrook, Zachary Warren |
Abstract |
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. |
X Demographics
Geographical breakdown
Country | Count | As % |
---|---|---|
Saudi Arabia | 14 | 22% |
United States | 8 | 12% |
United Kingdom | 7 | 11% |
Spain | 4 | 6% |
Venezuela, Bolivarian Republic of | 3 | 5% |
Canada | 3 | 5% |
Australia | 1 | 2% |
Sweden | 1 | 2% |
Syrian Arab Republic | 1 | 2% |
Other | 4 | 6% |
Unknown | 19 | 29% |
Demographic breakdown
Type | Count | As % |
---|---|---|
Members of the public | 56 | 86% |
Scientists | 7 | 11% |
Science communicators (journalists, bloggers, editors) | 1 | 2% |
Practitioners (doctors, other healthcare professionals) | 1 | 2% |
Mendeley readers
Geographical breakdown
Country | Count | As % |
---|---|---|
Unknown | 209 | 100% |
Demographic breakdown
Readers by professional status | Count | As % |
---|---|---|
Researcher | 25 | 12% |
Student > Master | 23 | 11% |
Student > Doctoral Student | 23 | 11% |
Student > Ph. D. Student | 20 | 10% |
Student > Bachelor | 17 | 8% |
Other | 40 | 19% |
Unknown | 61 | 29% |
Readers by discipline | Count | As % |
---|---|---|
Psychology | 55 | 26% |
Medicine and Dentistry | 31 | 15% |
Nursing and Health Professions | 10 | 5% |
Social Sciences | 9 | 4% |
Neuroscience | 8 | 4% |
Other | 24 | 11% |
Unknown | 72 | 34% |