Multi-Stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities

Autor/inn/en	Eisenhower, Abbey; Martinez Pedraza, Frances; Sheldrick, R. Christopher; Frenette, Elizabeth; Hoch, Noah; Brunt, Sophie; Carter, Alice S.
Titel	Multi-Stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities
Quelle	In: Journal of Autism and Developmental Disorders, 51 (2021) 3, S.868-883 (16 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Carter, Alice S.)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	0162-3257
DOI	10.1007/s10803-020-04429-z
Schlagwörter	Autism; Pervasive Developmental Disorders; At Risk Persons; Racial Differences; Language Usage; Health Insurance; English Language Learners; Access to Health Care; Screening Tests; Clinical Diagnosis; Disability Identification; Toddlers; Preschool Children; Minority Group Children; Predictor Variables; Participation + Suchen Sie Ihr Suchwort? Autismus; Risikogruppe; Rassenunterschied; Sprachgebrauch; Krankenversicherung; Screening-Verfahren; Infant; Infants; Toddler; Kleinkind; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Prädiktor; Teilnahme
Abstract	Health disparities in ASD detection affect children's access to subsequent interventions. We examined potential disparities in implementation of a multi-stage ASD screening and diagnostic evaluation protocol in Part C Early Intervention with 4943 children ages 14-36 months (mean 22.0 months; 62.9% boys, 73.3% children of color, 34.9% non-English-primary language, 64.5% publicly-insured). Participation and follow-through were high (64.9% and 65.3% at first- and second-stage screening, respectively, 84.6% at diagnostic evaluation). Logistic regressions identified predictors of screening participation and outcomes at each stage; demographic differences (race, language, public insurance) were observed only at first-stage screening and reflected higher participation for children of color and higher positive screens for publicly-insured children. Results suggest the multi-stage screening protocol shows promise in addressing disparities in early diagnosis. (As Provided).
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Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01