Abstract
Introduction
The primary goal of this article is to describe an intake process and results of screening
for developmental and autism spectrum disorders in children referred to a tertiary
center. A secondary analysis of abnormal screening results, demographic variables,
and parental concerns of autism was conducted, along with a correlation analysis between
developmental and autism-specific screening tools.
Methods
A total of 379 children younger than 6 years were “prescreened” with the Ages and
Stages Questionnaire-3 and the Modified Checklist for Autism in Toddlers or the Social
Communication Questionnaire. Medical records were reviewed to identify demographic
variables and parental primary concerns.
Results
In approximately 11% of participants who screened positive for autism, no parental
concerns of autism were present. Medium effect size correlations were found between
the failed autism screening tools and delays in two domains on the Ages and Stages
Questionnaire-3.
Discussion
Clinical implications are addressed concerning diligent use of developmental and autism-specific
rating scales to identify children at risk.
Key Words
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References
Agency for Healthcare Research and Quality. (2008). Creation of new race-ethnicity codes and SES indicators for Medicare beneficiaries—Chapter 3. Retrieved from http://www.ahrq.gov/research/findings/final-reports/medicareindicators/medicareindicators3.html
- Examination of the factor structure and agreement of three questionnaires for identifying young children at risk for autism spectrum disorders (Unpublished doctoral dissertation).University of Oregon, Eugene2012
- Enhancing developmentally oriented primary care: An Illinois initiative to increase developmental screening in medical homes.Pediatrics. 2010; 126: S160-S164
- Diagnostic and statistical manual of mental disorders.5th ed. Author, Washington, DC2013
- Autism spectrum disorders in infancy and toddlerhood: A review of the evidence on early signs, early identification tools, and early diagnosis.Journal of Developmental and Behavioral Pediatrics. 2009; 30: 447-459
- Economic costs and benefits of early intervention.in: Meisels S.J. Shonkoff J.P. Handbook of early childhood intervention. Cambridge University Press, Cambridge1990
- Changes in prevalence of parent-reported autism spectrum disorder in school aged U.S. children: 2007 to 2011-2012.National Health Statistics Report. 2013; 65: 1-7
- Trends in the prevalence of developmental disabilities in US children, 1997-2008.Pediatrics. 2011; 127: 1034-1042
- Prevalence of autism spectrum disorders— autism and developmental monitoring network, 14 sites, United States, 2008.Morbidity and Mortality Weekly Report. 2012; 61: 1-18
- A model of early detection and diagnosis of autism spectrum disorder in young children.Infants and Young Children. 2005; 18: 200-211
- Developmental surveillance and screening of infants and young children.Pediatrics. 2001; 108: 192-196
- Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening.Pediatrics. 2006; 118: 405-420
- Research into earliest detectable signs of autism: What parents say.Communication. 1993; 27: 17-18
- Evidence-based approach to developmental and behavioral surveillance using parents' concerns.Child: Care, Health and Development. 2000; 26: 137-149
- Screening for developmental and behavioral problems.Mental Retardation and Developmental Disabilities Research Reviews. 2005; 11: 173-179
- Characteristics of infantile autism: Moving toward earlier detection.Focus on Autism and Other Developmental Disabilities. 2004; 19: 5-12
- Child development and long-term outcomes: A population health perspective and summary of successful interventions.Social Science & Medicine. 1996; 43: 1083-1095
- Impact of implementing developmental screening at 12 and 24 months in a pediatric practice.Pediatrics. 2007; 120: 381-389
- The diagnosis of autism and Asperger syndrome: Findings from a survey of 770 families.Developmental Medical Child Neurology. 1999; 41: 834-839
- Identification and evaluation of children with autism spectrum disorders.Pediatrics. 2007; 120: 1183-1215
- The Modified Checklist for Autism in Toddlers: A follow-up study investigating the early detection of autism spectrum disorders.Journal of Autism and Developmental Disorders. 2008; 38: 827-839
- Behavioral treatment and normal educational and intellectual functioning in young autistic children.Journal of Consulting and Clinical Psychology. 1987; 55: 3-9
- Long-term outcome for children with autism who received early intensive behavioral treatment.American Journal of Mental Retardation. 1993; 97: 359-372
- The each child study: Systematic screening for autism spectrum disorders in a pediatric setting.Pediatrics. 2011; 127: 866-871
- Trends in the use of standardized tools for developmental screening in early childhood: 2002-2009.Pediatrics. 2011; 128: 14-19
- Comprehensive synthesis of early intensive behavioral interventions for young children with autism based on the UCLA young autism project model.Journal of Autism and Developmental Disorders. 2009; 39: 23-41
Robins, D. L., Fein, D., & Barton, M. L. (1999). Follow-up interview for the Modified Checklist for Autism in Toddlers (M-CHAT FUI). Unpublished raw data. Retrieved from https://www.m-chat.org/
- The Modified Checklist for Autism in Toddlers: An initial study investigating the early detection of autism and pervasive developmental disorders.Journal of Autism and Developmental Disorders. 2001; 31: 131-144
- Screening for developmental delay in the setting of a community pediatric clinic: A prospective assessment of parent-report questionnaires.Pediatrics. 2006; 118: e1178-e1186
- How do primary care physicians identify young children with developmental delays? A national survey.Journal of Developmental and Behavioral Pediatrics. 2003; 24 (Retrieved from): 409-417
- Parents' detection of early signs in their children having an autism spectrum disorder.Journal of Pediatric Nursing. 2003; 18: 433-439
- A comparison of the Modified Checklist for Autism in Toddlers and the Social Communication Questionnaire in preschoolers with autism spectrum disorders.Autism. 2008; 12: 627-644
- Ages & Stages Questionnaires, Third Edition (ASQ-3).Brookes Publishing, Baltimore, MD2009
Torriente, N., & Ray, G. (2010). National shortage of pediatric subspecialists impede access to care. Retrieved from National Association of Children's Hospital and Related Institutions website: http://www.childrenshospitals.net/AM/Template.cfm?Section=Search3&template=/CM/HTMLDisplay.cfm&ContentID=49773
- Screening for autism spectrum disorders during well-child visits in a primary care setting.The Journal for Nurse Practitioners. 2011; 7 (Retrieved from): 229-235
- Examination of the time between first evaluation and first autism spectrum diagnosis in a population-based sample.Developmental and Behavioral Pediatrics. 2006; 27: S79-S87
Biography
Therese L. Mathews, Assistant Professor, Munroe-Meyer Institute, Omaha, NE.
Biography
Melissa Lynne King, Doctoral Student, University of Nebraska Medical Center, Munroe-Meyer Institute, Omaha, NE.
Biography
Kevin A. Kupzyk, Assistant Professor, College of Nursing, Munroe-Meyer Institute, Omaha, NE.
Biography
Candice M. Lake, Clinical Supervisor, Wedgwood Christian Services, Grand Rapids, MI.
Article info
Publication history
Published online: May 01, 2014
Footnotes
Conflicts of interest: None to report.
Identification
Copyright
© 2014 National Association of Pediatric Nurse Practitioners. Published by Elsevier Inc. All rights reserved.
