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Socioemotional and Autism Spectrum Disorder Screening for Toddlers in Early Intervention: Agreement Among Measures
Journal of Early Intervention ( IF 1.925 ) Pub Date : 2019-10-16 , DOI: 10.1177/1053815119880607
Dana Kamara 1 , Katherine Walton 1 , Andrea N. Witwer 1
Affiliation  

Identification of problems with socioemotional functioning is an important task in early childhood, particularly for children in early intervention (EI). However, socioemotional concerns raised by families may be under-identified in practice. In accordance with Division for Early Childhood (DEC) recommended practices, Part C providers could benefit from additional guidance on socioemotional screening and assessment, including additional research on available tools. Therefore, we examined agreement among three commonly used measures of socioemotional functioning in an EI sample (N = 50). Overall, the measures did not have adequate agreement. We found substantial agreement between the Ages and Stages Questionnaires: Social-Emotional (ASQ:SE, first edition) and the Brief Infant Toddler Social-Emotional Assessment (BITSEA), moderate agreement between the ASQ:SE and the Child Behavior Checklist (CBCL), and fair agreement between the BITSEA and CBCL. We also examined their potential to screen for autism spectrum disorder (ASD) by examining agreement with the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F). The BITSEA had substantial agreement with the M-CHAT-R/F, providing initial support for its use as an ASD screener. These findings are preliminary and further study in larger, more diverse samples would be beneficial. Evaluation of the sensitivity and specificity of these tools is also needed.

中文翻译:

早期干预中幼儿的社会情绪和自闭症谱系障碍筛查:措施之间的一致性

识别社会情绪功能问题是幼儿期的一项重要任务,特别是对于早期干预 (EI) 中的儿童。然而,家庭提出的社会情感问题在实践中可能未被充分识别。根据幼儿部 (DEC) 推荐的做法,C 部分提供者可以受益于关于社会情绪筛查和评估的额外指导,包括对可用工具的额外研究。因此,我们检查了 EI 样本(N = 50)中三种常用的社会情绪功能测量之间的一致性。总体而言,这些措施没有达成足够的共识。我们发现年龄和阶段问卷:社会情感(ASQ:SE,第一版)和简短的婴儿幼儿社会情感评估(BITSEA)之间有实质性的一致性,ASQ:SE 和儿童行为检查表 (CBCL) 之间的适度一致,以及 BITSEA 和 CBCL 之间的公平一致。我们还通过检查与经修订的幼儿自闭症修改清单 (M-CHAT-R/F) 的一致性,检查了他们筛查自闭症谱系障碍 (ASD) 的潜力。BITSEA 与 M-CHAT-R/F 达成了实质性协议,为其用作 ASD 筛选器提供了初步支持。这些发现是初步的,在更大、更多样化的样本中进行进一步研究将是有益的。还需要评估这些工具的敏感性和特异性。我们还通过检查与经修订的幼儿自闭症修改清单 (M-CHAT-R/F) 的一致性,检查了他们筛查自闭症谱系障碍 (ASD) 的潜力。BITSEA 与 M-CHAT-R/F 达成了实质性协议,为其用作 ASD 筛选器提供了初步支持。这些发现是初步的,在更大、更多样化的样本中进行进一步研究将是有益的。还需要评估这些工具的敏感性和特异性。我们还通过检查与经修订的幼儿自闭症修改清单 (M-CHAT-R/F) 的一致性,检查了他们筛查自闭症谱系障碍 (ASD) 的潜力。BITSEA 与 M-CHAT-R/F 达成了实质性协议,为其用作 ASD 筛选器提供了初步支持。这些发现是初步的,在更大、更多样化的样本中进行进一步研究将是有益的。还需要评估这些工具的敏感性和特异性。
更新日期:2019-10-16
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