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Short caregiver interview and play observation for early screening of autism spectrum disorder: Behavior development screening for toddlers (BeDevel)
Autism Research ( IF 4.7 ) Pub Date : 2021-03-31 , DOI: 10.1002/aur.2510
Guiyoung Bong 1 , So Yoon Kim 2 , Da-Yea Song 1 , Jeong-Heun Kim 3 , Yoohwa Hong 4 , Nan-He Yoon 5 , Hyunjung Sunwoo 6 , Jeong Yun Jang 1 , Miae Oh 7 , Jong Myeong Kim 1 , Kyung-Sook Lee 8, 9 , Seokjin Jung 9 , Chang Won Choi 10, 11 , Ju Seok Ryu 12, 13 , Hee Jeong Yoo 1, 14
Affiliation  

This study validates behavior development screening for toddlers (BeDevel), which utilizes a combination of short caregiver interviews (BeDevel-I) and semistructured play observations (BeDevel-P). The data of 431 toddlers (male 66.2%; mean age (SD) = 29.11 (8.59) months; ASD, n = 201; developmental delay, n = 46; typically developing, n = 184), aged 18 ~ 42 months, were included in the validation of BeDevel. The best clinical estimate diagnosis, screening rate, validity, sensitivity, and reliability of BeDevel were determined based on data cross-sectionally collected using BeDevel and existing diagnostic/screening instruments: autism diagnostic observation schedule (ADOS), autism diagnostic interview (ADI-R), Vineland adaptive behavior scales-II (VABS-II), social response scales (SRS), sequenced language scale for infants (SELSI), Korean childhood autism rating scale (K-CARS), and Korean social communication questionnaire (K-SCQ). The k values of BeDevel-I and BeDevel-P were 0.055 ~ 0.732 and 0.291 ~ 0.752, respectively. Items related to social referencing in BeDevel-P had a particularly high diagnostic validity (k = 0.483 ~ 0.684). Reliabilities of BeDevel-I and BeDevel-P were sufficient (Cronbach's alpha = 0.86 ~ 0.88 and 0.92 ~ 0.95, respectively). BeDevel-I and BeDevel-P showed high sensitivity (BeDevel-I: 85.00 ~ 89.29%; BeDevel-P: 85.00 ~ 91.75%), specificity (BeDevel-I: 77.55 ~ 89.55%; BeDevel-P: 85.09 ~ 97.01%), PPV (BeDevel-I: 70.83 ~ 88.54%; BeDevel-P: 81.52 ~ 94.68%), and NPV (BeDevel-I: 76.00 ~ 95.24%; BeDevel-P: 84.62 ~ 95.45%). The agreement between the composite BeDevel score and ADOS, ADI-R, K-CARS, and K-SCQ was >67.6% (range = 67.6 ~ 90.8%). Combining a short caregiver interview and direct play observation is a valid and reliable screening process. More studies on social referencing as an important early marker are needed. BeDevel can be utilized as a secondary screening instrument before diagnostic confirmation in clinical and community settings.

中文翻译:

自闭症谱系障碍早期筛查的短期看护者访谈和游戏观察:幼儿行为发展筛查(BeDevel)

本研究验证了幼儿行为发展筛查 (BeDevel),该筛查结合了短期看护者访谈 (BeDevel-I) 和半结构化游戏观察 (BeDevel-P)。431 名幼儿(男性 66.2%;平均年龄 ( SD ) = 29.11 (8.59) 个月;ASD,n = 201;发育迟缓,n = 46;典型发育,n)的数据= 184),年龄 18 ~ 42 个月,被纳入 BeDevel 的验证。BeDevel 的最佳临床评估诊断、筛查率、有效性、敏感性和可靠性是根据使用 BeDevel 和现有诊断/筛查工具横断面收集的数据确定的:自闭症诊断观察计划 (ADOS)、自闭症诊断访谈 (ADI-R) )、Vineland 适应性行为量表-II (VABS-II)、社会反应量表 (SRS)、婴儿序列语言量表 (SELSI)、韩国儿童自闭症评定量表 (K-CARS) 和韩国社会交往问卷 (K-SCQ) )。BeDevel-I 和 BeDevel-P的k值分别为 0.055 ~ 0.732 和 0.291 ~ 0.752。BeDevel-P 中与社会参考相关的项目具有特别高的诊断效度(k= 0.483 ~ 0.684)。BeDevel-I 和 BeDevel-P 的可靠性是足够的(Cronbach's alpha = 0.86 ~ 0.88 和 0.92 ~ 0.95,分别)。BeDevel-I 和 BeDevel-P 表现出高灵敏度(BeDevel-I:85.00 ~ 89.29%;BeDevel-P:85.00 ~ 91.75%)、特异性(BeDevel-I:77.55 ~ 89.55%;BeDevel-P:85.09 ~ 9)9 , PPV (BeDevel-I: 70.83 ~ 88.54%; BeDevel-P: 81.52 ~ 94.68%), 和 NPV (BeDevel-I: 76.00 ~ 95.24%; BeDevel-P: 84.62 ~ 95.45%)。BeDevel 综合评分与 ADOS、ADI-R、K-CARS 和 K-SCQ 之间的一致性>67.6%(范围 = 67.6 ~ 90.8%)。将简短的看护者访谈和直接的游戏观察相结合是一个有效且可靠的筛选过程。需要对社会参考作为重要的早期标记进行更多研究。
更新日期:2021-03-31
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