Multi-stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities.
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% b...
| Publicado en: | Journal of Autism & Developmental Disorders Vol. 51; no. 3; pp. 868 - 884 |
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| Autores principales: | , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Mar2021
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| Acceso en línea: | Ver este registro en EBSCOhost |
| fields | @attributes: recordID: 1 pdfLink: plink: https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=149248368&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 149248368 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01623257 AUT jtl: Journal of Autism & Developmental Disorders issn: 01623257 maglogo: N pubinfo: dt: Mar2021 vid: 51 iid: 3 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 149248368 143909311 149248368 149248368 10.1007/s10803-020-04429-z 149248368 ppf: 868 ppct: 16 formats: fmt: @attributes: type: P tig: atl: Multi-stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities. aug: au: Eisenhower, Abbey Martinez Pedraza, Frances Sheldrick, R. Christopher Frenette, Elizabeth Hoch, Noah Brunt, Sophie Carter, Alice S. affil: Department of Psychology, University of Massachusetts Boston, 100 Morrissey Blvd., 02125, Boston, MA, USA sug: subj: Health Screening Early Intervention Autism Spectrum Disorder Diagnosis Healthcare Disparities Health Services Accessibility Human Infant Child, Preschool Descriptive Statistics Male Female Color Language Insurance, Health Logistic Regression Diagnosis, Laboratory Insurance Coverage Early Diagnosis Program Implementation Infant: 1-23 months Child, Preschool: 2-5 years Male Female ab: 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. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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