Use of Telehealth in Autism Spectrum Disorder Assessment in Children: Evaluation of an Online Diagnostic Protocol Including the Brief Observation of Symptoms of Autism.
The COVID-19 pandemic revealed the need to develop the field of remote assessment for autism spectrum disorders (ASD). The purpose of the study was to evaluate an online assessment protocol that includes the Brief Observation of Symptoms of Autism (BOSA). The online protocol consisting of BOSA and t...
| Publicado en: | Journal of Autism & Developmental Disorders Vol. 56; no. 1; pp. 148 - 162 |
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| Autores principales: | , , , , , , , , , , , |
| Formato: | research tables/charts Journal Article |
| Publicado: |
Springer Nature
Jan2026
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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=191290289&site=ehost-live header: @attributes: shortDbName: ccm uiTerm: 191290289 longDbName: CINAHL Complete uiTag: AN controlInfo: bkinfo: dissinfo: jinfo: jid: 01623257 AUT jtl: Journal of Autism & Developmental Disorders issn: 01623257 maglogo: N pubinfo: dt: Jan2026 vid: 56 iid: 1 pid: 237 pub: Springer Nature place: New York, New York artinfo: ui: 191290289 179921745 191290289 191290289 10.1007/s10803-024-06524-x 191290289 ppf: 148 ppct: 14 formats: fmt: – @attributes: type: T – @attributes: type: P tig: atl: Use of Telehealth in Autism Spectrum Disorder Assessment in Children: Evaluation of an Online Diagnostic Protocol Including the Brief Observation of Symptoms of Autism. aug: au: Stroupková, Lucie Vyhnalová, Martina Kolář, Senad Knedlíková, Lenka Packanová, Ivona Bittnerová, Anna Marie Nováková, Nela Kučerová, Hana Přikrylová Horák, Ondřej Ošlejšková, Hana Theiner, Pavel Danhofer, Pavlína affil: https://ror.org/00qq1fp34 Department of Pediatric Neurology, Faculty of Medicine, Masaryk University and University Hospital Brno, Brno, Czech Republic sug: subj: Autism Spectrum Disorder Diagnosis Telemedicine Utilization Neuropsychological Tests Methods Treatment Outcomes Human Male Female Infant Child, Preschool Child Remote Consultation Interview Guides Clinical Assessment Tools Sensitivity and Specificity Predictive Value of Tests Reproducibility of Results Caregivers Psychosocial Factors Diagnostic Errors Triage Methods Interrater Reliability kappa Statistic Kendall's tau Data Analysis Software Funding Source Infant: 1-23 months Child, Preschool: 2-5 years Child: 6-12 years Male Female ab: The COVID-19 pandemic revealed the need to develop the field of remote assessment for autism spectrum disorders (ASD). The purpose of the study was to evaluate an online assessment protocol that includes the Brief Observation of Symptoms of Autism (BOSA). The online protocol consisting of BOSA and the Autism Diagnostic Interview—Revised (ADI-R) was administered by experienced examiners to 29 children with suspected ASD. The participants were then evaluated by clinical psychologists in a standard clinical setting using the Autism Diagnostic Observation Schedule-2 (ADOS-2) and other methods, and the ASD diagnosis was confirmed or ruled out. The results show substantial to moderate inter-rater agreement between the online and face-to-face raters with the value of Cohen's Kappa = 0.66 (P < 0.001); this corresponds with 79.8% agreement. The sensitivity of the protocol was approx. 94.7%, the specificity was 70%, the positive predictive value was 85.7%, and the negative predictive value was 87.5%. Further, direct false positive or false negative diagnostic conclusions based on the online protocol were absent when the possible conclusion of "I cannot decide" was included. The items B9 Showing, B10 Spontaneous Initiation of Joint Attention, B1 Unusual Eye Contact, B3 Facial Expressions Directed to Others, and C2 Imagination/Creativity were shown to be well observable in BOSA when related to ADOS-2 scoring. The results indicate that the protocol consisting of BOSA and ADI-R administered by an experienced examiner is a promising combination of tools for remote autism assessment. pubtype: Academic Journal doctype: research tables/charts Journal Article ougenre: Article language: English refInfo: holdings: @attributes: islocal: N |
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