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ERIC Number: EJ1217778
Record Type: Journal
Publication Date: 2019-Jun
Pages: 16
Abstractor: As Provided
ISSN: ISSN-0162-3257
What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking under the Hood of a Multi-Stage Screening Process in Early Intervention
Sheldrick, R. Christopher; Frenette, Elizabeth; Vera, Juan Diego; Mackie, Thomas I.; Martinez-Pedraza, Frances; Hoch, Noah; Eisenhower, Abbey; Fettig, Angel; Carter, Alice S.
Journal of Autism and Developmental Disorders, v49 n6 p2304-2319 Jun 2019
U.S. guidelines for detecting autism emphasize screening and also incorporate clinical judgment. However, most research focuses on the former. Among 1,654 children participating in a multi-stage screening protocol for autism, we used mixed methods to evaluate: (1) the effectiveness of a clinical decision rule that encouraged further assessment based not only on positive screening results, but also on parent or provider concern, and (2) the influence of shared decision-making on screening administration. Referrals based on concern alone were cost-effective in the current study, and reported concerns were stronger predictors than positive screens of time-to-complete referrals. Qualitative analyses suggest a dynamic relationship between parents' concerns, providers' concerns, and screening results that is central to facilitating shared decision-making and influencing diagnostic assessment.
Springer. Available from: Springer Nature. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail:; Web site:
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Health Resources and Services Administration (DHHS); National Institute of Mental Health (DHHS/NIH)
Authoring Institution: N/A
Grant or Contract Numbers: R01MH104400