Reese R Matthew, Jamison T Rene, Braun Matt, Wendland Maura, Black William, Hadorn Megan, Nelson Eve-Lynn, Prather Carole
Center for Child Health and Development, University of Kansas Medical Center, 3901 Rainbow Boulevard, Mailstop 4003, Kansas City, KS, 66160, USA.
J Autism Dev Disord. 2015 May;45(5):1474-82. doi: 10.1007/s10803-014-2269-5.
Children living in rural and underserved areas experience decreased access to health care services and are often diagnosed with autism at a later age compared to those living in urban or suburban areas. This study examines the utility and validity of an ASD assessment protocol conducted via video conferencing (VC). Participants (n = 17) included families with young children (2.5-6 years) requesting an evaluation for ASD in an interdisciplinary clinic. We randomly assigned families to complete an additional evaluation either in-person or via VC prior to their clinic appointment and compared diagnostic impressions to their interdisciplinary clinic evaluation. Results demonstrate excellent inter-rater agreement on diagnoses between clinicians in the VC setting and the interdisciplinary team, which suggests VC may be a viable method to increase access to autism diagnostic services, and ultimately early intervention, for families in rural and underserved areas.
与生活在城市或郊区的儿童相比,生活在农村和医疗服务不足地区的儿童获得医疗服务的机会减少,而且往往在较晚的年龄被诊断为自闭症。本研究考察了通过视频会议(VC)进行的自闭症谱系障碍(ASD)评估方案的效用和有效性。参与者(n = 17)包括在一家跨学科诊所要求对ASD进行评估的有幼儿(2.5至6岁)的家庭。我们随机分配家庭在诊所预约前亲自或通过VC完成一项额外评估,并将诊断印象与他们的跨学科诊所评估进行比较。结果表明,在VC环境中的临床医生与跨学科团队之间,对诊断的评分者间一致性极佳,这表明VC可能是一种可行的方法,可为农村和医疗服务不足地区的家庭增加获得自闭症诊断服务的机会,并最终实现早期干预。