Vanderbilt Kennedy Center/Treatment and Research Institute for Autism Spectrum Disorders, Vanderbilt University Medical Center, Nashville, TN, USA.
Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA.
J Autism Dev Disord. 2021 Feb;51(2):476-486. doi: 10.1007/s10803-020-04554-9.
Telemedicine tools have potential for increasing access to diagnostic services for children with autism spectrum disorder (ASD). Past work has utilized tele-assessment procedures in which remote psychologists observe administration of interactive screening instruments by trained, on-site providers. Although promising, this approach relies on two clinicians, limiting its efficiency and scalability. The present study examined the use, acceptability, and parents' perceptions of two caregiver-mediated tools for assessing ASD risk in toddlers, in which remote clinicians guided parents to complete interactive screening activities with their children. Most parents found tele-assessment to be comfortable, and many reported liking the parent-led nature of these tools. Parents also offered constructive feedback, which was used to modify the tele-assessment process for future study.
远程医疗工具在增加自闭症谱系障碍（ASD）儿童获得诊断服务方面具有潜力。过去的工作利用了远程评估程序，在该程序中，远程心理学家观察经过培训的现场提供者对互动筛查工具的管理。尽管这种方法很有前景，但它依赖于两名临床医生，限制了其效率和可扩展性。本研究考察了远程临床医生指导家长与孩子一起完成互动筛查活动的两种照顾者介导的工具在评估幼儿 ASD 风险方面的使用、可接受性和家长的看法。大多数家长认为远程评估很舒适，许多家长报告说喜欢这些工具的家长主导性质。家长还提供了建设性的反馈，这些反馈被用于修改未来研究的远程评估过程。
