Chakraborty Satabdi, Bhatia Triptish, Sharma Vikas, Antony Nitin, Das Dhritishree, Sahu Sushree, Sharma Satyam, Shriharsh Vandana, Brar Jaspreet S, Iyengar Satish, Nimgaonkar Vishwajit L, Deshpande Smita N
Dept. of Psychiatric Social Work, Centre of Excellence in Mental Health, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, Delhi, India.
Indo-US Projects and National Coordination Unit-Indian Council of Medical Research, Dept. of Psychiatry and De-addiction, Centre of Excellence in Mental Health, Atal Bihari Vajpayee Institute of Medical Sciences and Dr. Ram Manohar Lohia Hospital, New Delhi, Delhi, India.
Indian J Psychol Med. 2020 Dec;42(6 Suppl):S63-S67. doi: 10.1177/0253717620969068. Epub 2020 Dec 7.
Autism is included as a certifiable disability in the Indian Rights of Persons with Disability Act, 2016. The Indian Scale for Assessment of Autism (ISAA), developed by the Government of India and mandated for certifying disability, is a detailed instrument that needs trained mental health experts and takes time to administer. The current project was planned to develop a simple, easy to use screening tool based on the ISAA to identify possible cases in the community.
The project is planned in three phases. During the first phase, data collected during the development of the ISAA ( = 433/436 children with autism) will be used to identify questions answered as frequently, mostly, and always. During the second phase, the psychometric properties of the screening tool based on these items will be evaluated among research participants recruited from hospitals and special schools ( = 100). In the third phase, the screening questionnaire will be administered in the community ( = 500).
The most frequently answered questions will be selected for inclusion in the proposed screening tool. The number of items in the screening tool will be kept as few as possible, with yes or no responses.
Indian Autism Screening Questionnaire (IASQ) will be tested as a screening version of ISAA, which can be used by community health workers, teachers, or school counselors. The IASQ will not provide a diagnosis of autism. A positive screening result should be followed by a thorough assessment by a trained specialist. Analyzing the psychometric properties of the test can help ensure cost-effective screening of the community to identify autism.
自闭症被纳入2016年《印度残疾人权利法案》中的可认证残疾类别。由印度政府制定并用于残疾认证的《印度自闭症评估量表》（ISAA）是一种详细的工具，需要训练有素的心理健康专家，且实施起来耗时较长。当前项目计划基于ISAA开发一种简单易用的筛查工具，以识别社区中的可能病例。
该项目计划分三个阶段进行。在第一阶段，将使用在ISAA开发过程中收集的数据（n = 433/436名自闭症儿童）来确定那些经常、大多和总是被回答的问题。在第二阶段，将在从医院和特殊学校招募的研究参与者（n = 100）中评估基于这些项目的筛查工具的心理测量特性。在第三阶段，将在社区中发放筛查问卷（n = 500）。
将选择最常被回答的问题纳入拟议的筛查工具。筛查工具中的项目数量将尽可能少，采用是或否的回答方式。
印度自闭症筛查问卷（IASQ）将作为ISAA的筛查版本进行测试，可供社区卫生工作者、教师或学校辅导员使用。IASQ不会提供自闭症诊断。筛查结果呈阳性后，应由训练有素的专家进行全面评估。分析该测试的心理测量特性有助于确保对社区进行具有成本效益的筛查以识别自闭症。
