Autism Assessment, Research, and Treatment Center, Department of Psychiatry and Behavioral Sciences, Rush University Medical Center, 1645 W. Jackson Blvd., Suite 603, Chicago, IL, 60612, USA.
Department of Pediatrics, Boston University and Boston Medical Center, 801 Albany St., 3rd Floor, Boston, MA, 02119, USA.
J Autism Dev Disord. 2022 Jan;52(1):423-434. doi: 10.1007/s10803-021-04911-2. Epub 2021 Feb 19.
The COVID-19 pandemic, and associated social distancing mandates, has placed significant limitations on in-person health services, requiring creative solutions for supporting clinicians engaged in the diagnosis of autism spectrum disorder (ASD). This report describes the five virtual instruments available at the time of manuscript development for use by experienced clinicians making diagnostic determinations of ASD for toddlers across the 12- to 36-months age range. We focus on synchronous virtual assessments in which clinicians guide the child's caregiver through a range of assessment activities and observe spontaneous and elicited behaviors. Assessments are compared on dimensions of targeted behavioral domains, specific activities and presses employed, scoring approaches, and other key logistical considerations to guide instrument selection for use in varied clinical and research contexts.
新型冠状病毒肺炎（COVID-19）疫情以及随之而来的社交距离限制，对面对面的医疗服务产生了重大影响，需要创造性的解决方案来支持诊断自闭症谱系障碍（ASD）的临床医生。本报告描述了在撰写本文时可供经验丰富的临床医生使用的五种虚拟工具，用于对 12 至 36 个月大的幼儿进行 ASD 诊断。我们专注于同步虚拟评估，临床医生在评估中引导儿童的照顾者进行一系列评估活动，并观察自发和诱发的行为。评估在目标行为领域的维度、使用的特定活动和按压、评分方法以及其他关键的后勤考虑因素上进行比较，以指导工具选择，以便在不同的临床和研究环境中使用。
