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在 Part C 早期干预项目中实施幼儿自闭症筛查工具:18 个月随访。

The implementation of the screening tool for autism in toddlers in Part C early intervention programs: An 18-month follow-up.

机构信息

University of Washington, USA.

出版信息

Autism. 2023 Jan;27(1):173-187. doi: 10.1177/13623613221086329. Epub 2022 Apr 11.

Abstract

The early detection of autism spectrum disorder can lead to access to autism spectrum disorder-specific services that have been shown to have a large impact on a child's overall development. Although a stable diagnosis of autism spectrum disorder can be made by age 2 years, most children are not diagnosed until much later. To address this issue, this study examined the effectiveness of training Part C Early Intervention providers to use an interactive autism spectrum disorder screening tool, the Screening Tool for Autism in Toddlers. Sixty-nine providers attended a 1-day training workshop on the use of the Screening Tool for Autism in Toddlers. After the workshop, providers reported increased knowledge about recognizing the early signs of autism spectrum disorder, and about 45% of the providers reported using the Screening Tool for Autism in Toddlers with families in their caseloads 18 months after the training. These results suggest that the Screening Tool for Autism in Toddlers is feasible for use within Early Intervention settings. In addition, they suggest that specific providers might serve as a screening "point-person," rather than expecting the Screening Tool for Autism in Toddlers to be used by all providers. Future research should aim to identify specific characteristics of agencies or providers that might be best suited for using the Screening Tool for Autism in Toddlers.

摘要

自闭症谱系障碍的早期发现可以让儿童获得自闭症谱系障碍的特定服务,这些服务已被证明对儿童的整体发展有很大的影响。尽管自闭症谱系障碍的稳定诊断可以在 2 岁时做出,但大多数儿童直到很晚才被诊断出来。为了解决这个问题,本研究探讨了培训第 C 部分早期干预提供者使用交互式自闭症谱系障碍筛查工具——自闭症筛查工具( Toddler 版)的效果。69 名提供者参加了为期一天的关于使用自闭症筛查工具( Toddler 版)的培训研讨会。研讨会结束后,提供者报告说,他们对识别自闭症谱系障碍早期迹象的知识有所增加,大约 45%的提供者报告说,在培训后 18 个月,他们在自己的病例中使用了自闭症筛查工具( Toddler 版)。这些结果表明,自闭症筛查工具( Toddler 版)在早期干预环境中是可行的。此外,这表明特定的提供者可能可以作为筛查的“负责人”,而不是期望自闭症筛查工具( Toddler 版)由所有提供者使用。未来的研究应该旨在确定最适合使用自闭症筛查工具( Toddler 版)的机构或提供者的特定特征。

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Primary Care Autism Screening and Later Autism Diagnosis.初级保健自闭症筛查与后续自闭症诊断
Pediatrics. 2020 Aug;146(2). doi: 10.1542/peds.2019-2314. Epub 2020 Jul 6.
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Autism Screening: Where Do We Go From Here?自闭症筛查:我们该何去何从?
Pediatrics. 2019 Oct;144(4). doi: 10.1542/peds.2019-0925.

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