Kadam Archana, Soni Isha Godiwala, Kadam Sandeep, Pandit Anand, Patole Sanjay
Department of Pediatrics KEM Hospital and Research Centre, Sardar Moodliar Road, Rasta Peth, Pune 411011, Maharashtra, India.
Lexicon Rainbow Therapy and Child Development Centre, Central Avenue, 59, Kalyaninagar, Pune 411006, Maharashtra, India.
Res Autism Spectr Disord. 2022 Oct;98:102022. doi: 10.1016/j.rasd.2022.102022. Epub 2022 Aug 8.
Assessments for children with autism spectrum disorder (ASD) must adapt to the current COVID-19 pandemic through innovation in screening and assessment strategies using technology. To our knowledge there are no such studies reported from India. We aimed to study the predictive ability of video-based screening tool with definitive diagnosis in children with ASD.
Thirty-nine children were screened independently by two examiners with a video-based screening tool to start intervention followed by an in-person evaluation by clinical DSM-5 diagnosis three months later.
Similar to studies from developed countries, videos assessments showed a 94.87% correlation with the final diagnosis. Interobserver video agreement had a kappa correlation of 0.803, which was classified as substantial agreement.
Video-based evaluations may be used as an interim assessment to initiate early intervention in children with ASD in resource-limited setups in the current pandemic situation. Large, well-designed prospective studies are required to confirm our results.
自闭症谱系障碍（ASD）儿童的评估必须通过利用技术创新筛查和评估策略，以适应当前的新冠疫情。据我们所知，印度尚无此类研究报告。我们旨在研究基于视频的筛查工具对ASD儿童确诊的预测能力。
由两名检查人员使用基于视频的筛查工具对39名儿童进行独立筛查，以开始干预，三个月后进行临床DSM-5诊断的面对面评估。
与发达国家的研究类似，视频评估与最终诊断的相关性为94.87%。观察者间视频一致性的kappa相关性为0.803，被归类为高度一致。
在当前疫情形势下，基于视频的评估可作为资源有限环境中对ASD儿童进行早期干预的临时评估。需要开展大型、设计良好的前瞻性研究来证实我们的结果。
