Child Psychopathology Unit, Scientific Institute, IRCCS E. Medea, Bosisio Parini, Lecco, Italy.
Research Coordination and Support Service, Istituto Superiore di Sanità, Viale Regina Elena 299, 00161, Rome, Italy.
J Autism Dev Disord. 2024 May;54(5):1680-1690. doi: 10.1007/s10803-023-05927-6. Epub 2023 Feb 23.
The COVID-19 pandemic has fast-tracked interest in telehealth methods to guarantee the continuity of care of children with Autism Spectrum Disorder (ASD). Store-and-forward telehealth approaches offer the opportunity to facilitate timely screening of ASD, allowing parents to record videos of their child's behaviors, subsequently shared with clinicians that provide an assessment remotely. This study aimed to examine the psychometric properties of a new telehealth screening tool, the teleNIDA, administered in home settings for remote observation of early signs of ASD in toddlers aged 18-30 months. Results showed good psychometric properties of the teleNIDA, as compared to the gold standard in-person assessment, and the predictive validity on the diagnosis of ASD at 36 months was demonstrated. This study supports the teleNIDA as a promising level 2 screening tool for ASD able to speed up diagnostic and intervention processes.
新冠疫情加速了人们对远程医疗方法的兴趣，以确保自闭症谱系障碍（ASD）儿童的护理连续性。存储转发远程医疗方法提供了及时筛查 ASD 的机会，使父母能够记录孩子行为的视频，随后与远程提供评估的临床医生共享。本研究旨在检验一种新的远程医疗筛查工具 teleNIDA 的心理测量学特性，该工具在家庭环境中使用，用于远程观察 18-30 个月大的幼儿的 ASD 早期迹象。结果表明，与面对面评估的金标准相比，teleNIDA 具有良好的心理测量学特性，并且在 36 个月时对 ASD 诊断的预测效度也得到了证明。本研究支持 teleNIDA 作为一种有前途的 ASD 二级筛查工具，能够加快诊断和干预进程。
