ERIC Number: EJ1289479
Record Type: Journal
Publication Date: 2021-Mar
Pages: 16
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0162-3257
EISSN: N/A
Available Date: N/A
Multi-Stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities
Eisenhower, Abbey; Martinez Pedraza, Frances; Sheldrick, R. Christopher; Frenette, Elizabeth; Hoch, Noah; Brunt, Sophie; Carter, Alice S.
Journal of Autism and Developmental Disorders, v51 n3 p868-883 Mar 2021
Health disparities in ASD detection affect children's access to subsequent interventions. We examined potential disparities in implementation of a multi-stage ASD screening and diagnostic evaluation protocol in Part C Early Intervention with 4943 children ages 14-36 months (mean 22.0 months; 62.9% boys, 73.3% children of color, 34.9% non-English-primary language, 64.5% publicly-insured). Participation and follow-through were high (64.9% and 65.3% at first- and second-stage screening, respectively, 84.6% at diagnostic evaluation). Logistic regressions identified predictors of screening participation and outcomes at each stage; demographic differences (race, language, public insurance) were observed only at first-stage screening and reflected higher participation for children of color and higher positive screens for publicly-insured children. Results suggest the multi-stage screening protocol shows promise in addressing disparities in early diagnosis.
Descriptors: Autism, Pervasive Developmental Disorders, At Risk Persons, Racial Differences, Language Usage, Health Insurance, English Language Learners, Access to Health Care, Screening Tests, Clinical Diagnosis, Disability Identification, Toddlers, Preschool Children, Minority Group Children, Predictor Variables, Participation
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Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: Health Resources and Services Administration (DHHS); National Institute of Mental Health (DHHS/NIH)
Authoring Institution: N/A
Grant or Contract Numbers: R40MC26195; R01MH104400
Author Affiliations: N/A