The first year inventory: retrospective parent responses to a questionnaire designed to identify one-year-olds at

Linda R Watson1, Grace T Baranek, Elizabeth R Crais

  • 1Division of Speech and Hearing Sciences, School of Medicine, The University of North Carolina, CB# 7190, Chapel Hill, NC, 27599-7190, USA. Linda_Watson@med.unc.edu

Insights

The First Year Inventory (FYI) accurately identifies early autism spectrum disorder (ASD) risk in 12-month-olds. This study validates the FYI, showing its effectiveness in distinguishing ASD from other developmental disabilities and typical development.

Area of Science:

  • Developmental Psychology
  • Pediatric Psychiatry
  • Early Childhood Education

Background:

  • The First Year Inventory (FYI) is a parent questionnaire for assessing early behavioral indicators of autism spectrum disorders (ASD) in 12-month-old infants.
  • Early identification of ASD is crucial for timely intervention and improved outcomes.
  • Validating screening tools is essential for their reliable use in clinical practice.

Purpose of the Study:

  • To examine the construct validity of the First Year Inventory (FYI).
  • To determine if the FYI can differentiate between infants who later receive an autism spectrum disorder (ASD) diagnosis, other developmental disabilities (DD), or typical development (TD).

Main Methods:

  • Retrospective parent responses on the FYI were collected for three groups of preschool children: ASD (n=38), DD (n=15), and TD (n=40).
  • Statistical comparisons were made between the groups' FYI risk ratings.

Main Results:

  • Children diagnosed with ASD were rated at significantly higher risk on the FYI compared to children with DD or TD.
  • The DD group showed intermediate risk scores, significantly higher than the TD group.
  • These findings support the FYI's ability to distinguish between developmental trajectories.

Conclusions:

  • Retrospective data confirm the construct validity of the First Year Inventory (FYI).
  • The FYI demonstrates utility in identifying infants at risk for autism spectrum disorders (ASD).
  • Refinements to the FYI could enhance its prospective screening capabilities for 12-month-olds.

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