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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.
Abstract:
The First Year Inventory (FYI) is a parent questionnaire designed to assess behaviors in 12-month-olds that suggest risk for an eventual diagnosis of autism. We examined the construct validity of the FYI by comparing retrospective responses of parents of preschool children with autism spectrum disorders (ASD; n = 38), other developmental disabilities (DD; n = 15), and typical development (TD; n = 40). Children with ASD were rated at significantly higher risk on the FYI than children with DD or TD. The DD group was at intermediate risk, also significantly higher than the TD group. These retrospective data strengthen the validity of the FYI and have implications for refining the FYI to improve its utility for prospective screening of 12-month-olds.
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