Factor structure and diagnostic fidelity of the Baby and Infant Screen for Children with aUtIsm Traits-Part 1

Johnny L Matson1, Jessica A Boisjoli, Julie A Hess

  • 1Department of Psychology, Louisiana State University, Baton Rouge, Louisiana 70803, USA.

Insights

The Baby and Infant Screen for Children with Autism Traits-Part 1 (BISCUIT-Part 1) effectively identifies autism spectrum disorder (ASD) symptoms in toddlers. This tool shows promise for early ASD diagnosis in infants and young children.

Area of Science:

  • Developmental Psychology
  • Pediatric Psychiatry
  • Clinical Psychology

Background:

  • Early intervention significantly improves outcomes for children with Autism Spectrum Disorder (ASD).
  • There is a critical need for early identification of ASD in young children.
  • The Baby and Infant Screen for Children with Autism Traits-Part 1 (BISCUIT-Part 1) is a novel assessment tool for toddlers aged 17-37 months.

Purpose of the Study:

  • To determine the factor structure of the BISCUIT-Part 1 assessment.
  • To investigate group differences in BISCUIT-Part 1 factors between children with and without ASD.
  • To evaluate the utility of BISCUIT-Part 1 in identifying ASD symptoms in toddlers.

Main Methods:

  • An exploratory factor analysis was conducted on data from 1287 participants.
  • Participants were enrolled in a state-funded early intervention program for developmental disabilities.
  • The BISCUIT-Part 1 was administered to caregivers as part of a comprehensive assessment protocol.

Main Results:

  • The factor analysis revealed a three-factor solution aligning with ASD symptom clusters.
  • Children diagnosed with ASD scored significantly higher on BISCUIT-Part 1 factors compared to those without an ASD diagnosis.
  • The findings support the BISCUIT-Part 1's ability to differentiate between toddlers with and without ASD.

Conclusions:

  • The BISCUIT-Part 1 demonstrates potential as a valuable aid for clinicians diagnosing ASD in infants and toddlers.
  • This screening tool can assist in the early identification of ASD, facilitating timely intervention.
  • Further research may validate BISCUIT-Part 1's role in clinical diagnostic practices for early childhood ASD.
Abstract

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