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Feasibility and validity of early screening for identifying infants with poor social-communication development in a

Ayelet Ben-Sasson1, Sonia Habib2, Emanuel Tirosh3

  • 1Department of Occupational Therapy, Faculty of Social Welfare and Health Sciences, University of Haifa, Haifa, Israel.

Journal of Pediatric Nursing
|December 17, 2013
PubMed

Insights

Early autism spectrum disorder (ASD) screening at 12 months using the First Year Inventory-Lite (FYI-L) can identify infants with social-communication delays, but parental compliance remains a challenge.

Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Early Intervention

Background:

  • Early identification of autism spectrum disorders (ASD) is crucial for timely intervention.
  • Screening infants at 12 months offers a window for early detection of developmental delays.

Purpose of the Study:

  • To assess the feasibility and validity of an autism spectrum disorder (ASD) screening for 12-month-old infants.
  • To evaluate the effectiveness of the First Year Inventory-Lite (FYI-L) in identifying infants at risk for social-communication deficits.

Main Methods:

  • Parents of 583 infants completed the First Year Inventory-Lite (FYI-L).
  • Infants who failed or passed the FYI-L underwent further evaluation with the Autism Observation Scale for Infants (AOSI) and Mullen Scales of Early Learning (MSEL).
  • Medical records were reviewed for social-communication development at 24 months.

Main Results:

  • Infants identified as at-risk showed significantly higher AOSI scores and lower MSEL composite scores compared to controls.
  • At 24 months, 95% of infants who screened negative had no documented social-communication problems.
  • 60% of infants who screened positive had documented social-communication problems by 24 months.

Conclusions:

  • The FYI-L screening at 12 months effectively identifies infants with potential social-communication development issues.
  • Low parental compliance with screening presents a significant barrier to widespread implementation.
  • Further strategies are needed to improve engagement in early ASD screening programs.
Abstract

Keywords:
ASDAutismCommunity screeningFeasibilityInfantsSocial developmentValidity

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