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Early Screening of Autism Spectrum Disorder: Recommendations for Practice and Research
Lonnie Zwaigenbaum1, Margaret L Bauman2, Deborah Fein3
1Department of Pediatrics, University of Alberta, Edmonton, Alberta, Canada; lonniez@ualberta.ca.
Insights
Early screening for autism spectrum disorder (ASD) in toddlers aged 18-24 months aids detection. This review highlights effective tools and strategies for community-based ASD screening.
Area of Science:
- Pediatric medicine
- Developmental psychology
- Public health
Background:
- Autism spectrum disorder (ASD) screening is crucial for early detection and diagnosis.
- Systematic monitoring of children for early ASD signs is recommended.
- Evidence review focuses on peer-reviewed articles published up to December 2013.
Framework:
- Utilizes ASD-specific and broadband screening tools.
- Evaluates tools based on large community samples.
- Focuses on accurate classification and clinical utility of screening methods.
Implementation:
- Recommends screening for children aged 18 to 24 months.
- Aligns with American Academy of Pediatrics' guidelines.
- Suggests strategies to overcome implementation challenges in community settings.
Implications:
- Facilitates earlier diagnosis and intervention for ASD.
- Enhances clinical utility and accuracy of screening tools.
- Identifies priorities for future research in ASD screening.
Abstract:
This article reviews current evidence for autism spectrum disorder (ASD) screening based on peer-reviewed articles published to December 2013. Screening provides a standardized process to ensure that children are systematically monitored for early signs of ASD to promote earlier diagnosis. The current review indicates that screening in children aged 18 to 24 months can assist in early detection, consistent with current American Academy of Pediatrics' recommendations. We identify ASD-specific and broadband screening tools that have been evaluated in large community samples which show particular promise in terms of accurate classification and clinical utility. We also suggest strategies to help overcome challenges to implementing ASD screening in community practice, as well as priorities for future research.
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