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Related Experiment Video

Updated: Sep 23, 2025

Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers

Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers

Published on: March 14, 2018

Do Autism-Specific and General Developmental Screens Have Complementary Clinical Value?

Raymond Sturner^1,2, Paul Bergmann³, Barbara Howard^4,5

¹Center for Promotion of Child Development Through Primary Care, Baltimore, MD, 6017 Altamont, USA. rsturner@childhealthcare.org.

Journal of Autism and Developmental Disorders

|May 17, 2022

Summary

Autism and developmental delay (DD) screening tools are complementary. A failed communication subscale on developmental screens signals potential autism or DD, but no current 18-month screens meet recommended standards, necessitating repeated evaluations.

Keywords:

ASQ-3 Autism screening Developmental screening M-CHAT-R M-CHAT-R/F Q-CHAT-10

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Portable Intermodal Preferential Looking IPL: Investigating Language Comprehension in Typically Developing Toddlers and Young Children with Autism

Published on: December 14, 2012

Area of Science:

Developmental Pediatrics
Child Psychology
Autism Spectrum Disorder Research

Background:

Early identification of autism spectrum disorder (ASD) and developmental delay (DD) is crucial.
Autism-specific and general developmental screening tools are believed to complement each other in identifying these conditions.

Purpose of the Study:

To evaluate the effectiveness of autism-specific and general developmental screening tools in identifying children with autism and/or DD at 18 months.
To compare the false positive rates and identify red flags for autism and/or DD using different screening approaches.

Main Methods:

Parents completed autism and developmental screens prior to 18-month well-child visits.
Children with failed autism screens (n=167) and matched controls (n=241) underwent diagnostic evaluations for autism and DD.
Analysis focused on referral accuracy, false positives, and the predictive value of specific screening subscales.

Main Results:

Autism screens had lower false positive rates when considering referral for autism and/or DD compared to autism alone.
A failed communication subscale on developmental screens served as a significant red flag for autism and/or DD.
An ordinally-scored autism screen demonstrated more favorable characteristics for identifying autism and/or DD.

Conclusions:

While complementary, current autism and developmental screening tools do not consistently meet recommended standards at 18 months.
The findings underscore the importance of recurrent screening to accurately identify autism as it emerges during early development.
A failed communication subscale is a key indicator warranting further investigation for autism and/or DD.