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Cross-Cultural Generalizability of the First Year Inventory for Early ASD Screening in China
Ziyi Zhang1, Qingyao Zhu1, Tianshu Gao1
1Child Mental Health Research Center, the Affiliated Brain Hospital of Nanjing Medical University, 264 GuangZhou Road, Nanjing, 210029, China.
Insights
The First Year Inventory (FYI) screening tool shows promise for identifying autism spectrum disorder (ASD) risk in Chinese infants. A validated short version demonstrates good predictive ability in high-risk infants.
Area of Science:
- Developmental Pediatrics
- Child Psychology
- Screening Tools
Background:
- The First Year Inventory (FYI) is a parent-report screening tool for autism spectrum disorder (ASD) risk in 12-month-old infants.
- Investigating its utility in diverse cultural contexts, like the Chinese community, is crucial for early identification.
Purpose of the Study:
- To assess the First Year Inventory's (FYI) effectiveness in the Chinese population.
- To develop and validate a shortened version of the FYI for use with Chinese infants.
- To compare FYI performance in low-risk and high-risk infant samples.
Main Methods:
- Recruited 53 high-risk (HR) and 519 low-risk (LR) infants (11-13 months) in China.
- Conducted factor analyses to develop a new factorial structure for the FYI.
- Examined construct validity, internal consistency, and predictive ability of FYI versions in both samples.
Main Results:
- Observed significant differences in response distributions between Chinese and American samples.
- Both FYI 2.0 and the FYI short version showed moderate construct validity and internal consistency.
- The FYI short version demonstrated superior predictive ability in the high-risk sample.
- High-risk infants exhibited significantly lower risk scores compared to low-risk infants.
Conclusions:
- The Chinese short version of the First Year Inventory (FYI) is applicable and valid for screening ASD risk.
- Further research, including follow-up assessments and cutoff score evaluations, is recommended for the Chinese sample.
Abstract:
The First Year Inventory (FYI) is a parent report screening measure, aimed at identifying the risk of autism spectrum disorder (ASD) in 12-month-old infants. This study aimed to investigate the utility of FYI within the Chinese community and develop a short version, encompassing both a low-risk sample and a high-risk sample comprising infants with older siblings diagnosed with ASD. Parents of 53 high-risk (HR) infants and 519 low-risk (LR) infants, aged 11 to 13 months, were recruited. After comparing response distributions across Chinese and American samples, a new factorial structure was developed according to the factor analyses. The construct validity and internal consistency of the two FYI versions were examined. The implementation of FYI in the HR sample was also assessed. Noteworthy disparities in response distribution were observed between the Chinese and American samples. Both FYI 2.0 and the FYI short version demonstrated moderate construct validity and internal consistency, with the FYI short version exhibiting better predictive ability in the HR sample. Significant lower risk scores was observed in the HR sample compared to the LR sample. These findings substantiate the applicability and validity of the Chinese short version of FYI. Future research should include follow-up assessments with the Chinese sample to evaluate cutoff scores, considering the cutoff between sensitivity and specificity and the sample?s characteristics.
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