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

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What Happens After Autism Screening-Factors That Predict Evaluation Attendance.

Andrea Trubanova Wieckowski¹, Maci Brown², Hannah Register²

¹A.J. Drexel Autism Institute, Drexel University, Philadelphia, PA, USA. atw64@drexel.edu.

Journal of Autism and Developmental Disorders

|November 28, 2025

Summary

Age at autism screening impacts evaluation attendance. Higher attendance occurred when positive screens were at 18 months versus 12 or 15 months, highlighting screening timing over child demographics.

Keywords:

Autism screening Demographic factors Evaluation attendance Screening factors

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Area of Science:

Developmental Pediatrics
Autism Spectrum Disorder Research
Public Health

Background:

Early identification of autism spectrum disorder (ASD) is crucial for intervention.
Despite effective screening tools, many families do not attend diagnostic evaluations after a positive screen.

Purpose of the Study:

To investigate factors influencing autism evaluation attendance following a positive screening result.
To identify demographic and screening-related predictors of evaluation attendance.

Main Methods:

Analysis of 895 children from two primary care autism screening studies.
Exploration of attendance differences based on child sex, race, ethnicity, maternal education, and age at screening.
Comparison of screening scores between children who attended and those who declined evaluation.

Main Results:

Evaluation attendance varied significantly between studies but not by child demographics (sex, race, ethnicity, maternal education).
Age at first positive screen predicted attendance: 18 months (57%) showed higher attendance than 12 months (38%) or 15 months (30%).
Children attending evaluations had higher screening scores indicative of more autism characteristics.

Conclusions:

Screening-related factors, particularly age at screening, play a significant role in families' decisions to attend evaluations.
Child demographics appear to have a less significant impact on evaluation attendance compared to screening timing.