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Autism spectrum disorder (ASD) is a neurodevelopmental condition marked by persistent deficits in social communication and interaction alongside restrictive and repetitive behaviors or interests. ASD is sometimes accompanied by intellectual impairment.
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Related Experiment Video

Updated: Mar 20, 2026

Use of a Video Scoring Anchor for Rapid Serial Assessment of Social Communication in Toddlers
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Exploring the Potential of a Scenario-Based Approach to Early Autism Spectrum Disorder Screening.

Guiyoung Bong1, Yoonji Jung1, Seoha Kyung1

  • 1Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Republic of Korea.

Psychiatry Investigation
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Summary
This summary is machine-generated.

A new video tool effectively screens for autism spectrum disorder (ASD) in young children. This brief, scenario-based screener shows promise for early identification in community and home settings.

Keywords:
Autism spectrum disorderEarly diagnosisScenario-based approach.Screening

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Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Autism Spectrum Disorder Research

Background:

  • Early identification of autism spectrum disorder (ASD) is crucial for timely intervention and improved outcomes.
  • Existing screening methods may have limitations in feasibility or accuracy for very young children.
  • A brief, accessible screening tool is needed for widespread application in diverse settings.

Purpose of the Study:

  • To assess the feasibility and screening accuracy of a novel, brief, scenario-based video tool for early ASD identification.
  • To evaluate the tool's ability to detect key early behavioral indicators of ASD in toddlers and preschoolers.

Main Methods:

  • 211 children (12-42 months) participated: 140 with ASD, 35 with other developmental disorders (OD), and 36 typically developing (TD).
  • A 5-minute video-based tool assessed eight target behaviors related to social communication and interaction.
  • Diagnostic classification utilized comprehensive assessments including ADOS-2, ADI-R, and Vineland-3.

Main Results:

  • Significant differences in target behaviors were observed between children with ASD and non-ASD groups (p<0.001).
  • The tool demonstrated good overall discrimination between ASD and non-ASD groups, with AUC values ranging from 0.676 to 0.703.
  • The screening demonstrated relatively high sensitivity and modest specificity.

Conclusions:

  • The scenario-based, video-delivered ASD early screening tool is feasible and shows promising accuracy for toddlers and preschoolers.
  • Its accessibility and scalability suggest potential for broad implementation in community and home environments.
  • Further refinement is recommended to enhance specificity and facilitate real-world practice integration.