验证RISE通信游戏协议作为早期儿童自闭症的诊断工具:试点研究
Yael G Dai1, Daina M Tagavi2, Wendy L Stone3
1Department of Psychology, Florida International University, Miami, FL, USA. Ydai@fiu.edu.
Journal of autism and developmental disorders
|January 22, 2025
概括
一个新的远程自闭症评估工具 - - 相互模仿和社会参与儿童游戏协议 (RISE CPP) - - 显示了与实验室评估的高度一致性. 这种以家长为媒介的方法可能会改善贫困家庭获得自闭症诊断的机会.
科学领域:
- 发展心理学 发展心理学
- 临床心理学 临床心理学
- 儿科医学 儿科医学
背景情况:
- 验证的远程工具用于评估自闭症和跟踪儿童的社会沟通变化是有限的.
- 相互模仿和社会参与儿童游戏协议 (RISE CPP) 是使用以用户为中心的设计开发的,用于远程,家长介导的评估.
- RISE CPP的目标是捕捉微层次的行为,提高可用性,减少护理人员的负担,并保持可靠性.
研究的目的:
- 试点并验证RISE CPP作为支持临床医生诊断自闭症的工具.
- 将远程RISE CPP的诊断准确度和临床医生信心与实验室评估进行比较.
- 探索远程自闭症诊断评估与亲临自闭症诊断评估的好处和挑战.
主要方法:
- 进行了一项试点研究,涉及38个照顾者-儿童双 (24-41个月).
- 参与者在家中完成了远程家长介导评估 (RISE CPP) 和实验室临床医生领导的评估 (自闭症诊断观察计划,ADOS-2).
- 独立的临床医生诊断被比较,临床医生报告了两种评估类型的信心水平.
主要成果:
- 在远程RISE CPP和实验室ADOS-2 (K=.89) 的诊断之间发现了很高的一致性.
- 临床医生在使用远程与面对面评估时报告了类似的信心水平.
- 混合方法分析表明,远程和面对面的方法都有独特的好处和挑战,这两种方法的护理人员接受度都很高.
结论:
- RISE CPP显示初步支持是自闭症的有效诊断工具.
- 远程管理RISE CPP可以提高自闭症诊断和研究评估的公平性,特别是在服务不足的人群中.
- 这些发现表明,远程,家长介导的评估可以作为传统实验室内评估的可靠和可接受的替代品或补充.
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