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在家进行自闭症评估:试点为儿童进行简短的远程自闭症观察
Jennifer R Bertollo1,2, Megan Fok3,4, Daniele C Martino3
1Virginia Polytechnic Institute & State University, Blacksburg, VA, USA. JBertollo@childrensnational.org.
Journal of autism and developmental disorders
|November 19, 2025
概括
一个新的自闭症远程观察工具显示,它有望有效评估儿童和青少年. 这种远程评估方法可以帮助克服自闭症诊断和服务的障碍.
科学领域:
- 儿童心理学 儿童心理学
- 发育神经科学的发展神经科学.
- 临床心理学 临床心理学
背景情况:
- 自闭症评估的远程医疗在COVID-19后急剧增长,突出了对远程诊断工具的需求.
- 验证的自闭症远程观察措施很少,特别是对于年长的孩子来说.
- 以前的个人工具需要适应可靠的远程使用.
研究的目的:
- 为了验证简短的,远程的,临床医生协助的自闭症观察.
- 评估其与已建立的诊断措施的相关性.
- 为了确定其在识别儿童自闭症谱系障碍 (ASD) 中的准确性.
主要方法:
- 这项研究涉及30名1至16岁的儿童.
- 一个远程观察工具与亲自自闭症诊断观察表第二版 (ADOS-2) 进行了验证.
- 统计分析检查了相关性和诊断准确性.
主要成果:
- 远程观察与ADOS-2 (r = .75) 和社会响应度量,第二版 (r = .74) 有很强的相关性.
- 它在研究诊断分类方面表现出高灵敏度 (88.9%) 和特异性 (80%).
- 该工具在82.8%的病例中正确识别了自闭症,并在72.4%的病例中与ADOS-2分类相匹配.
结论:
- 这项试点研究提供了关于远程自闭症观察有效性的初步证据.
- 该工具简短,易于使用,适合远程评估.
- 它代表了向标准化远程自闭症评估迈出的一步,解决了进入障碍.
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