Autism Detection in Children by Combined Use of Gaze Preference and the M-CHAT-R in a Resource-Scarce Setting.


Journal

Journal of autism and developmental disorders
ISSN: 1573-3432
Titre abrégé: J Autism Dev Disord
Pays: United States
ID NLM: 7904301

Informations de publication

Date de publication:
Mar 2021
Historique:
accepted: 07 01 2021
pubmed: 17 2 2021
medline: 12 5 2021
entrez: 16 2 2021
Statut: ppublish

Résumé

Most children with autism spectrum disorder (ASD), in resource-limited settings (RLS), are diagnosed after the age of four. Our work confirmed and extended results of Pierce that eye tracking could discriminate between typically developing (TD) children and those with ASD. We demonstrated the initial 15 s was at least as discriminating as the entire video. We evaluated the GP-MCHAT-R, which combines the first 15 s of manually-coded gaze preference (GP) video with M-CHAT-R results on 73 TD children and 28 children with ASD, 36-99 months of age. The GP-MCHAT-R (AUC = 0.89 (95%CI: 0.82-0.95)), performed significantly better than the MCHAT-R (AUC = 0.78 (95%CI: 0.71-0.85)) and gaze preference (AUC = 0.76 (95%CI: 0.64-0.88)) alone. This tool may enable early screening for ASD in RLS.

Identifiants

pubmed: 33591436
doi: 10.1007/s10803-021-04878-0
pii: 10.1007/s10803-021-04878-0
pmc: PMC7954728
doi:

Types de publication

Journal Article

Langues

eng

Sous-ensembles de citation

IM

Pagination

994-1006

Subventions

Organisme : Innóvate Perú
ID : Contrato N 153 PNICP-PIAP-2015
Organisme : Wendy Klag grant through Johns Hopkins University
ID : 160502174
Organisme : Bill and Melinda Gates Foundation
ID : OPPOPP1140557

Investigateurs

Vanessa Cavallera (V)
Ricardo Zavaleta (R)
Juan Flores (J)
Dennis Nuñez (D)
Alejandro Dioses (A)
Anna Smith (A)

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Auteurs

Kelly Jensen (K)

Tulane University School of Medicine, New Orleans, LA, USA.
School of Public Health and Tropical Medicine, Tulane University, New Orleans, LA, USA.
Louisiana State University, Baton Rouge, USA.

Sassan Noazin (S)

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA. snoazin1@jhu.edu.

Leandra Bitterfeld (L)

Johns Hopkins University School of Nursing, Baltimore, MD, USA.
USA Indian Health Service, Albuquerque, USA.

Andrea Carcelen (A)

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Natalia I Vargas-Cuentas (NI)

Bioinformatics and Molecular Biology Laboratory, Research and Development Laboratory, Science and Philosophy Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

Daniela Hidalgo (D)

Bioinformatics and Molecular Biology Laboratory, Research and Development Laboratory, Science and Philosophy Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.
Psychology Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

Alejandra Valenzuela (A)

Bioinformatics and Molecular Biology Laboratory, Research and Development Laboratory, Science and Philosophy Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

Avid Roman-Gonzalez (A)

Bioinformatics and Molecular Biology Laboratory, Research and Development Laboratory, Science and Philosophy Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

Casey Krebs (C)

Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA.

Vincent Clement (V)

Psychology Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

Cody Nolan (C)

Weill Cornell Medical College, New York, NY, USA.

Franklin Barrientos (F)

Bioinformatics and Molecular Biology Laboratory, Research and Development Laboratory, Science and Philosophy Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

Ardi Knobel Mendoza (AK)

Rutgers Robert Wood Johnson Medical School, New Brunswick, NJ, USA.

Paola Noriega-Donis (P)

Johns Hopkins University Whiting School of Engineering, Baltimore, MD, USA.

Claudia Palacios (C)

Bioinformatics and Molecular Biology Laboratory, Research and Development Laboratory, Science and Philosophy Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

Andrea Ramirez (A)

Bioinformatics and Molecular Biology Laboratory, Research and Development Laboratory, Science and Philosophy Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

Macarena Vittet (M)

Bioinformatics and Molecular Biology Laboratory, Research and Development Laboratory, Science and Philosophy Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

Emil Hafeez (E)

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Mariana Torres-Viso (M)

CCSN: The Center for Children With Special Needs, Glastonbury, CT, USA.

Myriam Velarde (M)

IMLA: Instituto Medico Lengua Aprendazaje, Lima, Peru.

Lawrence H Moulton (LH)

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Michael D Powers (MD)

Yale Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
CCSN: The Center for Children With Special Needs, Glastonbury, CT, USA.

Robert H Gilman (RH)

Department of International Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA.

Mirko Zimic (M)

Bioinformatics and Molecular Biology Laboratory, Research and Development Laboratory, Science and Philosophy Faculty, Universidad Peruana Cayetano Heredia, Lima, Peru.

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