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Ozonoff S, Gangi D, Corona L, Foster T, Hill MM, Honaker M, Maqbool S, Ni R, Nicholson A, Parikh C, Stone C, Spitler AK, Swanson A, Vehorn A, Wagner L, Weitlauf A, Warren Z. Measuring Developmental Delays: Comparison of Parent Report and Direct Testing. J Autism Dev Disord 2024:10.1007/s10803-024-06292-8. [PMID: 38407697 DOI: 10.1007/s10803-024-06292-8] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/13/2024] [Indexed: 02/27/2024]
Abstract
PURPOSE Developmental assessment is part of a comprehensive autism evaluation. During in-person evaluations, developmental assessment is completed via direct testing by an examiner. In telehealth evaluations, developmental assessment relies on caregiver-report instruments. This study examined correspondence between caregiver report and direct testing of developmental skills. METHODS Participants were 93 children, aged 18-42 months, undergoing evaluation for possible autism spectrum disorder (ASD). Caregivers were interviewed with the Developmental Profile, 4th edition (DP-4) via telehealth platform and children were tested in person 2-4 weeks later using the Mullen Scales of Early Learning (MSEL). RESULTS Correlations between the DP-4 and MSEL were high (ranging from 0.50 to 0.82) across standard scores, age equivalents, and functional categories, as well as across individual subtests and overall composite scores. CONCLUSION The high convergent validity found in this study suggests that the DP-4 provides a suitable proxy for direct developmental testing using the MSEL in the context of telehealth evaluations for ASD in young children, delivering a good estimate of both developmental functioning and presence of delays. TRIAL REGISTRATION Data were obtained from registered clinical trial NCT05047224, date of registration 2021-09-07.
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Affiliation(s)
- Sally Ozonoff
- Department of Psychiatry and Behavioral Sciences, MIND Institute, University of California- Davis, 2825 50th Street, Sacramento, CA, USA.
| | - Devon Gangi
- Department of Psychiatry and Behavioral Sciences, MIND Institute, University of California- Davis, 2825 50th Street, Sacramento, CA, USA
| | - Laura Corona
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Tori Foster
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Monique Moore Hill
- Department of Psychiatry and Behavioral Sciences, MIND Institute, University of California- Davis, 2825 50th Street, Sacramento, CA, USA
| | - Makayla Honaker
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Shyeena Maqbool
- Department of Psychiatry and Behavioral Sciences, MIND Institute, University of California- Davis, 2825 50th Street, Sacramento, CA, USA
| | - Rachel Ni
- Department of Psychiatry and Behavioral Sciences, MIND Institute, University of California- Davis, 2825 50th Street, Sacramento, CA, USA
| | - Amy Nicholson
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Chandni Parikh
- Department of Psychiatry and Behavioral Sciences, MIND Institute, University of California- Davis, 2825 50th Street, Sacramento, CA, USA
| | - Caitlin Stone
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Anna Kathleen Spitler
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Amy Swanson
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Alison Vehorn
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Liliana Wagner
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Amy Weitlauf
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
| | - Zachary Warren
- Treatment and Research Institute for Autism Spectrum Disorders (TRIAD), Department of Pediatrics, Vanderbilt University Medical Center, Nashville, TN, USA
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