Telemed J E Health - Evaluating interactive videoconferencing for assessing symptoms of autism.

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Resumo

CKGROUND: Autism affects as many as 1 in 88 children. Best practices recommend early identification and intervention for optimal outcomes. Currently, a gap exists between time of first concern and diagnosis, particularly for families living in rural areas. Telemedicine as a tool for assessment and diagnosis of autism is one way to address this disparity. Emerging evidence suggests telemedicine as a viable option for assessing children with a variety of special needs.MATERIALS AND METHODS: This study expands upon the current literature by investigating clinicians' ability to assess autism via telemedicine. Using interactive videoconferencing, we simulated autism assessment procedures with families with an existing diagnosis (autism or developmental disability) using current gold-standard assessment tools. We compared diagnostic accuracy, item-by-item reliability on the Autism Diagnostic Observation Schedule (ADOS)-Module 1, and the Autism Diagnostic Interview-Revised (ADI-R) as well as parent satisfaction in an in-person and interactive videoconferencing condition. Ten children (3-5 years old) with developmental delays and 11 children matched on chronological age with a diagnosis of autism were assigned to be assessed and interviewed either in-person or over videoconferencing. Clinicians observed both in-person and through videoconferencing regardless of patient assignment.RESULTS: Results indicated no significant difference in reliability of diagnostic accuracy, ADOS observations, ratings for ADI-R parent report of symptoms, and parent satisfaction between conditions. Results indicate adequate clinician agreement and parent satisfaction regardless of observational condition.CONCLUSIONS: Future research should include a larger sample size and assess children without an existing diagnosis.

Resumo Limpo

ckground autism affect mani children best practic recommend earli identif intervent optim outcom current gap exist time first concern diagnosi particular famili live rural area telemedicin tool assess diagnosi autism one way address dispar emerg evid suggest telemedicin viabl option assess children varieti special needsmateri method studi expand upon current literatur investig clinician abil assess autism via telemedicin use interact videoconferenc simul autism assess procedur famili exist diagnosi autism development disabl use current goldstandard assess tool compar diagnost accuraci itembyitem reliabl autism diagnost observ schedul adosmodul autism diagnost interviewrevis adir well parent satisfact inperson interact videoconferenc condit ten children year old development delay children match chronolog age diagnosi autism assign assess interview either inperson videoconferenc clinician observ inperson videoconferenc regardless patient assignmentresult result indic signific differ reliabl diagnost accuraci ado observ rate adir parent report symptom parent satisfact condit result indic adequ clinician agreement parent satisfact regardless observ conditionconclus futur research includ larger sampl size assess children without exist diagnosi

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