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AIM To assess the performance of a newly designed,culturally adapted screening tool for autism spectrum disorder(ASD).METHODS Items for the screening tool were modeled from already documented checklists and diagnostic criteria for ASD.Each item in text was paired with a photograph that illustrated the written content,which was in the 2 main local languages.The final product had 21 items and was named the pictorial autism assessment schedule(PAAS).Performance of PAAS was tested on a clinical sample of 18-48 mo old children,diagnosis na?ve,presenting with developmental deficits.Mothers completed PAAS checklist.Based on clinical diagnosis,which was taken as the gold standard,children were later grouped into ASD(Group 1)and non-ASD developmental disorders(Group 2).Mothers of a control sample of typically developing children also completed PAAS(Group 3).RESULTS A total of 105 children(Group 1-45,Group 2-30,Group 3-30)participated in the study.Mean age of Group 1 and Group 2 were 36 and 40 mo respectively.Majority were male in all 3 groups.Performance of PAAS in discriminating between ASD and non-ASD developmental disorders was sensitivity 88.8%,specificity 60.7%,positive predictive value(PPV)78.4%,negative predictive value(NPV)77.2%,likelihood ratio(LR+)2.26,and LR-0.18.Performance of PAAS in discriminating between ASD and typical development was sensitivity 88.0%,specificity 93.3%,PPV 95.2%,NPV 84.0%,LR+13.3 and LR-0.12.The results indicated that that a positive result from PAAS was 2.26 times more likely to be found in a child with ASD than in a child with non-ASD developmental disorder.A positive result from PAAS was 13.3 times more likely to be found in a child with ASD than in a child with typical development.CONCLUSION PAAS is an effective tool in screening for ASD.Further study is indicated to evaluate the feasibility of using this instrument for community screening for ASD.
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篇名 Culturally adapted pictorial screening tool for autism spectrum disorder:A new approach
来源期刊 世界临床儿科杂志 学科 医学
关键词 AUTISM spectrum DISORDER Screening tool Culture ETHNICITY PARENT SELF-ASSESSMENT PICTORIAL
年,卷(期) 2017,(1) 所属期刊栏目
研究方向 页码范围 45-51
页数 7页 分类号 R
字数 语种
DOI
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研究主题发展历程
节点文献
AUTISM
spectrum
DISORDER
Screening
tool
Culture
ETHNICITY
PARENT
SELF-ASSESSMENT
PICTORIAL
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研究来源
研究分支
研究去脉
引文网络交叉学科
相关学者/机构
期刊影响力
世界临床儿科杂志
不定期
2219-2808
北京市朝阳区东四环中路62号楼远洋国际中
出版文献量(篇)
134
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