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J Autism Dev Disord. 2018 Apr;48(4):1069-1080. doi: 10.1007/s10803-017-3410-z.

Do Parents and Clinicians Agree on Ratings of Autism-Related Behaviors at 12 Months of Age? A Study of Infants at High and Low Risk for ASD.

Author information

1
Child Study Center, Yale University School of Medicine, New Haven, CT, USA. Suzanne.macari@yale.edu.
2
Child Study Center, Yale University School of Medicine, New Haven, CT, USA.
3
Stanford University, Stanford, CA, USA.

Abstract

Given the emphasis on early screening for ASD, it is crucial to examine the concordance between parent report and clinician observation of autism-related behaviors. Similar items were compared from the First Year Inventory (Baranek et al. First-Year Inventory (FYI) 2.0. University of North Carolina, Chapel Hill, 2003), a parent screener for ASD, and the ADOS-2 Toddler Module (Lord et al. 2013), a standardized ASD diagnostic tool. Measures were administered concurrently to 12-month-olds at high and low risk for ASD. Results suggest that clinicians and parents rated behaviors similarly. In addition, both informants rated high-risk infants as more impaired in several social-communication behaviors. Furthermore, the format of questions impacted agreement across observers. These findings have implications for the development of a new generation of screening instruments for ASD.

KEYWORDS:

ADOS-T; ASD; Clinical assessment; FYI; High-risk infants; Infancy; Parent questionnaires; Screening

PMID:
29181689
DOI:
10.1007/s10803-017-3410-z
[Indexed for MEDLINE]

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