OBJECTIVES: To examine the impact of a new approach, Get SET Early, on the rates of early autism spectrum disorder (ASD) detection and factors that influence the screen-evaluate-treat chain. STUDY DESIGN: Following Get SET Early training, 203 pediatricians administered 57,603 total screens using the Communication and Symbolic Behavior Scales Infant-Toddler Checklist at 12, 18, and 24-month well-baby examinations, and parents designated presence or absence of concern. For screen-positive toddlers, pediatricians specified if the child was being referred for evaluation, and if not, why not. RESULTS: Collapsed across ages, toddlers were evaluated and referred for treatment at a median age of 19 months, and those screened at 12 months (59.4% of sample) by 15 months. Pediatricians referred one-third of screen-positive toddlers for evaluation, citing lack of confidence in the accuracy of screen-positive results as the primary reason for non-referral. If a parent expressed concerns, referral probability doubled, and the rate of an ASD diagnosis increased 37%. Of 897 toddlers evaluated, almost half were diagnosed as ASD, translating into an ASD prevalence of 1%. CONCLUSIONS: The Get SET Early model was effective at detecting ASD and initiating very early treatment. Results also underscored the need for change in early identification approaches to formally operationalize and incorporate pediatrician judgement and level of parent concern into the process.
OBJECTIVES: To examine the impact of a new approach, Get SET Early, on the rates of early autism spectrum disorder (ASD) detection and factors that influence the screen-evaluate-treat chain. STUDY DESIGN: Following Get SET Early training, 203 pediatricians administered 57,603 total screens using the Communication and Symbolic Behavior Scales Infant-Toddler Checklist at 12, 18, and 24-month well-baby examinations, and parents designated presence or absence of concern. For screen-positive toddlers, pediatricians specified if the child was being referred for evaluation, and if not, why not. RESULTS: Collapsed across ages, toddlers were evaluated and referred for treatment at a median age of 19 months, and those screened at 12 months (59.4% of sample) by 15 months. Pediatricians referred one-third of screen-positive toddlers for evaluation, citing lack of confidence in the accuracy of screen-positive results as the primary reason for non-referral. If a parent expressed concerns, referral probability doubled, and the rate of an ASD diagnosis increased 37%. Of 897 toddlers evaluated, almost half were diagnosed as ASD, translating into an ASD prevalence of 1%. CONCLUSIONS: The Get SET Early model was effective at detecting ASD and initiating very early treatment. Results also underscored the need for change in early identification approaches to formally operationalize and incorporate pediatrician judgement and level of parent concern into the process.
Authors: Yaqiong Xiao; Teresa H Wen; Lauren Kupis; Lisa T Eyler; Disha Goel; Keith Vaux; Michael V Lombardo; Nathan E Lewis; Karen Pierce; Eric Courchesne Journal: Nat Hum Behav Date: 2022-01-03
Authors: Kelly A Shaw; Matthew J Maenner; Amanda V Bakian; Deborah A Bilder; Maureen S Durkin; Sarah M Furnier; Michelle M Hughes; Mary Patrick; Karen Pierce; Angelica Salinas; Josephine Shenouda; Alison Vehorn; Zachary Warren; Walter Zahorodny; John N Constantino; Monica DiRienzo; Amy Esler; Robert T Fitzgerald; Andrea Grzybowski; Allison Hudson; Margaret H Spivey; Akilah Ali; Jennifer G Andrews; Thaer Baroud; Johanna Gutierrez; Libby Hallas; Jennifer Hall-Lande; Amy Hewitt; Li-Ching Lee; Maya Lopez; Kristen Clancy Mancilla; Dedria McArthur; Sydney Pettygrove; Jenny N Poynter; Yvette D Schwenk; Anita Washington; Susan Williams; Mary E Cogswell Journal: MMWR Surveill Summ Date: 2021-12-03
Authors: Michael V Lombardo; Lisa Eyler; Tiziano Pramparo; Vahid H Gazestani; Donald J Hagler; Chi-Hua Chen; Anders M Dale; Jakob Seidlitz; Richard A I Bethlehem; Natasha Bertelsen; Cynthia Carter Barnes; Linda Lopez; Kathleen Campbell; Nathan E Lewis; Karen Pierce; Eric Courchesne Journal: Sci Adv Date: 2021-09-03 Impact factor: 14.136
Authors: Matthew J Maenner; Kelly A Shaw; Amanda V Bakian; Deborah A Bilder; Maureen S Durkin; Amy Esler; Sarah M Furnier; Libby Hallas; Jennifer Hall-Lande; Allison Hudson; Michelle M Hughes; Mary Patrick; Karen Pierce; Jenny N Poynter; Angelica Salinas; Josephine Shenouda; Alison Vehorn; Zachary Warren; John N Constantino; Monica DiRienzo; Robert T Fitzgerald; Andrea Grzybowski; Margaret H Spivey; Sydney Pettygrove; Walter Zahorodny; Akilah Ali; Jennifer G Andrews; Thaer Baroud; Johanna Gutierrez; Amy Hewitt; Li-Ching Lee; Maya Lopez; Kristen Clancy Mancilla; Dedria McArthur; Yvette D Schwenk; Anita Washington; Susan Williams; Mary E Cogswell Journal: MMWR Surveill Summ Date: 2021-12-03
Authors: Cornelia M Borkhoff; Marina Atalla; Imaan Bayoumi; Catherine S Birken; Jonathon L Maguire; Patricia C Parkin Journal: BMJ Paediatr Open Date: 2022-06