Early Identification of ASD Through Telemedicine: Potential Value for Underserved Populations
- PMID: 29527626
- PMCID: PMC6041148
- DOI: 10.1007/s10803-018-3524-y
Early Identification of ASD Through Telemedicine: Potential Value for Underserved Populations
Abstract
Increasing access to diagnostic services is crucial for identifying ASD in young children. We therefore evaluated a telemedicine assessment procedure. First, we compared telediagnostic accuracy to blinded gold-standard evaluations (n = 20). ASD cases identified via telemedicine were confirmed by in-person evaluation. However, 20% of children diagnosed with ASD in-person were not diagnosed via telemedicine. Second, we evaluated telediagnostic feasibility and acceptability in a rural catchment. Children (n = 45) and caregivers completed the telemedicine procedure and provided feedback. Families indicated high levels of satisfaction. Remote diagnostic clinicians diagnosed 62% of children with ASD, but did not feel capable of ruling-in or out ASD in 13% of cases. Findings support preliminary feasibility, accuracy, and clinical utility of telemedicine-based assessment of ASD for young children.
Keywords: Autism spectrum disorder; Diagnosis; Telemedicine; Young children.
Conflict of interest statement
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