The Relationship Between Clinicians' Confidence and Accuracy, and the Influence of Child Characteristics, in the Screening of Autism Spectrum Disorder

Overview

Journal J Autism Dev Disord

Publisher Springer

Date 2016 Mar 16

PMID 26975451

Citations 10

Authors

Darren Hedley

Neil Brewer

Rose Nevill

Mirko Uljarevic

Eric Butter

James A Mulick

Affiliations

Soon will be listed here.

Abstract

The study examined the confidence accuracy relationship, and the influence of child characteristics on clinician confidence, when predicting a diagnosis of Autism Spectrum Disorder during screening of 125 referred children aged under 3.5 years. The diagnostic process included observation, interview, language and developmental testing. Clinical judgement accuracy was compared against final diagnosis for high and low confidence levels (with confidence assessed on a 0-100 % scale). We identified a significant CA relationship with predictive accuracy highest at confidence levels of 90-100 %. Parent report of unusual behaviors was the only significant independent predictor of confidence. Clinicians' confidence may be important when evaluating decisions to refer, or not to refer, children for further diagnostic assessment.

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References

Bauminger N, Solomon M, Rogers S . Externalizing and internalizing behaviors in ASD. Autism Res. 2010; 3(3):101-12. PMC: 5659193. DOI: 10.1002/aur.131. View

Hedley D, Nevill R, Monroy-Moreno Y, Fields N, Wilkins J, Butter E . Efficacy of the ADEC in Identifying Autism Spectrum Disorder in Clinically Referred Toddlers in the US. J Autism Dev Disord. 2015; 45(8):2337-48. DOI: 10.1007/s10803-015-2398-5. View

Corsello C, Akshoomoff N, Stahmer A . Diagnosis of autism spectrum disorders in 2-year-olds: a study of community practice. J Child Psychol Psychiatry. 2012; 54(2):178-85. PMC: 3505251. DOI: 10.1111/j.1469-7610.2012.02607.x. View

Insabato A, Pannunzi M, Rolls E, Deco G . Confidence-related decision making. J Neurophysiol. 2010; 104(1):539-47. DOI: 10.1152/jn.01068.2009. View

Wolff J, Botteron K, Dager S, Elison J, Estes A, Gu H . Longitudinal patterns of repetitive behavior in toddlers with autism. J Child Psychol Psychiatry. 2014; 55(8):945-53. PMC: 4107191. DOI: 10.1111/jcpp.12207. View

Dawson G, Rogers S, Munson J, Smith M, Winter J, Greenson J . Randomized, controlled trial of an intervention for toddlers with autism: the Early Start Denver Model. Pediatrics. 2009; 125(1):e17-23. PMC: 4951085. DOI: 10.1542/peds.2009-0958. View

Barbaro J, Ridgway L, Dissanayake C . Developmental surveillance of infants and toddlers by maternal and child health nurses in an Australian community-based setting: promoting the early identification of autism spectrum disorders. J Pediatr Nurs. 2011; 26(4):334-47. DOI: 10.1016/j.pedn.2010.04.007. View

Simonoff E, Pickles A, Charman T, Chandler S, Loucas T, Baird G . Psychiatric disorders in children with autism spectrum disorders: prevalence, comorbidity, and associated factors in a population-derived sample. J Am Acad Child Adolesc Psychiatry. 2008; 47(8):921-9. DOI: 10.1097/CHI.0b013e318179964f. View

Brewer N, Wells G . The confidence-accuracy relationship in eyewitness identification: effects of lineup instructions, foil similarity, and target-absent base rates. J Exp Psychol Appl. 2006; 12(1):11-30. DOI: 10.1037/1076-898X.12.1.11. View

10.

Shimabukuro T, Grosse S, Rice C . Medical expenditures for children with an autism spectrum disorder in a privately insured population. J Autism Dev Disord. 2007; 38(3):546-52. DOI: 10.1007/s10803-007-0424-y. View

11.

Ozonoff S, Young G, Steinfeld M, Hill M, Cook I, Hutman T . How early do parent concerns predict later autism diagnosis?. J Dev Behav Pediatr. 2009; 30(5):367-75. PMC: 2919345. DOI: 10.1097/dbp.0b013e3181ba0fcf. View

12.

. Prevalence of autism spectrum disorders--Autism and Developmental Disabilities Monitoring Network, 14 sites, United States, 2008. MMWR Surveill Summ. 2012; 61(3):1-19. View

13.

Lord C, Risi S, DiLavore P, Shulman C, Thurm A, Pickles A . Autism from 2 to 9 years of age. Arch Gen Psychiatry. 2006; 63(6):694-701. DOI: 10.1001/archpsyc.63.6.694. View

14.

Guthrie W, Swineford L, Nottke C, Wetherby A . Early diagnosis of autism spectrum disorder: stability and change in clinical diagnosis and symptom presentation. J Child Psychol Psychiatry. 2012; 54(5):582-90. PMC: 3556369. DOI: 10.1111/jcpp.12008. View

15.

OSKAMP S . OVERCONFIDENCE IN CASE-STUDY JUDGMENTS. J Consult Psychol. 1965; 29:261-5. DOI: 10.1037/h0022125. View

16.

Dawson G, Jones E, Merkle K, Venema K, Lowy R, Faja S . Early behavioral intervention is associated with normalized brain activity in young children with autism. J Am Acad Child Adolesc Psychiatry. 2012; 51(11):1150-9. PMC: 3607427. DOI: 10.1016/j.jaac.2012.08.018. View

17.

Charman T, Baird G . Practitioner review: Diagnosis of autism spectrum disorder in 2- and 3-year-old children. J Child Psychol Psychiatry. 2002; 43(3):289-305. DOI: 10.1111/1469-7610.00022. View

18.

Miller D, Spengler E, Spengler P . A meta-analysis of confidence and judgment accuracy in clinical decision making. J Couns Psychol. 2015; 62(4):553-67. DOI: 10.1037/cou0000105. View

19.

Wiggins L, Baio J, Rice C . Examination of the time between first evaluation and first autism spectrum diagnosis in a population-based sample. J Dev Behav Pediatr. 2006; 27(2 Suppl):S79-87. DOI: 10.1097/00004703-200604002-00005. View

20.

Messinger D, Young G, Ozonoff S, Dobkins K, Carter A, Zwaigenbaum L . Beyond autism: a baby siblings research consortium study of high-risk children at three years of age. J Am Acad Child Adolesc Psychiatry. 2013; 52(3):300-308.e1. PMC: 3625370. DOI: 10.1016/j.jaac.2012.12.011. View