» Articles » PMID: 35118027

Application of Telemedicine for Preliminary Screening of Autism Spectrum Disorder

Overview
Journal Front Pediatr
Specialty Pediatrics
Date 2022 Feb 4
PMID 35118027
Authors
Affiliations
Soon will be listed here.
Abstract

Objective: Preliminary screening for autism spectrum disorder (ASD) is mainly performed offline in China. This method is time consuming, labor intensive, inefficient and costly. These complications limit its routine implementation in some hospitals and child health institutions, especially community health service centers. Thus, the present study explored the clinical applicability of an online screening system for ASD detection based on telemedicine technology.

Methods: The online screening system designed based on the WeChat platform and section A of the Chinese-validated version of the checklist for autism in toddlers (CHAT-23-A) and combined with an independent Research and Development (R&D) program. The sensitivity and specificity were 0.92 and 0.90, respectively, and the area under the receiver operating characteristic curve (AUC) values for all 23 items and 7 key items were 0.934 and 0.91, respectively.

Results: The online screening system based on telemedicine technology was not limited by time, space, region, or medical resources and showed high sensitivity, specificity, and diagnostic efficiency for ASD.

Conclusion: The online screening system based on telemedicine technology is suitable for large-scale population ASD screening in childcare institutions.

Citing Articles

A machine learning model based on CHAT-23 for early screening of autism in Chinese children.

Lu H, Zhang H, Zhong Y, Meng X, Zhang M, Qiu T Front Pediatr. 2024; 12:1400110.

PMID: 39318617 PMC: 11420024. DOI: 10.3389/fped.2024.1400110.


Implementing an Early Detection Program for Autism Spectrum Disorders in the Polish Primary Healthcare Setting-Possible Obstacles and Experiences from Online ASD Screening.

Sobieski M, Grata-Borkowska U, Bujnowska-Fedak M Brain Sci. 2024; 14(4).

PMID: 38672037 PMC: 11047999. DOI: 10.3390/brainsci14040388.


Equivalence of the autism spectrum disorders diagnostics in children in telemedicine and face-to-face consultations: a literature review.

Khairetdinov O, Rubakova L Consort Psychiatr. 2024; 4(3):55-64.

PMID: 38249532 PMC: 10795948. DOI: 10.17816/CP12496.


Efficacy of Children Neuropsychological and Behavioral Scale in Screening for Autism Spectrum Disorders through a Combination of Developmental Surveillance.

Li J, Zhao J, Hua L, Hu X, Tang L, Yang T Curr Med Sci. 2023; 43(3):592-601.

PMID: 37115393 DOI: 10.1007/s11596-023-2698-5.

References
1.
Wong V, Hui L, Lee W, Leung L, Ho P, Lau W . A modified screening tool for autism (Checklist for Autism in Toddlers [CHAT-23]) for Chinese children. Pediatrics. 2004; 114(2):e166-76. DOI: 10.1542/peds.114.2.e166. View

2.
Schopler E, Reichler R, DeVellis R, Daly K . Toward objective classification of childhood autism: Childhood Autism Rating Scale (CARS). J Autism Dev Disord. 1980; 10(1):91-103. DOI: 10.1007/BF02408436. View

3.
Carter J, Pan J, Rai S, Galandiuk S . ROC-ing along: Evaluation and interpretation of receiver operating characteristic curves. Surgery. 2016; 159(6):1638-1645. DOI: 10.1016/j.surg.2015.12.029. View

4.
Chen X, Zhou X, Li H, Li J, Jiang H . The value of WeChat application in chronic diseases management in China. Comput Methods Programs Biomed. 2020; 196:105710. DOI: 10.1016/j.cmpb.2020.105710. View

5.
Zhou H, Xu X, Yan W, Zou X, Wu L, Luo X . Prevalence of Autism Spectrum Disorder in China: A Nationwide Multi-center Population-based Study Among Children Aged 6 to 12 Years. Neurosci Bull. 2020; 36(9):961-971. PMC: 7475160. DOI: 10.1007/s12264-020-00530-6. View