ArticleJournal of autism and developmental disorders2019
What Drives Detection and Diagnosis of Autism Spectrum Disorder? Looking Under the Hood of a Multi-stage Screening Process in Early Intervention.
Article in Journal of autism and developmental disorders, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 25 papers.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
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Who cites it
25 citing papers in PubMed.
- Reducing Barriers to Autism Screening in Community Primary Care: A Pragmatic Trial Using Web-Based Screening.Academic pediatrics · 2022Trial
- Disparities in Receipt of Early Intervention Services by Toddlers with Autism Diagnoses: an Intersectional Latent Class Analysis of Demographic Factors.Journal of autism and developmental disorders · 2026Article
- Article
- Sensorimotor Development in Rat Neonates Exposed to 17-α-Hydroxyprogesterone Caproate: A Progestin Used in Obstetrics.Neuroendocrinology · 2025Article
- Medical Home, Developmental Monitoring/Screening, and Early Autism Identification.Journal of autism and developmental disorders · 2024Article
- Unpacking the prevalence: A warning against overstating the recently narrowed gap for Black autistic youth.Autism research : official journal of the International Society for Autism Research · 2024Article
- The influence of loss to follow-up in autism screening research: Taking stock and moving forward.Journal of child psychology and psychiatry, and allied disciplines · 2024Article
- Bilingual and Monolingual Autistic Toddlers: Language and Social Communication Skills.Journal of autism and developmental disorders · 2023Article
- Balancing Fidelity and Flexibility: Usual Care for Young Children With an Increased Likelihood of Having Autism Spectrum Disorder Within an Early Intervention System.Journal of autism and developmental disorders · 2023Article
- The implementation of the screening tool for autism in toddlers in Part C early intervention programs: An 18-month follow-up.Autism : the international journal of research and practice · 2023Article
- Short report: Call to action for autism clinicians in response to anti-Black racism.Autism : the international journal of research and practice · 2022Article
- A Taxonomy of Reported Harms in Pediatric Autism Spectrum Disorder Screening: Provider and Parent Perspectives.Journal of autism and developmental disorders · 2022Article
- Are Developmental Monitoring and Screening Better Together for Early Autism Identification Across Race and Ethnic Groups?Journal of autism and developmental disorders · 2022Article
- Toward Novel Tools for Autism Identification: Fusing Computational and Clinical Expertise.Journal of autism and developmental disorders · 2021Article
- Rapid-cycle systems modeling to support evidence-informed decision-making during system-wide implementation.Implementation science communications · 2021Article
- The Effect of Medical Home on Shared Decision-Making for Caregivers of Children with Emotional, Developmental, or Behavioral Health Conditions.Maternal and child health journal · 2021Article
- Early Intervention Providers' Perspectives About Working with Families of Toddlers with Suspected ASD: A Qualitative Study.Journal of autism and developmental disorders · 2021Article
- Understanding How Parents Make Meaning of Their Child's Behaviors During Screening for Autism Spectrum Disorders: A Longitudinal Qualitative Investigation.Journal of autism and developmental disorders · 2021Article
- Multi-stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities.Journal of autism and developmental disorders · 2021Article
- The Dutch well child language screening protocol for 2-year-old children was valid for detecting current and later language problems.Acta paediatrica (Oslo, Norway : 1992) · 2021Article
Corrections and comments
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Authors and funding
9 authors.
Funding
Abstract
U.S. guidelines for detecting autism emphasize screening and also incorporate clinical judgment. However, most research focuses on the former. Among 1,654 children participating in a multi-stage screening protocol for autism, we used mixed methods to evaluate: (1) the effectiveness of a clinical decision rule that encouraged further assessment based not only on positive screening results, but also on parent or provider concern, and (2) the influence of shared decision-making on screening administration. Referrals based on concern alone were cost-effective in the current study, and reported concerns were stronger predictors than positive screens of time-to-complete referrals. Qualitative analyses suggest a dynamic relationship between parents' concerns, providers' concerns, and screening results that is central to facilitating shared decision-making and influencing diagnostic assessment.
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Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.