Evidence map›Paper›PMID 32144605›Full record

ArticleJournal of autism and developmental disorders2021

Multi-stage Screening in Early Intervention: A Critical Strategy for Improving ASD Identification and Addressing Disparities.

Abbey Eisenhower, Frances Martinez Pedraza, R Christopher Sheldrick, Elizabeth Frenette, Noah Hoch, Sophie Brunt, Alice S Carter

Open access · greenAbstract read
PubMed Full text at PMC Publisher
In one paragraph

Article in Journal of autism and developmental disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 24 papers.

0numbers the graph read from it
0cells of the map it votes in
24citing papers in PubMed
3.4field-weighted citation impact, top 7% of its field
1 · What the graph read from it

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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

24 citing papers in PubMed, 50 citations in OpenAlex.

  1. Review
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  5. The Influence of Policy on Early Diagnosis and Other Autism Services: A Narrative Review.Review journal of autism and developmental disorders · 2025
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  14. ASD Diagnosis and Treatment Experiences Among Mexican Heritage Families.Journal of autism and developmental disorders · 2023
    Article
  15. Article
  16. Article
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  20. Review
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

7 authors at 5 institutions in 1 country.

Abbey EisenhowerDepartment of Psychology, University of Massachusetts Boston, 100 Morrissey Blvd., Boston, MA, 02125, USA.
Frances Martinez PedrazaCenter for Children and Families, Department of Psychology, Florida International University, Miami, FL, USA.
R Christopher SheldrickDepartment of Health Law, Policy and Management, School of Public Health, Boston University, One Silber Way, Boston, MA, 02215, USA.
Elizabeth FrenetteZERO TO THREE, Washington, DC, USA.
Noah HochDepartment of Psychology, Clark University, Worcester, MA, USA.
Sophie BruntDepartment of Psychology, University of Massachusetts Boston, 100 Morrissey Blvd., Boston, MA, 02125, USA.
Alice S CarterDepartment of Psychology, University of Massachusetts Boston, 100 Morrissey Blvd., Boston, MA, 02125, USA. alices.carter@umb.edu.ORCID http://orcid.org/0000-0001-9861-1560
University of Massachusetts Boston · USBoston University · USClark University · USFlorida Department of Children and Families · USZero to Three · US

Funding

Building a theoretic framework and measures clearinghouse to assess risks and benefits of ASD screening for young children with autismR01MH104400 · NIMH · UNIVERSITY OF MASSACHUSETTS BOSTON · PI CARTER, ALICE S., SHELDRICK, RADLEY C. · 2014 to 2018
$4.3M
Maternal and Child Health Bureau R40MC26195NIMH NIH HHS R01 MH104400NIMH NIH HHS R01MH104400
6 · The paper itself

Abstract

Health disparities in ASD detection affect children's access to subsequent interventions. We examined potential disparities in implementation of a multi-stage ASD screening and diagnostic evaluation protocol in Part C Early Intervention with 4943 children ages 14-36 months (mean 22.0 months; 62.9% boys, 73.3% children of color, 34.9% non-English-primary language, 64.5% publicly-insured). Participation and follow-through were high (64.9% and 65.3% at first- and second-stage screening, respectively, 84.6% at diagnostic evaluation). Logistic regressions identified predictors of screening participation and outcomes at each stage; demographic differences (race, language, public insurance) were observed only at first-stage screening and reflected higher participation for children of color and higher positive screens for publicly-insured children. Results suggest the multi-stage screening protocol shows promise in addressing disparities in early diagnosis.

Indexed as

Autism Spectrum DisorderChild, PreschoolCommunity Health ServicesEarly DiagnosisEarly Intervention, EducationalFemaleHealthcare DisparitiesHumansInfantMaleMass ScreeningAutism spectrum disorderEarly detectionHealth disparitiesScreening

Identifiers

PMID32144605
PMCPMC7483311
OpenAlexW3009745484

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

Registered trials

None linked

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.