Evidence map›Paper›PMID 39342198›Full record

SynthesisBMC pediatrics2024

Screening tools for autism in culturally and linguistically diverse paediatric populations: a systematic review.

Elmee Huda, Patrick Hawker, Sara Cibralic, James Rufus John, Aniqa Hussain, Antonio Mendoza Diaz, Valsamma Eapen

Abstract readSystematic Review
In one paragraph

Synthesis in BMC pediatrics, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 11 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
11citing papers in PubMed, 1 pooled it
–field-weighted citation impact
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

11 citing papers in PubMed, 1 synthesis or guideline pooled it.

  1. Pooled it
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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.

Elmee HudaDepartment of General Paediatrics, Queensland Children's Hospital, Children's Health Queensland Hospital and Health Service, South Brisbane, QLD, 4101, Australia.
Patrick HawkerDiscipline of Psychiatry and Mental Health, School of Medicine, University of New South Wales, Sydney, NSW, 1466, Australia.
Sara CibralicDiscipline of Psychiatry and Mental Health, School of Medicine, University of New South Wales, Sydney, NSW, 1466, Australia.
James Rufus JohnDiscipline of Psychiatry and Mental Health, School of Medicine, University of New South Wales, Sydney, NSW, 1466, Australia.
Aniqa HussainAcademic Unit of Child Psychiatry, South Western Sydney Local Health District and Ingham Institute, Sydney, Australia.
Antonio Mendoza DiazDiscipline of Psychiatry and Mental Health, School of Medicine, University of New South Wales, Sydney, NSW, 1466, Australia.
Valsamma EapenDiscipline of Psychiatry and Mental Health, School of Medicine, University of New South Wales, Sydney, NSW, 1466, Australia. v.eapen@unsw.edu.au.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAutism Spectrum Disorder (ASD) has varying prevalence rates worldwide, often higher in culturally diverse populations. Cultural differences can affect autism symptom recognition. Language barriers and differing healthcare attitudes may delay diagnosis and intervention. Most autism screening tools were developed in Western, predominantly Caucasian populations, and their appropriateness in culturally and linguistically diverse (CALD) contexts remains uncertain. There is a lack of comprehensive data on the accuracy of these tools in identifying autism in culturally and linguistically diverse groups. Consequently, it is unclear whether current screening tools are culturally sensitive and appropriate.

methodsA research protocol was registered in PROSPERO (CRD42022367308). A comprehensive search of literature published from inception to October 2022 was conducted using the following databases: PubMed, Medline Complete, Scopus, PsychInfo and CINAHL Complete. The articles were screened using pre-determined inclusion and exclusion criteria. Data extracted included participant demographics, screening tool psychometric properties (validity, reliability, accuracy) and acceptability. A narrative synthesis approach was used.

resultsFrom the initial retrieval of 2310 citations, 51 articles were included for analysis. The studies were conducted in 32 different countries with screening tools in the following languages: Chinese, Spanish, Korean, Turkish, Arabic, Kurdish, Persian, Serbian, Italian, French, Sinhala, Taiwanese, Finnish, Northern Soho, Albanian, German, Japanese, Vietnamese, Farsi, Greek and English. There was no data on acceptability of the screening tools in CALD populations. Validity, reliability, and accuracy ranged from poor to excellent with consistently high performance by screening tools devised within the populations they are intended for.

conclusionsThe review evaluated autism screening tools in culturally diverse populations, with a focus on validity, reliability, and acceptability. It highlighted variations in the effectiveness of these tools across different cultures, with high performance by tools devised specifically for the intended population, emphasizing the need for culturally sensitive screening tools. Further research is needed to improve culturally specific, reliable autism screening tools for equitable assessment and intervention in diverse communities.

Indexed as

Autism Spectrum DisorderCultural DiversityChildHumansLanguageMass ScreeningReproducibility of ResultsAutism spectrum disorderCulturally and linguistically diversePaediatricScreening tools

Identifiers

PMID39342198
PMCPMC11437884

What OpenQuestion holds

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LicenceCC BY-NC-ND
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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.