Evidence map›Paper›PMID 40438470›Full record

ArticleNEJM AI2024

Validation of a Mobile App for Remote Autism Screening in Toddlers.

Pradeep Raj Krishnappa Babu, J Matias Di Martino, Rachel Aiello, Brian Eichner, Steven Espinosa, Jennifer Green, Jill Howard, Sam Perochon, Marina Spanos, Saritha Vermeer and 2 more

Abstract read
In one paragraph

Article in NEJM AI, 2024. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 6 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
6citing 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

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

  1. Pooled it
  2. Review
  3. Article
  4. Autism Digital Phenotyping in Preschool- and School-Age Children.Autism research : official journal of the International Society for Autism Research · 2025
    Article
  5. Article
  6. 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

12 authors.

Pradeep Raj Krishnappa BabuDepartment of Electrical and Computer Engineering, Duke University, Durham, NC.ORCID 0000-0001-8404-3320
J Matias Di MartinoDepartment of Electrical and Computer Engineering, Duke University, Durham, NC.ORCID 0000-0002-4679-8666
Rachel AielloDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC.ORCID 0000-0002-5739-6304
Brian EichnerDepartment of Pediatrics, Duke University, Durham, NC.ORCID 0000-0002-4509-1060
Steven EspinosaOffice of Information Technology, Duke University, Durham, NC.ORCID 0009-0000-4614-5510
Jennifer GreenDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC.ORCID 0009-0001-6433-7644
Jill HowardDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC.ORCID 0000-0003-2668-5194
Sam PerochonEcole Normale Supérieure Paris-Saclay, Gif-Sur-Yvette, France.ORCID 0000-0002-1759-4154
Marina SpanosDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC.ORCID 0000-0002-4601-8498
Saritha VermeerDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC.ORCID 0000-0003-0285-4205
Geraldine DawsonDepartment of Psychiatry and Behavioral Sciences, Duke University, Durham, NC.ORCID 0000-0003-1410-2764
Guillermo SapiroDepartment of Electrical and Computer Engineering, Duke University, Durham, NC.ORCID 0000-0001-9190-6964

Funding

Recruitment and Assessment CoreP50HD093074 · NICHD · DUKE UNIVERSITY · PI Geraldine Dawson, Lauren Franz · 2017 to 2026
$27.6M
Novel Approaches to Infant Screening for ASD in Pediatric Primary CareR01MH121329 · NIMH · DUKE UNIVERSITY · PI DAWSON, GERALDINE · 2019 to 2023
$3.9M
Scalable Computational Platform For Active Closed-Loop Behavioral Coding in Autism Spectrum DisorderR01MH120093 · NIMH · DUKE UNIVERSITY · PI DAWSON, GERALDINE, SAPIRO, GUILLERMO R · 2019 to 2022
$1.6M
NICHD NIH HHS P50 HD093074NIMH NIH HHS R01 MH120093NIMH NIH HHS R01 MH121329
6 · The paper itself

Abstract

Early detection of autism is important for timely access to diagnostic evaluation and early intervention services, which improve children's outcomes. Despite the ability of clinicians to reliably diagnose autism in toddlers, diagnosis is often delayed. SenseToKnow is a mobile autism screening application (app) delivered on a smartphone or tablet that provides an objective and quantitative assessment of early behavioral signs of autism based on computer vision (CV) and machine learning (ML). This study examined the accuracy of SenseToKnow for autism detection when the app was downloaded and administered remotely at home by caregivers using their own devices. The SenseToKnow app was administered by caregivers of 620 toddlers between 16 and 40 months of age, 188 of whom were subsequently diagnosed with autism by expert clinicians. The app displayed strategically designed movies and a bubble-popping game on an iPhone or iPad while recording the child's behavioral responses through the device's front-facing camera and touch/inertial sensors. Recordings of the child's behavior were then automatically analyzed using CV. Multiple behavioral phenotypes were quantified and combined using ML in an algorithm for autism prediction. SenseToKnow demonstrated a high level of diagnostic accuracy with area under the receiver operating characteristic curve of 0.92, sensitivity of 83.0%, specificity of 93.3%, positive predictive value of 84.3%, and negative predictive value of 92.6%. Accuracy of the app for detecting autism was similar when administered on either a caregiver's iPhone or iPad. These results demonstrate that a mobile autism screening app based on CV can be delivered remotely by caregivers at home on their own devices and can provide a high level of accuracy for autism detection. Remote screening for autism potentially lowers barriers to autism screening, which could reduce disparities in early access to services and support and improve children's outcomes.

Identifiers

PMID40438470
PMCPMC12107789

What OpenQuestion holds

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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.