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Autism Detection in Children by Combined Use of Gaze Preference and the M-CHAT-R in a Resource-Scarce Setting

Most children with autism spectrum disorder (ASD), in resource-limited settings (RLS), are diagnosed after the age of four. Our work confirmed and extended results of Pierce that eye tracking could discriminate between typically developing (TD) children and those with ASD. We demonstrated the initia...

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Detalles Bibliográficos
Autores principales: Jensen, Kelly, Noazin, Sassan, Bitterfeld, Leandra, Carcelen, Andrea, Vargas-Cuentas, Natalia I., Hidalgo, Daniela, Valenzuela, Alejandra, Roman-Gonzalez, Avid, Krebs, Casey, Clement, Vincent, Nolan, Cody, Barrientos, Franklin, Mendoza, Ardi Knobel, Noriega-Donis, Paola, Palacios, Claudia, Ramirez, Andrea, Vittet, Macarena, Hafeez, Emil, Torres-Viso, Mariana, Velarde, Myriam, Moulton, Lawrence H., Powers, Michael D., Gilman, Robert H., Zimic, Mirko
Formato: Online Artículo Texto
Lenguaje:English
Publicado: Springer US 2021
Materias:
Acceso en línea:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7954728/
https://www.ncbi.nlm.nih.gov/pubmed/33591436
http://dx.doi.org/10.1007/s10803-021-04878-0
Descripción
Sumario:Most children with autism spectrum disorder (ASD), in resource-limited settings (RLS), are diagnosed after the age of four. Our work confirmed and extended results of Pierce that eye tracking could discriminate between typically developing (TD) children and those with ASD. We demonstrated the initial 15 s was at least as discriminating as the entire video. We evaluated the GP-MCHAT-R, which combines the first 15 s of manually-coded gaze preference (GP) video with M-CHAT-R results on 73 TD children and 28 children with ASD, 36–99 months of age. The GP-MCHAT-R (AUC = 0.89 (95%CI: 0.82–0.95)), performed significantly better than the MCHAT-R (AUC = 0.78 (95%CI: 0.71–0.85)) and gaze preference (AUC = 0.76 (95%CI: 0.64–0.88)) alone. This tool may enable early screening for ASD in RLS. SUPPLEMENTARY INFORMATION: The online version contains supplementary material available at 10.1007/s10803-021-04878-0.