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

  • On behalf of the Autism Working Group in Peru
  • Tulane University School of Medicine
  • Tulane University School of Public Health and Tropical Medicine
  • Louisiana State University
  • Johns Hopkins Bloomberg School of Public Health
  • Johns Hopkins University
  • USA Indian Health Service
  • Universidad Peruana Cayetano Heredia
  • Yale Child Study Center
  • Weill Cornell Medicine
  • Rutgers Robert Wood Johnson Medical School
  • Johns Hopkins University Whiting School of Engineering
  • CCSN: The Center for Children With Special Needs
  • IMLA: Instituto Medico Lengua Aprendazaje

Research output: Contribution to journalArticlepeer-review

16 Scopus citations

Abstract

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.

Original languageEnglish
Pages (from-to)994-1006
Number of pages13
JournalJournal of Autism and Developmental Disorders
Volume51
Issue number3
DOIs
StatePublished - Mar 2021

Keywords

  • ASD diagnosis
  • Autism spectrum disorder
  • Developmental disorder
  • Eye tracking
  • Gaze preference

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