Preliminary study on the application of mobile terminal in the early screening for autism spectrum disorder in children at home

LI Yicheng; ZHANG Yuanyuan; HUO Yanyan; WU Dan; MA Ling; QIU Xiaoyan; MA Chenhuan; WANG Jian; LUO Jieming; LI Tianshu; XU Jing; ZHOU Jie; SUN Tingting; SHEN Hongying; XU Lei; WANG Yu; CHEN Jinjin

doi:10.11852/zgetbjzz2022-1484

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Chinese Journal of Child Health Care ›› 2023, Vol. 31 ›› Issue (9) : 963-968. DOI: 10.11852/zgetbjzz2022-1484

Preliminary study on the application of mobile terminal in the early screening for autism spectrum disorder in children at home

LI Yicheng¹, ZHANG Yuanyuan¹, HUO Yanyan¹, WU Dan¹, MA Ling¹, QIU Xiaoyan¹, MA Chenhuan¹, WANG Jian², LUO Jieming³, LI Tianshu³, XU Jing⁴, ZHOU Jie⁵, SUN Tingting⁶, SHEN Hongying⁷, XU Lei⁸, WANG Yu¹, CHEN Jinjin¹

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Abstract

Objective To explore the clinical application value of using mobile terminal for early screening of autism spectrum disorder (ASD) in children aged 0 - 36 months in Shanghai, in order to guide early family intervention. Methods A stratified sampling method was used to randomly select 12 secondary and tertiary maternal and child health care institutions in Shanghai. Children aged 0 - 36 months who underwent routine community physical examination were selected. The revised ASD early screening scale was used as the screening tool to conduct ASD early screening online at home. The primary and secondary screening rate, screening positive rate, positivity distribution and related influencing factors were analyzed. Results A total of 2 748 infants and toddlers participated in the early screening of ASD in the community, with a total of 3 472 screenings and 3 317 valid screenings, representing a valid screening rate of 95.54% and a secondary screening rate of 19.10%. There were 308(9.62%) cases with abnormal screening results, among which the positive rate of boys was 12.44%, significantly higher than that of girls (6.51%) (χ²=33.45, P<0.05). Among those who were screened ≥2 times, 68 children had abnormal screening at least for 1 time, 34 children finally had normal follow-up result with home intervention based on the community health promotion guidance, and the effective rate of home intervention was 50%. There were significant differences in the distribution of screening dimension failures among different age groups. Failure in gross motor skills was concentrated before 12 months of age, failure in language and fine motor skills was concentrated between 18 and 24 months of age, and failure in personal social skills was concentrated between 24 and 30 months of age. The majority (65.17%) represented "no speech" behavior among children who failed in the "five no" screening test. Conclusions The mobile terminal has good clinical application value in early screening of ASD in children at home. Promoting early ASD intervention in community-family is helpful to mobilize the subjective initiative of home and community, improve the early identification capabilities of caregivers and primary care professionals, guide caregivers to understand the law of early development of children and provide responsive care, so as to better prevent ASD and reverse ASD outcomes effectively.

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autism spectrum disorder / community screening / early screening / neurodevelopmental disorders / mobile device

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LI Yicheng, ZHANG Yuanyuan, HUO Yanyan, WU Dan, MA Ling, QIU Xiaoyan, MA Chenhuan, WANG Jian, LUO Jieming, LI Tianshu, XU Jing, ZHOU Jie, SUN Tingting, SHEN Hongying, XU Lei, WANG Yu, CHEN Jinjin. Preliminary study on the application of mobile terminal in the early screening for autism spectrum disorder in children at home[J]. Chinese Journal of Child Health Care. 2023, 31(9): 963-968 https://doi.org/10.11852/zgetbjzz2022-1484

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