A systematic review of the use of telehealth to facilitate a diagnosis for children with developmental concerns

Valle, Chelsea La; Johnston, Emily; Tager–Flusberg, Helen

doi:10.1016/j.ridd.2022.104269

Cited by 8 publications

(3 citation statements)

References 72 publications

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“…For example, Alfuraydan et al [ 3 ] reviewed the application of telehealth for ASD diagnosis but not for screening. Other reviews have mainly focused on the psychometric properties of telemedicine for ASD diagnostics [ 23 , 42 , 43 ]. For instance, Desideri et al [ 11 ] reviewed the application of telemedicine for the early screening of children with ASD under 6 years of age along with psychometric properties.…”

Section: Introductionmentioning

confidence: 99%

A systematic review of telehealth screening, assessment, and diagnosis of autism spectrum disorder

Liu

Ma²

2022

Child Adolesc Psychiatry Ment Health

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There is a significant delay between parents having concerns and receiving a formal assessment and Autism Spectrum Disorder (ASD) diagnosis. Telemedicine could be an effective alternative that shortens the waiting time for parents and primary health providers in ASD screening and diagnosis. We conducted a systematic review examining the uses of telemedicine technology for ASD screening, assessment, or diagnostic purposes and to what extent sample characteristics and psychometric properties were reported. This study searched four databases from 2000 to 2022 and obtained 26 studies that met the inclusion criteria. The 17 applications used in these 26 studies were divided into three categories based on their purpose: screening, diagnostic, and assessment. The results described the data extracted, including study characteristics, applied methods, indicators seen, and psychometric properties. Among the 15 applications with psychometric properties reported, the sensitivity ranged from 0.70 to 1, and the specificity ranged from 0.38 to 1. The present study highlights the strengths and weaknesses of current telemedicine approaches and provides a basis for future research. More rigorous empirical studies with larger sample sizes are needed to understand the feasibility, strengths, and limitations of telehealth technologies for screening, assessing, and diagnosing ASD.

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Section: Introductionmentioning

confidence: 99%

A systematic review of telehealth screening, assessment, and diagnosis of autism spectrum disorder

Liu

Ma²

2022

Child Adolesc Psychiatry Ment Health

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“…Moreover, teleintervention has already been shown to be a valid and effective modality in the screening and diagnosis of children with socio-communicative needs (71). In general, telehealth facilitates the diagnosis of children with developmental concerns (72). However, these studies demonstrate the feasibility, effectiveness, and diagnostic accuracy of teleassessment tools and protocols that have been adapted to a digital format.…”

Section: Digital Assessment Toolsmentioning

confidence: 99%

Validation of PleaseApp: a digital tool for the assessment of receptive pragmatic abilities in children with neurodevelopmental disorders

Andrés-Roqueta,

Flores-Buils,

Igualada

2024

Front. Psychiatry

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BackgroundPragmatic skills allow children to use language for social purposes, that is, to communicate and interact with people. Most children with neurodevelopmental disorders (NDDs) face pragmatic difficulties during development. Nevertheless, pragmatic skills are often only partially assessed because the existing instruments usually focus on specific aspects of pragmatics and are not always adapted to children with communication difficulties. In this sense, digital tools (e.g., apps) are an optimal method to compensate for some difficulties. Moreover, there is a lack of pragmatic tools measuring the receptive domain. Therefore, the present study aims to validate PleaseApp as a digital instrument that measures eight pragmatic skills by presenting the design of the assessment tool and its psychometric properties.MethodsPleaseApp was designed based on previous empirical studies of developmental pragmatics in children with and without NDD. PleaseApp assesses eight receptive pragmatic skills: figurative language, narrative, reference, indirect speech acts, visual and verbal humor, gesture-speech integration, politeness, and complex intentionality. The study involved 150 typically developing children between 5 and 12 years of age.ResultsA confirmatory factor analysis proposes an eight-factor model with no underlying factor structure. The eight tests that compose PleaseApp have obtained a model with a good fit and with adequate reliability and validity indices.DiscussionPleaseApp is an objective, valid, and reliable tool for assessing pragmatic skills in children with NDD. In this sense, it helps to assess whether a child has acquired pragmatic skills correctly according to his/her age and clarify the specific problems a child has in eight different components to plan personal and personalized interventions.

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“…While limited in scope, existing reviews focused on telehealth for persons with ASC have concluded that it is a promising delivery approach for both diagnosis and treatment of the condition (La Valle et al, 2022 ; Sutherland et al, 2018 ). Several newly published studies back these findings, with moderate to high satisfaction reported following diagnostic evaluations (Adamou et al, 2021 ; Jang et al, 2021 ) and treatment (Lynch et al, 2021 ; Pollard et al, 2021 ; Srinivasan et al, 2021 ) for those with ASCs.…”

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confidence: 99%

Brief Report: Telehealth Satisfaction Among Caregivers of Pediatric and Adult Psychology and Psychiatry Patients with Intellectual and Developmental Disability in the Wake of Covid-19

Rosén

Blank

Lampert

et al. 2022

J Autism Dev Disord

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Telehealth has been shown to be both acceptable and effective in many areas of healthcare, yet it was not widely adopted prior to the SARS-CoV-2 (COVID-19) pandemic. Additionally, previous evaluations of telehealth for autism spectrum condition (ASC) and intellectual and developmental disability (IDD) populations are limited in both number and scope. Here, we investigated satisfaction amongst Psychology and Psychiatry patient caregivers at Cincinnati Children’s Hospital Medical Center (CCHMC) after the onset of the COVID-19 pandemic. Results (640 responses) showed high rates of satisfaction across departments, appointment types, and diagnoses, with 92% indicating overall satisfaction with their appointment. There were, however, notable decreases in satisfaction among Group Therapy respondents, and those whose diagnosis was classified as Other.

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A systematic review of the use of telehealth to facilitate a diagnosis for children with developmental concerns

Cited by 8 publications

References 72 publications

A systematic review of telehealth screening, assessment, and diagnosis of autism spectrum disorder

A systematic review of telehealth screening, assessment, and diagnosis of autism spectrum disorder

Validation of PleaseApp: a digital tool for the assessment of receptive pragmatic abilities in children with neurodevelopmental disorders

Brief Report: Telehealth Satisfaction Among Caregivers of Pediatric and Adult Psychology and Psychiatry Patients with Intellectual and Developmental Disability in the Wake of Covid-19

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