Introduction: Children suspected of developmental disability are typically screened prior to refe... more Introduction: Children suspected of developmental disability are typically screened prior to referral for further assessment. Accurate decisions at this point are critical in a) detecting children at risk, and b) not subjecting children and families to further, unnecessary procedures. Few studies have examined the metacognitive processes involved during this initial interview. Confidence is a critical component of metacognitive awareness (McCurdy, Naismith & Lajoie, 2010) which affects accuracy (Berner and Graber, 2008; Mann, 1993; Tachakra, 2002). Confidence-accuracy (C-A) calibration may allow for a direct estimate of the probability of decision accuracy (Brewer & Wells, 2006). We explored C-A calibration of clinician judgment in children aged less than 37 months at risk of Autism Spectrum Disorder (ASD) who were evaluated during an intake interview. Clinician’s estimate of diagnosis and their confidence level were recorded and compared with the child’s final diagnosis as determin...
Journal of Autism and Developmental Disorders, 2015
The Autism Detection in Early Childhood (ADEC) is a brief, play-based screening tool for the asse... more The Autism Detection in Early Childhood (ADEC) is a brief, play-based screening tool for the assessment of autism spectrum disorder (ASD) in children aged 12-36 months. We examined the psychometric properties of the ADEC in a clinical sample of toddlers (n = 114) referred to a US pediatric hospital for assessment due to concerns of developmental delay or ASD. The ADEC (cutoff = 11) returned good sensitivity (.93-.94) but poorer specificity (.62-.64) for best estimate clinical diagnosis of ASD, and compared favorably with the ADOS-2. Internal consistency was acceptable, a = .80, and inter-rater reliability was high, ICC = .95. Results support the use of the ADEC as a clinical screen for ASD.
The Autism Detection in Early Childhood (ADEC) is a brief, play-based screening tool for the asse... more The Autism Detection in Early Childhood (ADEC) is a brief, play-based screening tool for the assessment of autism spectrum disorder (ASD) in children aged 12–36 months. We examined the psychometric properties of the ADEC in a clinical sample of toddlers (n = 114) referred to a US pediatric hospital for assessment due to concerns of developmental delay or ASD. The ADEC (cutoff = 11) returned good sensitivity (.93–.94) but poorer specificity (.62–.64) for best estimate clinical diagnosis of ASD, and compared favorably with the ADOS-2. Internal consistency was acceptable, α = .80, and inter-rater reliability was high, ICC = .95. Results support the use of the ADEC as a clinical screen for ASD.
Introduction: Children suspected of developmental disability are typically screened prior to refe... more Introduction: Children suspected of developmental disability are typically screened prior to referral for further assessment. Accurate decisions at this point are critical in a) detecting children at risk, and b) not subjecting children and families to further, unnecessary procedures. Few studies have examined the metacognitive processes involved during this initial interview. Confidence is a critical component of metacognitive awareness (McCurdy, Naismith & Lajoie, 2010) which affects accuracy (Berner and Graber, 2008; Mann, 1993; Tachakra, 2002). Confidence-accuracy (C-A) calibration may allow for a direct estimate of the probability of decision accuracy (Brewer & Wells, 2006). We explored C-A calibration of clinician judgment in children aged less than 37 months at risk of Autism Spectrum Disorder (ASD) who were evaluated during an intake interview. Clinician’s estimate of diagnosis and their confidence level were recorded and compared with the child’s final diagnosis as determin...
Journal of Autism and Developmental Disorders, 2015
The Autism Detection in Early Childhood (ADEC) is a brief, play-based screening tool for the asse... more The Autism Detection in Early Childhood (ADEC) is a brief, play-based screening tool for the assessment of autism spectrum disorder (ASD) in children aged 12-36 months. We examined the psychometric properties of the ADEC in a clinical sample of toddlers (n = 114) referred to a US pediatric hospital for assessment due to concerns of developmental delay or ASD. The ADEC (cutoff = 11) returned good sensitivity (.93-.94) but poorer specificity (.62-.64) for best estimate clinical diagnosis of ASD, and compared favorably with the ADOS-2. Internal consistency was acceptable, a = .80, and inter-rater reliability was high, ICC = .95. Results support the use of the ADEC as a clinical screen for ASD.
The Autism Detection in Early Childhood (ADEC) is a brief, play-based screening tool for the asse... more The Autism Detection in Early Childhood (ADEC) is a brief, play-based screening tool for the assessment of autism spectrum disorder (ASD) in children aged 12–36 months. We examined the psychometric properties of the ADEC in a clinical sample of toddlers (n = 114) referred to a US pediatric hospital for assessment due to concerns of developmental delay or ASD. The ADEC (cutoff = 11) returned good sensitivity (.93–.94) but poorer specificity (.62–.64) for best estimate clinical diagnosis of ASD, and compared favorably with the ADOS-2. Internal consistency was acceptable, α = .80, and inter-rater reliability was high, ICC = .95. Results support the use of the ADEC as a clinical screen for ASD.
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