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Diagnostic Assessment of Autism in Children Using Telehealth in a Global Context: a Systematic Review

Katakis, Panos; Estrin, Georgia Lockwood; Wolstencroft, Jeanne; Sayani, Shermina; Buckley, Ellie; Mirzaei, Venus; Heys, Michelle; (2023) Diagnostic Assessment of Autism in Children Using Telehealth in a Global Context: a Systematic Review. Review Journal of Autism and Developmental Disorders 10.1007/s40489-023-00408-z. (In press). Green open access

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Abstract

Reflecting the significant delays in autism assessments globally, studies have explored whether autism assessments conducted via telehealth are feasible and accurate. This systematic review investigated the psychometric properties of autism assessment tools for children administered via telehealth and examined the diagnostic accuracy of telehealth assessment procedures compared to care-as-usual in-person assessments. Relevant databases (MEDLINE, Embase and PsycInfo) were searched for eligible studies (PROSPERO: CRD42022332500). In total, 18 studies were included, collectively assessing 1593 children for autism. Telehealth assessments for autism were largely comparable to in-person assessments, with a diagnostic agreement of 80–88.2%. Individual behavioral observation tools, diagnostic interviews, and clinician-administered screening tools demonstrated acceptable validity. For many children, diagnostic decision-making can be expedited without loss of validity using telehealth.

Type: Article
Title: Diagnostic Assessment of Autism in Children Using Telehealth in a Global Context: a Systematic Review
Open access status: An open access version is available from UCL Discovery
DOI: 10.1007/s40489-023-00408-z
Publisher version: http://dx.doi.org/10.1007/s40489-023-00408-z
Language: English
Additional information: Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/.
Keywords: Autism · Telehealth · Online · Assessment · Diagnosis · Systematic review
UCL classification: UCL
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health
UCL > Provost and Vice Provost Offices > School of Life and Medical Sciences > Faculty of Population Health Sciences > UCL GOS Institute of Child Health > Population, Policy and Practice Dept
URI: https://discovery.ucl.ac.uk/id/eprint/10184243
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