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Journal article
Sensitivity and Specificity of Developmental Surveillance and Autism Screening in an Australian Multicultural Cohort: The Watch Me Grow Study
Journal of autism and developmental disorders
15/05/2025
PMID: 40372565
Appears in Recent Faculty of Education Publications
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Source: InCites
Abstract
To examine accuracy of two-tiered surveillance to detect developmental disability and autism in a multicultural birth cohort; a subset of the Watch Me Grow Study. Surveillance tools were used at or soon after 18 months of age, including the Parents' Evaluation of Developmental Status (PEDS), the Ages and Stages Questionnaire (ASQ-3), and the revised Modified Checklist for Autism in Toddlers (M-CHAT-R/F). Children with and without identified concerns were assessed between 18 and 23 months using the Mullen Scales of Early Learning (MSEL) and the Autism Diagnostic Observation Schedule-2 (ADOS-2). Sensitivity and specificity of the surveillance tools used in isolation and in combination in this cohort ranged from 51 to 87% (n = 165). Some children (n = 21) who were not identified with high likelihood of difficulties were later assessed as having probable developmental disability. Adding the M-CHAT-R/F did not significantly improve autism likelihood identification in comparison with tiered developmental surveillance. There was highly variable sensitivity and specificity of combined tools for tiered developmental surveillance in this cohort. There remains a need in Australia to improve methods of, and engagement in, developmental screening and surveillance that includes detection of concerns in community and primary healthcare settings.
Details
- Title
- Sensitivity and Specificity of Developmental Surveillance and Autism Screening in an Australian Multicultural Cohort: The Watch Me Grow Study
- Creators
- Charmaine Bernie - Southern Cross UniversityAlicia Montgomery - University of New South WalesLouise Sealy - Sydney Children's HospitalJoseph Descallar - UNSW SydneyCheryl Dissanayake - La Trobe UniversityBin Jalaludin - UNSW SydneyElisabeth Murphy - New South Wales Ministry of Health (Australia, Sydney)Sue Woolfenden - Sydney Local Health DistrictKatrina Williams - Monash UniversityValsamma Eapen - UNSW Sydney
- Publication Details
- Journal of autism and developmental disorders
- Publisher
- Springer Nature
- Grant note
- Open Access funding enabled and organized by CAUL and its Member Institutions. This study (APP 1013690) was funded by the NH&MRC in Australia, through a partnership grant with the New South Wales Department of Health, Kids and Families and in-kind support from University of New South Wales, La Trobe University, South Western Sydney Local Health District and Sydney Children’s Hospital Network.
- Identifiers
- 991013285533202368
- Copyright
- © The Author(s) 2025.
- Academic Unit
- Faculty of Education
- Language
- English
- Resource Type
- Journal article