scholarly journals A review of screening tools for the identification of autism spectrum disorders and developmental delay in infants and young children: recommendations for use in low- and middle-income countries

2019 ◽  
Vol 12 (2) ◽  
pp. 176-199 ◽  
Author(s):  
Marguerite Marlow ◽  
Chiara Servili ◽  
Mark Tomlinson
Author(s):  
Le Thi Vui ◽  
Duong Minh Duc ◽  
Nguyen Thuy Quynh ◽  
Nguyen Thi Huong Giang ◽  
Vu Thi Thanh Mai ◽  
...  

Background: Early detection of autism spectrum disorders (ASDs) is essential given the under-reported cases in low- and middle-income countries. This first national representative survey was conducted to explore the prevalence of ASDs amongst 18 and 30 months in seven provinces in Vietnam.Design and Method: During 2017- 2018, a national cross-sectional and population-based survey for autism spectrum disorder (ASD) amongst 40,243 children aged 18 to 30 months was conducted in 7 provinces representing the socio-economic regions of Vietnam. M-CHAT was used to screen children and then confirmed by diagnostic assessment using DSM-IV criteria.Results: The prevalence of ASDs amongst children aged 18 and 30 months in Vietnam was high (0.758% or 1 in 132 children). Urban setting, male gender, and hereditable genes were associated with ASD prevalence.Conclusion: ASDs amongst children aged 18 and 30 months in Vietnam tend to be increasing and are similar to this rate in other middle-income countries but lower than that in Western countries. This under-recognized public health problem amongst children should be addressed by early detection and intervention for families with affected children.


2021 ◽  
Author(s):  
Lin Sun

Although an increased number of autism interventions have been introduced from high-income countries (HICs) to low-and-middle-income countries (LMICs), research exists to show that interventions validated as effective in HICs are not equally effective in LMICs. The lack of an overview of autism interventions from LMICs presents a knowledge barrier to well-informed implementation of autism interventions in LMICs’ contexts. This scoping review sought to answer: (a) what autism interventions have been reported in LMICs? and (b) how those interventions were adopted to tailor LMICs’ contexts? Twenty intervention studies were included for review. Results revealed that 12 of 20 interventions were originally developed in HICs. The interventions reported across LMICs presented a recognizable profile similar to those in HICs concerning (a) the dominance of mothers’ involvement in parent-implemented interventions, (b) a preponderance of social communication and behavioral interventions, and (c) the use of prevalent standardized measures developed in the HICs. The included interventions were delivered across Africa, Asia, and Eastern Europe with various degrees of adaptions made in (a) intervention content and context, (b) assessment of participant eligibility, and (c) outcome measures. Implications for capacity building in autism interventions across LMICs, were discussed thereafter.


2017 ◽  
Vol 13 ◽  
pp. e12430 ◽  
Author(s):  
Julia Krasevec ◽  
Xiaoyi An ◽  
Richard Kumapley ◽  
France Bégin ◽  
Edward A. Frongillo

BMJ Open ◽  
2020 ◽  
Vol 10 (11) ◽  
pp. e038182
Author(s):  
Tasnuva Faruk ◽  
Catherine King ◽  
Mohammad Muhit ◽  
Md Kafiul Islam ◽  
Israt Jahan ◽  
...  

ObjectiveTo systematically review, identify and report the screening tools used for early identification of developmental delay in low- and middle-income countries.DesignSystematic review.Data sourcesFour bibliographic databases: Medline (1946 to 13 July 2020), Embase (1974 to 13 July 2020), Scopus (1823 to 11 July 2020) and PsycINFO (1987 to July week 1 2020).Eligibility criteriaPeer-reviewed original articles published in English addressing validated culturally sensitive developmental screening tools among children aged <5 years were included in this review.Data extraction and synthesisOne author (CK, medical librarian) developed the search strategy. Three authors conducted the database search (phase I: CK; phase II: IJ and MKI). Three authors (TF, IJ and MKI) independently screened the title and abstracts. TF, MKI and GK independently performed the full-text review of the screened articles. During each step of the study selection process, disagreements were resolved through discussion. The Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement was used to guide the systematic review. Data extraction and analysis were performed using MS Excel. Meta-analysis was not possible due to heterogeneity of the study findings.ResultsWe identified 3349 articles, of which 18 studies from 10 countries, reporting 16 screening tools, were selected for qualitative synthesis. Six cultural contexts were explored. Twelve general, two motor and two speech-language tools were identified. Seven of them found to be parent-completed ones. Five screening tools (American Speech-Language and Hearing Association, Guide for Monitoring Child Development, Infant Neurological International Battery, New Delhi-Development Screening Questionnaire and Woodside Screening Technique) reported relatively higher sensitivity (82.5%–100%) and specificity (83%–98.93%).ConclusionsLimited number of culturally sensitive developmental screening tools were validated for children aged <5 years in low- and middle-income countries. Revising existing screening tools in different ethnic and cultural settings and subsequent validation with normative value should be a research priority.


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