Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review.

There is a significant delay between seeking help and a confirmed diagnosis of Autism Spectrum Disorder (ASD). This delay can lead to poor outcomes for both the families and individuals. Telehealth potentially offers a way of improving the diagnostic pathway for ASD. We conducted a scoping review ex...

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Main Authors: Manahil Alfuraydan, Jodie Croxall, Lisa Hurt, Mike Kerr, Sinead Brophy
Format: Article
Language:English
Published: Public Library of Science (PLoS) 2020-01-01
Series:PLoS ONE
Online Access:https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0236415&type=printable
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author Manahil Alfuraydan
Jodie Croxall
Lisa Hurt
Mike Kerr
Sinead Brophy
author_facet Manahil Alfuraydan
Jodie Croxall
Lisa Hurt
Mike Kerr
Sinead Brophy
author_sort Manahil Alfuraydan
collection DOAJ
description There is a significant delay between seeking help and a confirmed diagnosis of Autism Spectrum Disorder (ASD). This delay can lead to poor outcomes for both the families and individuals. Telehealth potentially offers a way of improving the diagnostic pathway for ASD. We conducted a scoping review examining which telehealth approaches are used in the diagnosis and assessment of ASD in children and adults, whether they are feasible and acceptable, and how they compare with face-to-face diagnosis and assessment methods. A search for all peer-reviewed articles, combining the terms of autism and telehealth was conducted from 2000 to 2019. A total of 10 studies were identified for inclusion in the review. This review of the literature found there to be two methods of using telehealth: (a) Real-Time method e.g. video conferencing that enables teams in different areas to consult with the families and to assess the child/adult in real time and (b) A Store-and-Forward method as Naturalistic Observation Diagnostic Assessment (NODA) system to upload videos of child's behaviors to a webportal that enables the clinicians to make an assessment remotely. The findings were positive, finding there to be high agreement in terms of the diagnosis between remote methods and face to face methods and with high levels of satisfaction among the families and clinicians. This field is in the very early stages and so only studies with small sample size using surveys and interviews were identified but the findings suggest that there is potential for telehealth methods to improve access to assessment and diagnosis of ASD used in conjunction with existing methods, especially for those with clear autism traits and adults with ASD. Larger randomised controlled trials of this technology are warranted.
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spelling doaj-art-9af25ba4aa1a4a1f853bea48cd57630f2025-02-05T05:33:02ZengPublic Library of Science (PLoS)PLoS ONE1932-62032020-01-01157e023641510.1371/journal.pone.0236415Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review.Manahil AlfuraydanJodie CroxallLisa HurtMike KerrSinead BrophyThere is a significant delay between seeking help and a confirmed diagnosis of Autism Spectrum Disorder (ASD). This delay can lead to poor outcomes for both the families and individuals. Telehealth potentially offers a way of improving the diagnostic pathway for ASD. We conducted a scoping review examining which telehealth approaches are used in the diagnosis and assessment of ASD in children and adults, whether they are feasible and acceptable, and how they compare with face-to-face diagnosis and assessment methods. A search for all peer-reviewed articles, combining the terms of autism and telehealth was conducted from 2000 to 2019. A total of 10 studies were identified for inclusion in the review. This review of the literature found there to be two methods of using telehealth: (a) Real-Time method e.g. video conferencing that enables teams in different areas to consult with the families and to assess the child/adult in real time and (b) A Store-and-Forward method as Naturalistic Observation Diagnostic Assessment (NODA) system to upload videos of child's behaviors to a webportal that enables the clinicians to make an assessment remotely. The findings were positive, finding there to be high agreement in terms of the diagnosis between remote methods and face to face methods and with high levels of satisfaction among the families and clinicians. This field is in the very early stages and so only studies with small sample size using surveys and interviews were identified but the findings suggest that there is potential for telehealth methods to improve access to assessment and diagnosis of ASD used in conjunction with existing methods, especially for those with clear autism traits and adults with ASD. Larger randomised controlled trials of this technology are warranted.https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0236415&type=printable
spellingShingle Manahil Alfuraydan
Jodie Croxall
Lisa Hurt
Mike Kerr
Sinead Brophy
Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review.
PLoS ONE
title Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review.
title_full Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review.
title_fullStr Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review.
title_full_unstemmed Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review.
title_short Use of telehealth for facilitating the diagnostic assessment of Autism Spectrum Disorder (ASD): A scoping review.
title_sort use of telehealth for facilitating the diagnostic assessment of autism spectrum disorder asd a scoping review
url https://journals.plos.org/plosone/article/file?id=10.1371/journal.pone.0236415&type=printable
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