Can Novel Telemedicine Tools Reduce Disparities Related to Early Identification of Autism

Study Overview
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Brief Summary
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In this study, the investigators are trying to find new ways to screen for autism spectrum disorder (ASD) in young children. The investigators want to see if people like pediatricians can screen children for ASD while a psychologist watches on a monitor. The investigators are testing two screening tools. The investigators want to see if they are good at identifying children with ASD and children without ASD. The investigators hope this research will make it easier for families to get answers when there are concerns for ASD.

Detailed Description
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The investigators will evaluate and compare two telemedicine assessment tools (TELE-STAT and TELE-ASD-PEDS) that could allow parents or naive providers in remote locations to complete an Autism Spectrum Disorder (ASD) risk assessment via telemedicine consultation via an expert psychologist. These tools will be low cost, compliant with privacy rules, easily deployed in community practice settings, and explicitly designed to work within paradigms that may be pragmatically and financially viable for systems of care housing remote clinicians. These telemedicine tools could provide methodologies wherein children could be rapidly linked to and appropriately assessed by ASD experts within practice locations where the children are currently receiving care. In turn, these children, who without such assessment may wait months or over a year in many circumstances to access assessments and interventions, may be able to receive appropriate ASD assessments within days or weeks of screening/surveillance concerns within practice settings where the children are already accessing and familiar with (i.e., minimizing loss to referral and follow-up)

Official Title
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Can Novel Telemedicine Tools Reduce Disparities Related to Early Identification of Autism

Conditions
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Autism Spectrum Disorder, Developmental Delay

Intervention / Treatment
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* Other: Telehealth-Screening Tool for Autism in Toddlers (STAT)
* Other: Telehealth-Autism Spectrum Disorder-Pediatrics (ASD-PEDS)


Participation Criteria
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Eligibility Criteria
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Inclusion Criteria: Children who have been diagnosed with autism or developmental delay Exclusion Criteria: Children with genetic disorders Children with medical complexities, such as blindness or deafness Children whose families do not speak English

Ages Eligible for Study
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Minimum Age: 15 Months
Maximum Age: 3 Years

Sexes Eligible for Study
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All

Accepts Healthy Volunteers
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No

Study Plan
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How is the study designed?
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Design Details

Primary Purpose: Diagnostic
Allocation: Randomized
Intervention Model: Parallel Assignment
Masking: Double


Arms and Interventions

| Participant Group/Arm | Intervention/Treatment |
| --- | --- |
| Experimental: New to diagnosis<br>We will test two telemedicine tools with children who have not been previously diagnosed with autism or developmental delay. The two telemedicine tools are the Screening Tool for Autism in Toddlers (TELE-STAT) and the Autism Spectrum Disorder (ASD-PEDS). | Other: Telehealth-Screening Tool for Autism in Toddlers (STAT)<br>* Structured autism screening tool<br>Other: Telehealth-Autism Spectrum Disorder-Pediatrics (ASD-PEDS)<br>* Semi-structured autism screening tool<br>|
| Experimental: Previously diagnosed<br>We will test two telemedicine tools with children who have been previously diagnosed with autism or developmental delay. The two telemedicine tools are the Screening Tool for Autism in Toddlers (TELE-STAT) and the Autism Spectrum Disorder (ASD-PEDS). | Other: Telehealth-Screening Tool for Autism in Toddlers (STAT)<br>* Structured autism screening tool<br>Other: Telehealth-Autism Spectrum Disorder-Pediatrics (ASD-PEDS)<br>* Semi-structured autism screening tool<br>|

What is the study measuring?
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Primary Outcome Measures

| Outcome Measure | Measure Description | Time Frame |
| --- | --- | --- |
| Accurate Diagnosis of Autism Via Telemedicine | Number of children who are accurately diagnosed with autism via diagnostic evaluation | 1 day | 
| Accurate Diagnosis of Developmental Delay Via Telemedicine | Number of children who are accurately diagnosed via diagnostic evaluation | 1 day | 

 Terms related to the study
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Keywords Provided by Centre Hospitalier Valida
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telemedicine