The purpose of this research study is to learn more about the outcomes of children who received an Autism Spectrum Disorder (ASD) diagnosis when they were toddlers. The study is interested in whether an early diagnosis can help children with their cognitive, language, social, and behavioral abilities.
Autism Spectrum Disorder (ASD) is a neurodevelopmental disorder characterized by deficits in domains of social communication and restrictive and repetitive behavior. There is general agreement, in light of knowledge around optimal periods of neural plasticity, that ASD should be diagnosed as early as possible since young toddlers are at a critical stage in early development when intervention is theoretically most effective. The rate of persistence of an ASD diagnosis is heavily debated.Therefore this study attempts: 1. To determine the rate of persistence of Autism Spectrum Disorder (ASD) diagnosis and functional outcomes, as defined by cognitive level, adaptive functioning, language skills, persistence of ASD symptoms, and classroom placement at kindergarten age, among children who received a DSM-5 ASD diagnosis at \< 36 months. 2. To evaluate predictors of rate of persistence and functional outcomes among kindergarten grade level children ages 5-7 years, who received an ASD diagnosis as toddlers.
Study Type
OBSERVATIONAL
Enrollment
225
Boston Children's Hospital
Boston, Massachusetts, United States
ASD Symptomatology
The severity of ASD symptoms in the child (Autism Diagnostic Observation Schedule and Autism Diagnostic Interview-Revised)
Time frame: 3 years (Age of diagnosis to Kindergarten Age)
Cognitive Level
Play-based assessment in which a child's cognitive level is determined. (Differential Ability Scales - Second Edition)
Time frame: 3 years (Age of diagnosis to Kindergarten Age)
Language Level
Play-based assessment in which a child's language level is determined.Preschool Language Scale - Fifth Edition
Time frame: 3 years (Age of diagnosis to Kindergarten Age)
Adaptive Functioning
Parent report on the child's current adaptive functioning (Vineland Adaptive Behavior Scales-3)
Time frame: 3 years (Age of diagnosis to Kindergarten Age)
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