The capacity of the workforce lags behind the current demand for timely autism diagnostic assessment. Primary care providers (PCPs) are well-positioned to diagnose autism at earlier ages than providers from other disciplines. Thus, bolstering PCPs' diagnostic capabilities has been the focus of many recent capacity-building initiatives. Using data…

When physicians are asked to determine the positive predictive value from the a priori probability of a disease and the sensitivity and false positive rate of a medical test (Bayesian reasoning), it often comes to misjudgments with serious consequences. In daily clinical practice, however, it is not only important that doctors receive a tool with…

Attention-deficit/hyperactivity disorder (ADHD) overdiagnosis and overtreatment unnecessarily exposes children to potential harm and contributes to provider and community skepticism toward those with moderate or severe symptoms and significant impairments, resulting in less supportive care. Yet, which sociodemographic groups of children are…

Many studies have shown that using a computer-aided detection (CAD) system does not significantly improve diagnostic accuracy in radiology, possibly because radiologists fail to interpret the CAD results properly. We tested this possibility using screening mammography as an illustrative example. We carried out two experiments, one using 28…

Examining the sequential patterns of self-regulated learning (SRL) behaviors is gaining popularity to understand students' performance differences. However, few studies have looked at the transition probabilities among different SRL behaviors. Moreover, there is a lack of research investigating the temporal structures of students' SRL behaviors…

The present study is a single-site quality improvement project within pediatric primary care involving the implementation of a digital version of the Modified Checklist for Autism in Toddlers--Revised. We evaluated the impact of the digital screener on the likelihood of physician referral for a developmental evaluation or autism diagnosis, and the…

This study examines autism diagnosis prevalence within the New York City (NYC) Universal Pre-K for All (UPK) program expansion into racially, ethnically, and socioeconomically diverse NYC neighborhoods. Here, it is hypothesized that racial/ethnic differences in autism diagnoses may close as more children are referred for testing by UPK programs,…

Greater understanding can increase our knowledge and intervention effectiveness for activity participation problems of children with disabilities. We examined participation difficulties of children with autism spectrum disorders (ASD) and intellectual disabilities (ID) in the 2011 Survey of Pathway to Diagnosis and Services. We utilized propensity…

Purpose: The purpose of this study is to document disfluency behaviors expressed by 4- and 5-year-old children who stutter and to identify whether stuttering characteristics at this age are predictive of later stuttering recovery or persistence. Method: We analyzed spontaneous speech samples from 47 children diagnosed with developmental stuttering…

Purpose: The aim of this study was to develop an ordinal prediction model for diagnosing middle ear dysfunction in 10- to 16-month-old infants using wideband absorbance. Method: Wideband absorbance, tympanometry, and distortion product otoacoustic emissions were measured in 358 ears of 186 infants aged 10-16 months (M = 12 months). An ordinal…

Noncompliance with adult instruction is a common problem exhibited by individuals diagnosed with intellectual and developmental disabilities. The high-probability (high-p) request sequence was designed to increase compliance with low-probability (low-p) instructions by rapidly presenting high-p instructions immediately prior to the targeted low-p…

Many researchers report risk ratios of White students to Black students with disabilities to show disproportionality and draw the conclusion discrimination exists. Risk ratios, upon further inspection, have methodological and philosophical problems which challenge the usefulness. A qualitative literature review provides a framework for…

Attention deficit hyperactivity disorder (ADHD) is a debated phenomenon and the link between schooling and the occurrence of ADHD diagnoses is worth critical scrutiny. This paper contributes to the academic debate by providing a literature review of the evidence on the influence of relative age effect (RAE) on being diagnosed with ADHD. Firstly,…

Background: The strength of the relationship between epilepsy and regression in autism spectrum disorder (ASD) has been much discussed but is currently unclear. Methods: The authors conducted 2 meta-analyses of published studies to determine if children with ASD who experience regression (ASD-R) epilepsy are more likely to have epilepsy or…

Autism spectrum disorder diagnoses sometimes change due to misdiagnosis, maturation, or treatment. This study uses a probability-based national survey--the Survey of Pathways to Diagnosis and Services--to compare currently diagnosed (n = 1,420) and previously diagnosed (n = 187) children aged 6-17 years based on retrospective parental reports of…