Diagnostic Evaluation of Autism Spectrum Disorders, A Health Professional Survey
Khadija Saleem *
Department of Health Professional Technologies, University of Lahore,1-Km Defence Road, Near Bhuptian Chowk, Lahore, Pakistan.
Muhammad Sikander Ghayas Khan
Department of Health Professional Technologies, University of Lahore,1-Km Defence Road, Near Bhuptian Chowk, Lahore, Pakistan.
Aayeshah Firdous
Department of Allied Health Sciences, Rashid Latif Medical College, 35 km Ferozpur Road, Lahore, Pakistan.
Iqra Naseer
Pakistan Society of Rehabilitation for the Disabled (PSRD), College of Rehabilitation Sciences, 111 -Ferozepur Road Lahore, Pakistan.
Amna Rashid
Department of Health Professional Technologies, University of Lahore, 1-Km Defence Road, Near Bhuptian Chowk, Lahore, Pakistan.
Sadia Saleem
Department of Health Professional Technologies, University of Lahore, 1-Km Defence Road, Near Bhuptian Chowk, Lahore, Pakistan.
Alia Naseer
Department of Health Professional Technologies, University of Lahore, 1-Km Defence Road, Near Bhuptian Chowk, Lahore, Pakistan.
*Author to whom correspondence should be addressed.
Abstract
Background: Since the prevalence and awareness AutismSpectrum Disorders (ASD) is growing day by day, it is crucial to correctly allocate diagnosis of ASD. According to the guidelines, there should be a multi-agency strategy group for diagnosis of ASD.
Aim: To find out the diagnostic practices of ASD among different Health Professionals.
Place and Duration of Study: Riphah International University, Lahore campus. The study was conducted from October 2017 till March 2018.
Methodology: Data was collected from 116 professionals which included Speech-Language Pathologists, Pediatricians, Psychiatrists, Psychologists and Occupational Therapists by using questionnaire. A cross-sectional survey was carried out by using the technique of convenient sampling. Researcher collected the data from Riphah International University in person and some professionals were sent questionnaires online.
Results: Majority of professionals provide diagnostic service i.e. 84.4% as a part of multidisciplinary team whereas 15.6% are sole practitioners for giving diagnosis; 51.1% collaborate with other professionals to make a consensus diagnosis and the most frequently used tool by professionals for diagnosing ASD is Childhood Autism Rating Scale CARS (76.7%) and Diagnostic and Statistical Manual of Mental Disorders V/IV (DSM V OR IV) criteria (67.8%).
Conclusion: The professionals in the current study are using multidisciplinary approach for diagnosing ASD and a small number are sole practitioners. The most frequently used tool for diagnosing ASD are CARS and DSM V OR IV criteria. However, very few practitioners use the diagnostic tool Autism Diagnostic Observation Schedule ADOS and Autism Diagnostic Interview-Revised ADI-R. The professionals who provide diagnosis of ASD are Speech and language Pathologists, Psychologists, pediatricians, psychiatrists and Occupational therapists.
Keywords: Diagnostic tools, diagnostic practices, autism spectrum disorders