A5074139089- Autism Spectrum Disorder Research
- Family and Disability Support Research
- Child Development and Digital Technology
- Child Nutrition and Feeding Issues
- Infant Development and Preterm Care
- Child and Animal Learning Development
- Virology and Viral Diseases
- Health Policy Implementation Science
- Language Development and Disorders
- Obsessive-Compulsive Spectrum Disorders
- Attention Deficit Hyperactivity Disorder
- Child and Adolescent Psychosocial and Emotional Development
- Children's Physical and Motor Development
- Neuroendocrine regulation and behavior
- Community Health and Development
- Evaluation and Performance Assessment
- Behavioral and Psychological Studies
- Telemedicine and Telehealth Implementation
- Child Development and Education
- Qualitative Comparative Analysis Research
University of Washington
2013-2022
Vanderbilt University Medical Center
2018
Drexel University
2016
Center for Autism and Related Disorders
2013-2014
University of Miami
2006-2013
Non-verbal referential communication is impaired in children with Autism Spectrum Disorders (ASD). However, the development of difficulties younger siblings ASD (High-Risk Siblings)-and degree to which early predicts later autism symptomatology-is not clear. We modeled developmental trajectories three types communication: responding joint attention (RJA), initiating (IJA), and behavioral requests (IBR) across 8, 10, 12, 15, and18 months age High-Risk Siblings (n = 40) infant without...
Robust findings demonstrate that parents of children with autism spectrum disorder (ASD) experience high levels parenting stress are associated negative outcomes for families. Although the majority research on has focused an existing diagnosis, young concerns about ASD‐related behaviors also face many unique challenges before time diagnosis. However, no study to date examined patterns among ASD prior a formal Therefore, current investigated longitudinal trajectories compared non‐ASD...
Abstract The COVID‐19 pandemic has posed unique challenges for families and caregivers, as well autism‐focused clinicians, who are faced with providing a thorough accurate evaluation of children's specific needs diagnoses in the absence in‐person assessment tools. shift to telehealth assessments challenged clinicians reconsider approaches assumptions that underlie diagnostic process, adopt new ways individualizing standard according family child needs. Mandates physical distancing have...
Children with autism spectrum disorders (ASDs) are impaired in visually disengaging attention both social and non-social contexts. These impairments may, subtler form, also affect the infant siblings of children ASD (ASD-sibs). We investigated patterns visual (gazing) 6-month-old ASD-sibs ( n = 17) typically developing (COMP-sibs: =17) during Face-to-Face/Still-Face Protocol (FFSF), which parents sequentially responsive, non-responsive, responsive to their infants. Throughout protocol,...
It has been proposed that early differences in sensory responsiveness arise from atypical neural function and produce cascading effects on development across domains. This longitudinal study prospectively followed infants at heightened risk for autism spectrum disorder (ASD) based their status as younger siblings of children diagnosed with ASD (Sibs-ASD) relatively lower (siblings typically developing children; Sibs-TD) to examine the developmental sequelae possible neurophysiological...
Defining the central components of an intervention is critical for balancing fidelity with flexible implementation in both research settings and community practice. Implementation scientists distinguish intervention’s essential (thought to cause clinical change) adaptable periphery (recommended, but not necessary). While implementing core may be effectiveness, requiring stifle innovation personalizing care achieving successful implementation. No systematic method exists defining a priori. We...
Children with Autism Spectrum Disorder (ASD) often experience difficulty participating in everyday home routines, such as bed time or bath time. This randomized controlled trial examined the efficacy of an interactive, web‐based parenting tutorial for improving children's engagement daily routines (i.e., proximal outcomes) well social communication and stress broad outcomes). Parents children ASD between 18 60 months were randomly assigned to Tutorial group ( n = 52) Control 52). All parents...
BACKGROUND: Long delays between parents’ initial concerns about their children’s development and a subsequent autism spectrum disorder (ASD) diagnosis are common. Although discussions parents providers early ASD can be difficult, they critical for initiating early, specialized services. The principles of shared decision-making facilitate these discussions. This qualitative study was designed to gain insights from young children with experiences communicating primary care the goal identifying...
In 2013, the National Institute of Mental Health funded five trials unique, multicomponent, systems-based innovations designed to improve access early screening, diagnosis, and treatment autism spectrum disorder-collectively known as Autism Spectrum Disorder Pediatric, Early Detection, Engagement, Services Network. As part an ongoing effort pool data learn from shared experience, we collected information across all studies about innovation components implementation strategies. First, each...
This study used a prospective longitudinal design to examine the early developmental pathways that underlie language growth in infants at high risk (n = 50) and low 34) for autism spectrum disorder first 18 months of life. While motor imitation responding joint attention (RJA) have both been found predict expressive children with those typical development, relation between these capacities has not yet identified. As hypothesized, results revealed 15-month RJA mediated association 12-month...
Positive emotional engagement develops in the context of face-to-face interactions during first 6 months life. Deficits are characteristic autism spectrum disorder (ASD) and may characterize younger siblings children with ASD (high-risk siblings). High-risk likely to exhibit a broad range positive that or not be associated outcomes. We examined (i.e., smiling rate contingent responsiveness partner's smile) infant-parent interaction episodes face-to-face/still face protocol at age. The sample...
Despite the known benefits of early, specialized intervention for toddlers with Autism Spectrum Disorder (ASD), access to such remains limited. This pragmatic trial examines a novel healthcare delivery model (Screen-Refer-Treat [SRT]), which capitalizes upon existing health care and early (EI) infrastructure increase community capacity ASD detection treatment before age 3, when it is likely have greatest impact. comprises three components: (1) universal use Stage 1 screening by primary...
The cost associated with incorporating standardized observational assessments and diagnostic interviews in large‐scale epidemiologic studies of autism spectrum disorders (ASD) risk factors can be substantial. Streamlined approaches for confirming ASD case status would benefit these studies. We conducted a multi‐site, cross‐sectional criterion validity study convenience sample 382 three‐year olds scheduled neurodevelopmental evaluation. classification as determined by three novel assessment...
ABSTRACT: Objective: Most autism spectrum disorder (ASD) screening measures have been developed for use with low-risk (LR) children; however, may perform differently in high-risk (HR) younger sibling populations. The current study sought to investigate the performance of an ASD measure, Modified Checklist Autism Toddlers, Revised Follow-Up (M-CHAT-R/F), a sample HR siblings and directly compared its that LR sample. Methods: High-risk (n = 187) children 15,848) were screened using M-CHAT-R/F....