Delivering ASC Diagnostic Assessments Online

  • Research type

    Research Study

  • Full title

    Delivering Autism Spectrum Condition (ASC) Diagnostic Assessments Online

  • IRAS ID

    287846

  • Contact name

    Leanne Chrisostomou

  • Contact email

    leanne.chrisostomou@port.ac.uk

  • Sponsor organisation

    University of Portsmouth

  • Clinicaltrials.gov Identifier

    0000-0002-5317-5416, ORCID

  • Duration of Study in the UK

    1 years, 11 months, 30 days

  • Research summary

    Autism Spectrum Condition (ASC) is a neurodevelopmental condition characterised by impairment in social communication, social interaction and a repetitive and restricted pattern of interest, behaviour and activity (DSM-5, 2013). Diagnosis is exclusively clinical and the process of identifying ASC includes several specialist appointments to determine if the young person’s ASC traits meet the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria (Constantino & Charman, 2016). Due to the large number of children awaiting to receive an assessment of ASC, there is a delay on average of 3.5 years in the United Kingdom (Crane, Chester, Goddard, Henry, Hill, 2016). The delay in diagnosis increases stress and anxiety for both the young people awaiting an assessment and their families (Crane et al., 2016; Zwaigenbaum et al., 2016) and reduces essential access to early intervention services, which are critical for positive outcomes (Smith et al., 2017). Due to the necessity to maintain social distancing generated by the Coronavirus epidemic (COVID-19), the delay in receiving an assessment for ASC was prolonged further as none urgent face-to-face assessments were placed on hold within the NHS. Therefore, in order to restart ASC assessments, diagnostic services are now being offered via an online telehealth platform within Child and Adolescent Mental Health Services (CAMHS); yet there are no guidelines to conduct standardised online ASC assessments. In order to develop guidelines for online ASC assessments, the efficacy of the online ASC assessment in identifying ASC specific characteristics will be evaluated by observing interactional skills demonstrated online and in a familiar environment (Damico & Nelson, 2005). Further, this project will gather the clinicians and the children and young people’s perspectives of their experience of online telehealth ASC assessments through online semi-structured interviews to understand the strengths and limitations of an online ASC diagnostic process.

  • REC name

    London - Fulham Research Ethics Committee

  • REC reference

    20/PR/0958

  • Date of REC Opinion

    8 Jan 2021

  • REC opinion

    Favourable Opinion