KUKU

KU ScholarWorks

  • myKU
  • Email
  • Enroll & Pay
  • KU Directory
    • Login
    View Item 
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    •   KU ScholarWorks
    • Dissertations and Theses
    • Dissertations
    • View Item
    JavaScript is disabled for your browser. Some features of this site may not work without it.

    Early identification in autism: Subtypes based on child, family, and community characteristics

    Thumbnail
    View/Open
    Available after: 2020-05-31 (2.082Mb)
    Issue Date
    2018-05-31
    Author
    Wallisch, Anna
    Publisher
    University of Kansas
    Format
    103 pages
    Type
    Dissertation
    Degree Level
    Ph.D.
    Discipline
    Occupational Therapy Education
    Rights
    Copyright held by the author.
    Metadata
    Show full item record
    Abstract
    Background. Disparities exist in the early identification of underserved children with ASD. Research suggests early parent concerns may be predictive of eventual child diagnosis and may aid in earlier identification of children with ASD. Our study used a large medical university sample to examine latent subtypes of children with an eventual ASD diagnosis based on parent concerns and socio-demographics. Methods. Prior to a diagnostic evaluation, parents reported their top three concerns on intake paperwork for 712 children 12 months- 12 years of age. Parent concerns were coded into eight concern categories. We performed a latent class analysis to examine subtypes based on parent concerns, child (i.e., age and gender), family (i.e., socioeconomic status), and community characteristics (i.e., access to service providers). We used a MANOVA to examine latent class differences by age at the diagnostic evaluation and age of a parent’s first concern. Results. Parent concerns and socio-demographics distinguished five latent classes. Two subtypes were identified younger (i.e., 3.5 years of age) and were differentiated by two parent concerns: communication and medical concerns. One of the younger subtypes included non-white, Hispanic children utilizing Medicaid. One subtype was identified around kindergarten and was differentiated by stereotyped and by developmental parent concerns. Lastly, two subtypes were identified at an older age (i.e., 9 years of age) with either developmental concerns, or social and behavior concerns. One of the oldest subtypes was characterized by females with ASD. Conclusion. Our study suggests that children with communication concerns are most likely identified by parents earlier, regardless of race, ethnicity, or SES. However, our findings point to the difficulty in identifying females with ASD, as well as children with social, behavior, and stereotyped parent concerns.
    URI
    http://hdl.handle.net/1808/29303
    Collections
    • KU Med Center Dissertations and Theses [464]
    • Dissertations [4472]

    Items in KU ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.


    We want to hear from you! Please share your stories about how Open Access to this item benefits YOU.


    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    Browse

    All of KU ScholarWorksCommunities & CollectionsThis Collection

    My Account

    LoginRegister

    Statistics

    View Usage Statistics

    Contact KU ScholarWorks
    785-864-8983
    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    785-864-8983

    KU Libraries
    1425 Jayhawk Blvd
    Lawrence, KS 66045
    Image Credits
     

     

    The University of Kansas
      Contact KU ScholarWorks
    Lawrence, KS | Maps
     
    • Academics
    • Admission
    • Alumni
    • Athletics
    • Campuses
    • Giving
    • Jobs

    The University of Kansas prohibits discrimination on the basis of race, color, ethnicity, religion, sex, national origin, age, ancestry, disability, status as a veteran, sexual orientation, marital status, parental status, gender identity, gender expression and genetic information in the University’s programs and activities. The following person has been designated to handle inquiries regarding the non-discrimination policies: Director of the Office of Institutional Opportunity and Access, IOA@ku.edu, 1246 W. Campus Road, Room 153A, Lawrence, KS, 66045, (785)864-6414, 711 TTY.

     Contact KU
    Lawrence, KS | Maps