Children with autism and related neurodevelopmental disorders in India can be successfully identified by community healthcare workers using a low-cost app, a study has found.
The results, published today (Friday 14 July) in Autism, could open the door to help millions of children with autism spectrum conditions to get earlier screening quickly and inexpensively, leading to life-changing support.
The tests were carried out at the homes of the children, by non-specialist healthcare workers, educated to high school level, using the research team’s app, called START (Screening Tools for Autism Risk using Technology).
Through a series of simple games, questions, images and activities on a tablet computer – such as popping bubbles and looking at patterns and images – the app measured the social preference, sensory interests and motor skills of the children.
The app was 86% accurate in identifying children with any neurodevelopmental disorders, and 78% accurate in specifically identifying autism. This performance is significantly higher than standard screening assessments for neurodevelopmental disorders used by non-specialists.
Professor Bhismadev Chakrabarti, director of the Centre for Autism at the University of Reading’s School of Psychology and Clinical Language Sciences, led the study. He said the results could help faster identification of children with autism and other neurodevelopmental disorders, in all parts of the world.
Professor Bhismadev Chakrabarti, director of the Centre for Autism at the University of Reading’s School of Psychology and Clinical Language Sciences
The app makes use of a series of tests that measure different domains of behaviour associated with atypicality in Autism. Children with neurodevelopmental conditions preferred looking at geometric patterns rather than social scenes, were fascinated by predictable, repetitive sensory stimuli, and had more trouble completing precise tasks with their hands.
The app also included questions for parents, combining all the scores to help distinguish autistic from non-autistic children.
The families and healthcare workers using the app said START was easy to use, fun for children to take part in, and could be used in family homes even with background noise and distractions.