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Validity of the Toddler Autism Symptom Inventory in Non-Hispanic White and Black Toddlers

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Abstract

Racial disparities exist in autism diagnosis, and yet, the development of most diagnostic tools has not explicitly examined measurement equity between racial and ethnic groups. We examined the validity of the Toddler Autism Symptom Inventory (TASI), a semi-structured interview developed for diagnosis of toddlers, in non-Hispanic Black/African American and non-Hispanic White children. After controlling for group differences in socio-economic status, no differences in diagnosis, age at diagnosis, mean developmental level, or autism severity were found. TASI ROC curves for both groups, in the overall sample, and in samples stratified by SES, showed high AUC values. Validity of two cutoff scores was acceptable. Lack of significant differences in TASI score or responses to individual items suggests similar symptomatology. These results provide early support for the use of the TASI in diagnostic evaluations of Black and White children.

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Acknowledgements

We thank the children, families, pediatricians and other clinicians, and colleagues who have been a part of our work. Andrea Wieckowski kindly provided assistance with development of Fig. 1. We are also grateful to current and past research teams at UConn, Drexel University, University of California, Davis, the University of Washington, and Georgia State University for their collaboration and expertise.

Funding

This work was supported by funds from the Eunice Kennedy Shriver National Institute of Child Health and Human Development (R01HD039961).

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Authors and Affiliations

  1. University of Connecticut, 406 Unit 1020, Babbidge Rd, 06269, Storrs, CT, USA

    Kirsty L. Coulter, Paula Moreno, Marianne Barton & Deborah A. Fein

  2. University of Connecticut School of Medicine, Connecticut Children’s Medical Center, Farmington, CT, USA

    Thyde Dumont-Mathieu

  3. Drexel University, Philadelphia, USA

    Diana L. Robins

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  1. Kirsty L. Coulter
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Correspondence to Kirsty L. Coulter.

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Drs. Robins, Barton, and Fein are co-owners of M-CHAT LLC, which licenses use of the M-CHAT in electronic products. Dr. Robins sits on the advisory board of Quadrant Biosciences Inc.

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Coulter, K.L., Moreno, P., Barton, M. et al. Validity of the Toddler Autism Symptom Inventory in Non-Hispanic White and Black Toddlers. J Autism Dev Disord 54, 339–352 (2024). https://doi.org/10.1007/s10803-022-05756-z

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