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Mobile and online consumer tools to screen for autism do not promote equity.

Autism : the international journal of research and practice2023

Sanders Benjamin W, Bedrick Steven, Broder-Fingert Sarabeth, Brown Shannon A, Dolata Jill K, Fombonne Eric, Reeder Julie A, Rivas Vazquez Luis Andres, Fuchu Plyce, Morales Yesenia, Zuckerman Katharine E

What this study means for families

Researchers looked at how easy it is for parents to find autism screening tools on their phones. They found that it's quite difficult - only 1 out of every 10 search results actually had useful screening tools. The tools that did exist weren't designed for parents who might have challenges like low income, difficulty reading, limited English, or trouble using technology. This means many parents may struggle to access these online resources.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This 2023 study examined the accessibility of online autism screening tools for parents using smartphones. Researchers conducted simulated parent searches to evaluate how easily parents could find autism screening tools online. The study found that only one in 10 search results contained actual autism screening tools. Importantly, the available tools were not designed with accessibility in mind for parents facing socioeconomic challenges, including those with low income, limited literacy skills, poor English proficiency, or limited technology experience.

This research highlights significant equity issues in digital autism screening resources, suggesting that current online tools may not serve diverse parent populations effectively.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Only one in 10 search results contained autism screening tools for children

    Confidence: moderateRelevance: Parents may have difficulty finding legitimate screening resources online, potentially delaying identification and intervention
  • 2

    Available screening tools were not designed for parents with low income, low literacy, limited English proficiency, or low technology skills

    Confidence: moderateRelevance: Digital screening tools may perpetuate healthcare inequities by being inaccessible to vulnerable populations

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Healthcare providers should be aware that online autism screening tools may not be accessible to all families. Clinicians should provide alternative pathways for autism screening, particularly for families facing socioeconomic or language barriers, to ensure equitable access to early identification services.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

The study methodology is unclear from the abstract. Sample size is not reported, and the specific search strategies, evaluation criteria, and scope of the analysis are not detailed. The study appears to be a search analysis rather than a clinical trial.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Many parents wonder if their child might have autism. Many parents use their smartphones to answer health questions. We asked, "How easy or hard is it for parents to use their smartphones to find 'tools' to test their child for signs of autism?" After doing pretend parent searches, we found that only one in 10 search results were tools to test children for autism. These tools were not designed for parents who have low income or other challenges such as low literacy skills, low English proficiency, or not being tech-savvy.

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Evidence Grade

Emerging

limited

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Autism : the international journal of research and practice
Year
2023
PMID
35957514
DOI
10.1177/13623613221114280

MeSH Terms

ChildHumansAutistic DisorderAutism Spectrum DisorderParentsPoverty