Moving Toward Telehealth Surveillance Services for Toddlers at Risk for Autism During the COVID-19 Pandemic.
Identifieur interne : 001536 ( Main/Exploration ); précédent : 001535; suivant : 001537Moving Toward Telehealth Surveillance Services for Toddlers at Risk for Autism During the COVID-19 Pandemic.
Auteurs : Eugenia Conti [Italie] ; Natasha Chericoni [Italie] ; Valeria Costanzo [Italie] ; Roberta Lasala [Italie] ; Alice Mancini [Italie] ; Margherita Prosperi [Italie] ; Raffaella Tancredi [Italie] ; Filippo Muratori [Italie] ; Sara Calderoni [Italie] ; Fabio Apicella [Italie]Source :
- Frontiers in psychiatry [ 1664-0640 ] ; 2020.
Abstract
Since 2016, the project "Early Bird Diagnostic Protocol for Autism Spectrum Disorders (ASD)" funded by the Italian Ministry of Health has been operative at IRCCS Fondazione Stella Maris (FSM), Pisa (IT), with the main aim of developing early age-specific diagnostic protocols by longitudinally enrolling two different populations at risk for ASD: (i) toddlers with older siblings with ASD (FR) and (ii) toddlers referred by a child psychiatrist or pediatrician for suspected ASD (CR). On January 30, 2020, when the World Health Organization declared the outbreak of coronavirus disease 2019 (COVID-19), 136 patients (85 FR; 51 CR; 93 males; 43 females) had been enrolled in the project with 324 completed time points and 64 still missing. Considering both the huge psychological burden on families with toddlers at risk for ASD during the lockdown and the longitudinal studies reporting the positive "surveillance effect" in terms of a better outcome in at-risk toddlers, our priority has been to maintain regular contact and support to enrolled families. To do this, the research team, being authorized for smart-working research activities, has set up a detailed remote surveillance protocol (RSP). The RSP includes three online interviews and one online video registration of parent-child play. In the current community case study, the authors report the telehealth procedure and discuss possible future directions in developing remote assessment and new evaluation modalities for ecological parent-child play video recordings in at-risk populations. Hopefully, the surveillance protocol will further improve our ability to detect risk and activate early tailored intervention.
DOI: 10.3389/fpsyt.2020.565999
PubMed: 33424652
PubMed Central: PMC7793978
Affiliations:
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Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author><author><name sortKey="Muratori, Filippo" sort="Muratori, Filippo" uniqKey="Muratori F" first="Filippo" last="Muratori">Filippo Muratori</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Pisa, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName><orgName type="university">Université de Pise</orgName></affiliation></author><author><name sortKey="Calderoni, Sara" sort="Calderoni, Sara" uniqKey="Calderoni S" first="Sara" last="Calderoni">Sara Calderoni</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Pisa, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName><orgName type="university">Université de Pise</orgName></affiliation></author><author><name sortKey="Apicella, Fabio" sort="Apicella, Fabio" uniqKey="Apicella F" first="Fabio" last="Apicella">Fabio Apicella</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author></titleStmt><publicationStmt><idno type="wicri:source">PubMed</idno><date when="2020">2020</date><idno type="RBID">pubmed:33424652</idno><idno type="pmid">33424652</idno><idno type="doi">10.3389/fpsyt.2020.565999</idno><idno type="pmc">PMC7793978</idno><idno type="wicri:Area/Main/Corpus">000326</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Corpus" wicri:corpus="PubMed">000326</idno><idno type="wicri:Area/Main/Curation">000326</idno><idno type="wicri:explorRef" wicri:stream="Main" wicri:step="Curation">000326</idno><idno type="wicri:Area/Main/Exploration">000326</idno></publicationStmt><sourceDesc><biblStruct><analytic><title xml:lang="en">Moving Toward Telehealth Surveillance Services for Toddlers at Risk for Autism During the COVID-19 Pandemic.</title><author><name sortKey="Conti, Eugenia" sort="Conti, Eugenia" uniqKey="Conti E" first="Eugenia" last="Conti">Eugenia Conti</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author><author><name sortKey="Chericoni, Natasha" sort="Chericoni, Natasha" uniqKey="Chericoni N" first="Natasha" last="Chericoni">Natasha Chericoni</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author><author><name sortKey="Costanzo, Valeria" sort="Costanzo, Valeria" uniqKey="Costanzo V" first="Valeria" last="Costanzo">Valeria Costanzo</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author><author><name sortKey="Lasala, Roberta" sort="Lasala, Roberta" uniqKey="Lasala R" first="Roberta" last="Lasala">Roberta Lasala</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author><author><name sortKey="Mancini, Alice" sort="Mancini, Alice" uniqKey="Mancini A" first="Alice" last="Mancini">Alice Mancini</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author><author><name sortKey="Prosperi, Margherita" sort="Prosperi, Margherita" uniqKey="Prosperi M" first="Margherita" last="Prosperi">Margherita Prosperi</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Pisa, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName><orgName type="university">Université de Pise</orgName></affiliation></author><author><name sortKey="Tancredi, Raffaella" sort="Tancredi, Raffaella" uniqKey="Tancredi R" first="Raffaella" last="Tancredi">Raffaella Tancredi</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author><author><name sortKey="Muratori, Filippo" sort="Muratori, Filippo" uniqKey="Muratori F" first="Filippo" last="Muratori">Filippo Muratori</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Pisa, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName><orgName type="university">Université de Pise</orgName></affiliation></author><author><name sortKey="Calderoni, Sara" sort="Calderoni, Sara" uniqKey="Calderoni S" first="Sara" last="Calderoni">Sara Calderoni</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation><affiliation wicri:level="4"><nlm:affiliation>Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Clinical and Experimental Medicine, University of Pisa, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName><orgName type="university">Université de Pise</orgName></affiliation></author><author><name sortKey="Apicella, Fabio" sort="Apicella, Fabio" uniqKey="Apicella F" first="Fabio" last="Apicella">Fabio Apicella</name><affiliation wicri:level="3"><nlm:affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</nlm:affiliation><country xml:lang="fr">Italie</country><wicri:regionArea>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa</wicri:regionArea><placeName><settlement type="city">Pise</settlement><region nuts="2">Toscane</region></placeName></affiliation></author></analytic><series><title level="j">Frontiers in psychiatry</title><idno type="ISSN">1664-0640</idno><imprint><date when="2020" type="published">2020</date></imprint></series></biblStruct></sourceDesc></fileDesc><profileDesc><textClass></textClass></profileDesc></teiHeader><front><div type="abstract" xml:lang="en">Since 2016, the project "Early Bird Diagnostic Protocol for Autism Spectrum Disorders (ASD)" funded by the Italian Ministry of Health has been operative at IRCCS Fondazione Stella Maris (FSM), Pisa (IT), with the main aim of developing early age-specific diagnostic protocols by longitudinally enrolling two different populations at risk for ASD: (i) toddlers with older siblings with ASD (FR) and (ii) toddlers referred by a child psychiatrist or pediatrician for suspected ASD (CR). On January 30, 2020, when the World Health Organization declared the outbreak of coronavirus disease 2019 (COVID-19), 136 patients (85 FR; 51 CR; 93 males; 43 females) had been enrolled in the project with 324 completed time points and 64 still missing. Considering both the huge psychological burden on families with toddlers at risk for ASD during the lockdown and the longitudinal studies reporting the positive "surveillance effect" in terms of a better outcome in at-risk toddlers, our priority has been to maintain regular contact and support to enrolled families. To do this, the research team, being authorized for smart-working research activities, has set up a detailed remote surveillance protocol (RSP). The RSP includes three online interviews and one online video registration of parent-child play. In the current community case study, the authors report the telehealth procedure and discuss possible future directions in developing remote assessment and new evaluation modalities for ecological parent-child play video recordings in at-risk populations. Hopefully, the surveillance protocol will further improve our ability to detect risk and activate early tailored intervention.</div></front></TEI><pubmed><MedlineCitation Status="PubMed-not-MEDLINE" Owner="NLM"><PMID Version="1">33424652</PMID><DateRevised><Year>2021</Year><Month>01</Month><Day>12</Day></DateRevised><Article PubModel="Electronic-eCollection"><Journal><ISSN IssnType="Print">1664-0640</ISSN><JournalIssue CitedMedium="Print"><Volume>11</Volume><PubDate><Year>2020</Year></PubDate></JournalIssue><Title>Frontiers in psychiatry</Title><ISOAbbreviation>Front Psychiatry</ISOAbbreviation></Journal><ArticleTitle>Moving Toward Telehealth Surveillance Services for Toddlers at Risk for Autism During the COVID-19 Pandemic.</ArticleTitle><Pagination><MedlinePgn>565999</MedlinePgn></Pagination><ELocationID EIdType="doi" ValidYN="Y">10.3389/fpsyt.2020.565999</ELocationID><Abstract><AbstractText>Since 2016, the project "Early Bird Diagnostic Protocol for Autism Spectrum Disorders (ASD)" funded by the Italian Ministry of Health has been operative at IRCCS Fondazione Stella Maris (FSM), Pisa (IT), with the main aim of developing early age-specific diagnostic protocols by longitudinally enrolling two different populations at risk for ASD: (i) toddlers with older siblings with ASD (FR) and (ii) toddlers referred by a child psychiatrist or pediatrician for suspected ASD (CR). On January 30, 2020, when the World Health Organization declared the outbreak of coronavirus disease 2019 (COVID-19), 136 patients (85 FR; 51 CR; 93 males; 43 females) had been enrolled in the project with 324 completed time points and 64 still missing. Considering both the huge psychological burden on families with toddlers at risk for ASD during the lockdown and the longitudinal studies reporting the positive "surveillance effect" in terms of a better outcome in at-risk toddlers, our priority has been to maintain regular contact and support to enrolled families. To do this, the research team, being authorized for smart-working research activities, has set up a detailed remote surveillance protocol (RSP). The RSP includes three online interviews and one online video registration of parent-child play. In the current community case study, the authors report the telehealth procedure and discuss possible future directions in developing remote assessment and new evaluation modalities for ecological parent-child play video recordings in at-risk populations. Hopefully, the surveillance protocol will further improve our ability to detect risk and activate early tailored intervention.</AbstractText><CopyrightInformation>Copyright © 2020 Conti, Chericoni, Costanzo, Lasala, Mancini, Prosperi, Tancredi, Muratori, Calderoni and Apicella.</CopyrightInformation></Abstract><AuthorList CompleteYN="Y"><Author ValidYN="Y"><LastName>Conti</LastName><ForeName>Eugenia</ForeName><Initials>E</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Chericoni</LastName><ForeName>Natasha</ForeName><Initials>N</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Costanzo</LastName><ForeName>Valeria</ForeName><Initials>V</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Lasala</LastName><ForeName>Roberta</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Mancini</LastName><ForeName>Alice</ForeName><Initials>A</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Prosperi</LastName><ForeName>Margherita</ForeName><Initials>M</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Tancredi</LastName><ForeName>Raffaella</ForeName><Initials>R</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Muratori</LastName><ForeName>Filippo</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Calderoni</LastName><ForeName>Sara</ForeName><Initials>S</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo><AffiliationInfo><Affiliation>Department of Clinical and Experimental Medicine, University of Pisa, Pisa, Italy.</Affiliation></AffiliationInfo></Author><Author ValidYN="Y"><LastName>Apicella</LastName><ForeName>Fabio</ForeName><Initials>F</Initials><AffiliationInfo><Affiliation>Department of Developmental Neuroscience - Istituto di Ricovero e Cura a Carattere Scientifico Fondazione Stella Maris, Pisa, Italy.</Affiliation></AffiliationInfo></Author></AuthorList><Language>eng</Language><PublicationTypeList><PublicationType UI="D016428">Journal Article</PublicationType></PublicationTypeList><ArticleDate DateType="Electronic"><Year>2020</Year><Month>11</Month><Day>26</Day></ArticleDate></Article><MedlineJournalInfo><Country>Switzerland</Country><MedlineTA>Front Psychiatry</MedlineTA><NlmUniqueID>101545006</NlmUniqueID><ISSNLinking>1664-0640</ISSNLinking></MedlineJournalInfo><KeywordList Owner="NOTNLM"><Keyword MajorTopicYN="N">autism spectrum disorders (ASD)</Keyword><Keyword MajorTopicYN="N">coronavirus disease 2019 (COVID-19)</Keyword><Keyword MajorTopicYN="N">early identification</Keyword><Keyword MajorTopicYN="N">neurodevelopment</Keyword><Keyword MajorTopicYN="N">public mental health</Keyword><Keyword MajorTopicYN="N">telehealth</Keyword></KeywordList><CoiStatement>The authors declare that the research was conducted in the absence of any commercial or financial relationships that 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