Journal of Pediatric Nursing | 2019
The Application of the First Year Inventory for ASD Screening in China
Abstract
Purpose The First Year Inventory (FYI) is a parent‐report instrument, and is developed to assess behaviors of 12‐month‐old infants that could suggest risk for an eventual diagnosis of autism. This study was designed to examine the application of the FYI in the Chinese community. Design and methods FYIs were completed at a community health center by 541 families during the child s physical examination at 12 months of age from 2013 to 2015. The weighted risk scores used in this study were based on US norms, and compared the FYI differences between China and the U.S. Results The total risk scores ranged from 5 to 42 points; the 95th percentile cutoff was 27.00(9.8 points higher than the 95th percentile cutoff in the US), the 98th percentile cutoff was 29.66(7.04 points higher than the 98th percentile cutoff in the US), and the 99th percentile cutoff was 31.83. Higher risk scores were found for boys than girls. Mothers with a junior college education reported significantly higher FYI risk scores than other three groups including high school, college graduates and post‐graduates. Conclusions There were no significant effects of birth parity, investigator, or investigation year on risk scores. Large‐scale longitudinal research is encouraged in the future to develop an early detection model of autism in China. HighlightsThe Chinese version of the FYI can be acceptable for Chinese families.The total risk scores range from 5 to 42 points; the 95th percentile cutoff was 27.00.The scores of the FYI are not highly influenced by birth parity, investigator, or investigation year.This study shows the same pattern of higher risk scores in boys than in girls with American cohorts.