![]() ![]() Although useful, the MCHAT-R/F has lower accuracy when administered in real-world settings, such as primary care 7, 8. The current standard of care for autism screening most often relies on a caregiver questionnaire, such as the Modified Checklist for Autism in Toddlers-Revised (MCHAT-R/F), which is used for neurodevelopmental screening in children between 16-30 months of age 5, 6. ![]() Similar content being viewed by othersĮarly detection of autism provides an opportunity for early intervention, which can improve developmental trajectories and strengthen social, language, cognitive, and motor competencies during a period of heightened brain plasticity 1, 2, 3, 4. ![]() These results highlight the potential of touch-based games as an efficient and scalable approach for assessing children’s visual-motor skills, which can be part of a broader screening tool for identifying early signs associated with autism. Several motor features are correlated with standardized assessments of fine motor and cognitive abilities, as evaluated by an independent clinical assessment. In older children (3-10-years), consistent with previous research, the presence of co-occurring ADHD is associated with greater motor impairment, reflected in lower accuracy and more variable performance. When they pop a bubble, their finger lingers for a longer period, and they show more variability in their performance. Results show that younger (1.5-3 years) autistic children pop the bubbles at a lower rate, and their ability to touch the bubble’s center is less accurate compared to neurotypical children. Computer vision analyses are used to extract several game-based touch features, which are compared across autistic, autistic+ADHD, and neurotypical participants. Participants are 233 children ranging from 1.5 to 10 years of age (147 neurotypical children and 86 children diagnosed with autism spectrum disorder, of which 32 are also diagnosed with co-occurring attention-deficit/hyperactivity disorder ). This work presents an engaging and scalable assessment of visual-motor abilities based on a bubble-popping game administered on a tablet. ![]() Thus, scalable, quantitative methods for measuring motor behavior in young autistic children are needed. Increasing evidence suggests that early motor impairments are a common feature of autism. ![]()
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