A parent-report instrument for identifying one-year-olds at risk for an eventual diagnosis of autism: the first year inventory.
The FYI parent form spots possible autism risk at 12 months, but you still need to track the child for a couple of years to confirm.
01Research in Context
What this study did
The team built a new parent form called the First Year Inventory (FYI). Parents of 12-month-olds answer 63 questions about their baby’s play, sounds, and eye contact.
They tested it on the families. Half the babies were boys. The goal was to see if the form could spot early signs of autism risk.
What they found
Most babies scored low. A small slice, about 5 %, landed above the risk cutoff. Boys scored a bit higher than girls on average.
The form was easy for parents to finish in under 15 minutes. The researchers said the tool looks promising, but they still need to follow the kids for a few years to be sure.
How this fits with other research
Shire et al. (2019) later tracked high-risk siblings with the same FYI 2.0. Kids who later got an ASD diagnosis had much higher 12-month scores. They also showed that the original cutoffs needed tweaking for high-risk siblings.
Ricciardi et al. (2006) did something similar one year earlier. Their 4-item ESAT caught ASD risk at 14 months. FYI pushes the screen age even younger, down to 12 months.
Laposa et al. (2017) found shorter cry sounds in 12-month high-risk siblings who later had ASD. FYI adds parent report to that same age window, giving you two cheap flags instead of one.
Why it matters
If you run early-intervention intake, keep a stack of FYI forms handy. A quick parent scan at 12 months can guide you toward babies who need a closer look. Pair it with cry-acoustic checks or the 4-item ESAT at 14 months to catch kids who might otherwise slip through the cracks.
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02At a glance
03Original abstract
A parent-report instrument, the First Year Inventory (FYI), was developed to assess behaviors in 12-month-old infants that suggest risk for an eventual diagnosis of autism. The target behaviors were identified from retrospective and prospective studies. FYIs were mailed to 5,941 families and 25% (N = 1,496) were returned, with higher return rates for white families and for families with greater educational attainment. Ad hoc groups of questions afforded measurement of eight specific constructs, which were combined to establish a general risk index. Boys had higher risk scores than did girls. Maternal race and education influenced answers. A small percentage of infants appeared to be at notably elevated risk. Large-scale longitudinal research is warranted to determine whether the FYI can predict an eventual diagnosis of autism.
Journal of autism and developmental disorders, 2007 · doi:10.1007/s10803-006-0303-y