Assessment & Research

The application of the first year inventory for ASD screening in Israel.

Ben-Sasson et al. (2012) · Journal of autism and developmental disorders 2012
★ The Verdict

Raise the FYI cut-off by 4.8 points when screening 12-month-olds in Israel to keep false positives low while still catching babies who need follow-up.

✓ Read this if BCBAs who screen infants for ASD or work in multilingual settings.
✗ Skip if Practitioners who only serve children over three or who lack infant screening programs.

01Research in Context

01

What this study did

The team gave the First Year Inventory (FYI) to Israeli parents of 12-month-old babies. They wanted to see if the same cut-off scores used in the United States also flagged the right babies in Israel.

They compared scores from babies later found to be at-risk for autism with scores from babies who were not at-risk. This showed whether the tool worked in a new country and language.

02

What they found

The FYI still separated at-risk and non-risk babies, but only after they raised the cut-off by 4.8 points. The higher threshold reduced false alarms while still catching most babies who needed follow-up.

In short, the questionnaire works in Israel, yet you must use the local cut-off, not the American one.

03

How this fits with other research

Rihtman et al. (2026) did the same kind of re-norming for the Hebrew LDCDQ in Israeli preschoolers. Both papers show that translated tools need fresh cut-offs even when the words stay the same.

Mukherjee et al. (2021) reviewed high-tech infant screens that track movement. Their review and the FYI study agree that early screening is possible, but the FYI gives you a low-tech, parent-friendly option today while the tech tools still need more proof.

Alcañiz et al. (2022) used VR eye-tracking plus machine learning to spot ASD in slightly older kids. Their 86% accuracy sounds impressive, yet the FYI remains easier and cheaper for 12-month-olds until that tech is ready for clinics.

04

Why it matters

If you screen babies in Israel, add 4.8 points to the US FYI cut-off before you flag a concern. The same lesson applies anywhere: always re-validate cut-offs after translation or culture shift. Until fancy tech catches up, a short parent form plus the right local threshold gives you a ready-made way to catch ASD risk before the first birthday.

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Check your FYI scoring sheet—if your population is Israeli, add 4.8 to the published US cut-off before marking a baby as at-risk.

02At a glance

Intervention
not applicable
Design
other
Sample size
471
Population
not specified
Finding
positive

03Original abstract

This study was designed to examine the generalizability and validity of the First Year Inventory (FYI) in Israel. Parents completed the FYI about their 12-month-olds (N = 471). Up to one month later, 17 at-risk and 38 non-risk infants participated in an assessment in which the Autism Observation Scale for Infants (AOSI) and the Mullen Scales of Early Learning (MSEL) were administered. Using the original FYI 95th percentile cutoff the risk rate in this Israeli sample was 11%. The current sample's 95th percentile cutoff was 4.8 points higher than the original US sample. Infants in the risk group obtained significantly higher AOSI scores and lower MSEL scores. Socio-demographic factors may influence risk results suggesting the need to adapt screening to serve all.

Journal of autism and developmental disorders, 2012 · doi:10.1007/s10803-011-1436-1