Assessment & Research

The Utility of the Screening Tool for Autism in 2-Year-Olds in Detecting Autism in Taiwanese Toddlers Who are Less than 24 Months of Age: A Longitudinal Study.

Wu et al. (2020) · Journal of autism and developmental disorders 2020
★ The Verdict

STAT cutoff 2.5 spots ASD risk in Taiwanese toddlers before their second birthday.

✓ Read this if BCBAs who run early-screening clinics or advise pediatricians in Chinese-speaking regions.
✗ Skip if Practitioners already using a different Level-2 screener with strong local validation data.

01Research in Context

01

What this study did

The team followed Taiwanese toddlers under 24 months for two years. They gave each child the play-based STAT screener and watched who later got an ASD diagnosis.

They set the red-flag cutoff at 2.5 and checked how well that score predicted later ASD.

02

What they found

A STAT score of 2.5 or higher correctly flagged most toddlers who were later diagnosed with ASD. The tool worked even for babies younger than 14 months.

03

How this fits with other research

Wu et al. (2021) ran the same tool on the same age group and got the same result — a clean replication.

Matson et al. (2008) first showed STAT works under 24 months but warned it can over-flag 12-13-month-olds. The new study shrinks that worry; it finds the 2.5 cutoff still fits the youngest toddlers.

Grigore et al. (2024) says across many tools we still lack proof that early screening leads to better intervention gains. The current paper does not tackle that gap; it only shows the STAT score itself is solid.

04

Why it matters

If you screen in Taiwan, you can trust a STAT ≥2.5 even for babies just past their first birthday. Add the five-minute play screener at 18-month check-ups and refer scores at or above 2.5 for full evaluation.

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Pull the STAT kit, score the next 18-month-old, and flag for referral if total ≥2.5.

02At a glance

Intervention
not applicable
Design
other
Sample size
119
Population
autism spectrum disorder, developmental delay
Finding
positive

03Original abstract

The present longitudinal study examined the utility of the screening tool for autism in 2-year-olds (STAT) in detecting autism spectrum disorder (ASD) in toddlers who are less than 24 months of age. The study sample, which consisted of 119 toddlers with developmental problems, were assessed when they were between 16 and 24 months of age (Time 1) and after a period of 18 months to finalize the diagnosis (Time 2); 57 children had ASD and 62 children had developmental delays. A cutoff score of 2.5 on the STAT yielded an optimal combination of high sensitivity and specificity. The STAT demonstrated adequate predictive validity in detecting ASD in Taiwanese toddlers who are less than 24 months of age.

Journal of autism and developmental disorders, 2020 · doi:10.1007/s10803-019-04350-0