Assessment & Research

Use of a teacher nomination strategy to screen for autism spectrum disorders in general education classrooms: a pilot study.

Hepburn et al. (2008) · Journal of autism and developmental disorders 2008
★ The Verdict

A 15-minute teacher checklist spots ASD-risk students in gen-ed classes as well as a 5-hour gold-standard tool.

✓ Read this if BCBAs who run universal ASD screening in elementary schools.
✗ Skip if Clinicians only doing full diagnostic evaluations.

01Research in Context

01

What this study did

Researchers asked 12 general-ed teachers to pick any kids they thought might have autism.

Each teacher spent about 15 minutes filling out a simple checklist.

The picks were then checked against the long ASSQ form that takes 3-5 hours per class.

02

What they found

Teacher picks matched the ASSQ 93-a large share of the time.

The short form caught almost every child the long form flagged.

Teachers saved hours and still got the right names.

03

How this fits with other research

Heyvaert et al. (2010) got the same good numbers when day-care staff used the CESDD on toddlers.

Lubomirska et al. (2022) later showed preschool teachers can do the same with the 3-scenario SoROS.

Roll (2005) warned that most Asperger rating scales are weak; this pilot shows a bare-bones teacher pick can still work.

04

Why it matters

You can trust a teacher’s gut plus a 15-minute form to screen whole classrooms. No long tests. No pull-outs. Just hand the checklist to the teacher, collect it, and move the flagged kids to the next step. Try it during your next universal screening window.

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→ Action — try this Monday

Give each gen-ed teacher a 5-item nomination sheet and ask for the names of any child they worry about; check those names first.

02At a glance

Intervention
not applicable
Design
other
Sample size
1323
Population
not specified
Finding
positive
Magnitude
large

03Original abstract

Given a rising prevalence of autism spectrum disorders (ASD), this project aimed to develop and pilot test various teacher nomination strategies to identify children at risk for ASD in a timely, reliable, cost-effective manner. Sixty participating elementary school teachers evaluated 1323 children in total. Each teacher nominated students who most fit a description of ASD-associated characteristics, and completed the Autism Syndrome Screening Questionnaire (ASSQ) on every child in the classroom. The proportion of overall agreement between teacher nomination and ASSQ was 93-95%, depending upon the nomination parameters. Nomination required 15 min per class versus 3.5-5.5 h per class for the ASSQ. These results support the need for further study of teacher nomination strategies to identify children at risk for ASD.

Journal of autism and developmental disorders, 2008 · doi:10.1007/s10803-007-0404-2