Investigating the association between early years foundation stage profile scores and subsequent diagnosis of an autism spectrum disorder: a retrospective study of linked healthcare and education data

Objective We set out to test whether the early years foundation stage profile (EYFSP) score derived from 17 items assessed by teachers at the end of reception school year had any association with autism spectrum disorder (ASD) diagnosis in subsequent years. This study tested the feasibility of succe...

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Main Authors: Stefan Williams (Author), John Wright (Author), Barry Wright (Author), Brian Kelly (Author), Mark Mon-Williams (Author), David Sims (Author), Faisal Mushtaq (Author), Kuldeep Sohal (Author), Jane Elizabeth Blackwell (Author)
Format: Book
Published: BMJ Publishing Group, 2019-09-01T00:00:00Z.
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001 doaj_7e0eab036aee4c85b83e67aea81f7920
042 |a dc 
100 1 0 |a Stefan Williams  |e author 
700 1 0 |a John Wright  |e author 
700 1 0 |a Barry Wright  |e author 
700 1 0 |a Brian Kelly  |e author 
700 1 0 |a Mark Mon-Williams  |e author 
700 1 0 |a David Sims  |e author 
700 1 0 |a Faisal Mushtaq  |e author 
700 1 0 |a Kuldeep Sohal  |e author 
700 1 0 |a Jane Elizabeth Blackwell  |e author 
245 0 0 |a Investigating the association between early years foundation stage profile scores and subsequent diagnosis of an autism spectrum disorder: a retrospective study of linked healthcare and education data 
260 |b BMJ Publishing Group,   |c 2019-09-01T00:00:00Z. 
500 |a 10.1136/bmjpo-2019-000483 
500 |a 2399-9772 
520 |a Objective We set out to test whether the early years foundation stage profile (EYFSP) score derived from 17 items assessed by teachers at the end of reception school year had any association with autism spectrum disorder (ASD) diagnosis in subsequent years. This study tested the feasibility of successfully linking education and health data.Design A retrospective data linkage study.Setting and participants The Born in Bradford longitudinal cohort of 13, 857 children.Outcome measures We linked the EYFSP score at the end of reception year with subsequent diagnosis of an ASD, using all ASD general practitioner Read codes. We used the total EYFSP score and a subscore consisting of five key items in the EYFSP, prospectively identified using a panel of early years autism experts.Results This study demonstrated the feasibility of linking education and health data using ASDs as an exemplar. A total of 8,935 children had linked primary care and education data with 20.7% scoring <25 on the total EYFSP and 15.2% scoring <10 on a EYFSP subscore proposed by an expert panel prospectively. The rate of diagnosis of ASDs at follow-up was just under 1% (84 children), children scoring <25 on the total EYFSP had a 4.1% chance of ASD compared with 0.15% of the remaining children. Using the prospectively designed subscore, this difference was greater (6.4% and 0.12%, respectively).Conclusions We demonstrate the feasibility of linking education and health data. Performance on teacher ratings taken universally in school reception class can flag children at risk of ASDs. Further research is warranted to explore the utility of EYFSP as an initial screening tool for ASD in early school years. 
546 |a EN 
690 |a Pediatrics 
690 |a RJ1-570 
655 7 |a article  |2 local 
786 0 |n BMJ Paediatrics Open, Vol 3, Iss 1 (2019) 
787 0 |n https://bmjpaedsopen.bmj.com/content/3/1/e000483.full 
787 0 |n https://doaj.org/toc/2399-9772 
856 4 1 |u https://doaj.org/article/7e0eab036aee4c85b83e67aea81f7920  |z Connect to this object online.