Consensus diagnostic criteria for fetal alcohol spectrum disorders in Australia

a modified Delphi study

Rochelle Watkins, Elizabeth Elliott, Raewyn Mutch, Janet Payne, Heather Jones, Jane Latimer, Elizabeth Russell, James Fitzpatrick, Lorian Hayes, Lucinda Burns, Jane Halliday, Heather D'Antoine, Amanda Wilkins, Elizabeth Peadon, Sue Miers, Maureen Carter, Colleen O'Leary, Anne McKenzie, Carol Bower

    Research output: Contribution to journalArticleResearchpeer-review

    4 Downloads (Pure)

    Abstract

    Objective: To evaluate health professionals' agreement with components of published diagnostic criteria for fetal alcohol spectrum disorders (FASD) in order to guide the development of standard diagnostic guidelines for Australia.

    Design: A modified Delphi process was used to assess agreement among health professionals with expertise or experience in FASD screening or diagnosis. An online survey, which included 36 Likert statements on diagnostic methods, was administered over two survey rounds. For fetal alcohol syndrome (FAS), health professionals were presented with concepts from the Institute of Medicine (IOM), University of Washington (UW), Centers for Disease Control (CDC), revised IOM and Canadian diagnostic criteria. For partial FAS (PFAS), alcohol-related neurodevelopmental disorder (ARND), and alcohol-related birth defects (ARBD), concepts based on the IOM and the Canadian diagnostic criteria were compared. Setting/participants: 130 Australian and 9 international health professionals.

    Results: Of 139 health professionals invited to complete the survey, 103 (74.1%) responded, and 74 (53.2%) completed one or more questions on diagnostic criteria. We found consensus agreement among participants on the diagnostic criteria for FAS, with the UW criteria most commonly endorsed when compared with all other published criteria for FAS. When health professionals were presented with concepts based on the Canadian and IOM diagnostic criteria, we found consensus agreement but no clear preference for either the Canadian or IOM criteria for the diagnosis of PFAS, and no consensus agreement on diagnostic criteria for ARND. We also found no consensus on the IOM diagnostic criteria for ARBD.

    Conclusions: Participants indicated clear support for use of the UW diagnostic criteria for FAS in Australia. These findings should be used to develop guidelines to facilitate improved awareness of, and address identified gaps in the infrastructure for, FASD diagnosis in Australia.
    Original languageEnglish
    Pages (from-to)1-9
    Number of pages9
    JournalBMJ Open
    Volume2
    Issue number5
    DOIs
    Publication statusPublished - 2012

    Fingerprint

    Delphi Technique
    Fetal Alcohol Spectrum Disorders
    National Academies of Science, Engineering, and Medicine (U.S.) Health and Medicine Division
    Health
    Guidelines
    Centers for Disease Control and Prevention (U.S.)

    Cite this

    Watkins, R., Elliott, E., Mutch, R., Payne, J., Jones, H., Latimer, J., ... Bower, C. (2012). Consensus diagnostic criteria for fetal alcohol spectrum disorders in Australia: a modified Delphi study. BMJ Open, 2(5), 1-9. https://doi.org/10.1136/bmjopen-2012-001918
    Watkins, Rochelle ; Elliott, Elizabeth ; Mutch, Raewyn ; Payne, Janet ; Jones, Heather ; Latimer, Jane ; Russell, Elizabeth ; Fitzpatrick, James ; Hayes, Lorian ; Burns, Lucinda ; Halliday, Jane ; D'Antoine, Heather ; Wilkins, Amanda ; Peadon, Elizabeth ; Miers, Sue ; Carter, Maureen ; O'Leary, Colleen ; McKenzie, Anne ; Bower, Carol. / Consensus diagnostic criteria for fetal alcohol spectrum disorders in Australia : a modified Delphi study. In: BMJ Open. 2012 ; Vol. 2, No. 5. pp. 1-9.
    @article{9d3502c628b24e29954fb22e8bf9aa8c,
    title = "Consensus diagnostic criteria for fetal alcohol spectrum disorders in Australia: a modified Delphi study",
    abstract = "Objective: To evaluate health professionals' agreement with components of published diagnostic criteria for fetal alcohol spectrum disorders (FASD) in order to guide the development of standard diagnostic guidelines for Australia. Design: A modified Delphi process was used to assess agreement among health professionals with expertise or experience in FASD screening or diagnosis. An online survey, which included 36 Likert statements on diagnostic methods, was administered over two survey rounds. For fetal alcohol syndrome (FAS), health professionals were presented with concepts from the Institute of Medicine (IOM), University of Washington (UW), Centers for Disease Control (CDC), revised IOM and Canadian diagnostic criteria. For partial FAS (PFAS), alcohol-related neurodevelopmental disorder (ARND), and alcohol-related birth defects (ARBD), concepts based on the IOM and the Canadian diagnostic criteria were compared. Setting/participants: 130 Australian and 9 international health professionals. Results: Of 139 health professionals invited to complete the survey, 103 (74.1{\%}) responded, and 74 (53.2{\%}) completed one or more questions on diagnostic criteria. We found consensus agreement among participants on the diagnostic criteria for FAS, with the UW criteria most commonly endorsed when compared with all other published criteria for FAS. When health professionals were presented with concepts based on the Canadian and IOM diagnostic criteria, we found consensus agreement but no clear preference for either the Canadian or IOM criteria for the diagnosis of PFAS, and no consensus agreement on diagnostic criteria for ARND. We also found no consensus on the IOM diagnostic criteria for ARBD. Conclusions: Participants indicated clear support for use of the UW diagnostic criteria for FAS in Australia. These findings should be used to develop guidelines to facilitate improved awareness of, and address identified gaps in the infrastructure for, FASD diagnosis in Australia.",
    keywords = "alcohol related birth defect, alcohol related neurodevelopmental disorder, article, Australia, consensus development, controlled study, Delphi study, diagnostic procedure, disease classification, female, fetal alcohol syndrome, health practitioner, health survey, human, major clinical study, male, online analysis, organization, partial fetal alcohol syndrome, practice guideline, publishing",
    author = "Rochelle Watkins and Elizabeth Elliott and Raewyn Mutch and Janet Payne and Heather Jones and Jane Latimer and Elizabeth Russell and James Fitzpatrick and Lorian Hayes and Lucinda Burns and Jane Halliday and Heather D'Antoine and Amanda Wilkins and Elizabeth Peadon and Sue Miers and Maureen Carter and Colleen O'Leary and Anne McKenzie and Carol Bower",
    year = "2012",
    doi = "10.1136/bmjopen-2012-001918",
    language = "English",
    volume = "2",
    pages = "1--9",
    journal = "BMJ Open",
    issn = "2044-6055",
    publisher = "British Medical Journal Publishing Group (BMJ Publishing)",
    number = "5",

    }

    Watkins, R, Elliott, E, Mutch, R, Payne, J, Jones, H, Latimer, J, Russell, E, Fitzpatrick, J, Hayes, L, Burns, L, Halliday, J, D'Antoine, H, Wilkins, A, Peadon, E, Miers, S, Carter, M, O'Leary, C, McKenzie, A & Bower, C 2012, 'Consensus diagnostic criteria for fetal alcohol spectrum disorders in Australia: a modified Delphi study', BMJ Open, vol. 2, no. 5, pp. 1-9. https://doi.org/10.1136/bmjopen-2012-001918

    Consensus diagnostic criteria for fetal alcohol spectrum disorders in Australia : a modified Delphi study. / Watkins, Rochelle; Elliott, Elizabeth; Mutch, Raewyn; Payne, Janet; Jones, Heather; Latimer, Jane; Russell, Elizabeth; Fitzpatrick, James; Hayes, Lorian; Burns, Lucinda; Halliday, Jane; D'Antoine, Heather; Wilkins, Amanda; Peadon, Elizabeth; Miers, Sue; Carter, Maureen; O'Leary, Colleen; McKenzie, Anne; Bower, Carol.

    In: BMJ Open, Vol. 2, No. 5, 2012, p. 1-9.

    Research output: Contribution to journalArticleResearchpeer-review

    TY - JOUR

    T1 - Consensus diagnostic criteria for fetal alcohol spectrum disorders in Australia

    T2 - a modified Delphi study

    AU - Watkins, Rochelle

    AU - Elliott, Elizabeth

    AU - Mutch, Raewyn

    AU - Payne, Janet

    AU - Jones, Heather

    AU - Latimer, Jane

    AU - Russell, Elizabeth

    AU - Fitzpatrick, James

    AU - Hayes, Lorian

    AU - Burns, Lucinda

    AU - Halliday, Jane

    AU - D'Antoine, Heather

    AU - Wilkins, Amanda

    AU - Peadon, Elizabeth

    AU - Miers, Sue

    AU - Carter, Maureen

    AU - O'Leary, Colleen

    AU - McKenzie, Anne

    AU - Bower, Carol

    PY - 2012

    Y1 - 2012

    N2 - Objective: To evaluate health professionals' agreement with components of published diagnostic criteria for fetal alcohol spectrum disorders (FASD) in order to guide the development of standard diagnostic guidelines for Australia. Design: A modified Delphi process was used to assess agreement among health professionals with expertise or experience in FASD screening or diagnosis. An online survey, which included 36 Likert statements on diagnostic methods, was administered over two survey rounds. For fetal alcohol syndrome (FAS), health professionals were presented with concepts from the Institute of Medicine (IOM), University of Washington (UW), Centers for Disease Control (CDC), revised IOM and Canadian diagnostic criteria. For partial FAS (PFAS), alcohol-related neurodevelopmental disorder (ARND), and alcohol-related birth defects (ARBD), concepts based on the IOM and the Canadian diagnostic criteria were compared. Setting/participants: 130 Australian and 9 international health professionals. Results: Of 139 health professionals invited to complete the survey, 103 (74.1%) responded, and 74 (53.2%) completed one or more questions on diagnostic criteria. We found consensus agreement among participants on the diagnostic criteria for FAS, with the UW criteria most commonly endorsed when compared with all other published criteria for FAS. When health professionals were presented with concepts based on the Canadian and IOM diagnostic criteria, we found consensus agreement but no clear preference for either the Canadian or IOM criteria for the diagnosis of PFAS, and no consensus agreement on diagnostic criteria for ARND. We also found no consensus on the IOM diagnostic criteria for ARBD. Conclusions: Participants indicated clear support for use of the UW diagnostic criteria for FAS in Australia. These findings should be used to develop guidelines to facilitate improved awareness of, and address identified gaps in the infrastructure for, FASD diagnosis in Australia.

    AB - Objective: To evaluate health professionals' agreement with components of published diagnostic criteria for fetal alcohol spectrum disorders (FASD) in order to guide the development of standard diagnostic guidelines for Australia. Design: A modified Delphi process was used to assess agreement among health professionals with expertise or experience in FASD screening or diagnosis. An online survey, which included 36 Likert statements on diagnostic methods, was administered over two survey rounds. For fetal alcohol syndrome (FAS), health professionals were presented with concepts from the Institute of Medicine (IOM), University of Washington (UW), Centers for Disease Control (CDC), revised IOM and Canadian diagnostic criteria. For partial FAS (PFAS), alcohol-related neurodevelopmental disorder (ARND), and alcohol-related birth defects (ARBD), concepts based on the IOM and the Canadian diagnostic criteria were compared. Setting/participants: 130 Australian and 9 international health professionals. Results: Of 139 health professionals invited to complete the survey, 103 (74.1%) responded, and 74 (53.2%) completed one or more questions on diagnostic criteria. We found consensus agreement among participants on the diagnostic criteria for FAS, with the UW criteria most commonly endorsed when compared with all other published criteria for FAS. When health professionals were presented with concepts based on the Canadian and IOM diagnostic criteria, we found consensus agreement but no clear preference for either the Canadian or IOM criteria for the diagnosis of PFAS, and no consensus agreement on diagnostic criteria for ARND. We also found no consensus on the IOM diagnostic criteria for ARBD. Conclusions: Participants indicated clear support for use of the UW diagnostic criteria for FAS in Australia. These findings should be used to develop guidelines to facilitate improved awareness of, and address identified gaps in the infrastructure for, FASD diagnosis in Australia.

    KW - alcohol related birth defect

    KW - alcohol related neurodevelopmental disorder

    KW - article

    KW - Australia

    KW - consensus development

    KW - controlled study

    KW - Delphi study

    KW - diagnostic procedure

    KW - disease classification

    KW - female

    KW - fetal alcohol syndrome

    KW - health practitioner

    KW - health survey

    KW - human

    KW - major clinical study

    KW - male

    KW - online analysis

    KW - organization

    KW - partial fetal alcohol syndrome

    KW - practice guideline

    KW - publishing

    U2 - 10.1136/bmjopen-2012-001918

    DO - 10.1136/bmjopen-2012-001918

    M3 - Article

    VL - 2

    SP - 1

    EP - 9

    JO - BMJ Open

    JF - BMJ Open

    SN - 2044-6055

    IS - 5

    ER -