The potential of accelerating early detection of autism through content analysis of YouTube videos

• Published in: PloS one Vol. 9; no. 4; p. e93533
• Main Authors: Fusaro, Vincent A, Daniels, Jena, Duda, Marlena, DeLuca, Todd F, D'Angelo, Olivia, Tamburello, Jenna, Maniscalco, James, Wall, Dennis P
• Format: Journal Article
• Language: English
• Published: United States Public Library of Science 01-04-2014; Public Library of Science (PLoS)
• Subjects: Accuracy; Adolescent; Age; Analysis; Autism; Autistic Disorder - diagnosis; Behavior; Biology and Life Sciences; Care and treatment; Child; Child, Preschool; Children; Classification; Computer and Information Sciences; Content analysis; Diagnosis; Diagnostic systems; Early Diagnosis; Feasibility studies; Humans; Infant; Informatics; Internet videos; Medical diagnosis; Medical schools; Medicine; Medicine and Health Sciences; Pediatrics; Psychiatry; Qualitative research; Sensitivity; Social Media; Social Sciences; Studies; United States; United States; United States > US; Massachusetts; California
• ISSN: 1932-6203; 1932-6203
• DOI: 10.1371/journal.pone.0093533

Autism is on the rise, with 1 in 88 children receiving a diagnosis in the United States, yet the process for diagnosis remains cumbersome and time consuming. Research has shown that home videos of children can help increase the accuracy of diagnosis. However the use of videos in the diagnostic process is uncommon. In the present study, we assessed the feasibility of applying a gold-standard diagnostic instrument to brief and unstructured home videos and tested whether video analysis can enable more rapid detection of the core features of autism outside of clinical environments. We collected 100 public videos from YouTube of children ages 1-15 with either a self-reported diagnosis of an ASD (N = 45) or not (N = 55). Four non-clinical raters independently scored all videos using one of the most widely adopted tools for behavioral diagnosis of autism, the Autism Diagnostic Observation Schedule-Generic (ADOS). The classification accuracy was 96.8%, with 94.1% sensitivity and 100% specificity, the inter-rater correlation for the behavioral domains on the ADOS was 0.88, and the diagnoses matched a trained clinician in all but 3 of 22 randomly selected video cases. Despite the diversity of videos and non-clinical raters, our results indicate that it is possible to achieve high classification accuracy, sensitivity, and specificity as well as clinically acceptable inter-rater reliability with nonclinical personnel. Our results also demonstrate the potential for video-based detection of autism in short, unstructured home videos and further suggests that at least a percentage of the effort associated with detection and monitoring of autism may be mobilized and moved outside of traditional clinical environments.