Acknowledgements
We sincerely thank the participating children, caregivers, research staff, and clinical research specialists whose involvement was essential for this research. The opinions expressed in this publication are those of the author(s) and do not necessarily reflect the views of the funding and gifting agencies and companies.
Funding
This work is supported by NIH Autism Center of Excellence Award NICHD 2P50HD093074 (Dawson, PI), NIMH R01MH121329 (Dawson and Sapiro, mPIs), NIMH R01MH120093 (Sapiro and Dawson, mPIs), with additional support provided by the Simons Foundation, National Science Foundation, and Office of Naval Research. The funders had no direct participation in the preparation of this manuscript, decision to publish, study design and data analysis for this project.
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Competing interests
Dawson is on the Scientific Advisory Board of Tris Pharma, Inc. and the Nonverbal Learning Disability Project, a consultant for Bristol Myers Squibb, YAMO Pharmaceuticals and Guidepoint Global, LLC, and receives book royalties from Guilford Press, Oxford University Press, and Springer Nature. Dr. Carpenter, Dr. Dawson, and Dr. Sapiro have developed technology, data, and/or products that have been licensed to Apple, Inc., and they and Duke University have benefited financially. Guillermo Sapiro is affiliated with Apple; the work here reported is independent of such affiliation.
Ethical information and informed consent
Study design and methods were approved by the Duke University School of Medicine Institutional Review Board (IRB-Pro00085156). Participants 6 years and older, if they were capable of doing so, provided verbal assent. Each participant’s caregiver signed informed consent forms approved by the Duke Institutional Review Board. The Duke Human Research Protection Program (HRPP) adheres to the protection of human research participants regulations defined by the U.S. Code of Federal Regulation (CFR), specifically in accordance with 45 CFR 46, 21 CFR 50, 21 CFR 56, 21 CFR 312, 21 CFR 812, and 45 CFR 164.508-514. This study was conducted in accordance with the ethical principles of the Declaration of Helsinki and complies with the Guidelines of the International Conference on Harmonization to the extent required by the U.S. Food and Drug Administration. All people shown in Fig. 1 are actors who have provided informed consent to publish identifying information/images in an open-access online journal. For child actors, a parent or legal guardian read and signed the appropriate informed consent form.
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Aikat, V., Carpenter, K.L.H., Di Martino, J.M. et al. Digital phenotyping captures autism-associated behaviors in preschool- and school-age autistic children with and without co-occurring ADHD. Sci Rep (2026). https://doi.org/10.1038/s41598-026-65395-7
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DOI: https://doi.org/10.1038/s41598-026-65395-7