Journal article
Autism Screening in High-Likelihood Children in a Community Early Intervention Setting: A Hybrid Effectiveness-Implementation Study
Focus on autism and other developmental disabilities
07 Jan 2025
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
Identification of likelihood for autism in the early intervention (EI) system facilitates referrals to diagnostic assessments and targets autism-specific needs. However, performance of autism screeners in high-likelihood preschool children and barriers to implementation need to be further studied. The current effectiveness-implementation hybrid type 1 study examined the impact of administering the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) in a sample of preschool children during the EI intake phone call. Data from 2,661 educational records showed that 42.8% of them received the M-CHAT-R. Only 14.0% of the screen-positive children completing the process to determine eligibility for EI services were referred for an autism-specific evaluation. Most of these (94.8%), regardless of screener status, received an autism diagnosis, suggesting that referrals are based on clinical judgment. Training and incorporation to current protocols within agencies are necessary to introduce a screening tool and support implementation fidelity and effective autism detection.
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Details
- Title
- Autism Screening in High-Likelihood Children in a Community Early Intervention Setting: A Hybrid Effectiveness-Implementation Study
- Creators
- Georgina Perez Liz - Drexel University, Philadelphia, PA, USADiana Thao - Drexel University, Philadelphia, PA, USAKatelyn Reeb - Drexel University, Philadelphia, PA, USAIlene Goy - ElwynErin McCurdy - ElwynMichael Yudell - Drexel UniversityDiana L. Robins - Drexel University, Philadelphia, PA, USA
- Publication Details
- Focus on autism and other developmental disabilities
- Publisher
- Sage
- Number of pages
- 9
- Grant note
- Eunice Kennedy Shriver National Institute of Child Health and Human Development: R03HD090365
This study was funded by the Eunice Kennedy Shriver National Institute of Child Health and Human Development, grant R03HD090365. The content is solely the responsibility of the authors and does not necessarily represent the official views of the National Institutes of Health.
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- Psychological and Brain Sciences (Psychology); Pharmacology and Physiology; A.J. Drexel Autism Institute; Center for Science, Technology, and Society
- Web of Science ID
- WOS:001390695100001
- Scopus ID
- 2-s2.0-85214695537
- Other Identifier
- 991022018105804721
UN Sustainable Development Goals (SDGs)
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InCites Highlights
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- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Education, Special
- Psychology, Developmental
- Rehabilitation