Files and links (1)
Published, Version of Record (VoR)Open Access (License Unspecified), Open
Journal article
Large-Scale Use of the Modified Checklist for Autism in Low-Risk Toddlers
Pediatrics (Evanston), v 131(4), pp E1121-E1127
01 Apr 2013
PMID: 23530174
Featured in Collection : UN Sustainable Development Goals @ Drexel
Abstract
OBJECTIVE: The purpose of the study was to examine use of the Modified Checklist for Autism in Toddlers (M-CHAT) as an autism-specific screening instrument in a large, geographically diverse pediatrics-based sample.
METHODS: The M-CHAT and the M-CHAT Follow-Up (M-CHAT/F) were used to screen 18 989 toddlers at pediatric well-child visits in 2 US geographic regions. Pediatricians directly referred children to ascertain potential missed screening cases. Screen-positive children received the M-CHAT/F; children who continued to screen positive after the M-CHAT/F received a diagnostic evaluation.
RESULTS: Results indicated that 54% of children who screened positive on the M-CHAT and M-CHAT/F presented with an autism spectrum disorder (ASD), and 98% presented with clinically significant developmental concerns warranting intervention. An M-CHAT total score cutoff of >= 3 identifies nearly all screen-positive cases, and for ease of scoring the use of only the M-CHAT total score cutoff is recommended. An M-CHAT total score of 7 serves as an appropriate clinical cutoff, and providers can bypass the M-CHAT/F and refer immediately to evaluation and intervention if a child obtains a score of >= 7.
CONCLUSIONS: This study provides empirical support for the utility of population screening for ASD with the use of the M-CHAT in a primary care setting. Results suggest that the M-CHAT continues to be an effective screening instrument for ASD when the 2-step screening process is used. The M-CHAT is widely used at pediatric offices, and this study provides updated results to facilitate use and scoring of the M-CHAT by clinical providers.
Metrics
Details
- Title
- Large-Scale Use of the Modified Checklist for Autism in Low-Risk Toddlers
- Creators
- Colby Chlebowski - Department of Psychiatry, University of California-San Diego, San Diego, California, USA.Diana L. Robins - Georgia State UniversityMarianne L. Barton - cDepartments of Psychology andDeborah Fein - University of Connecticut
- Publication Details
- Pediatrics (Evanston), v 131(4), pp E1121-E1127
- Publisher
- Amer Acad Pediatrics
- Number of pages
- 7
- Grant note
- R40 MC00270 / Maternal and Child Health Bureau Centers for Disease Control and Prevention-Georgia State University seed grant in the social and behavioral sciences F31 MH12550-1-2 / National Institute of Mental Health; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) R01 HD039961 / National Institutes of Health (NIH); United States Department of Health & Human Services; National Institutes of Health (NIH) - USA US Department of Education student F31MH012550 / NATIONAL INSTITUTE OF MENTAL HEALTH; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH National Institute of Mental Health (NIMH) National Association for Autism Research R01HD039961 / EUNICE KENNEDY SHRIVER NATIONAL INSTITUTE OF CHILD HEALTH & HUMAN DEVELOPMENT; United States Department of Health & Human Services; National Institutes of Health (NIH) - USA; NIH Eunice Kennedy Shriver National Institute of Child Health & Human Development (NICHD)
- Resource Type
- Journal article
- Language
- English
- Academic Unit
- A.J. Drexel Autism Institute
- Web of Science ID
- WOS:000318269500010
- Scopus ID
- 2-s2.0-84875983179
- Other Identifier
- 991019186795804721
UN Sustainable Development Goals (SDGs)
This publication has contributed to the advancement of the following goals:
InCites Highlights
Data related to this publication, from InCites Benchmarking & Analytics tool:
- Collaboration types
- Domestic collaboration
- Web of Science research areas
- Pediatrics