Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal / Inês GENÉSIO in Research in Autism Spectrum Disorders, 107 (September 2023)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 107 (September 2023) . - p.102219 Titre : Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal Type de document : Texte imprimé et/ou numérique Auteurs : Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inês Vaz MATOS, Auteur ; Diana GONZAGA, Auteur ; Leonilde MACHADO, Auteur ; Catarina PRIOR, Auteur ; Sara SOARES, Auteur Article en page(s) : p.102219 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  Primary healthcare  Neurodevelopmental disorder  Modified checklist for autism in toddlers  Screening Index. décimale : PER Périodiques Résumé : Background The Portuguese National Programme for Child and Adolescent Health recommends systematic screening for autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R). If moderate risk is identified, the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) should be used. We evaluated the knowledge and use of the M-CHAT-R and M-CHAT-R/F in primary healthcare settings to reinforce the importance of these scales. Method In this descriptive cross-sectional study, primary care physicians were surveyed about their knowledge of both the M-CHAT-R and M-CHAT-R/F and how often they used them. The survey also included items about the necessity of training in the utilization of these scales and their integration into digital work platforms. Data were analyzed using Statistical Package for the Social Sciences software. Results Of 250 participants, 76% (N = 190) were acquainted with the M-CHAT-R; however, only 21% (N = 52) applied it consistently. Additionally, 39% (N = 98) of the participants used it when they suspected ASD. The main reasons for not applying the scale were limited time, lack of experience with the M-CHAT-R, and forgetfulness. Regarding the M-CHAT-R/F, only 31% (N = 77) knew the scale, which was the main reason for not using it, and 45% (N = 113) reported that they referred to a neurodevelopmental pediatrician when ASD was suspected, even if the M-CHAT-R/F had not been applied. Conclusions Despite the recommendations, the M-CHAT-R/F is not routinely used in primary care. Professionals should reinforce their training for the correct and systematic application of this screening scale. En ligne : https://doi.org/10.1016/j.rasd.2023.102219 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512 [article] Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal [Texte imprimé et/ou numérique] / Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inês Vaz MATOS, Auteur ; Diana GONZAGA, Auteur ; Leonilde MACHADO, Auteur ; Catarina PRIOR, Auteur ; Sara SOARES, Auteur . - p.102219. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102219 Mots-clés : Autism spectrum disorder  Primary healthcare  Neurodevelopmental disorder  Modified checklist for autism in toddlers  Screening Index. décimale : PER Périodiques Résumé : Background The Portuguese National Programme for Child and Adolescent Health recommends systematic screening for autism spectrum disorder (ASD) using the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R). If moderate risk is identified, the Modified Checklist for Autism in Toddlers, Revised with Follow-up (M-CHAT-R/F) should be used. We evaluated the knowledge and use of the M-CHAT-R and M-CHAT-R/F in primary healthcare settings to reinforce the importance of these scales. Method In this descriptive cross-sectional study, primary care physicians were surveyed about their knowledge of both the M-CHAT-R and M-CHAT-R/F and how often they used them. The survey also included items about the necessity of training in the utilization of these scales and their integration into digital work platforms. Data were analyzed using Statistical Package for the Social Sciences software. Results Of 250 participants, 76% (N = 190) were acquainted with the M-CHAT-R; however, only 21% (N = 52) applied it consistently. Additionally, 39% (N = 98) of the participants used it when they suspected ASD. The main reasons for not applying the scale were limited time, lack of experience with the M-CHAT-R, and forgetfulness. Regarding the M-CHAT-R/F, only 31% (N = 77) knew the scale, which was the main reason for not using it, and 45% (N = 113) reported that they referred to a neurodevelopmental pediatrician when ASD was suspected, even if the M-CHAT-R/F had not been applied. Conclusions Despite the recommendations, the M-CHAT-R/F is not routinely used in primary care. Professionals should reinforce their training for the correct and systematic application of this screening scale. En ligne : https://doi.org/10.1016/j.rasd.2023.102219 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=512

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