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Faire une suggestionExamination of the Properties of the Modified Checklist for Autism in Toddlers (M-CHAT) in a Population Sample / Brie YAMA in Journal of Autism and Developmental Disorders, 42-1 (January 2012)
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Titre : Examination of the Properties of the Modified Checklist for Autism in Toddlers (M-CHAT) in a Population Sample Type de document : texte imprimé Auteurs : Brie YAMA, Auteur ; Tom FREEMAN, Auteur ; Erin GRAVES, Auteur ; Su YUAN, Auteur ; M. KAREN CAMPBELL, Auteur Année de publication : 2012 Article en page(s) : p.23-34 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders Autism Modified checklist for autism in toddlers M-CHAT Toddlers Developmental screening Index. décimale : PER Périodiques Résumé : This study examines the following properties of the Modified Checklist for Autism in Toddlers (M-CHAT) in an unselected low-risk sample: (a) the maximum age for screen administration; (b) the positive screen rate in the absence of follow-up telephone interviews and; (c) the distributional properties of positive screens. Data came from a prospective cohort study (n = 1,604). Results suggest that the M-CHAT can appropriately be administered to children aged 20–48 months. Documented explanations provided by mothers during screening, appear to effectively identify potential screen misclassifications in the absence of the follow-up telephone interviews. This further emphasizes the importance of clinician expertise in verifying positive M-CHAT screens. Results have implications for the administration of the M-CHAT in clinical and research settings. En ligne : http://dx.doi.org/10.1007/s10803-011-1211-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=151
in Journal of Autism and Developmental Disorders > 42-1 (January 2012) . - p.23-34[article] Examination of the Properties of the Modified Checklist for Autism in Toddlers (M-CHAT) in a Population Sample [texte imprimé] / Brie YAMA, Auteur ; Tom FREEMAN, Auteur ; Erin GRAVES, Auteur ; Su YUAN, Auteur ; M. KAREN CAMPBELL, Auteur . - 2012 . - p.23-34.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 42-1 (January 2012) . - p.23-34
Mots-clés : Autism spectrum disorders Autism Modified checklist for autism in toddlers M-CHAT Toddlers Developmental screening Index. décimale : PER Périodiques Résumé : This study examines the following properties of the Modified Checklist for Autism in Toddlers (M-CHAT) in an unselected low-risk sample: (a) the maximum age for screen administration; (b) the positive screen rate in the absence of follow-up telephone interviews and; (c) the distributional properties of positive screens. Data came from a prospective cohort study (n = 1,604). Results suggest that the M-CHAT can appropriately be administered to children aged 20–48 months. Documented explanations provided by mothers during screening, appear to effectively identify potential screen misclassifications in the absence of the follow-up telephone interviews. This further emphasizes the importance of clinician expertise in verifying positive M-CHAT screens. Results have implications for the administration of the M-CHAT in clinical and research settings. En ligne : http://dx.doi.org/10.1007/s10803-011-1211-3 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=151 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)
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Titre : Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal Type de document : texte imprimé Auteurs : Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inès 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
in Research in Autism Spectrum Disorders > 107 (September 2023) . - p.102219[article] Primary healthcare use of the modified checklist for autism in toddlers revised with follow-up in Portugal [texte imprimé] / Inês GENÉSIO, Auteur ; João Esteves SALGADO, Auteur ; Pedro Martinho GOUVEIA, Auteur ; Inès 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 Reliability and Validity of the Chinese Version of Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F) / Cheng GUO in Journal of Autism and Developmental Disorders, 49-1 (January 2019)
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Titre : Reliability and Validity of the Chinese Version of Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F) Type de document : texte imprimé Auteurs : Cheng GUO, Auteur ; Meifang LUO, Auteur ; Xiaoming WANG, Auteur ; Saijun HUANG, Auteur ; Zhaoxue MENG, Auteur ; Jie SHAO, Auteur ; Xudong ZHANG, Auteur ; Zhi SHAO, Auteur ; Jieling WU, Auteur ; Diana L. ROBINS, Auteur ; Jin JING, Auteur Article en page(s) : p.185-196 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder China Early screening Modified Checklist for Autism in Toddlers Revised with Follow-Up (M-CHAT-R/F) Index. décimale : PER Périodiques Résumé : Although early detection of autism facilitates intervention, early detection strategies are not yet widespread in China. To improve the situation, the Chinese version of the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) was validated. The sample included 7928 toddlers, aged 16 to 30 months, screened during their routine care in six provinces of China. When the cut-off value was 3, the sensitivity and specificity of M-CHAT-R were 0.963 and 0.865. The inter-rater reliability and the test-retest reliability were also adequate (intraclass correlation coefficients were 0.853 and 0.759, both ps < .01). The Chinese version of M-CHAT-R/F is an effective tool for early detection of ASD and is applicable to early screening in China. En ligne : http://dx.doi.org/10.1007/s10803-018-3682-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=376
in Journal of Autism and Developmental Disorders > 49-1 (January 2019) . - p.185-196[article] Reliability and Validity of the Chinese Version of Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F) [texte imprimé] / Cheng GUO, Auteur ; Meifang LUO, Auteur ; Xiaoming WANG, Auteur ; Saijun HUANG, Auteur ; Zhaoxue MENG, Auteur ; Jie SHAO, Auteur ; Xudong ZHANG, Auteur ; Zhi SHAO, Auteur ; Jieling WU, Auteur ; Diana L. ROBINS, Auteur ; Jin JING, Auteur . - p.185-196.
Langues : Anglais (eng)
in Journal of Autism and Developmental Disorders > 49-1 (January 2019) . - p.185-196
Mots-clés : Autism spectrum disorder China Early screening Modified Checklist for Autism in Toddlers Revised with Follow-Up (M-CHAT-R/F) Index. décimale : PER Périodiques Résumé : Although early detection of autism facilitates intervention, early detection strategies are not yet widespread in China. To improve the situation, the Chinese version of the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) was validated. The sample included 7928 toddlers, aged 16 to 30 months, screened during their routine care in six provinces of China. When the cut-off value was 3, the sensitivity and specificity of M-CHAT-R were 0.963 and 0.865. The inter-rater reliability and the test-retest reliability were also adequate (intraclass correlation coefficients were 0.853 and 0.759, both ps < .01). The Chinese version of M-CHAT-R/F is an effective tool for early detection of ASD and is applicable to early screening in China. En ligne : http://dx.doi.org/10.1007/s10803-018-3682-y Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=376 Using the Modified Checklist for Autism in Toddlers in a well-child clinic in Turkey: Adapting the screening method based on culture and setting / Bülent KARA in Autism, 18-3 (April 2014)
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Titre : Using the Modified Checklist for Autism in Toddlers in a well-child clinic in Turkey: Adapting the screening method based on culture and setting Type de document : texte imprimé Auteurs : Bülent KARA, Auteur ; Nahit M. MUKADDES, Auteur ; Işılay ALTINKAYA, Auteur ; Dilek GUNTEPE, Auteur ; Gülbin GOKCAY, Auteur ; Meral OZMEN, Auteur Article en page(s) : p.331-338 Langues : Anglais (eng) Mots-clés : autism Modified Checklist for Autism in Toddlers pervasive developmental disorders screening Index. décimale : PER Périodiques Résumé : We aimed to adapt the Modified Checklist for Autism in Toddlers to Turkish culture. The Modified Checklist for Autism in Toddlers was filled out independently by 191 parents while they were waiting for the well-child examination of their child. A high screen-positive rate was found. Because of this high false-positive rate, a second study was done in which the Modified Checklist for Autism in Toddlers was administered by health-care staff in a short interview with two groups of parents. The first group (the high-risk group) comprised 80 children aged 18–36 months, who were initially diagnosed with pervasive developmental disorders. The second group (the low-risk group) comprised 538 children of the same age, who were followed regularly by the well-child clinic. Two screen positives were found in the low-risk group. These two children, a random sample of 120 children from the low-risk group, and all the high-risk group were invited to a clinical evaluation. The diagnostic power of the Modified Checklist for Autism in Toddlers was assessed against clinical diagnosis and the Childhood Autism Rating Scale. The positive predictive value of the Modified Checklist for Autism in Toddlers was found to be 75%. Our findings led us to conclude that the Modified Checklist for Autism in Toddlers is a useful tool in Turkey for screening of pervasive developmental disorders in primary care, but in our culture, it is completed more accurately when health-care personnel ask the parents the questions. This study shows that Modified Checklist for Autism in Toddlers screening should be adapted based on culture and setting. En ligne : http://dx.doi.org/10.1177/1362361312467864 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229
in Autism > 18-3 (April 2014) . - p.331-338[article] Using the Modified Checklist for Autism in Toddlers in a well-child clinic in Turkey: Adapting the screening method based on culture and setting [texte imprimé] / Bülent KARA, Auteur ; Nahit M. MUKADDES, Auteur ; Işılay ALTINKAYA, Auteur ; Dilek GUNTEPE, Auteur ; Gülbin GOKCAY, Auteur ; Meral OZMEN, Auteur . - p.331-338.
Langues : Anglais (eng)
in Autism > 18-3 (April 2014) . - p.331-338
Mots-clés : autism Modified Checklist for Autism in Toddlers pervasive developmental disorders screening Index. décimale : PER Périodiques Résumé : We aimed to adapt the Modified Checklist for Autism in Toddlers to Turkish culture. The Modified Checklist for Autism in Toddlers was filled out independently by 191 parents while they were waiting for the well-child examination of their child. A high screen-positive rate was found. Because of this high false-positive rate, a second study was done in which the Modified Checklist for Autism in Toddlers was administered by health-care staff in a short interview with two groups of parents. The first group (the high-risk group) comprised 80 children aged 18–36 months, who were initially diagnosed with pervasive developmental disorders. The second group (the low-risk group) comprised 538 children of the same age, who were followed regularly by the well-child clinic. Two screen positives were found in the low-risk group. These two children, a random sample of 120 children from the low-risk group, and all the high-risk group were invited to a clinical evaluation. The diagnostic power of the Modified Checklist for Autism in Toddlers was assessed against clinical diagnosis and the Childhood Autism Rating Scale. The positive predictive value of the Modified Checklist for Autism in Toddlers was found to be 75%. Our findings led us to conclude that the Modified Checklist for Autism in Toddlers is a useful tool in Turkey for screening of pervasive developmental disorders in primary care, but in our culture, it is completed more accurately when health-care personnel ask the parents the questions. This study shows that Modified Checklist for Autism in Toddlers screening should be adapted based on culture and setting. En ligne : http://dx.doi.org/10.1177/1362361312467864 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=229 Validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) in primary care clinics in Singapore / Siew Pang CHAN ; Evelyn LAW ; Shang Chee CHONG ; Ramkumar AISHWORIYA in Autism, 28-7 (July 2024)
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[article]
Titre : Validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) in primary care clinics in Singapore Type de document : texte imprimé Auteurs : Siew Pang CHAN, Auteur ; Evelyn LAW, Auteur ; Shang Chee CHONG, Auteur ; Ramkumar AISHWORIYA, Auteur Article en page(s) : p.1758-1771 Langues : Anglais (eng) Mots-clés : autism autism spectrum disorder children Modified Checklist for Autism in Toddlers Revised with Follow-Up primary care screening M-CHAT-R/F Index. décimale : PER Périodiques Résumé : Screening for autism in childhood has been advocated as a part of standard care. Challenges exist with screening implementation and performance of screening tools in clinical practice. This study aimed to examine the validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) for screening of autism in Singapore. Caregivers completed the M-CHAT-R/F as a part of the routine 18-month well-child visit in seven primary care clinics. Screening and follow-up interviews were administered by trained nursing staff. Children screened positive and a subset of those screened negative underwent diagnostic assessments for autism, which included an Autism Diagnostic Observation Schedule, Second Edition. Participants were 5336 multiethnic children (mean age 18.6+0.9 months, 51.3% male gender). In total, 113 (2.1%) were screened positive, of which 54 (1.0%) were classified to have autism after their diagnostic assessment. Sensitivity of the M-CHAT-R/F was 88.6%, specificity 71.4%, and positive predictive value 90.7% for an autism diagnosis. The majority of respondents rated the screening process as feasible within the clinic setting. The M-CHAT-R/F had acceptable psychometric properties and high feasibility when used in primary care settings in Singapore. Recommendations for implementation of systematic screening and future research are presented. Lay abstract Systematic screening for autism in early childhood has been suggested to improve eventual outcomes by facilitating earlier diagnosis and access to intervention. However, clinical implementation of screening has to take into account effectiveness and feasibility of use within a healthcare setting for accurate diagnosis of autism. In Singapore, autism screening using a structured screening tool is not currently employed as a part of routine well-child visits for children in primary care clinics. In this study, 5336 children (aged 17-20 months) were screened for autism using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) during their 18-month well-child visit in seven primary care clinics. Screening and follow-up interviews were administered by nursing staff at each clinic. Children screened positive and a portion of those screened negative then underwent diagnostic assessments to determine whether they met the diagnostic criteria for autism. In total, 113 (2.1%) were screened positive, of which 54 (1.0%) met the criteria for autism. Children who screened positive and received a diagnosis accessed autism-specific intervention at an average age of 22 months. Nurses and physicians rated the acceptability and practicality of the M-CHAT-R/F highly. Therefore, the M-CHAT-R/F questionnaire was an effective and feasible tool for autism screening among 18-month-old children in this study. Future studies will be designed to determine the optimal age of screening and role of repeated screening in Singapore, as well as to better understand any potential improved outcomes nationwide compared with pre-implementation of autism screening. En ligne : https://dx.doi.org/10.1177/13623613231205748 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=531
in Autism > 28-7 (July 2024) . - p.1758-1771[article] Validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) in primary care clinics in Singapore [texte imprimé] / Siew Pang CHAN, Auteur ; Evelyn LAW, Auteur ; Shang Chee CHONG, Auteur ; Ramkumar AISHWORIYA, Auteur . - p.1758-1771.
Langues : Anglais (eng)
in Autism > 28-7 (July 2024) . - p.1758-1771
Mots-clés : autism autism spectrum disorder children Modified Checklist for Autism in Toddlers Revised with Follow-Up primary care screening M-CHAT-R/F Index. décimale : PER Périodiques Résumé : Screening for autism in childhood has been advocated as a part of standard care. Challenges exist with screening implementation and performance of screening tools in clinical practice. This study aimed to examine the validity and feasibility of using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) for screening of autism in Singapore. Caregivers completed the M-CHAT-R/F as a part of the routine 18-month well-child visit in seven primary care clinics. Screening and follow-up interviews were administered by trained nursing staff. Children screened positive and a subset of those screened negative underwent diagnostic assessments for autism, which included an Autism Diagnostic Observation Schedule, Second Edition. Participants were 5336 multiethnic children (mean age 18.6+0.9 months, 51.3% male gender). In total, 113 (2.1%) were screened positive, of which 54 (1.0%) were classified to have autism after their diagnostic assessment. Sensitivity of the M-CHAT-R/F was 88.6%, specificity 71.4%, and positive predictive value 90.7% for an autism diagnosis. The majority of respondents rated the screening process as feasible within the clinic setting. The M-CHAT-R/F had acceptable psychometric properties and high feasibility when used in primary care settings in Singapore. Recommendations for implementation of systematic screening and future research are presented. Lay abstract Systematic screening for autism in early childhood has been suggested to improve eventual outcomes by facilitating earlier diagnosis and access to intervention. However, clinical implementation of screening has to take into account effectiveness and feasibility of use within a healthcare setting for accurate diagnosis of autism. In Singapore, autism screening using a structured screening tool is not currently employed as a part of routine well-child visits for children in primary care clinics. In this study, 5336 children (aged 17-20 months) were screened for autism using the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F) during their 18-month well-child visit in seven primary care clinics. Screening and follow-up interviews were administered by nursing staff at each clinic. Children screened positive and a portion of those screened negative then underwent diagnostic assessments to determine whether they met the diagnostic criteria for autism. In total, 113 (2.1%) were screened positive, of which 54 (1.0%) met the criteria for autism. Children who screened positive and received a diagnosis accessed autism-specific intervention at an average age of 22 months. Nurses and physicians rated the acceptability and practicality of the M-CHAT-R/F highly. Therefore, the M-CHAT-R/F questionnaire was an effective and feasible tool for autism screening among 18-month-old children in this study. Future studies will be designed to determine the optimal age of screening and role of repeated screening in Singapore, as well as to better understand any potential improved outcomes nationwide compared with pre-implementation of autism screening. En ligne : https://dx.doi.org/10.1177/13623613231205748 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=531 Comparison of a broad-based screen versus disorder-specific screen in detecting young children with an autism spectrum disorder / Lisa D. WIGGINS in Autism, 18-2 (February 2014)
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