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Screening for autism spectrum disorders in primary care settings
Open accessAbstract
The need for autism-specific screening during pediatric well-child visits has been established. However, additional support for specific screening instruments is needed. The current study used the Modified Checklist for Autism in Toddlers (M—CHAT) and the M—CHAT Follow-Up Interview to screen 4797 children during toddler checkups. Of the 4797 cases, 466 screened positive on the M—CHAT; of the 362 who completed the follow-up interview, 61 continued to show risk for autism spectrum disorders (ASDs). A total of 41 children have been evaluated; 21 children have been diagnosed with ASD, 17 were classified with non-ASD delays, and three were typically developing. The PPV of M—CHAT plus interview was .57. It is notable that only four of the 21 cases of ASD were flagged by their pediatrician. These findings suggest that the M—CHAT is effective in identifying ASD in primary care settings. Future research will follow this sample longitudinally.
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Citations
Cites
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Robins, D. L., & Dumont-Mathieu, T. M. (2006) · Journal of Developmental & Behavioral Pediatrics · doi:10.1097/00004703-200604002-00009 · Cited by 152
Self-citationVentola, P. E., Kleinman, J. M., Pandey, J., Wilson, L. B., Esser, E. L., Boorstein, H., Dumont-Mathieu, T. M., Marshia, G., Barton, M. L., Hodgson, S., et al. (2006) · Journal of Autism and Developmental Disorders · doi:10.1007/s10803-006-0177-z · Cited by 150
Self-citationScreening for Autism in Young Children
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“In comparison to the range of 6–11 per 1000 described in the literature (Baird et al., 2006; Fombonne, 2006; Harrison et al., 2006; Moldin and Rubenstein, 2006; Williams et al., 2006), the current study identified four cases per 1000.”
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Nadel, S., & Poss, J. E. (2007) · Journal of the American Academy of Nurse Practitioners · doi:10.1111/j.1745-7599.2007.00244.x · Cited by 58
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Cited by
Sorted by citations
Rogers, S. J., Estes, A., Lord, C., Vismara, L., Winter, J., Fitzpatrick, A., Guo, M., & Dawson, G. (2012) · Journal of the American Academy of Child & Adolescent Psychiatry · doi:10.1016/j.jaac.2012.08.003 · Cited by 713
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BackgroundMethodAutism spectrum disorder: advances in diagnosis and evaluation
Zwaigenbaum, L., & Penner, M. (2018) · BMJ · doi:10.1136/bmj.k1674 · Cited by 275
Large-Scale Use of the Modified Checklist for Autism in Low-Risk Toddlers
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Self-citation
Metadata
- Authors
- Robins, D. L.
- Affiliations
- Georgia State University (US)
- Corresponding author
- Robins, Diana L.
- ORCID
- Robins, Diana L.
- Venue
- Autism
- Publisher
- SAGE Publications
- Published
- 2008-09
- Volume
- 12
- Issue
- 5
- Pages
- 537-556
- ISSN
- 1362-3613 (ISSN-L)
- 1461-7005
- PMC
- PMC4732522
- OpenAlex
- W2158062042
- Cited by
- 239
- References
- 60
- Citations by year
- 2026: 1 · 2025: 7 · 2024: 6 · 2023: 4 · 2022: 17 · 2021: 12 · 2020: 16 · 2019: 16 · 2018: 13 · 2017: 10 · 2016: 16 · 2015: 26 · 2014: 20 · 2013: 23 · 2012: 21
- FWCI
- 5.36
- Type
- journal article
- Language
- en
- Open access
- green
- www.ncbi.nlm.nih.gov
- Locations
- Autism (publishedVersion)
- PubMed (publishedVersion)
- PubMed Central (acceptedVersion)
- Funders
- Eunice Kennedy Shriver National Institute of Child Health and Human Development (R56HD035612)
- Topics
- Life Sciences › Neuroscience › Cognitive Neuroscience › Autism Spectrum Disorder Research
- Health Sciences › Medicine › Psychiatry and Mental health › Child Nutrition and Feeding Issues
- Social Sciences › Psychology › Clinical Psychology › Family and Disability Support Research
- Keywords
- autism spectrum disorder, autism screening, M-CHAT, primary care, toddlers, positive predictive value, screening tool, developmental delay
- MeSH terms
- Autistic Disorder, Child, Preschool, Female, Humans, Infant, Male, Mass Screening, Primary Health Care
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