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Clin Pediatr (Phila). 2016 Sep;55(10):927-34. doi: 10.1177/0009922815616887. Epub 2015 Nov 18.

Implementation of Web-Based Autism Screening in an Urban Clinic.

Author information

1
Georgia State University, Atlanta, GA, USA.
2
Emory University, Atlanta, GA, USA.
3
Drexel University, Philadelphia, PA, USA dlr76@drexel.edu.

Abstract

Screening toddlers for autism spectrum disorder (ASD) with the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) has been shown to lower age of diagnosis by 2 years. In order to streamline ASD screening, research is exploring the use of web-based screening during well-child checkups. The current study examined implementation of the web-based M-CHAT-R in an urban pediatric clinic in Atlanta, Georgia. Toddlers (N = 2557; 87% African American) were screened during well-child visits (Mage = 22.43 months, SD = 3.65). Using the web-based version resulted in a 58.5% increase in the number of cases screened per month. A similar proportion of toddlers in each modality screened positive (P = .43), but significantly fewer children were missing "Follow-up" in the web-based administration (P < .001). These results suggest that it is feasible to implement web-based screening in underserved populations. Future research is necessary to understand factors that facilitate successful implementation of web-based ASD screening.

KEYWORDS:

Modified Checklist for Autism in Toddlers; Revised (M-CHAT-R); autism spectrum disorder; web-based screening

PMID:
26581361
PMCID:
PMC4871780
DOI:
10.1177/0009922815616887
[Indexed for MEDLINE]
Free PMC Article

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