Using the M-CHAT-R/F to Identify Developmental Concerns in a High-Risk 18-Month-Old Sibling Sample

Weitlauf, Amy; Vehorn, Alison; Stone, Wendy L.; Fein, Deborah; Warren, Zachary

doi:10.1097/dbp.0000000000000194

Cited by 23 publications

(15 citation statements)

References 29 publications

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“…One would expect such a high positive risk rate when screening a sample of children for whom there is already concern in the social-communication domain [ 2 , 9 ]. Children in our study with versus without a family history of ASD had a much higher likelihood of presenting risk on ASD-specific screening and social-communication developmental screening, consistent with previous research [ 35 , 36 ]. It is not surprising that in a sample of parents concerned about their child’s social-communication development, there is a high rate of family history of ASD, which justifiably raises parents’ concerns given the high recurrence rates of ASD [ 6 ] and parents’ awareness of ASD symptom manifestation [ 9 ].…”

Section: Discussionsupporting

confidence: 91%

“…However, this approach identified 2 children who would have been missed if the M-CHAT-R/F had been administered only to those who screened positive on the initial M-CHAT-R questionnaire. The interspersed procedure may have led to elevated risk rates on the M-CHAT-R as our risk rates were higher than those reported in another study of infant siblings of children with ASD [ 36 ]. At the same time in addition to the family history of ASD, parents in our study had specific social-communication concerns suggesting that elevated risk rates were not solely associated with measurement.…”

Section: Discussioncontrasting

confidence: 61%

See 1 more Smart Citation

Risk Assessment for Parents Who Suspect Their Child Has Autism Spectrum Disorder: Machine Learning Approach

Ben‐Sasson¹,

Robins²,

Yom-Tov³

2018

J Med Internet Res

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BackgroundParents are likely to seek Web-based communities to verify their suspicions of autism spectrum disorder markers in their child. Automated tools support human decisions in many domains and could therefore potentially support concerned parents.ObjectiveThe objective of this study was to test the feasibility of assessing autism spectrum disorder risk in parental concerns from Web-based sources, using automated text analysis tools and minimal standard questioning.MethodsParticipants were 115 parents with concerns regarding their child’s social-communication development. Children were 16- to 30-months old, and 57.4% (66/115) had a family history of autism spectrum disorder. Parents reported their concerns online, and completed an autism spectrum disorder-specific screener, the Modified Checklist for Autism in Toddlers-Revised, with Follow-up (M-CHAT-R/F), and a broad developmental screener, the Ages and Stages Questionnaire (ASQ). An algorithm predicted autism spectrum disorder risk using a combination of the parent's text and a single screening question, selected by the algorithm to enhance prediction accuracy.ResultsScreening measures identified 58% (67/115) to 88% (101/115) of children at risk for autism spectrum disorder. Children with a family history of autism spectrum disorder were 3 times more likely to show autism spectrum disorder risk on screening measures. The prediction of a child’s risk on the ASQ or M-CHAT-R was significantly more accurate when predicted from text combined with an M-CHAT-R question selected (automatically) than from the text alone. The frequently automatically selected M-CHAT-R questions that predicted risk were: following a point, make-believe play, and concern about deafness.ConclusionsThe internet can be harnessed to prescreen for autism spectrum disorder using parental concerns by administering a few standardized screening questions to augment this process.

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Section: Discussionsupporting

confidence: 91%

Section: Discussioncontrasting

confidence: 61%

Risk Assessment for Parents Who Suspect Their Child Has Autism Spectrum Disorder: Machine Learning Approach

Ben‐Sasson¹,

Robins²,

Yom-Tov³

2018

J Med Internet Res

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“…There is growing evidence that ASD can often be diagnosed during the second year of life, usually at 12-15 months,[4] before the child's third birthday. [120] Early detection of developmental disorder is essential for early intervention, because early comprehensive behavioral interventions can improve social communication,[2] and provide the better chance for better outcome. [2122] The American Academy of Pediatrics recommends ASD-specific screening of all children between 18 and 24 months of age because there are critical times for early social and language development.…”

Section: Introductionmentioning

confidence: 99%

Advanced parental age and risk of positive autism spectrum disorders screening

et al. 2019

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Background: Autism Spectrum Disorder (ASD) is a life -long neurodevelopmental disorder and significantly influences the quality of life in children. The screening of ASD in children aged between 16-30 months to early detection and early intervention for better prognosis. Methods: This cross-sectional study was conducted in the southwest of Iran (Yasuj) with dominant Lore ethnicity in 2017. A total of 1504 mother- child pairs with children aged between 16-30 months were selected through simple random sampling from the integrated national health system as the framework. ASD screening was implemented using the Modified checklist for autism in toddlers- revised, with follow-up interview (M-CHAT-R/F). Demographic data such as sex of children, and parental age at their time of pregnancy were collected for all children. Results: Risk of ASD was low, moderate and high in 1447 (96.2%), 54 (3.6%) and 3 (0.2%) in screening, respectively. The estimated rate of ASD prevalence was 80 per 10000 (12 out of 1504) or 1 in 125. Mother's age ≥35 ( P value = 0.002, OR = 11.65, CI 95% : 2.49-54.35) and father's age ≥40 ( P value = 0.0001, OR = 19.64, CI 95% : 4.89-78.82) were predicting factors of ASD in toddlers aged 16-30 months. Conclusions: Given that, increasing the age of marriage in Iran and recent trend towards delayed childbearing; children born to older parents are at a higher risk for having ASD. So, increasing the public awareness is necessary.

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“…73 Some of the cognitive, neuromotor, and behavioral sequelae may not be apparent for months or years after the injury, when a child is expected to perform higher-level cognitive activities. 81,82 Parents report particular difficulty in managing the behavior of children who suffered frontal lobe injuries caused by AHT. 72 Autism spectrum disorder has been described in children who have suffered AHT.…”

Section: Ahtmentioning

confidence: 99%

Ongoing Pediatric Health Care for the Child Who Has Been Maltreated

et al. 2019

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Pediatricians provide continuous medical care and anticipatory guidance for children who have been reported to state child protection agencies, including tribal child protection agencies, because of suspected child maltreatment. Because families may continue their relationships with their pediatricians after these reports, these primary care providers are in a unique position to recognize and manage the physical, developmental, academic, and emotional consequences of maltreatment and exposure to childhood adversity. Substantial information is available to optimize follow-up medical care of maltreated children. This new clinical report will provide guidance to pediatricians about how they can best oversee and foster the optimal physical health, growth, and development of children who have been maltreated and remain in the care of their biological family or are returned to their care by Child Protective Services agencies. The report describes the pediatrician' s role in helping to strengthen families' and caregivers' capabilities and competencies and in promoting and maximizing high-quality services for their families in their community. Pediatricians should refer to other reports and policies from the American Academy of Pediatrics for more information about the emotional and behavioral consequences of child maltreatment and the treatment of these consequences. Pediatricians provide medical care and anticipatory guidance for children who have been maltreated. Because as many as 25% of the child population has experienced some form of maltreatment, medical encounters in a pediatric practice with maltreated children are not uncommon. 1-3 Although only a small proportion of children who have been maltreated are investigated by Child Protective Services (CPS), each year, state CPS agencies determine that approximately 700 000 children have been victims of child maltreatment. 4 Approximately 75% of these children are neglected, and about 17% are physically abused; many children suffer multiple forms of maltreatment. In the United States, an estimated 1700 children die each year as a result of abuse and neglect. Child maltreatment has many long-term health, developmental, and

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Using the M-CHAT-R/F to Identify Developmental Concerns in a High-Risk 18-Month-Old Sibling Sample

Cited by 23 publications

References 29 publications

Risk Assessment for Parents Who Suspect Their Child Has Autism Spectrum Disorder: Machine Learning Approach

Risk Assessment for Parents Who Suspect Their Child Has Autism Spectrum Disorder: Machine Learning Approach

Advanced parental age and risk of positive autism spectrum disorders screening

Ongoing Pediatric Health Care for the Child Who Has Been Maltreated

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