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31-07-2017 | Original Paper

Accurate Autism Screening at the 18-Month Well-Child Visit Requires Different Strategies than at 24 Months

Auteurs: Raymond Sturner, Barbara Howard, Paul Bergmann, Tanya Morrel, Rebecca Landa, Kejuana Walton, Danielle Marks

Gepubliceerd in: Journal of Autism and Developmental Disorders | Uitgave 10/2017

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Abstract

Accuracy of autism screening using M-CHAT plus the follow-up interview (M-CHAT/F) for children screened positive at 18-months was compared to screening at 24-months. Formal ASD testing was criterion for a community sample of M-CHAT positive children (n = 98), positive predictive value (PPV) was 0.40 for the M-CHAT and 0.58 for the M-CHAT/F. MCHAT/F PPV was 0.69 among children 20+ months compared to 0.36 for <20 months. Multivariate analyses incorporating data from the Ages and Stages Questionnaire, MacArthur-Bates Communicative Development Inventory, M-CHAT and M-CHAT/F results, and M-CHAT items suggest language variables carry greatest relative importance in contributing to an age-based algorithm with potential to improve PPV for toddlers <20 months to the same level as observed in older toddlers.
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Metagegevens
Titel
Accurate Autism Screening at the 18-Month Well-Child Visit Requires Different Strategies than at 24 Months
Auteurs
Raymond Sturner
Barbara Howard
Paul Bergmann
Tanya Morrel
Rebecca Landa
Kejuana Walton
Danielle Marks
Publicatiedatum
31-07-2017
Uitgeverij
Springer US
Gepubliceerd in
Journal of Autism and Developmental Disorders / Uitgave 10/2017
Print ISSN: 0162-3257
Elektronisch ISSN: 1573-3432
DOI
https://doi.org/10.1007/s10803-017-3231-0