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17-10-2018 | Original Paper

Spanish Cultural Validation of the Modified Checklist for Autism in Toddlers, Revised

Journal of Autism and Developmental Disorders
María Magán-Maganto, Ricardo Canal-Bedia, Aránzazu Hernández-Fabián, Álvaro Bejarano-Martín, Clara J. Fernández-Álvarez, María Martínez-Velarte, Maria V. Martín-Cilleros, Noelia Flores-Robaina, Herbert Roeyers, Manuel Posada de la Paz
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Electronic supplementary material

The online version of this article (https://​doi.​org/​10.​1007/​s10803-018-3777-5) contains supplementary material, which is available to authorized users.
We confirm that this work is original and has not been published elsewhere, nor is it currently under consideration for publication elsewhere. Preliminary data from this study has been presented in the XVIII National Congress AETAPI (Spanish Association for Autism Professionals), León, Spain, in November 2016, in the “XI Autism-Europe International Congress 2016” Edinburgh, UK, in September 2016, and in the “International Meeting for Autism Research (IMFAR)”, Baltimore Convention Center. Maryland, USA in May 2016.


The Modified Checklist for Autism in Toddlers–revised/follow-up (M-CHAT-R/F) was developed to reduce the number of cases requiring telephone verification. The aim of this study was to validate a Spanish version of the M-CHAT-R/F in the Spanish public health system. The M-CHAT-R/F was translated, culturally adapted, and then administered to 6625 children. Of the 39 positive screening cases, 15 children were diagnosed with autism spectrum disorder (ASD) and 24 with non-ASD disorders or delays. The sensitivity was 0.79 and specificity of 0.99. Positive and negative predictive values were 0.39 and 0.99, respectively. These results are similar to the English equivalent, though observed prevalence was lower. This study supports Spanish National Health System policy makers to consider a universal ASD screening program.

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Extra materiaal
Supplementary material 1 (PDF 71 KB)
Supplementary material 2 (PDF 38 KB)
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