Screening Children for Autism in an Urban Clinic Using an Electronic M-CHAT
Screening Children for Autism in an Urban Clinic Using an Electronic M-CHAT
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DOI：
10.1177/0009922812463957
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发表时间：
2013-01-01
影响因子：
1.6
通讯作者：
Perkins, Amy M.
中科院分区：
文献类型：
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作者：
Harrington, John W.;Bai, Robert;Perkins, Amy M.
背景资料。改良的幼儿自闭症检查表(M-ChAT)是临床上筛查自闭症谱系障碍的工具。然而，M-Chat中的后续问题很难在纸质格式上实施。目标。比较M-Chat电子格式和纸质格式在门诊环境中的有效性。方法：研究方法。一项前瞻性研究使用了iPad上的电子M-Chat。在实施前6个月对纸质M-Chats进行回顾，作为对照组。结果。共有176名参与者完成了电子M-Chat表格，并对197个纸质M-Chat进行了回顾。与纸质版(11%)相比，电子版(3%)导致儿童患自闭症风险的频率有显著差异；99%的父母将这一经历评为“良好”或“优秀”。结论。这种电子形式降低了虚假的风险筛查和虚假的非风险筛查，并具有更高的父母满意度。
Background. The Modified Checklist for Autism in Toddlers (M-CHAT) is a screening tool for autism spectrum disorders in the clinic. However, the follow-up questions in the M-CHAT are difficult to implement on a paper format. Objective. To compare the effectiveness of the M-CHAT on an electronic format versus paper format in an outpatient clinic setting. Methods. A prospective study used electronic M-CHAT on the iPad. A retrospective review of paper M-CHATs 6 months prior to implementation was used as the comparison group. Results. A total of 176 participants completed the electronic M-CHAT format and 197 paper M-CHATs were retrospectively reviewed. The electronic format (3%) resulted in a significant difference in the frequency of children found to be at risk for autism compared with the paper version (11%); 99% of parents rated the experience as "good" or "excellent." Conclusion. The electronic format lowered both false at-risk screens and false not-at-risk screens and had higher parental satisfaction.