Screening children for autism in an urban clinic using an electronic M-CHAT

John W Harrington1, Robert Bai, Amy M Perkins

  • 1Eastern Virginia Medical School, Norfolk, VA, USA. John.Harrington@chkd.org

Clinical Pediatrics
|November 3, 2012
PubMed

Insights

The electronic Modified Checklist for Autism in Toddlers (M-CHAT) significantly reduced false autism screening results and improved parent satisfaction compared to the paper version.

Area of Science:

  • Pediatric screening tools
  • Autism spectrum disorder diagnostics
  • Digital health applications

Background:

  • The Modified Checklist for Autism in Toddlers (M-CHAT) is a standard clinical screening tool for autism spectrum disorders.
  • Paper-based M-CHAT implementation faces challenges, particularly with follow-up questions.

Purpose of the Study:

  • To evaluate the effectiveness of an electronic M-CHAT compared to a traditional paper format.
  • To assess parental satisfaction with electronic versus paper M-CHAT administration in an outpatient setting.

Main Methods:

  • A prospective study utilized an electronic M-CHAT on iPads.
  • A retrospective review of paper M-CHATs administered 6 months prior served as the control group.
  • 176 participants completed the electronic M-CHAT, and 197 paper M-CHATs were analyzed.

Main Results:

  • The electronic M-CHAT format showed a significantly lower frequency of children identified at risk for autism (3%) compared to the paper version (11%).
  • Parental satisfaction was exceptionally high, with 99% rating the electronic experience as "good" or "excellent."

Conclusions:

  • The electronic M-CHAT format demonstrated improved accuracy by reducing both false positive and false negative screening results.
  • Digital implementation of the M-CHAT enhances user experience and parental satisfaction.
Abstract

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