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Toddlers at risk for Autism Spectrum Disorders from Kerala, India - A community based screening

Jaisoorya Ts1, Preeti Jacob1, Shoba Srinath1

  • 1National Institute of Mental Health and Neurosciences, Bangalore, 560 029, India.

Asian Journal of Psychiatry
|January 7, 2018
PubMed

Insights

A study found 5.5% of toddlers screened using the Modified Checklist for Autism in Toddlers - Revised (M-CHAT-R) were at risk for Autism Spectrum Disorders (ASD). This screening tool shows promise for community-level use in India.

Area of Science:

  • Developmental Pediatrics
  • Child Psychology
  • Public Health Screening

Background:

  • Autism Spectrum Disorders (ASD) require early identification for effective intervention.
  • Parent-report questionnaires are valuable tools for screening young children.
  • Cultural adaptation of screening tools is crucial for diverse populations.

Purpose of the Study:

  • To determine the at-risk rate for Autism Spectrum Disorders (ASD) in toddlers aged 16-24 months using a parent-report questionnaire.
  • To evaluate the Modified Checklist for Autism in Toddlers - Revised (M-CHAT-R) in a South Indian population.
  • To assess the utility of the M-CHAT-R and its "Best Seven" subset for community-level screening.

Main Methods:

  • A cluster random sampling of 6237 toddlers from Kerala, India was conducted.
  • Community nurses administered the Malayalam-translated and culturally adapted Modified Checklist for Autism in Toddlers - Revised (M-CHAT-R).
  • Screening data was collected for toddlers aged 16-24 months.

Main Results:

  • 5.5% of toddlers screened positive on the M-CHAT-R.
  • 2.7% of toddlers screened positive on the "Best Seven" subset of the M-CHAT-R.
  • The study identified a notable prevalence of toddlers at risk for ASD in the surveyed population.

Conclusions:

  • The Modified Checklist for Autism in Toddlers - Revised (M-CHAT-R) and its "Best Seven" component show potential as community-level screening instruments for ASD.
  • Further cultural adaptation of the M-CHAT-R is recommended for effective use in non-English speaking Indian populations.
  • Early screening for ASD using adapted tools can facilitate timely intervention and support for affected children.
Abstract

Keywords:
Autism Spectrum DisordersIndiaM-CHAT-RScreeningToddlers

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