Can Screening with the Ages and Stages Questionnaire Detect Autism?

Journal of Developmental and Behavioral Pediatrics : JDBP
Sarah HardyDeborah Fein

Abstract

Parents rely on pediatricians to monitor their child's development. The American Academy of Pediatrics recommends routine developmental screening with both broadband and autism-specific instruments at specified ages. If broadband screeners can detect autism risk, this might minimize the burden of administering autism-specific screens to all children. The current study examines the ability of the Ages and Stages Questionnaire-Third Edition (ASQ-3) to identify children at risk for autism. We looked at ASQ-3 scores of children who screen positive on the Modified Checklist for Autism in Toddlers-Revised (M-CHAT-R), children who continue to screen positive on the M-CHAT-R Follow-up Interview, and children diagnosed with autism spectrum disorder (ASD). A total of 2848 toddlers, aged 16 to 30 months, were screened with the ASQ-3 and M-CHAT-R across 20 pediatric sites. Children who screened positive on the M-CHAT-R and its follow-up interview were offered a diagnostic evaluation. Using the "monitor and/or fail" cutoff on any domain, the ASQ-3 identified 87% of the children who screened positive on the M-CHAT-R with follow-up and 95% (20/21) of those diagnosed with an ASD. Monitor and/or fail on the Communication domain alone also ident...Continue Reading

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Citations

Sep 25, 2018·Developmental Medicine and Child Neurology·Kevin P MarksPhilip Wilson
Aug 2, 2017·Journal of Autism and Developmental Disorders·Raymond SturnerDanielle Marks
Apr 25, 2018·Journal of Medical Internet Research·Ayelet Ben-SassonElad Yom-Tov
Jul 31, 2018·Journal of Developmental and Behavioral Pediatrics : JDBP·Chloe BeachamShana S Richardson
Jan 5, 2021·Journal of Autism and Developmental Disorders·Natasha ChericoniFabio Apicella
Mar 5, 2019·International Journal of Developmental Disabilities·Jill K DolataJane Squires

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