Indonesian Modified Checklist for Autism in Toddler, Revised with Follow-Up (M-CHAT-R/F) for Autism Screening in Children at Sanglah General Hospital, Bali-Indonesia.

  • I Gusti Trisna Windiani Department of Child Health, School of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia
  • S. Soetjiningsih Department of Child Health, School of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia
  • I Gusti Agung Sugitha Adnyana Department of Child Health, School of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia
  • Kadek Apik Lestari Department of Child Health, School of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia

Abstract

Background: Autism Spectrum Disorder (ASD) is a developmental disorder characterized by impaired reciprocal social interaction and communication, and by a restricted, repetitive or stereotyped behavior. Early detection of autism is recommended on all toddlers from the ages of 9 months because of increasing in prevalence. The Modified Checklist for Autism (M-CHAT) in Toddlers, a Revised with Follow-Up (M-CHAT-R/F) is a 2-stage parent-report screening tool to assess a risk for ASD and it demonstrates an improvement compared to the original M-CHAT. It is translated to Indonesian language by Soetjiningsih and colleagues, and it needs to be validated. Methods: This is a diagnostic accuracy study conducted at Sanglah Hospital, Bali, conducted from March 2015 to December 2016. We included children 18-48 months in this study. The parents of the outpatient children in the growth and development clinic of Sanglah Hospital were asked to fill out the Indonesian M-CHAT-R/F form. In the same visit, the Autism Spectrum Disorder (ASD) assessment according to the DSM-5 as a gold standard was done by the researchers, without knowing the M-CHAT -R/F result. The assessment comparison based on M-CHAT-R/F and DSM-5 was analyzed to obtain the AUC intersection on ROC curve that gives the best sensitivity and specificity. Results: We found 10.71% of our outpatient was diagnosed with autism according to DSM 5, when they are 18-24 months old. The Indonesian version of M-CHAT-R/F as an ASD screening tool has 88.9% in sensitivity and 94.6% in specificity. Conclusion: Our results suggest that the Indonesian translation of the M-CHAT-R/F is an effective screening instrument for ASD, particularly when a two-step screening process is used.

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Author Biographies

I Gusti Trisna Windiani, Department of Child Health, School of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia
Lecturer
S. Soetjiningsih, Department of Child Health, School of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia
Lecturer
I Gusti Agung Sugitha Adnyana, Department of Child Health, School of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia
Lecturer
Kadek Apik Lestari, Department of Child Health, School of Medicine, Udayana University/Sanglah General Hospital, Denpasar, Bali, Indonesia
Resident
Published
2016-07-08
How to Cite
WINDIANI, I Gusti Trisna et al. Indonesian Modified Checklist for Autism in Toddler, Revised with Follow-Up (M-CHAT-R/F) for Autism Screening in Children at Sanglah General Hospital, Bali-Indonesia.. BALI MEDICAL JOURNAL, [S.l.], v. 5, n. 2, july 2016. ISSN 2302-2914. Available at: <https://ojs.unud.ac.id/index.php/bmj/article/view/21968>. Date accessed: 21 nov. 2024.
Section
Articles

Keywords

M-CHAT-R/F, Modified Checklist for Autism, Autism Spectrum Disorder, validity test