title: Implementation of Web-Based Autism Screening in an Urban Clinic.
abstract: Screening toddlers for autism spectrum disorder (ASD) with the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R) has been shown to lower age of diagnosis by 2 years. In order to streamline ASD screening, research is exploring the use of web-based screening during well-child checkups. The current study examined implementation of the web-based M-CHAT-R in an urban pediatric clinic in Atlanta, Georgia. Toddlers (N = 2557; 87% African American) were screened during well-child visits (Mage = 22.43 months, SD = 3.65). Using the web-based version resulted in a 58.5% increase in the number of cases screened per month. A similar proportion of toddlers in each modality screened positive (P = .43), but significantly fewer children were missing "Follow-up" in the web-based administration (P < .001). These results suggest that it is feasible to implement web-based screening in underserved populations. Future research is necessary to understand factors that facilitate successful implementation of web-based ASD screening.
authors.affiliation: Georgia State University, Atlanta, GA, USA.
authors.forename: Bianca A
authors.initials: BA
authors.lastname: Brooks
authors.affiliation: Georgia State University, Atlanta, GA, USA.
authors.forename: Kiauhna
authors.initials: K
authors.lastname: Haynes
authors.affiliation: Emory University, Atlanta, GA, USA.
authors.forename: Joy
authors.initials: J
authors.lastname: Smith
authors.affiliation: Emory University, Atlanta, GA, USA.
authors.forename: Terri
authors.initials: T
authors.lastname: McFadden
authors.affiliation: Drexel University, Philadelphia, PA, USA dlr76@drexel.edu.
authors.forename: Diana L
authors.initials: DL
authors.lastname: Robins
mesh_terms: D000554:Ambulatory Care Facilities; D001321:Autistic Disorder / Q000175:diagnosis*; D057189:Checklist / Q000379:methods*; D005260:Female; D005845:Georgia; D006801:Humans; D007223:Infant; D020407:Internet; D008297:Male; D008403:Mass Screening / Q000379:methods*; D014505:Urban Population / Q000706:statistics & numerical data*
keywords: Modified Checklist for Autism in Toddlers; Revised (M-CHAT-R); autism spectrum disorder; web-based screening