Validation non-English version of modified checklist for autism in toddlers-revised with follow-up

Karina Nukeshtayeva 1 * , Marina Lubchenko 2, Bauyrzhan Omarkulov 3, Nailya DeLellis 4
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1 School of Public health and biomedcine, Karaganda Medical University, Karaganda, Kazakhstan
2 Department of Neurology, neurosurgery, psychiatry and rehabilitology department, Karaganda Medical University, Karaganda, Kazakhstan
3 Institute of Public and Occupational health, Karaganda Medical University, Karaganda, Kazakhstan
4 Central Michigan University, The Herbert H. & Grace A. Dow College of Health professions, Department of Health science, 1280 E Campus Dr Mount Pleasant, MI 48859, USA
* Corresponding Author
J CLIN MED KAZ, Volume 18, Issue 4, pp. 4-11. https://doi.org/10.23950/jcmk/11041
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ABSTRACT

Background: In modern conditions, the diagnosis of autism spectrum disorders (ASD) in young children is quite complex. A two-step version of the updated checklist for autism in young children, revised with follow-up (M-CHAT-R/F), was shown to be successful in a large, geographically diverse sample of young children in primary care. In this study, the authors conducted a critical study of 16 validation studies of 35,722 participants participating in M-CHAT-R/F for early detection of ASD in non-English-speaking countries, and established a recommendation for validation of the non-English-language version of the M-CHAT-R/F screening method among toddlers.
Aim: Examine available publications on assessing the accuracy of the screening tool for detecting ASD in non-English speaking countries and identify possible errors in methodology. Material and methods: The survey was conducted in databases. The criteria for inclusion of publications in this review: studies of the diagnostic accuracy of the screening tool for early detection of ASD M-CHAT-R/F, non-English speaking country of study. The search depth is 6 years.
Results: The sensitivity and accuracy of M-CHAT-R/F screening displayed outstanding performance with an average of 0.86 (CI=0.95) and 0.80 (CI=0.95) respectively. Based on the findings of this analysis, it can be inferred that, at some stage of the assessment of the validity and reliability of the M-CHAT-R/F instrument, each study included in the analysis rendered various degrees of error.
Conclusion: Non-compliance with the blindness guideline and the presence of children diagnosed with ASD and documented screening outcomes greatly raises the likelihood of error. A major challenge for researchers at the timing and flow stage was to ensure that the maximum number of participants participated from the very beginning to the end. It is more effective for researchers to work with a sample of small magnitude since this is an incentive to offer diagnostics to the full number of study participants.
Keywords: validation, screening, Autism spectrum disorder, cultural adaptation

CITATION

Nukeshtayeva K, Lubchenko M, Omarkulov B, DeLellis N. Validation non-English version of modified checklist for autism in toddlers-revised with follow-up. J CLIN MED KAZ. 2021;18(4):4-11. https://doi.org/10.23950/jcmk/11041

REFERENCES

  • Lord C, Elsabbagh M, Baird G, Veenstra-Vanderweele J. Autism spectrum disorder. Lancet. 2018; 392(10146): 508-520. https://doi.org/10.1016/S0140-6736(18)31129-2
  • Lavrov N V, Shabanov PD. Autism spectrum disorders: etiology, treatment. models and experimental studies. Rev Clin Pharmacol Drug Ther. 2018; 16(1): 21-27. https://doi.org/10.17816/rcf16121-27
  • Filipek PA, Accardo PJ, Baranek GT, et al. The screening and diagnosis of autistic spectrum disorders. In: The Science of Mental Health: Volume 2: Autism. Taylor and Francis; 2013: 11-56. doi:10.1201/9780203026229.ch6
  • King C, Merrick H, Le Couteur A. How should we support young people with ASD and mental health problems as they navigate the transition to adult life including access to adult healthcare services. Epidemiol Psychiatr Sci. 2020; 29 (e90): 1-5. https://doi.org/10.1017/S2045796019000830
  • An S, Chan CK, Kaukenova B. Families in Transition: Parental Perspectives of Support and Services for Children with Autism in Kazakhstan. International Journal of Disability, Development and Education. 2018; 67(1): 28-44. https://doi.org/10.1080/1034912X.2018.1499879
  • Dawson G, Rogers S, Munson J, et al. Randomized, controlled trial of an intervention for toddlers with autism: The early start Denver model. Pediatrics. 2010; 125(1): e17-e23. https://doi.org/10.1542/peds.2009-0958
  • Robins DL. Screening for autism spectrum disorders in primary care settings. Autism. 2008; 12(5): 537-556. https://doi.org/10.1177/1362361308094502
  • Turner ML, Wendy LS, Pozdol SJ, et al. Follow-up of children with autism spectrum disorders from age 2 to age 9. Autism. 2006; 10(3):243-265. https://doi.org/10.1177/1362361306063296.
  • Toh TH, Tan VWY, Lau PST, Kiyu A. Accuracy of Modified Checklist for Autism in Toddlers (M-CHAT) in Detecting Autism and Other Developmental Disorders in Community Clinics. J Autism Dev Disord. 2018; 48(1):28-35. https://doi.org/10.1007/s10803-017-3287-x
  • Robins DL, Casagrande K, Barton M, Chen CMA, Dumont-Mathieu T, Fein D. Validation of the modified checklist for autism in toddlers, revised with follow-up (M-CHAT-R/F). Pediatrics. 2014; 133(1):37-45. https://doi.org/10.1542/peds.2013-1813
  • Chlebowski C, Robins DL, Barton ML, Fein D. Large-scale use of the modified checklist for autism in low-risk toddlers. Pediatrics. 2013; 131(4):e1121-7. https://doi.org/10.1542/peds.2012-1525
  • Zachor D, Yang JW, Itzchak E Ben, et al. Cross-cultural differences in comorbid symptoms of children with autism spectrum disorders: An international examination between Israel, South Korea, the United Kingdom and the United States of America. Dev Neurorehabil. 2011; 14(4): 215-220. htts://doi.org/10.3109/17518423.2011.568468
  • Whiting P, Rutjes A, Westwood M, Mallett S. Updating QUADAS: Evidence to inform the development of QUADAS-2. BristolAcUk. 2010. http://www.bristol.ac.uk/quadas/resources/quadas2reportv4.pdf.
  • Brennan L, Fein D, Como A, Rathwell IC, Chen CM. Use of the Modified Checklist for Autism, Revised with Follow Up-Albanian to Screen for ASD in Albania. J Autism Dev Disord. 2016; 46(11): 3392-3407. https://doi.org/10.1007/s10803-016-2875-5
  • Coelho-Medeiros ME, Bronstein J, Aedo K, et al. Validación del M-CHAT-R/F como instrumento de tamizaje para detección precoz en niños con trastorno del espectro autista. Rev Chil pediatría. 2019; 90(5): 492-499. https://doi.org/10.32641/rchped.v90i5.703
  • Guo C, Luo M, Wang X, et al. Reliability and Validity of the Chinese Version of Modified Checklist for Autism in Toddlers, Revised, with Follow-Up (M-CHAT-R/F). J Autism Dev Disord. 2019; 49(1):185-196. https://doi.org/10.1007/s10803-018-3682-y
  • El Mougy MT, Ahmed MHN, Hassan HA. Early Detection of Autistic Spectrum Disorder (ASD) by Modified Checklist for Autism in Toddlers, Revised (M-Chat-R) in Children with Social and Verbal Delay. Al-Azhar Med J. 2017; 46(1): 71-78. https://doi.org/10.12816/0035536
  • TS J, Jacob P, Srinath S, et al. Toddlers at risk for Autism Spectrum Disorders from Kerala, India – A community based screening. Asian J Psychiatr. 2018; 31:10-12. https://doi.org/10.1016/j.ajp.2017.12.016
  • Windiani IGAT, Soetjiningsih S, Adnyana IGAS, Lestari KA. 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 Med J. 2016; 5(2): 133. https://doi.org/10.15562/bmj.v5i2.240
  • Sangare M, Toure HB, Toure A, et al. Validation of two parent-reported autism spectrum disorders screening tools M-CHAT-R and SCQ in Bamako, Mali. eNeurologicalSci. 2019;15:100188. https://doi.org/10.1016/j.ensci.2019.100188
  • Farooq A, Ahmed S. Screening for Autism Spectrum Disorder in Children up to Age 2.5 years in a Tertiary Care Hospital. Life Sci. 2020; 1(1): 11-15. https://doi.org/10.37185/lns.1.1.74
  • Pervushina ON, Kudrjavceva AS, Mezenceva MP. Adaptacija oprosnika Modified checklist for autism in toddlers, revised with Follow-Up (M-CHAT-R/F) dlja skrininga detej rannego vozrasta. Psihologicheskij instrumentarij. 2018; 11(1): 47-67
  • Alawami AH, Perrin EC, Sakai C. Implementation of M-CHAT Screening for Autism in Primary Care in Saudi Arabia. Glob Pediatr Heal. 2019; 6: 1-6. https://doi.org/10.1177/2333794x19852021
  • Carakovac M, Jovanovic J, Kalanj M, et al. Serbian Language version of the Modified Checklist for Autism in Toddlers, Revised, with Follow-Up: Cross-Cultural Adaptation and Assessment of Reliability. Sci Rep. 2016;6:7-11. https://doi.org/10.1038/srep38222
  • Hnilicová S, Celušaková H, Hnilica P, Babinská K, Pivovarčiová A, Ostatníková D. Screening for autism spectrum disorders in population of young children in Slovakia. Act Nerv Super Rediviva. 2017; 59(1): 29-32.
  • Magán-Maganto M, Canal-Bedia R, Hernández-Fabián A, et al. Spanish Cultural Validation of the Modified Checklist for Autism in Toddlers, Revised. J Autism Dev Disord. 2018; 50(7): 2412-2423. https://doi.org/10.1007/s10803-018-3777-5
  • Tsai JM, Lu L, Jeng SF, et al. Validation of the modified checklist for autism in toddlers, revised with follow-up in Taiwanese toddlers. Res Dev Disabil. 2019; 85: 205-216. https://doi.org/10.1016/j.ridd.2018.11.011
  • Oner O, Munir KM. Modified Checklist for Autism in Toddlers Revised (MCHAT-R/F) in an Urban Metropolitan Sample of Young Children in Turkey. J Autism Dev Disord. 2019; 50: 3312-3319. https://doi.org/10.1007/s10803-019-04160-4
  • Gavrilova TA, Madzhidova YN, Mukhammadsolikh SB, Khusenova NT. SCREENING DIAGNOSTICS M-CHAT-R FOR IDENTIFYING AUTHISTIC SPECTRUM DISORDERS. 2019; 2(1): 33-38.
  • Herlihy L. Racial/ethnic and Socioeconomic Differences in Screening Toddlers for Autism Spectrum Disorders Using the M-CHAT. Dr Diss. June 2014. https://opencommons.uconn.edu/dissertations/454. Accessed February 21, 2020.
  • M-CHATTM - MCHAT R/F Translations. https://mchatscreen.com/mchat-rf/translations/. Accessed May 13, 2020.
  • Falkmer T, Anderson K, Falkmer M, Horlin C. Diagnostic procedures in autism spectrum disorders: A systematic literature review. Eur Child Adolesc Psychiatry. 2013; 22(6): 329-340. https://doi.org/10.1007/s00787-013-0375-0
  • Whiting P, Rutjes AWS, Reitsma JB, Glas AS, Bossuyt PMM, Kleijnen J. Sources of Variation and Bias in Studies of Diagnostic Accuracy: A Systematic Review. Ann Intern Med. 2004; 140(3): 189-202. https://doi.org/10.7326/0003-4819-140-3-200402030-00010
  • Leeflang MMG, Moons KGM, Reitsma JB, Zwinderman AH. Bias in sensitivity and specificity caused by data-driven selection of optimal cutoff values: Mechanisms, magnitude, and solutions. Clin Chem. 2008; 54(4): 729-737. https://doi.org/10.1373/clinchem.2007.096032
  • Biesheuvel C, Irwig L, Bossuyt P. Observed differences in diagnostic test accuracy between patient subgroups: Is it real or due to reference standard misclassification? Clin Chem. 2007; 53(10): 1725-1729. https://doi.org/10.1373/clinchem.2007.087403
  • Whiting PF, Rutjes AWS, Westwood ME, et al. Quadas-2: A revised tool for the quality assessment of diagnostic accuracy studies. Ann Intern Med. 2011; 155(8): 529-536. https://doi.org/10.7326/0003-4819-155-8-201110180-00009
  • Macaskill P, Gatsonis C, Deeks J, Harbord R, Takwoingi Y. Cochrane Handbook for Systematic Reviews of Diagnostic Test Accuracy Chapter 10 Analysing and Presenting Results. http://srdta.cochrane.org/. Accessed May 7, 2020.