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Use of a Digital Modified Checklist for Autism in Toddlers - Revised with Follow-up to Improve Quality of Screening for Autism.

Publication ,  Journal Article
Campbell, K; Carpenter, KLH; Espinosa, S; Hashemi, J; Qiu, Q; Tepper, M; Calderbank, R; Sapiro, G; Egger, HL; Baker, JP; Dawson, G
Published in: J Pediatr
April 2017

OBJECTIVES: To assess changes in quality of care for children at risk for autism spectrum disorders (ASD) due to process improvement and implementation of a digital screening form. STUDY DESIGN: The process of screening for ASD was studied in an academic primary care pediatrics clinic before and after implementation of a digital version of the Modified Checklist for Autism in Toddlers - Revised with Follow-up with automated risk assessment. Quality metrics included accuracy of documentation of screening results and appropriate action for positive screens (secondary screening or referral). Participating physicians completed pre- and postintervention surveys to measure changes in attitudes toward feasibility and value of screening for ASD. Evidence of change was evaluated with statistical process control charts and χ2 tests. RESULTS: Accurate documentation in the electronic health record of screening results increased from 54% to 92% (38% increase, 95% CI 14%-64%) and appropriate action for children screening positive increased from 25% to 85% (60% increase, 95% CI 35%-85%). A total of 90% of participating physicians agreed that the transition to a digital screening form improved their clinical assessment of autism risk. CONCLUSIONS: Implementation of a tablet-based digital version of the Modified Checklist for Autism in Toddlers - Revised with Follow-up led to improved quality of care for children at risk for ASD and increased acceptability of screening for ASD. Continued efforts towards improving the process of screening for ASD could facilitate rapid, early diagnosis of ASD and advance the accuracy of studies of the impact of screening.

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Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

April 2017

Volume

183

Start / End Page

133 / 139.e1

Location

United States

Related Subject Headings

  • Severity of Illness Index
  • Risk Assessment
  • Quality Improvement
  • Pediatrics
  • Mass Screening
  • Male
  • Infant
  • Incidence
  • Humans
  • Follow-Up Studies
 

Citation

APA
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MLA
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Campbell, K., Carpenter, K. L. H., Espinosa, S., Hashemi, J., Qiu, Q., Tepper, M., … Dawson, G. (2017). Use of a Digital Modified Checklist for Autism in Toddlers - Revised with Follow-up to Improve Quality of Screening for Autism. J Pediatr, 183, 133-139.e1. https://doi.org/10.1016/j.jpeds.2017.01.021
Campbell, Kathleen, Kimberly L. H. Carpenter, Steven Espinosa, Jordan Hashemi, Qiang Qiu, Mariano Tepper, Robert Calderbank, et al. “Use of a Digital Modified Checklist for Autism in Toddlers - Revised with Follow-up to Improve Quality of Screening for Autism.J Pediatr 183 (April 2017): 133-139.e1. https://doi.org/10.1016/j.jpeds.2017.01.021.
Campbell K, Carpenter KLH, Espinosa S, Hashemi J, Qiu Q, Tepper M, et al. Use of a Digital Modified Checklist for Autism in Toddlers - Revised with Follow-up to Improve Quality of Screening for Autism. J Pediatr. 2017 Apr;183:133-139.e1.
Campbell, Kathleen, et al. “Use of a Digital Modified Checklist for Autism in Toddlers - Revised with Follow-up to Improve Quality of Screening for Autism.J Pediatr, vol. 183, Apr. 2017, pp. 133-139.e1. Pubmed, doi:10.1016/j.jpeds.2017.01.021.
Campbell K, Carpenter KLH, Espinosa S, Hashemi J, Qiu Q, Tepper M, Calderbank R, Sapiro G, Egger HL, Baker JP, Dawson G. Use of a Digital Modified Checklist for Autism in Toddlers - Revised with Follow-up to Improve Quality of Screening for Autism. J Pediatr. 2017 Apr;183:133-139.e1.
Journal cover image

Published In

J Pediatr

DOI

EISSN

1097-6833

Publication Date

April 2017

Volume

183

Start / End Page

133 / 139.e1

Location

United States

Related Subject Headings

  • Severity of Illness Index
  • Risk Assessment
  • Quality Improvement
  • Pediatrics
  • Mass Screening
  • Male
  • Infant
  • Incidence
  • Humans
  • Follow-Up Studies