Evaluating Reliability and Predictive Validity of te Persian Translation of Quantitative Checklist for Autism in Toddlers (Q-CHAT)
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Abstract
Early screening of autism increases the chance of receiving timely intervention. Using the Parent Report Questionnaires is effective in screening autism. The Q-CHAT is a new instrument that has shown several advantages than other screening tools. Because there is no adequate tool for the early screening of autistic traits in Iranian children, we aimed to investigate the adequacy of the Persian translation of Q-CHAT.At first, we prepared the Persian translation of the Quantitative Checklist for Autism in Toddlers (Q-CHAT). After that, an appropriate sample was selected and the check list was administered. Our sample included 100 children in two groups (typically developing and autistic children) who had been selected conveniently. Pearson's r was used to determine test-retest reliability, and Cronbach's alpha coefficient was used to explore the internal consistency of Q-CHAT. We used the receiver operating characteristics curve (ROC) to investigate whether Q-CHAT can adequately discriminate between typically developing and ASD children or not. Data analysis was carried out by SPSS 19.The typically developing group consisted of 50 children with the mean age of 27.14 months, and the ASD group included50 children with the mean age of 29.62 months. The mean of the total score for the typically developing group was 22.4 (SD=6.26) on Q-CHAT and it was 50.94 (SD=12.35) for the ASD group, which was significantly different (p=0.00).The Cronbach's alpha coefficient of the checklist was 0.886, and test-retest reliability was calculated as 0.997 (p<0.01). The estimated area under the curve (AUC) was 0.971. It seems that the total score equal to 30 can be a good cut point to identify toddlers who are at risk of autism (sensitivity= 0.96 and specificity= 0.90).The Persian translation of Q-CHAT has good reliability and predictive validity and can be used as a screening tool to detect 18 to 24 months old children who are at risk of autism.
American Psychiatric Association. , American Psychiatric Association. DSM-5 Task Force. Diagnostic and statistical manual of mental disorders : DSM-5. 5th. City: American Psychiatric Association; 2013.
Harris SL , Handleman JS. Age and IQ at intake as predictors of placement for young children with autism: a four- to six-year follow-up. Journal of autism and developmental disorders 2000; 30: 137-142.
Dababnah S, Parish SL, Turner Brown L , Hooper SR. Early screening for autism spectrum disorders: A primer for social work practice. Children and Youth Services Review 2011; 33: 265-273.
Daniels AM , Mandell DS. Children’s Compliance with American Academy of Pediatrics’ Well-Child Care Visit Guidelines and the Early Detection of Autism. Journal of autism and developmental disorders 2013; 43: 2844-2854.
National Research Council (U.S.). Committee on Educational Interventions for Children with Autism. Educating children with autism. City: National Academy Press; 2001.
Oosterling IJ, Wensing M, Swinkels SH, Van Der Gaag RJ, Visser JC, Woudenberg T, et al. Advancing early detection of autism spectrum disorder by applying an integrated two‐stage screening approach. Journal of Child Psychology and Psychiatry 2010; 51: 250-258.
Johnson CP. Recognition of autism before age 2 years. Pediatrics in Review 2008; 29: 86-96.
Johnson CP , Myers SM. Identification and evaluation of children with autism spectrum disorders. Pediatrics 2007; 120: 1183-1215.
Dumont‐Mathieu T , Fein D. Screening for autism in young children: The Modified Checklist for Autism in Toddlers (M‐CHAT) and other measures. Mental retardation and developmental disabilities research reviews 2005; 11: 253-262.
Chawarska K, Klin A, Paul R , Volkmar F. Autism spectrum disorder in the second year: Stability and change in syndrome expression. Journal of Child Psychology and Psychiatry 2007; 48: 128-138.
Steiner AM, Goldsmith TR, Snow AV , Chawarska K. Practitioner’s guide to assessment of autism spectrum disorders in infants and toddlers. Journal of autism and developmental disorders 2012; 42: 1183-1196.
Barton ML, Dumont-Mathieu T , Fein D. Screening young children for autism spectrum disorders in primary practice. Journal of autism and developmental disorders 2012; 42: 1165-1174.
Pierce K, Carter C, Weinfeld M, Desmond J, Hazin R, Bjork R, et al. Detecting, studying, and treating autism early: the one-year well- baby check-up approach. The Journal of pediatrics 2011; 159: 458-465. e456.
Baron-Cohen S, Allen J , Gillberg C. Can autism be detected at 18 months? The needle, the haystack, and the CHAT. The British Journal of Psychiatry 1992; 161: 839-843.
Robins DL, Fein D, Barton ML , Green JA. The Modified Checklist for Autism in Toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders. Journal of autism and developmental disorders 2001; 31: 131-144.
Dietz C, Swinkels S, van Daalen E, van Engeland H , Buitelaar JK. Screening for autistic spectrum disorder in children aged 14–15 months. II: population screening with the Early Screening of Autistic Traits Questionnaire (ESAT). Design and general findings. Journal of autism and developmental disorders 2006; 36: 713-722.
Reznick JS, Baranek GT, Reavis S, Watson LR , Crais ER. A parent-report instrument for identifying one-year-olds at risk for an eventual diagnosis of autism: the first year inventory. Journal of autism and developmental disorders 2007; 37: 1691-1710.
Allison C, Baron-Cohen S, Wheelwright S, Charman T, Richler J, Pasco G, et al. The Q-CHAT (Quantitative CHecklist for Autism in Toddlers): A normally distributed quantitative measure of autistic traits at 18–24 months of age: Preliminary report. Journal of autism and developmental disorders 2008; 38: 1414-1425.
Allison C, Auyeung B , Baron-Cohen S. Toward brief “red flags” for autism screening: the short autism spectrum quotient and the short quantitative checklist in 1,000 cases and 3,000 controls. Journal of the American Academy of Child & Adolescent Psychiatry 2012; 51: 202-212. e207.
Baron-Cohen S, Wheelwright S, Skinner R, Martin J , Clubley E. The autism-spectrum quotient (AQ): Evidence from asperger syndrome/high-functioning autism, malesand females, scientists and mathematicians. Journal of autism and developmental disorders 2001; 31: 5-17.
Leekam S, Tandos J, McConachie H, Meins E, Parkinson K, Wright C, et al. Repetitive behaviours in typically developing 2‐year‐olds. Journal of Child Psychology and Psychiatry 2007; 48: 1131-1138.
Constantino JN, Davis SA, Todd RD, Schindler MK, Gross MM, Brophy SL, et al. Validation of a brief quantitative measure of autistic traits: comparison of the social responsiveness scale with the autism diagnostic interview-revised. Journal of autism and developmental disorders 2003; 33: 427-433.
Baron-Cohen S. The extreme male brain theory of autism. Trends in cognitive sciences 2002; 6: 248-254.
Doi SAR , Williams GM. Methods of clinical epidemiology. City: Springer; 2013.
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| Issue | Vol 10 No 1 (2015) | |
| Section | Articles | |
| Keywords | ||
| Autism Early Screening Predictive Validity Q-CHAT Reliability | ||
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