Modified Checklist for Autism in Toddlers Revised (MCHAT-R/F) in an Urban Metropolitan Sample of Young Children in Turkey

Abstract

The study assessed the feasibility of using a Turkish-version of the Modified Checklist for Autism in Toddlers, Revised (M-CHAT-R/F) as a screening tool for an urban low risk population of young children. M-CHAT-R/F was completed for 6712 children between ages 16 and 36 months living in Istanbul, Turkey. Autism Diagnostic Observation Schedule-2 was served as the main measure for diagnosis. M-CHAT-R/F screen was positive for 9.8% of children. At follow up interview, 39.7% of initial screen-positive children met criteria for ASD. The study identified 57 (1 in 117) children with ASD (0.8%; 95% CI 0.063–1.05%). M-CHAT-R/F performed comparably in Turkey as in United States. Implications of the study for future universal screening for autism in Turkey is also discussed.

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Acknowledgments

Drs. Ozgur Oner and Kerim Munir were supported, in part, by Fogarty International Center/NIMH Grant No. (D43TW009680) at Boston Children’s Hospital. We also like to thank Betül Yıldırım, Betul Olgun, Cansu Tacı, Fulin Kurtkaya, Betul Selcen Ozer, Ozgul Gurel, Selcen Keskin Oner, psychologists, physicians, nurses, and families that took part in the study.

Author Contributions

Dr. Oner designed the study, collected and analyzed data, drafted the manuscript and revised it. Dr. Munir contributed to conceptualization, data analysis, discussion of findings, revision of the first draft and other versions of the manuscript.

Funding

This study was funded by İstanbul Kalkinma Ajansi (ISTKA).

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Correspondence to Ozgur Oner.

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Oner, O., Munir, K.M. Modified Checklist for Autism in Toddlers Revised (MCHAT-R/F) in an Urban Metropolitan Sample of Young Children in Turkey. J Autism Dev Disord 50, 3312–3319 (2020). https://doi.org/10.1007/s10803-019-04160-4

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Keywords

  • Autism
  • MCHAT-R/F
  • Urban population
  • Screening
  • Diagnosis
  • Turkey