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An Investigation into Referrals Placed Following Positive Screening With the Modified Checklist for Autism in Toddlers, Revised With Follow-up

A dispatch from PubMed — filed

The objective of this study was to examine referral practices after positive autism spectrum disorder screening with the modified checklist for autism in toddlers, revised with follow-up (M-CHAT-R/F) for potential variability based on demographic factors focusing on language and patient-reported need for interpretation.

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✦ The floor

Discussion

Signed responses from readers of the wire.

Clinical Takeaway

No actionable change for audiologists; this study addresses autism referral pathways and is only tangentially relevant to hearing care through differential diagnosis of communication delays.

Why It Matters

Understanding referral gaps after positive autism screening is indirectly relevant to audiology because hearing loss is a key differential diagnosis for communication delays in toddlers.

Key Points
  1. 01Study examines referral practices after positive M-CHAT-R/F autism screening in toddlers.
  2. 02Published in Journal of Developmental & Behavioral Pediatrics.
  3. 03Hearing-health relevance is indirect — hearing loss must be ruled out in communication-delayed toddlers.
  4. 04Gaps in referral pathways could delay both autism diagnosis and hearing evaluations.
  5. 05Audiologists may encounter toddlers caught in these referral gaps.
Claims & Evidence

Referral practices following positive M-CHAT-R/F screening are inconsistent or incomplete.

studyunclear
Research metadata
PMID
42644393
DOI
10.1097/DBP.0000000000001512.
Journal
Journal of Developmental & Behavioral Pediatrics
Publication type
research_article
Evidence level
2b
Population
Toddlers who screened positive for autism risk using the M-CHAT-R/F
Intervention
Referral practices following positive Modified Checklist for Autism in Toddlers, Revised With Follow-up (M-CHAT-R/F) screening

Primary outcomes

Rate and appropriateness of referrals placed after positive autism screening; Follow-up service utilization after M-CHAT-R/F positive result

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