The Indonesian Version Of Modified CheckList For Autism Toddlers , Revised With Follow UP.
THE INDONESIAN VERSION OF MODIFIED CHECKLIST FOR
AUTISM IN TODDLERS, REVISED WITH FOLLOW-UP
(M-CHAT-R/F) IS VALID FOR AUTISM SCREENING IN CHILDREN
AGED 18-48 MONTHS:
A DIAGNOSTIC TEST
Kadek Apik Lestari, Soetjiningsih, Trisna Windiani, Sugitha Adnyana
Departments of Child Health,
Udayana University Medical School/Sanglah Hospital Denpasar Bali
ABSTRACT
Autism Spectrum Disorder (ASD) is a developmental disorder characterized by impaired
reciprocal social interaction and communication, and by restricted, repetitive or stereotyped
behavior. Early detection of autism is recommended on all toddlers from the ages of 9 months
because of increasing in prevalence. The Modified Checklist for Autism in Toddlers, Revised
with Follow-Up (M-CHAT-R/F) is a 2-stage parent-report screening tool to assess risk for
ASDand demonstrates improved utility compared with the original M-CHAT. It has been
translated into Indonesian language by Soetjiningsih and colleagues and needs to be
validated. This was an analytic-observational study conducted at Sanglah Hospital Denpasar,
from March 2015 to December 2016. All children aged 18-48 months were included in this
study. Parents of Growth and Development outpatient children of Sanglah Hospital were
asked to fill out the M-CHAT-R/F form. Autism Spectrum Disorder (ASD)assessment
according to the DSM-5 was done by researchers. Comparison of assessments based on MCHAT-R/F and DSM-5 was analysed with computer program to obtain the AUC intersection
on ROC curve that give the best sensitivity and specificity. Prevalence of Sanglah Hospital
outpatient autism aged 18-48 months was 10.71%. Boy was 5 times more than girl.
Indonesian version of M-CHAT-R/F as ASD screening tool has 88.9% of sensitivity and
94.6% of specificity. If M-CHAT-R/F revealed suspected ASD, parents are advised to
contact their pediatrician.
Keywords: M-CHAT-R/F, Autism Spectrum Disorder, validity
AUTISM IN TODDLERS, REVISED WITH FOLLOW-UP
(M-CHAT-R/F) IS VALID FOR AUTISM SCREENING IN CHILDREN
AGED 18-48 MONTHS:
A DIAGNOSTIC TEST
Kadek Apik Lestari, Soetjiningsih, Trisna Windiani, Sugitha Adnyana
Departments of Child Health,
Udayana University Medical School/Sanglah Hospital Denpasar Bali
ABSTRACT
Autism Spectrum Disorder (ASD) is a developmental disorder characterized by impaired
reciprocal social interaction and communication, and by restricted, repetitive or stereotyped
behavior. Early detection of autism is recommended on all toddlers from the ages of 9 months
because of increasing in prevalence. The Modified Checklist for Autism in Toddlers, Revised
with Follow-Up (M-CHAT-R/F) is a 2-stage parent-report screening tool to assess risk for
ASDand demonstrates improved utility compared with the original M-CHAT. It has been
translated into Indonesian language by Soetjiningsih and colleagues and needs to be
validated. This was an analytic-observational study conducted at Sanglah Hospital Denpasar,
from March 2015 to December 2016. All children aged 18-48 months were included in this
study. Parents of Growth and Development outpatient children of Sanglah Hospital were
asked to fill out the M-CHAT-R/F form. Autism Spectrum Disorder (ASD)assessment
according to the DSM-5 was done by researchers. Comparison of assessments based on MCHAT-R/F and DSM-5 was analysed with computer program to obtain the AUC intersection
on ROC curve that give the best sensitivity and specificity. Prevalence of Sanglah Hospital
outpatient autism aged 18-48 months was 10.71%. Boy was 5 times more than girl.
Indonesian version of M-CHAT-R/F as ASD screening tool has 88.9% of sensitivity and
94.6% of specificity. If M-CHAT-R/F revealed suspected ASD, parents are advised to
contact their pediatrician.
Keywords: M-CHAT-R/F, Autism Spectrum Disorder, validity