J Korean Acad Psychiatr Ment Health Nurs.  2015 Sep;24(3):188-195. 10.12934/jkpmhn.2015.24.3.188.

Utility of Autism Spectrum Disorder Screening Tools Using Network of Community Home Daycare Center Visiting Nurses

Affiliations
  • 1Department of Nursing, Korea Sahmyook University, Seoul, Korea. kimio@syu.ac.kr
  • 2Department of Psychiatry, Seoul National University Bundang Hospital, Seongnam, Korea.
  • 3Division of Child and Adolescent Psychiatry, Department of Psychiatry, Seoul National University Hospital, Seoul, Korea.

Abstract

PURPOSE
The purpose of this study was to explore the utility of autism spectrum disorder (ASD) screening tools using community network of home childcare center visiting nurses.
METHODS
The design of this study is multilevel survey to find the ASD using modified checklist for autism in toddlers (M-CHAT) for first screening by childcare teachers, checklist for autism in toddlers (CHAT) for secondary screening by nurses, Autism diagnostic observation schedule (ADOS) and Autism diagnostic interview revised (ADI-R) for final diagnosis by pediatric psychiatrists.
RESULTS
In first screening by using M-CHAT, 61 subjects(0.56%) were detected among 8,926 subjects. Among the first screened 61 subjects, 13 subjects were exempted for normal finding in CHAT. 24 subjects consented participation for final diagnosis and 23 of them were diagnosed ASD.
CONCLUSION
In conclusion, M-CHAT and CHAT were verified their utility as screening tools for ASD in the community and the community health networks as a childcare visiting nurses can be useful network in early detection and referral of ASD.

Keyword

Autism Spectrum Disorder (ASD); Screening; Visiting nurse; Day care center

MeSH Terms

Appointments and Schedules
Autistic Disorder*
Checklist
Child
Autism Spectrum Disorder*
Community Networks
Diagnosis
Mass Screening*
Nurses, Community Health*
Psychiatry
Referral and Consultation

Figure

  • Figure 1 Process of Research and Sample Description.


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