Adapting an Autism Screening Tool for Use in the DeKalb County Refugee Pediatric Clinic
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Adapting an Autism Screening Tool for Use in the DeKalb County Refugee Pediatric Clinic
  • Published Date:

    Apr 2018

  • Source:
    J Immigr Minor Health. 20(2):360-369
  • Language:
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  • Alternative Title:
    J Immigr Minor Health
  • Description:
    Background Minimal literature exists regarding Autism Spectrum Disorder (ASD) among refugee children in the United States. Reliable ASD screening tools, such as the M-CHAT-R/F, have yet to be culturally adapted and translated into some languages spoken in the homes of these children. Methods Pediatric refugee patients (n = 13) of caregivers of Bhutanese (Nepali-speaking) descent were screened using a newly translated Nepali M-CHAT-R/F. The M-CHAT-R/F was adapted based on feedback from Bhutanese caregivers and interpreter expertise. Qualitative interviews regarding caregiver awareness of ASD were conducted. Results Caregivers understood the majority of M-CHAT-R/F items (91%). Four items required revision. Interviews revealed minimal awareness among Bhutanese caregivers regarding ASD or child development. Discussion The M-CHAT-R/F was adapted into Nepali using a combination of translation protocols, and is publicly available for clinical use. Future validation studies are needed which will aid in clinical screening for and epidemiologic research of ASD in this population.
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