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Editorial
. 2025 Jun;64(6):659-661.
doi: 10.1016/j.jaac.2024.10.012. Epub 2024 Nov 5.

Editorial: The Critical Examination of Autism Screening Tools: A Call for Addressing False Negatives

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Editorial

Editorial: The Critical Examination of Autism Screening Tools: A Call for Addressing False Negatives

Roald A Øien. J Am Acad Child Adolesc Psychiatry. 2025 Jun.

Abstract

The study by Vivanti et al.1 represents a significant contribution to research on autism screening. This cluster-randomized controlled trial (RCT) sought to determine whether the implementation of the Modified Checklist for Autism in Toddlers, Revised with Follow-Up (M-CHAT-R/F)2 during routine well-child check-ups could improve the early identification and referral rates for autism spectrum disorder (ASD). The trial included a diverse sample of pediatric practices, randomly assigned to either an experimental group, in which the M-CHAT-R/F was systematically implemented with high fidelity, or a control group that continued with usual care practices.

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