About ASQ

About ASQThe ASQ and MCHAT Learning Collaborative for MOC

The ASQ (Ages and Stages Questionnaire) and M-CHAT (The Modified Checklist for Autism in Toddlers) (M-CHAT; Robins, Fein, & Barton, 1999) Learning Collaborative at the Indiana University School of Medicine provides information and support for clinicians using the ASQ and MCHAT. The Learning Collaborative meets every month on the third Tuesday at 7am and the third Wednesday at 12pm of each month (EST) via conference call. During these calls, sites give reports on their successes and challenges in using ASQ and MCHAT and local experts and colleagues give technical assistance for implementation. Maintenance of Certification (MOC) Part IV credit is available to all IU School of Medicine Dept. of Pediatrics faculty, HealthNet, IU Health Physicians, and Eskenazi Medical Group. This project has been approved by the American Boards of Pediatrics and is worth 25 points. Continuing Medical Education (CME) credit is available for those who participate in the calls. To participate in the collaborative please email Janet Carpenter at jlshultz@iu.edu.

To participate you must:

  • Incorporate formal developmental screening in your practice
  • Participate in six monthly conference calls/meetings
  • Set goals and make some progress on your changes
  • Collect chart run data for six months
  • Complete Monthly Progress Reports and periodic SurveyMonkey short questionnaires

For questions about your individual recertification requirements, please contact the American Board of Pediatrics at http://abp.org

The ASQ is:

  • Recommended by the experts - The American Academy of Neurology, the Child Neurology Society, and First Signs recommend ASQ as a high quality screener. ASQ is also highly rated by the U.S. Department of Health and Human Services, Administration for Children and Families.
  • Accurate - Rigorous research with more than 12,000 children shows that ASQ is reliable and valid with high levels of sensitivity and specificity, the two most important indicators of accuracy for a screener.
  • Color-coded by age - Written at a 4th–6th-grade reading level, and accompanied by simple illustrations to enhance understanding.
  • Available in English or Spanish
  • Includes photocopiable activity sheets - Designed to help parents encourage their children's development and make it easier to educate parents.
  • Can be reproduced - As many times as needed by a single site.
  • Includes clear instructions - In the User's Guides, which address special situations such as how to score questionnaires with unanswered items and what to do when a child's age falls between the given age intervals.
  • Helps educate parents - Because ASQ questionnaires are completed by the caregivers who know the child best, they get the most accurate results and save time. Parents become an integral part of the screening process and ASQ helps teach parents about child development and their own child's skills.
  • Strengths based - ASQ questionnaires reveal a child's strengths as well as areas of concern, so it's easier to develop a rapport with parents and share results.
  • Easy for Parents - Parents can complete ASQ questionnaires at home, in a waiting room, during a home visit, or as part of an in-person or phone interview.
  • Includes clear instructions - In the User's Guide, which addresses special situations such as how to score questionnaires with unanswered items and what to do when a child's age falls between the given age intervals.
  • Efficient - Takes just 2–3 minutes to score.

The MCHAT is:

The Modified Checklist for Autism in Toddlers (M-CHAT; Robins, Fein, & Barton, 1999) is available for free download for clinical, research, and educational purposes. There are two authorized websites: the MCHAT and supplemental materials can be downloaded from FirstSigns or from Dr. Robins’ website.

The goal of the M-CHAT was to maximize sensitivity, meaning to detect as many cases of ASD as possible.

  • Designed to be administered to parents/guardians and interpreted by pediatric providers in the context of developmental surveillance.
  • Validated for screening toddlers between 16 and 30 months of age, to assess risk for autism spectrum disorders (ASD).
  • Can be administered and scored as part of a well-child check-up, and also can be used by specialists or other professionals to assess risk for ASD.
  • Structured follow-up interview for use in conjunction with the M-CHAT is available at the two websites listed above. Users should be aware that even with the follow-up questions, a significant number of the children who fail the M-CHAT will not be diagnosed with an ASD; however, these children are at risk for other developmental disorders or delays, and therefore, evaluation is warranted for any child who fails the screening.

How to Get Started

Helpful information to help you begin using the ASQ is available here in the form of:

1) An introductory PowerPoint presentation which explains the process, the ASQ tool and the support provided by the ASQ Learning

2) A policy statement from the American Academy of Pediatrics on Identifying Infants and Young Children With Developmental Disorders in the Medical Home: An Algorithm for Developmental Surveillance and Screening

The ASQ Toolbox will provide you with the tools and materials you will need to participate in the ASQ Learning Collaborative.