Welcome to CHADIS—About Us: Latest News

“CHADIS is the best example of what the future of pediatrics should look like.”
Dr. Neal Halfon, Professor, UCLA, invited address: “The Future of General Pediatrics” at National Pediatric Academic Societies, May, 2006

2014 News

Autism Screening in Younger Compared to Older Toddlers

Presented at Annual SDBP Meeting in Nashville, TN by Raymond Sturner MD, Barbara Howard MD, Paul Bergmann MA, and Talin Afarian, BA, Sept., 2014.

Abstract
Purpose: To compare the rates of M-CHAT item failures in younger toddlers (<20 mos) to older ones. Methods: Results of M-CHAT screening in primary care practices sharing a national online system were compared by age of child between the ages 16 months and 30 months at the item level. 96,818 screening records were identified with 73,760 associated with primary care doctors; recommended age range of the test (16 - 30 mos) and reliable prematurity adjusted data with 34,200 <20 mo and 39,520 older. Items were sorted independently into groups: recently developed in young toddlers (10), established (8), not generally considered a milestone (5). Results: 18 items differed significantly (p <.0001) in failure rate by age group; 4 were not significantly different. 14 items showed higher failure rates in the younger age group and 6 in the older group. Of the 9 items with >50% difference between age groups two have been removed in the revised test; 8 were those in the recently developed category. The table shows overall test failure rates by age. Conclusion: Item failure rates differ in younger toddlers than older ones despite expected higher rates of confirmed autism in the older group. This may explain the poorer screening accuracy in the younger group found by some researchers (Panday, 2008; Sturner, 2013).

Parents' Goals for ADHD Care in a Clinical Pediatric Sample.

McGoron, L., Sturner, R., Howard, B., Barry, T. D., Seymour, K. Tomeny, T. S., Morrel, T., Ellis, B. M., Marks, D., Clinical Pediatrics 2014, Vol. 53(10) 949-959

Abstract
Objective. This report describes goals parents have for their children with attention deficit/hyperactivity disorder (ADHD) when coming for a pediatric visit. Method. Data were collected from 441 parents of children presenting to either a primary care pediatric practice or a developmental behavioral pediatric practice. Parents were asked to report their top 1 or 2 goals for improvement for their children, and responses were coded into 17 categories. These categories were further grouped into 7 goal composites and examined in relation to demographic characteristics of the families, office type, and symptomology. Results. Goals related to reducing symptoms of inattention were most common, but goals were heterogeneous in nature. Goals were meaningfully, but modestly, related to symptomology. In several instances, symptoms of comorbid conditions interacted with symptoms of ADHD in relation to specific goals being reported. Conclusions. Parents' goals extended beyond ADHD symptoms. Pediatricians need an array of resources to address parents' goals.

2013 News

Accurate Autism Screening At The 18 Month Visit Requires Different Strategies Than At 24 Months
Presented at the Annual Pediatric Academic Society meeting, Washington, D. C.

Sturner, R. A., Howard, B. Morrel, R., Bergmann, P., Landa, R. Walton, K., Marks, D.

2012 News

Autism Screening: Predictive Validity of the M-CHAT Follow-up Interview™ completed by Primary Care Pediatricians with Online Decision Support
Presented at Society for Developmental & Behavioral Pediatrics Meeting in Phoenix

Raymond Sturner MD, Barbara Howard MD, Paul Bergmann MA, Tanya Morrel PhD, Lindsay Andon MPH, Dannielle Marks, MPH, MSW, Patricia Rao, PhD., Rebecca Landa, PhD.

2011 News

Identifying Children with ADHD does not result in a Service Burden for Schools
Presented at Society for Developmental & Behavioral Pediatrics Meeting, in San Antonio

Raymond Sturner MD, Barbara Howard MD, Paul Bergmann MA, Tammy Barry, PhD, Karen Seymour, PhD, Ronald Kent, MD, Casey Sullivan, MA

2010 News

Bringing DC: 0-3R Infant Mental Health Diagnoses to Primary Care: Presentation at the Zero to Three Annual Meeting. Phoenix, AZ.
Raymond Sturner, M.D., Barbara Howard, M.D., Kathleen E. Albus, Ph.D.

American Board of Pediatrics approves a new CHADIS QI module for Maintenance of Certification (MOC-4) – Developmental Screening (in addition to already approved autism screening module)

SBIR award from the CDC for new approaches to child safety education via CHADIS and CHADIS parent portal

2009 News

Maryland Model for Autism Screening presented at OCALI Conference, Columbus, Ohio

Sturner, R., and Howard, B. J., Autism Screening, Maryland Pilot Project.

Infant Mental Health Symposium and ADHD School Identification research presented at SDBP - Society for Developmental and Behavioral Pediatrics, Portland Oregon

2008 News

CHADIS to be Part of Primary Mental Health Care Project
November 2008 — Mount Sinai School of Medicine, N.Y. will provide CHADIS to a network of NYC pediatricians as part of a project aimed at improving primary mental health care sponsored by New York Community Trust.