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Systematic review: cultural adaptation and feasibility of screening for autism in non-English speaking countries

Al Maskari, Turkiya S.; Melville, Craig A.; Willis, Diane S.


Turkiya S. Al Maskari

Craig A. Melville


Aim: To explore the feasibility of screening for Autism spectrum disorder in Non-English-Speaking Countries, the cultural influences and the nurses' role in the screening process.

Background: The prevalence Autism spectrum disorder (ASD) is rising worldwide, along with an increase in support for early intervention to improve outcomes. Increasingly, researchers investigated screening for autism in different health care settings to facilitate early detection for ASD. However, little is known about screening autism in non-English speaking countries, impact of culture and the nurse's role in the screening process.

Design: Systematic Review

Data source: Psych INFO, MEDLINE, CINAHL, EMBASE, ERIC databases and hand search were conducted from 1990 to March 2014.

Review methods:
PRISMA statement was used as a method to guide the discussion this review.
Result: Five studies were identified from different geographical regions. In all studies children were screened with an adapted version of the Modified Checklist for Autism (M-CHAT) in different clinical settings of non-English speaking countries. Further investigation is required to validate the use of these instrumentinstruments within their general population. Nurses could be trained to undertake for the screening procedure.

Conclusions: Screening for Autism spectrum disorder is challenging and requires knowledge, skills, as well as rigorous screening instrumentinstruments that are adapted to a specific nation`s culture. Although screening with the adapted Modified Checklist for Autism is viable in some healthcare settings of non-English speaking countries, using it in primary settings would necessitate further exploration. With proper training, nurses could screen children for Autism spectrum disorder.

Journal Article Type Review
Acceptance Date Apr 12, 2018
Online Publication Date May 8, 2018
Publication Date 2018-12
Deposit Date Jul 4, 2018
Publicly Available Date Jul 17, 2018
Journal International Journal of mental Health Systems
Electronic ISSN 1752-4458
Publisher BMC
Peer Reviewed Peer Reviewed
Volume 12
Issue 1
Article Number 22
Keywords Autistic screening, tool, adaptation adequacy, cultural adaptation,
Public URL
Contract Date Jul 3, 2018


Systematic review: cultural adaptation and feasibility of screening for autism in non-English speaking countries. (995 Kb)

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Copyright Statement
© The Author(s) 2018. This article is distributed under the terms of the Creative Commons Attribution 4.0 International License
(, which permits unrestricted use, distribution, and reproduction in any medium,
provided you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons license,
and indicate if changes were made. The Creative Commons Public Domain Dedication waiver (
publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated.

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