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).
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.
more > >
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.
more > >
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.
May, 2013
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.
May, 2013
2012 News
Autism Screening: Predictive Validity of the M-CHAT Follow-up InterviewTM 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.
Sept, 2012
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.
Sept, 2012
Family Goals for Pediatric ADHD Care
Presented at Society for Developmental & Behavioral Pediatrics Meeting in Phoenix
Raymond Sturner MD, Barbara Howard MD, Tammy Barry PhD, Tanya Morrel PhD, Karen Seymour, PhD, Dannielle Marks, MPH, MSW, James Goodlad, MA, Theodore Tomeny, MA and Brandi Ellis
Sept, 2012
Presented at Society for Developmental & Behavioral Pediatrics Meeting in Phoenix
Raymond Sturner MD, Barbara Howard MD, Tammy Barry PhD, Tanya Morrel PhD, Karen Seymour, PhD, Dannielle Marks, MPH, MSW, James Goodlad, MA, Theodore Tomeny, MA and Brandi Ellis
Sept, 2012
Strategies for Autism Screening using a Web-based Decision support/Patient Engagement System
Presented at the Texas Autism Research Conference in Austin
Raymond Sturner MD
July, 2012
Presented at the Texas Autism Research Conference in Austin
Raymond Sturner MD
July, 2012
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
Sept, 2011
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
Sept, 2011
Comparing Alternative Modalities For Pre-Visit Screening for Different Demographic Groups
Presentation at the Pediatric Academic Societies
Raymond A. Sturner, M.D., Barbara J. Howard, M.D., Lindsay Garver, BS, Sidney Schneider, PhD, Tanya Morrel, PhD
May, 2011
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Presentation at the Pediatric Academic Societies
Raymond A. Sturner, M.D., Barbara J. Howard, M.D., Lindsay Garver, BS, Sidney Schneider, PhD, Tanya Morrel, PhD
May, 2011
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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.
December, 2010
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)
November, 2010
SBIR award from the CDC for new approaches to child safety education via CHADIS and CHADIS parent portal
September, 2010
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New approach to "predicting which ADHD children will not be able to be managed in the classroom?" presented at SDBP meeting in Boston
September, 2010
American Board of Pediatrics approves CHADIS to certify pediatricians for their required Maintenance of Certification (MOC-4)
June, 2010
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Total Child Health and Brookes Publishing Agree to Release ASQ-3™ on CHADIS
June, 2010 — Total Child Health Inc., the licensors of CHADIS©, the Child Health and Development Interactive System, is pleased to announce that they have come to an agreement with Brookes Publishing Co., Inc., the publisher of the Ages & Stages Questionnaires®, Third Edition (ASQ-3™) to make available this new version of the widely used developmental screening tool on its system beginning the 2nd quarter 2010.
more >>
Raymond Sturner, M.D., Barbara Howard, M.D., Kathleen E. Albus, Ph.D.
December, 2010
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)
November, 2010
SBIR award from the CDC for new approaches to child safety education via CHADIS and CHADIS parent portal
September, 2010
more >>
New approach to "predicting which ADHD children will not be able to be managed in the classroom?" presented at SDBP meeting in Boston
September, 2010
American Board of Pediatrics approves CHADIS to certify pediatricians for their required Maintenance of Certification (MOC-4)
June, 2010
more >>
Total Child Health and Brookes Publishing Agree to Release ASQ-3™ on CHADIS
June, 2010 — Total Child Health Inc., the licensors of CHADIS©, the Child Health and Development Interactive System, is pleased to announce that they have come to an agreement with Brookes Publishing Co., Inc., the publisher of the Ages & Stages Questionnaires®, Third Edition (ASQ-3™) to make available this new version of the widely used developmental screening tool on its system beginning the 2nd quarter 2010.
more >>
Video for Training Pediatricians in Autism identification created with Rethink Autism group.
June, 2010
more >>
Alternative Functional Criteria for ADHD – research presented at PAS - Pediatric Academic Society Annual Meeting, Vancouver, CA.
May, 2010
Sturner, R., Howard, B. J., Barry, T., Bergmann, P., Kent, R., Sullivan, C., “Response to Intervention” as Alternative Functional Criteria for ADHD Diagnoses in School Settings, Pediatric Academics Societies, Annual Meeting, Vancouver, CA. May, 2010
SBIR research award from NIMH for ADHD QI
April, 2010
2009 News
Maryland Model for Autism Screening presented at OCALI Conference, Columbus, Ohio
Sturner, R., and Howard, B. J., Autism Screening, Maryland Pilot Project.
Ocali Conference. Columbus, Ohio.
November 2009
Infant Mental Health Symposium and ADHD School Identification research presented at SDBP - Society for Developmental and Behavioral Pediatrics, Portland Oregon
September 2009
Sturner, R., and Howard, B. J., Infant Mental Health, A Symposium. Society for Developmental and Behavioral Pediatrics, Portland Oregon, Sept., 2009
Sturner, R., Howard, B. J., Barry, T., Bergmann, P., Kent, R., Sullivan, C. Universal Teacher Screening for ADHD Risk: Exploring Potential Utility. Society for Developmental and Behavioral Pediatrics, Portland Oregon
NIMH award for ADHD research on community intervention with economic impact
September 2009
New Release Features!
September 2009 — We are pleased to announce our updated edition of CHADIS with some exciting new features that will enhance your user experience. The most important of these changes are described below for your full understanding. Please make sure to review them at your convenience. These changes will launch on September 20, 2009.
more >>
July 2009 — Decision support for ADHD care: questionnaires/ratings, e-chapters, resources, collaborative data collection for teachers, teens and parents, and visual graphics.
more >>
Pediatrics Article reports "high degree of satisfaction with the use of a computer-assisted previsit assessment (CHADIS)"
July 2009 —"Our results showed a high degree of satisfaction ... also demonstrated a high degree of provider satisfaction..." July, 2008 by Bergman, Beck and Kulchak. The Use of Internet-Based Technology to Tailor Well-Child Care Encounters, David Aaron Bergman, Arne Beck, and Alanna Kulchak Rahm, Pediatrics 2009;124 e37-e43.
more >>
ADHD research using CHADIS presented at PAS - Pediatric Academic Society Annual Meeting
May, 2009
Sturner, R. Howard, B. J., Barry, T., Bergmann, P., Kent, R., Sullivan, C., Rethinking Functional Criteria for ADHD “Diagnoses” in School Settings Pediatric Academics Societies, Annual Meeting. Baltimore, MD, May, 2009
CHADIS releases new 'CHADIS 0-3' questionnaires for infant/toddler routine care and the assessment of mental health problems
March 2009 — NIMH, SBIR award to CHADIS to identify best methods for parent access: (phone vs. laptop vs. kiosk) and most accurate methods for early autism
January 2009 — Read the Abstract: Improving Accuracy and Accessibility of Early Autism Screening
more >>
Sturner, R., and Howard, B. J., Autism Screening, Maryland Pilot Project.
Ocali Conference. Columbus, Ohio.
November 2009
Infant Mental Health Symposium and ADHD School Identification research presented at SDBP - Society for Developmental and Behavioral Pediatrics, Portland Oregon
September 2009
Sturner, R., and Howard, B. J., Infant Mental Health, A Symposium. Society for Developmental and Behavioral Pediatrics, Portland Oregon, Sept., 2009
Sturner, R., Howard, B. J., Barry, T., Bergmann, P., Kent, R., Sullivan, C. Universal Teacher Screening for ADHD Risk: Exploring Potential Utility. Society for Developmental and Behavioral Pediatrics, Portland Oregon
NIMH award for ADHD research on community intervention with economic impact
September 2009
New Release Features!
September 2009 — We are pleased to announce our updated edition of CHADIS with some exciting new features that will enhance your user experience. The most important of these changes are described below for your full understanding. Please make sure to review them at your convenience. These changes will launch on September 20, 2009.
more >>
July 2009 — Decision support for ADHD care: questionnaires/ratings, e-chapters, resources, collaborative data collection for teachers, teens and parents, and visual graphics.
more >>
Pediatrics Article reports "high degree of satisfaction with the use of a computer-assisted previsit assessment (CHADIS)"
July 2009 —"Our results showed a high degree of satisfaction ... also demonstrated a high degree of provider satisfaction..." July, 2008 by Bergman, Beck and Kulchak. The Use of Internet-Based Technology to Tailor Well-Child Care Encounters, David Aaron Bergman, Arne Beck, and Alanna Kulchak Rahm, Pediatrics 2009;124 e37-e43.
more >>
ADHD research using CHADIS presented at PAS - Pediatric Academic Society Annual Meeting
May, 2009
Sturner, R. Howard, B. J., Barry, T., Bergmann, P., Kent, R., Sullivan, C., Rethinking Functional Criteria for ADHD “Diagnoses” in School Settings Pediatric Academics Societies, Annual Meeting. Baltimore, MD, May, 2009
CHADIS releases new 'CHADIS 0-3' questionnaires for infant/toddler routine care and the assessment of mental health problems
March 2009 — NIMH, SBIR award to CHADIS to identify best methods for parent access: (phone vs. laptop vs. kiosk) and most accurate methods for early autism
January 2009 — Read the Abstract: Improving Accuracy and Accessibility of Early Autism Screening
more >>
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.
New Version of CHADIS Released
15 September 2008 — We are pleased to announce a new version of CHADIS with some exciting new features!
more >>
CHADIS Praised at PAS Meeting
5 May 2008 — CHADIS proves high acceptability and feasability at Kaiser, Colorado.
more >>
CHADIS Release 10
Baltimore, MD: 26 April 2008 — We are pleased to announce a new version of CHADIS with some exciting new features!
more >>
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.
New Version of CHADIS Released
15 September 2008 — We are pleased to announce a new version of CHADIS with some exciting new features!
more >>
CHADIS Praised at PAS Meeting
5 May 2008 — CHADIS proves high acceptability and feasability at Kaiser, Colorado.
more >>
CHADIS Release 10
Baltimore, MD: 26 April 2008 — We are pleased to announce a new version of CHADIS with some exciting new features!
more >>
2007 News
CHADIS Releases New Questionnaires
Baltimore, MD: 28 November 2007 — We are proud to announce the availability of 2 new questionnaires.
more >>
CHADIS Release 9 Available
Baltimore, MD: 13 October 2007 — A new version of CHADIS is available which includes some new features including interactive clinical templates.
more >>
NICHD Grant for the Validation of CHADIS 0-3
Baltimore, MD: September 2007 — Total Child Health receives a grant from the National Institute of Child Health and Human Development (NICHD). This Small Business Innovation Research (SBIR) grant will allow us to complete and validate the infant/toddler component of CHADIS in preparation for marketing.
more >>
CHADIS Releases new Questionnaires
Baltimore, MD: 6 September 2007 — We are proud to announce the availability of 3 new questionnaires and updates to 3 existing questionnaires.
more >>
Baltimore, MD: 28 November 2007 — We are proud to announce the availability of 2 new questionnaires.
more >>
CHADIS Release 9 Available
Baltimore, MD: 13 October 2007 — A new version of CHADIS is available which includes some new features including interactive clinical templates.
more >>
NICHD Grant for the Validation of CHADIS 0-3
Baltimore, MD: September 2007 — Total Child Health receives a grant from the National Institute of Child Health and Human Development (NICHD). This Small Business Innovation Research (SBIR) grant will allow us to complete and validate the infant/toddler component of CHADIS in preparation for marketing.
more >>
CHADIS Releases new Questionnaires
Baltimore, MD: 6 September 2007 — We are proud to announce the availability of 3 new questionnaires and updates to 3 existing questionnaires.
more >>