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Objective is cross-culturally validating the Rapid Interactive Screening Test for Autism in Toddlers (RITA-T). Validity, specificity, sensitivity and cut off score were established in typically developing/at-risk, Autism Spectrum Disorders (ASD) negative/at-risk and ASD positive Lebanese toddlers aged 18-36 months. RITA-T/Modified Checklist for Autism in ToddlersRevised (M-CHAT-R) tests preceded diagnosis by clinical evaluation, Autism Diagnostic Observation Schedule/Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) criteria. RITA-T demonstrates good internal consistency/testretest reliability. Scores for RITA-T /M-CHAT-R were higher in at-risk-ASD vs. typically developing/at-risk non-ASD toddlers. Significant correlations between RITA-T and ADOS-2 scores suggested convergent validity. Receiver operating curve analysis identified 15 as cut-off for ASD (sensitivity=96%/specificity=100%) with positive/negative predictive values of 100% and 96%, respectively. The RITA-T is effective in screening ASD in Lebanese toddlers.

The Rapid Interactive Screening Test for Autism in Toddlers (RITA-T): Validity in a Lebanese Cross-Cultural Pilot Study