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Agreement Between a Brief Autism Observational Instrument and Established ASD Measures

Published online by Cambridge University Press:  20 May 2016

Samantha L. Ward*
Affiliation:
School of Psychology and Counselling, Queensland University of Technology, Australia Private Practice, Stepping Stones for Life Psychology QLD Pty Ltd Brisbane, Queensland, Australia
Karen A. Sullivan
Affiliation:
School of Psychology and Counselling, Queensland University of Technology, Australia Institute of Health and Biomedical Innovation, Queensland University of Technology, Australia
Linda Gilmore
Affiliation:
School of Cultural and Professional Learning, Queensland University of Technology, Australia Children and Youth Research Centre, Queensland University of Technology, Australia
*
Address for Correspondence: Samantha Ward, School of Psychology and Counselling, Queensland University of Technology, Australia. Email: [email protected]
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Abstract

Objective: Limited time and resources necessitate the availability of accurate, inexpensive and rapid diagnostic aids for Autism Spectrum Disorder (ASD). The Autistic Behavioural Indicators Instrument (ABII) was developed for this purpose, but its psychometric properties have not yet been fully established. Method: The clinician-rated ABII, the Autism Diagnostic Observation Schedule (ADOS), the Childhood Autism Rating Scale – Second Edition, Standard Version (CARS2-ST), and Diagnostic and Statistical Manual of Mental Disorders (DSM-5) diagnostic criteria were individually administered to children with an independent paediatrician DSM-IV-TR or DSM-5 autism spectrum diagnosis, aged 2-6 years (n = 51, Mchildage = 3.6 years). The agreement between each of the measures on autism diagnostic classification was calculated and compared, and the intercorrelation between the instruments examined. Results: There was significant moderate agreement for the classification of autism between the ABII and the DSM-5, and significant fair agreement between the ABII and ADOS and ABII and CARS2-ST. True positive diagnostic classifications were similar across the ABII (n = 47, 92.2%) and ADOS (n = 45, 88.2%), and significantly higher than the CARS2-ST (n = 30, 58.8%). The ABII total scale score was strongly positively correlated with both the ADOS and CARS2-ST total scores. Conclusion: The ABII's test characteristics were comparable to those of established measures, and the intercorrelations between selected measures support its convergent validity. The ABII could be added to the clinician's toolbox as a screening test.

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Articles
Copyright
Copyright © Australian Psychological Society Ltd 2016 

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References

Al-Qabandi, M., Gorter, J.W., & Rosenbaum, P. (2011). Early autism detection: are we ready for routine screening? Pediatrics, 128, e211e217. doi: 10.1542/peds.2010-1881 Google Scholar
American Academy of Paediatrics (AAP). (2006). Identifying infants and young children with developmental disorders in the medical home: An algorithm for developmental surveillance and screening. Pediatrics, 118, 405420. doi: 10.1542/peds.2006-1231 Google Scholar
American Psychiatric Association (APA). (2000). Diagnostic and statistical manual of mental disorders (4th ed., Text Revision). Washington, DC: Author.Google Scholar
American Psychiatric Association (APA). (2013). Diagnostic and statistical manual of mental disorders (5th ed.). Washington, DC: Author.Google Scholar
Barbaro, J., & Dissanayake, C. (2012). Early markers of Autism Spectrum Disorders in infants and toddlers prospectively identified in the social attention and communication study. Autism, 17, 6486. doi: 10.1177/1362361312442597 Google Scholar
Bölte, S., Marschik, P.B., Falck-Ytter, T., Charman, T., Roeyers, H., Elsabbagh, M. (2013). Infants at risk for autism: A European perspective on current status, challenges and opportunities. European Child and Adolescent Psychiatry, 22, 341348. doi: 10.1007/s00787-012-0368-4 CrossRefGoogle ScholarPubMed
Carbone, P.S., Farley, M., & Davis, T. (2010). Primary care for children with Autism. American Family Physician, 15, 453460. Retrieved from www.aafp.org Google Scholar
Centers for Disease Control and Prevention (CDC). (2014). Prevalence of Autism Spectrum Disorder among children aged 8 years: Autism and developmental disabilities monitoring network, 11 sites, United States, 2010. Morbidity and Mortality Weekly Report, 63, 122. Retrieved December 6, 2015 from www.cdc.gov/mmwr/pdf/ss6302.pdf Google Scholar
Charak, D.A., & Stella, J.L. (2001-2002). Screening and diagnostic instruments for identification of Autism Spectrum Disorders in children, adolescents, and young adults: A selective review. Assessment for Effective Intervention, 27, 517. doi: 10.1177/073724770202700103 CrossRefGoogle Scholar
Charman, T., & Gotham, K. (2014). Measurement issues: Screening and diagnostic instruments for Autism Spectrum Disorders – lessons from research and practice. Child and Adolescent Mental Health, 18, 5263. doi: 10.1111/j.1475-3588.2012.00664x Google Scholar
Clifford, S., Young, R., & Williamson, P. (2007). Assessing the early characteristics of Autistic Disorder using video analysis. Journal of Autism and Developmental Disorders, 37, 301313. doi: 10.1007/s10803-006-0160-8 Google Scholar
Downey, D., Mraz, R., Knott, J., Knutson, C., Holte, L., Van Dyke, D. (2002). Diagnosis and evaluation of children who are not talking. Infants and Young Children, 15, 3848. doi: 10.1097/00001163-200210000-00006 Google Scholar
Estes, A., Zwaigenbaum, L., Gu, H., John, T., Paterson, S., Elison, J.T., Hazlett, H., Botteron, K., Dager, S.R., Schultz, R.T., Kostopoulos, P., Evans, A., Dawson, G., Eliason, J., Alvarez, S., Piven, J., & Netwron, IBIS, (2015). Behavioural, cogntivie, and adaptive development in infants with Autism Spectrum Disorder in the first 2 years of life. Journal of Neurodevelopmental Disorder, 7: 24. doi: 10.1186/s11689-015-9117-6 Google Scholar
Filipek, P.A., Accardo, P.J., Baranek, G.T., Cook, E.H., Dawson, G., Gordon, B., Gravel, J.S., Johnson, C.P., Kallen, R.J., Levy, S.E., Minshew, N.J., Prizant, B.M., Rapin, I., Rogers, S.J., Stones, W.L., Teplin, S., Tuchman, R.F., & Volkmar, F.R. (1999). The screening and diagnosis of Autistic Spectrum Disorders. Journal of Autism and Developmental Disorders, 29, 439484. doi: 10.1023/A:1021943802493 Google Scholar
Gabrielsen, T.P., Farley, M., Speer, L., Villalobos, M., Baker, C.N., Miller, M. (2015). Identifying autism in a brief observation. Pediatrics, 135, 330338. doi: 10.1542/peds.2014-1428 Google Scholar
Guthrie, W., Swineford, L.B., Nottke, C., & Wetherby, A.M. (2013). Early diagnosis of Autism Spectrum Disorder: Stability and change in clinical diagnosis and symptom presentation. Journal of Child Psychology and Psychiatry, 54, 582590. doi: 10.1111/jcpp.12008 Google Scholar
Hampton, J., & Strand, P.S. (2015). A review of level 2 parent-report instruments used to screen children aged 1.5-5 for autism: A meta-analytic update. Journal of Autism and Developmental Disorders, 45, 112.Google Scholar
Horlin, C., Falkmer, M., Parsons, R., Albrecht, M.A., & Falkmer, T. (2014). The cost of Autism Spectrum Disorders. PLoS One, 9, e106552. doi: 10.1371/journal.pone.0106552 Google Scholar
Johnson, C.P., & Myers, S.M. (2007). Identification and evaluation of children with autism spectrum disorders. Pediatrics, 120, 11831215. doi: 10.1542/peds.2007-2361 Google Scholar
Lipkin, P.H., & Hyman, S.L. (2011). Should all children be screened for Autism Spectrum Disorders? Yes: Merging science, policy and practice. American Family Physician, 15, 361378. Retrieved from www.aafp.org Google Scholar
Lord, C., Rutter, M., DiLavore, P., & Risi, S. (1999). Autism Diagnostic Observation Schedule. Los Angles, CA: Western Psychological Services.Google Scholar
Lord, C., Rutter, M., DiLavore, P. C., & Risi, S. (2008). Autism Diagnostic Observation Schedule Manual. Los Angeles: Western Psychological Services.Google Scholar
Lord, C., Rutter, M., DiLavore, P., & Risi, S., Gotham, K., Bishop, S.L. (2012). Autism Diagnostic Observation Schedule – second edition. Los Angles, CA: Western Psychological Services.Google Scholar
National Initiative for Autism: Screening and Assessment (NIASA). (2003). National Initiative for Autism: Screening and Assessment (NIASA) (2003). National Autism Plan for Children (NAPC): Plan for the identification, assessment, diagnosis and access to early interventions for pre-school and primary school aged children with autism spectrum disorders (ASD). Great Britain: The National Autistic Society. Retrieved December 6, 2015, from iier.isciii.es/autism/pdf/aut_napc.pdf Google Scholar
Norris, M., & Lecavalier. (2010). Screening accuracy of level 2 Autism Spectrum Disorder rating scales. A review of selected instruments. Autism, 14, 263283. doi: 10.1177/1362361309348071 Google Scholar
Osterling, I.J., Wensing, M., Swinkles, S.H., Jan van der Gaag, R., Visser, J.C., Woudenberg, T., Minderaa, R., Steenhuis, M., & Buitlelaar, J.K. (2010). Advancing early detection of Autism Spectrum Disorder by applying an integrated two-stage screening approach. Journal of Child Psychology and Psychiatry, 51, 250258. doi: 10.1111/j.1469-7610.2009.02150x Google Scholar
Reichow, B., Barton, E.E., Boyd, B.A., Hume, K. (2012). Early intensive behavioral intervention (EIBI) for young children with autism spectrum disorders (ASD). The Cochrane Database of Systematic Reviews. doi: 10.1002/14651858.CD009260.pub2.CrossRefGoogle ScholarPubMed
Sacrey, L.R., Zwaigenbaum, L., Bryson, S., Brian, J., Smith, I.M., Roberts, W., Szatmari, P., Roncadin, C., Garon, N., Novak, C., Vaillancourt, T., McCormick, T., MacKinnon, B., Jilderda, S., & Armstrong, V. (2015). Can parents’ concerns predict Autism Spectrum Disorder? A prospective study of high-risk siblings from 6 to 36 months of age. Journal of the American Academy of Child & Adolescent Psychiatry, 54, 470478. doi: 10.1016/j.jaac.2015.03.014 Google Scholar
Schopler, E., Van Bourgondien, M.E., Wellman, G.J., & Love, S.R. (2010). The Childhood Autism Rating Scale 2nd Edition (C.A.R.S. 2). Los Angeles: Western Psychological Services.Google Scholar
Shattuck, P.T., Durkin, M, Maenner, M., Newschaffer, C., Mandell, D.S., Wiggins, L., Lee, L.C., Rice, C., Giarelli, E., Kirby, R., Baio, J., Pimyo-Martin, J., Cuniff, C. (2009). Timing of identification among children with an Autism Spectrum Disorder: Findings from a population-based surveillance study. Journal of the American Academy of Child and Adolescent Psychiatry, 48, 474483. doi: 10.1097/CHI.0b013e31819b3848 Google Scholar
Shattuck, P.T., & Grosse, S.D (2007). Issues related to the diagnosis and treatment of autism spectrum disorders. Mental Retardation and Developmental Disabilities Research Reviews, 13, 129135. doi: 10.1002/mrdd.20143 Google Scholar
Ward, S.L., Sullivan, K.A., & Gilmore, L. (in press). Practitioner perceptions of the assessment and diagnosis of Autism in Australia [Special issue]. Australian Psychologist.Google Scholar
Ward, S.L., & Gilmore, L. (2010). The Autistic Behavioural Indicators Instrument (ABII): development and instrument utility in discriminating Autistic Disorder from speech and language impairment and typical development. Research in Autism Spectrum Disorders, 4, 2842. doi: 10.1016/j.rasd.2009.07.003 Google Scholar
Wetherby, A.M., Woods, J., Allen, L., Cleary, J., Dickinson, H., & Lord, C. (2004). Early indicators of Autism Spectrum Disorders in the second year of life. Journal of Autism and Developmental Disorders, 34, 473493. doi: 10.1007/s10803-004-2544-y Google Scholar
Whitehouse, A.J.O., Barry, J.G., & Bishop, D.V.M. (2007). The broader language phenotype of autism: A comparison with specific language impairment. Journal of Child Psychology and Psychiatry, 48, 822830. doi: 10.1111/j.1469-7610.2007.01765.x CrossRefGoogle ScholarPubMed
Zuckerman, K.E., Lindly, O.J., & Sinche, B.K. (2015). Parental Concerns, provider response, and timeliness of Autism Spectrum Disorder diagnosis. The Journal of Pediatrics, 166, 14311439. doi: 10.1016/j.jpeds.2015.03.007 CrossRefGoogle ScholarPubMed