NotesFAQContact Us
Collection
Advanced
Search Tips
Back to results
ERIC Number: ED618108
Record Type: Non-Journal
Publication Date: 2020
Pages: 12
Abstractor: As Provided
ISBN: N/A
ISSN: EISSN-
EISSN: N/A
Available Date: N/A
Concordance between a U.S. Educational Autism Classification and the Autism Diagnostic Observation Schedule
Maddox, Brenna B.; Rump, Keiran M.; Stahmer, Aubyn C.; Suhrheinrich, Jessica; Rieth, Sarah R.; Nahmias, Allison S.; Nuske, Heather J.; Reisinger, Erica M.; Crabbe, Samantha R.; Bronstein, Briana; Mandell, David S.
Grantee Submission
Objective: States in the United States differ in how they determine special education eligibility for autism services. Few states include an autism-specific diagnostic tool in their evaluation. In research, the Autism Diagnostic Observation Schedule (ADOS for first edition, ADOS-2 for second edition) is considered the gold-standard autism assessment. The purpose of this study was to estimate the proportion of children with an educational classification of autism who exceed the ADOS/ADOS-2 threshold for autism spectrum (concordance rate). Method: Data were drawn from four school-based studies across two sites (Philadelphia, Pennsylvania and San Diego, California). Participants comprised 627 children (ages 2-12 years; 83% male) with an autism educational classification. Analyses included 1) calculating the concordance rate between educational and ADOS/ADOS-2 classifications, and 2) estimating the associations between concordance and child's cognitive ability, study site, and ADOS/ADOS-2 administration year using logistic regression. Results: More (97.5%) San Diego participants (all assessed with the ADOS-2) met ADOS/ADOS-2 classification than did Philadelphia participants assessed with the ADOS-2 (92.2%) or ADOS (82.9%). Children assessed more recently were assessed with the ADOS-2; this group was more likely to meet ADOS/ADOS-2 classification than the group assessed a longer time ago with the ADOS. Children with higher IQ were less likely to meet ADOS/ADOS-2 classification. Conclusions: Most children with an educational classification of autism meet ADOS/ADOS-2 criteria, but results differ by site and also by ADOS version and/or recency of assessment. Educational classification may be a reasonable but imperfect measure to include children in community-based trials. [This paper was published in "Journal of Clinical Child & Adolescent Psychology" v49 n4 p469-475 2020.]
Publication Type: Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: National Institute of Mental Health (NIMH) (DHHS/NIH); Institute of Education Sciences (ED)
Authoring Institution: N/A
Identifiers - Location: Pennsylvania (Philadelphia); California (San Diego)
Identifiers - Assessments and Surveys: Autism Diagnostic Observation Schedule
IES Funded: Yes
Grant or Contract Numbers: F32MH111166; R01MH106175; 1R01MH083717; R324A080195; R324A140005
Author Affiliations: N/A