Replication and Comparison of the Newly Proposed ADOS-2, Module 4 Algorithm in ASD Without ID: A Multi-site Study.

Recent updates have been proposed to the Autism Diagnostic Observation Schedule-2 Module 4 diagnostic algorithm. This new algorithm, however, has not yet been validated in an independent sample without intellectual disability (ID). This multi-site study compared the original and revised algorithms i...

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Published in:Journal of Autism & Developmental Disorders Vol. 45; no. 12; pp. 3919 - 3932
Main Authors: Pugliese, Cara, Kenworthy, Lauren, Bal, Vanessa, Wallace, Gregory, Yerys, Benjamin, Maddox, Brenna, White, Susan, Popal, Haroon, Armour, Anna, Miller, Judith, Herrington, John, Schultz, Robert, Martin, Alex, Anthony, Laura
Format: research tables/charts Journal Article
Published: Springer Nature Dec2015
Online Access:View this record in EBSCOhost
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        atl: Replication and Comparison of the Newly Proposed ADOS-2, Module 4 Algorithm in ASD Without ID: A Multi-site Study.
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          Pugliese, Cara
          Kenworthy, Lauren
          Bal, Vanessa
          Wallace, Gregory
          Yerys, Benjamin
          Maddox, Brenna
          White, Susan
          Popal, Haroon
          Armour, Anna
          Miller, Judith
          Herrington, John
          Schultz, Robert
          Martin, Alex
          Anthony, Laura
        affil: Center for Autism Spectrum Disorders & Children's National Research Institute, Children's National Health System, Washington USA
      sug:
        subj:
          Autism Spectrum Disorder Diagnosis
          Human
          Funding Source
          Replication Studies
          Case Control Studies
          Multicenter Studies
          Sensitivity and Specificity
          Algorithms
          United States
          Male
          Female
          Adult
          Middle Age
          Aged
          Descriptive Statistics
          Chi Square Test
          Nonparametric Statistics
          Scales
          Clinical Assessment Tools
          Intelligence Tests
          Psychological Tests
          Questionnaires
          Behavior Rating Scales
          Adult: 19-44 years
          Middle Aged: 45-64 years
          Aged: 65+ years
          Male
          Female
      ab: Recent updates have been proposed to the Autism Diagnostic Observation Schedule-2 Module 4 diagnostic algorithm. This new algorithm, however, has not yet been validated in an independent sample without intellectual disability (ID). This multi-site study compared the original and revised algorithms in individuals with ASD without ID. The revised algorithm demonstrated increased sensitivity, but lower specificity in the overall sample. Estimates were highest for females, individuals with a verbal IQ below 85 or above 115, and ages 16 and older. Best practice diagnostic procedures should include the Module 4 in conjunction with other assessment tools. Balancing needs for sensitivity and specificity depending on the purpose of assessment (e.g., clinical vs. research) and demographic characteristics mentioned above will enhance its utility.
      pubtype: Academic Journal
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    language: English
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