ERIC Number: EJ1136866
Record Type: Journal
Publication Date: 2017-May
Pages: 8
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-0162-3257
EISSN: N/A
Brief Report: An Exploratory Study of the Diagnostic Reliability for Autism Spectrum Disorder
Taylor, Lauren J.; Eapen, Valsamma; Maybery, Murray; Midford, Sue; Paynter, Jessica; Quarmby, Lyndsay; Smith, Timothy; Williams, Katrina; Whitehouse, Andrew J.
Journal of Autism and Developmental Disorders, v47 n5 p1551-1558 May 2017
Previous research shows inconsistency in clinician-assigned diagnoses of Autism Spectrum Disorder (ASD). We conducted an exploratory study that examined the concordance of diagnoses between a multidisciplinary assessment team and a range of independent clinicians throughout Australia. Nine video-taped Autism Diagnostic Observation Schedule (ADOS) assessments were collected from two Australian sites. Twenty-seven Australian health professionals each observed two video-recordings and rated the degree to which the individual met the DSM-5 criteria for ASD. There was 100% agreement on the diagnostic classification for only 3 of the 9 video clips (33%), with the remaining 6 clips (66%) reaching poor reliability. In addition, only 24% of the participating clinicians achieved "good" or "excellent" levels of agreement (Cohen's kappa > 0.6) with the original ASD assessment. These findings have implications for clinical guidelines for ASD assessments.
Descriptors: Autism, Pervasive Developmental Disorders, Clinical Diagnosis, Foreign Countries, Diagnostic Tests, Observation, Video Technology, Evaluation Criteria, Reliability, Interrater Reliability
Springer. 233 Spring Street, New York, NY 10013. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-348-4505; e-mail: service-ny@springer.com; Web site: http://www.springerlink.com
Publication Type: Journal Articles; Reports - Research
Education Level: N/A
Audience: N/A
Language: English
Sponsor: N/A
Authoring Institution: N/A
Identifiers - Location: Australia
Identifiers - Assessments and Surveys: Autism Diagnostic Observation Schedule
Grant or Contract Numbers: N/A