ArticleTelemedicine journal and e-health : the official journal of the American Telemedicine Association2015
Usability and reliability of a remotely administered adult autism assessment, the autism diagnostic observation schedule (ADOS) module 4.
Article in Telemedicine journal and e-health : the official journal of the American Telemedicine Association, 2015. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06582290 (Investigating the Clinical Utility of the Oxford Virtual Autism Assessment Tool), which is not on this map. Cited by 33 papers, 2 of them syntheses that pooled it.
What it found
Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.
The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.
The trial behind it
Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.
Investigating the Clinical Utility of the Oxford Virtual Autism Assessment Tool (OVAAT)
Who cites it
33 citing papers in PubMed, 2 syntheses or guidelines pooled it, 62 citations in OpenAlex.
- Diagnosis and symptom assessment in telepsychiatry vs. face-to-face settings: A systematic review and meta-analysis.Psychiatry and clinical neurosciences · 2025Pooled it
- Implementation of Telemental Health Services Before COVID-19: Rapid Umbrella Review of Systematic Reviews.Journal of medical Internet research · 2021Pooled it
- Reliability of Childhood Autism Rating Scale, Second Edition, Assessments Using Telepsychiatry for Children With Neurodevelopmental Disorders and Their Caregivers: Randomized Feasibility Study.JMIR formative research · 2026Trial
- Reliability of Telepsychiatry Assessments Using the Attention-Deficit/Hyperactivity Disorder Rating Scale-IV for Children With Neurodevelopmental Disorders and Their Caregivers: Randomized Feasibility Study.Journal of medical Internet research · 2024Trial
- Use of Telehealth in Autism Spectrum Disorder Assessment in Children: Evaluation of an Online Diagnostic Protocol Including the Brief Observation of Symptoms of Autism.Journal of autism and developmental disorders · 2026Article
- Telehealth autism evaluation under suboptimal network conditions: Technical parameters and clinical implications.PloS one · 2026Article
- Autism Assessment From Home: Piloting a Brief, Remote Autism Observation for Children.Journal of autism and developmental disorders · 2025Article
- An Exploration of Online and In-Person Administration of the Kaufman Brief Intelligence Test, Second Edition (KBIT-2) in Children and Adolescents Being Evaluated for Autism Spectrum Disorder.Journal of autism and developmental disorders · 2025Article
- Assessing usability and satisfaction of telephone-based psychiatry consultations in Oman: a cross-sectional study.Frontiers in digital health · 2025Article
- Assessing communicative-pragmatic ability in telehealth: e-ABaCo in autistic individuals.Frontiers in psychiatry · 2025Article
- Is the Pediatric Eosinophilic Esophagitis Symptom Score v2.0 reliable for telemedicine?Turkish journal of medical sciences · 2023Article
- "Giving the patients less work": A thematic analysis of telehealth use and recommendations to improve usability for autistic adults.Autism : the international journal of research and practice · 2023Article
- Comparison of an online adaptation of the Autism Diagnostic Observation Schedule-2 with its in-person version in an adult autism diagnostic service.BJPsych open · 2023Article
- The Brief Observation of Symptoms of Autism (BOSA): Development of a New Adapted Assessment Measure for Remote Telehealth Administration Through COVID-19 and Beyond.Journal of autism and developmental disorders · 2022Article
- Online administration of the ADOS for research with adolescents and adults in response to the pandemic.Autism research : official journal of the International Society for Autism Research · 2022Article
- "It was surprisingly equivalent to the appointment I had in person": Advantages and disadvantages of synchronous telehealth for delivering primary care for autistic adults.Autism : the international journal of research and practice · 2022Article
- Article
- Caregiver Satisfaction with Delivery of Telehealth Autism Services.Advances in neurodevelopmental disorders · 2022Article
- Autism assessment via telehealth during the Covid 19 pandemic: Experiences and perspectives of autistic adults, parents/carers and clinicians.Research in autism spectrum disorders · 2021Article
- Virtual health care for adult patients with intellectual and developmental disabilities: A scoping review.Disability and health journal · 2021Article
Corrections and comments
PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.
Authors and funding
8 authors at 1 institution in 1 country.
Funding
Abstract
introductionThe Autism Diagnostic Observation Schedule (ADOS) Module 4 is an autism assessment designed for verbally fluent adolescents and adults. Because of a shortage of available clinical expertise, it can be difficult for adults to receive a proper autism spectrum disorder (ASD) diagnostic assessment. A potential option to address this shortage is remote assessment. The objective of this study was to examine the feasibility, usability, and reliability of administering the ADOS Module 4 remotely using the Versatile and Integrated System for Telerehabilitation (VISYTER). MATERIALS AND
methodsVISYTER consists of computer stations at the client site and clinician site for video communication and a Web portal for managing and coordinating the assessment process. Twenty-three adults with an ASD diagnosis participated in a within-subject crossover design study in which both a remote ADOS and a face-to-face ADOS were administered. After completing the remote ADOS, participants completed a satisfaction survey.
resultsParticipant satisfaction with the remote ADOS delivery system was high. The kappa value was greater than 0.61 on 21 of 31 ADOS items. There was substantial agreement on ADOS classification (i.e., diagnosis) between assessments delivered face-to-face versus assessments delivered remotely (interclass coefficient=0.92). Non-agreement may have been due to outside factors or practice effect despite a washout period.
conclusionsThe results of this study demonstrate that an autism assessment designed to be delivered face to face can be administered remotely using an integrated Web-based system with high levels of usability and reliability.
Indexed as
Identifiers
What OpenQuestion holds
Registered trials
Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.