Evidence map›Paper›PMID 30892948›Full record

ArticleJournal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53

Concordance between a U.S. Educational Autism Classification and the Autism Diagnostic Observation Schedule.

Brenna B Maddox, Keiran M Rump, Aubyn C Stahmer, Jessica Suhrheinrich, Sarah R Rieth, Allison S Nahmias, Heather J Nuske, Erica M Reisinger, Samantha R Crabbe, Briana Bronstein and 1 more

Abstract read
In one paragraph

Article in Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 5 papers.

0numbers the graph read from it
0cells of the map it votes in
5citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from 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.

2 · The registry

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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

5 citing papers in PubMed.

  1. Trial
  2. Article
  3. Article
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  5. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

11 authors.

Brenna B MaddoxPenn Center for Mental Health, Department of Psychiatry, University of Pennsylvania.
Keiran M RumpPenn Center for Mental Health, Department of Psychiatry, University of Pennsylvania.
Aubyn C StahmerDepartment of Psychiatry and Behavioral Sciences, University of California, Davis MIND Institute.
Jessica SuhrheinrichChild and Adolescent Services Research Center.
Sarah R RiethChild and Adolescent Services Research Center.
Allison S NahmiasDepartment of Psychiatry and Behavioral Sciences, University of California, Davis MIND Institute.
Heather J NuskePenn Center for Mental Health, Department of Psychiatry, University of Pennsylvania.ORCID 0000-0001-6618-3768
Erica M ReisingerPenn Center for Mental Health, Department of Psychiatry, University of Pennsylvania.
Samantha R CrabbePenn Center for Mental Health, Department of Psychiatry, University of Pennsylvania.
Briana BronsteinPenn Center for Mental Health, Department of Psychiatry, University of Pennsylvania.
David S MandellPenn Center for Mental Health, Department of Psychiatry, University of Pennsylvania.

Funding

RCT of TeachTown in Autism Support Classrooms: Innovation and ExnovationR01MH106175 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MANDELL, DAVID S · 2015 to 2018
$2.7M
A Randomized Trial of the STAR Program for Children with Autism Spectrum DisorderR01MH083717 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MANDELL, DAVID S · 2008 to 2009
$1.4M
Improving Community Mental Health Services for Adults with ASD and Co-Occurring Psychiatric DisordersF32MH111166 · NIMH · UNIVERSITY OF PENNSYLVANIA · PI MADDOX, BRENNA · 2017 to 2019
$187k
Autism Speaks AS8874NIMH NIH HHS F32 MH111166NIMH NIH HHS R01 MH083717NIMH NIH HHS R01 MH106175
6 · The paper itself

Abstract

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). Data were drawn from 4 school-based studies across 2 sites (Philadelphia, Pennsylvania, and San Diego, California). Participants comprised 627 children (2-12 years of age; 83% male) with an autism educational classification. Analyses included (a) calculating the concordance rate between educational and ADOS/ADOS-2 classifications and (b) estimating the associations between concordance and child's cognitive ability, study site, and ADOS/ADOS-2 administration year using logistic regression. More San Diego participants (97.5%, 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 longer ago with the ADOS. Children with higher IQ were less likely to meet ADOS/ADOS-2 classification. Most children with an educational classification of autism meet ADOS/ADOS-2 criteria, but results differ by site and by ADOS version and/or recency of assessment. Educational classification may be a reasonable but imperfect measure to include children in community-based trials.

Indexed as

Autistic DisorderChildChild Development Disorders, PervasiveChild, PreschoolFemaleHumansMaleUnited States

Identifiers

PMID30892948
PMCPMC6754325

What OpenQuestion holds

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Registered trials

None linked

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.