Evidence map›Paper›PMID 32355908›Full record

ArticleAutism in adulthood2020

Creating Accessible Survey Instruments for Use with Autistic Adults and People with Intellectual Disability: Lessons Learned and Recommendations.

Christina Nicolaidis, Dora M Raymaker, Katherine E McDonald, Emily M Lund, Sandra Leotti, Steven K Kapp, Marsha Katz, Leanne M Beers, Clarissa Kripke, Joelle Maslak and 2 more

Abstract read
In one paragraph

Article in Autism in adulthood, 2020. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 86 papers, 4 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
86citing papers in PubMed, 4 pooled it
–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

86 citing papers in PubMed, 4 syntheses or guidelines pooled it.

  1. Pooled it
  2. AI in Medical Questionnaires: Scoping ReviewJournal of medical Internet research · 2025
    Pooled it
  3. Pooled it
  4. Loneliness in autistic adults: A systematic review.Autism : the international journal of research and practice · 2022
    Pooled it
  5. Trial
  6. Trial
  7. Article
  8. A Comprehensive Toolkit to Support Self-Report Questionnaires for Autistic Adults With Cognitive Disability.Journal of applied research in intellectual disabilities : JARID · 2026
    Article
  9. Article
  10. Review
  11. Assessing Psychiatric Symptoms in Autistic Youth Using the K-CATJournal of autism and developmental disorders · 2026
    Article
  12. Article
  13. Article
  14. Exploring Patterns of Self-Harm in Autistic Adults Using the Card Sort Task for Self-Harm.Autism : the international journal of research and practice · 2026
    Article
  15. Article
  16. Article
  17. Article
  18. Content Validity of the K-CATJournal of autism and developmental disorders · 2026
    Article
  19. Article
  20. Article

26 more citing papers are in PubMed but not listed here.

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

12 authors.

Christina NicolaidisSchool of Social Work, Portland State University, Portland, Oregon.
Dora M RaymakerSchool of Social Work, Portland State University, Portland, Oregon.
Katherine E McDonaldAcademic Autism Spectrum Partnership in Research and Education, Portland, Oregon.
Emily M LundPartnering with People with Developmental Disabilities to Address Violence Consortium, Missoula, Montana.
Sandra LeottiSchool of Social Work, Portland State University, Portland, Oregon.
Steven K KappAcademic Autism Spectrum Partnership in Research and Education, Portland, Oregon.
Marsha KatzPartnering with People with Developmental Disabilities to Address Violence Consortium, Missoula, Montana.
Leanne M BeersPartnering with People with Developmental Disabilities to Address Violence Consortium, Missoula, Montana.
Clarissa KripkeAcademic Autism Spectrum Partnership in Research and Education, Portland, Oregon.
Joelle MaslakAcademic Autism Spectrum Partnership in Research and Education, Portland, Oregon.
Morrigan HunterAcademic Autism Spectrum Partnership in Research and Education, Portland, Oregon.
Kelly Y ZhenSchool of Social Work, Portland State University, Portland, Oregon.

Funding

EXITO: Enhancing Cross-disciplinary Infrastructure and Training at OregonUL1GM118964 · NIGMS · PORTLAND STATE UNIVERSITY · PI KELLER, THOMAS E · 2015 to 2023
$18.0M
EXITO: Enhancing Cross-disciplinary Infrastructure and Training at OregonRL5GM118963 · NIGMS · PORTLAND STATE UNIVERSITY · PI KELLER, THOMAS E · 2015 to 2023
$11.9M
Oregon Clinical and Translational Research Institute KL2 SupplementKL2TR002370 · NCATS · OREGON HEALTH & SCIENCE UNIVERSITY · PI Catherine Lee Hough · 2017 to 2026
$10.1M
EXITO: Enhancing Cross-disciplinary Infrastructure and Training at OregonTL4GM118965 · NIGMS · PORTLAND STATE UNIVERSITY · PI KELLER, THOMAS E · 2015 to 2022
$10.1M
Health System Integration of Tools to Improve Primary Care for Autistic AdultsR34MH111536 · NIMH · PORTLAND STATE UNIVERSITY · PI NICOLAIDIS, CHRISTINA M · 2017 to 2018
$690k
Partnering with Autistic Adults to Develop Tools to Improve Primary HealthcareR34MH092503 · NIMH · PORTLAND STATE UNIVERSITY · PI NICOLAIDIS, CHRISTINA M · 2011 to 2012
$628k
NCATS NIH HHS KL2 TR002370NIGMS NIH HHS RL5 GM118963NIGMS NIH HHS TL4 GM118965NIGMS NIH HHS UL1 GM118964NIMH NIH HHS R34 MH092503NIMH NIH HHS R34 MH111536
6 · The paper itself

Abstract

Despite growing appreciation of the need for research on autism in adulthood, few survey instruments have been validated for use with autistic adults. We conducted an institutional ethnography of two related partnerships that used participatory approaches to conduct research in collaboration with autistic people and people with intellectual disability. In this article, we focus on lessons learned from adapting survey instruments for use in six separate studies. Community partners identified several common problems that made original instruments inaccessible. Examples included: (1) the use of difficult vocabulary, confusing terms, or figures of speech; (2) complex sentence structure, confusing grammar, or incomplete phrases; (3) imprecise response options; (4) variation in item response based on different contexts; (5) anxiety related to not being able to answer with full accuracy; (6) lack of items to fully capture the autism-specific aspects of a construct; and (7) ableist language or concepts. Common adaptations included: (1) adding prefaces to increase precision or explain context; (2) modifying items to simplify sentence structure; (3) substituting difficult vocabulary words, confusing terms, or figures of speech with more straightforward terms; (4) adding hotlinks that define problematic terms or offer examples or clarifications; (5) adding graphics to increase clarity of response options; and (6) adding new items related to autism-specific aspects of the construct. We caution against using instruments developed for other populations unless instruments are carefully tested with autistic adults, and we describe one possible approach to ensure that instruments are accessible to a wide range of autistic participants. LAY SUMMARY:

Indexed as

accessibilityautism in adulthoodcommunity-based participatory researchintellectual and developmental disabilitypatient-reported outcome measurespsychometricssurvey adaptation

Identifiers

PMID32355908
PMCPMC7188318

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

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.