Challenges in Measuring Social Communication Changes in Verbally Fluent Autistic Individuals: Development of the Brief Observation of Social Communication Change: Fluent 1 and Fluent 2 (BOSCC-F1/F2).

Katherine Byrne, Elaine B Clarke, Kyle Sterrett, Catherine Lord

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Article in Journal of autism and developmental disorders, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

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1 citing paper in PubMed.

Autism spectrum disorder in Saudi Arabia: Clinical dynamics from a multi-center study.Saudi medical journal · 2025
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Authors and funding

4 authors.

Katherine ByrneSemel Institute for Neuroscience and Human Behavior, University of California, Los Angeles (UCLA), Los Angeles, California, USA. katherinebyrne@g.ucla.edu.ORCID http://orcid.org/0000-0002-2967-205X

Elaine B ClarkeGraduate School of Applied and Professional Psychology, Rutgers University, New Brunswick, USA.

Kyle SterrettDepartment of Pediatrics, University of Minnesota, Minneapolis, USA.

Catherine LordSemel Institute for Neuroscience and Human Behavior, University of California, Los Angeles (UCLA), Los Angeles, California, USA.

Funding

Simons Foundation 345327Simons Foundation 624965

6 · The paper itself

Abstract

purposeThe current study investigated the utility of the Brief Observation of Social Communication Change-Fluent 1 and Fluent 2 (BOSCC-F1/F2) as a potential outcome measure of social communication change by analyzing the measure's psychometric properties and initial validity.

methodsThe BOSCC-F1/F2 coding scheme was applied to 245 caregiver-implemented administrations across 114 English speaking participants between the ages of 6 and 44 years. Participants had a documented diagnosis of autism, fluent speech, and were receiving behavioral intervention during the study period.

resultsTest-retest and inter-rater reliability were good for the Early Communication and Social Reciprocity/Language domains, and fair for the Restricted and Repetitive Behavior domain. There were no statistically significant changes in the Early Communication, Social Reciprocity, Social Communication Domain or Core Total. There were also no changes in SRS Total T-scores over the same measurement period.

conclusionThe BOSCC-F1/F2 demonstrated good inter-rater and test-retest reliability with a well-fitting 3-factor structure. Yet, meaningful social communication changes were not observed over time. The goals of intervention should be considered when determining the utility of the BOSCC-F1/F2 as an outcome measure. Future research should explore the validity of the BOSCC-F1/F2 using different intervention modalities and intensities.

Indexed as

AdolescentAdultAutismMeasurementSocial communication

Identifiers

PMID40810844

DOI10.1016/j.jaac.2024.06.004

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