Autism Diagnostic Observation Schedule

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Autism Diagnostic Observation Schedule

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About Autism Diagnostic Observation Schedule

Scale Name

Autism Diagnostic Observation Schedule – Second Edition

Author Details

Catherine Lord, Michael Rutter, Pamela C. DiLavore, Susan Risi, Katherine Gotham, and Somer L. Bishop

Translation Availability

Not Sure

Autism Diagnostic Observation Schedule - Second Edition
Autism Diagnostic Observation Schedule – Second Edition

Background/Description

The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) wasn’t born in a vacuum. It arose from a need to improve upon the already respected Autism Diagnostic Observation Schedule (ADOS). The original ADOS had become a staple in diagnosing Autism Spectrum Disorder (ASD), but there was room for growth. Recognizing this, Dr. Catherine Lord and her team set out to create a more robust assessment tool.

The ADOS-2, released in 2012, marked a significant advancement. It wasn’t just a minor update. The revision included several key changes that expanded its reach and accuracy. First, the norms were refreshed to reflect the evolving scientific understanding of ASD. This ensured the ADOS-2 remained aligned with current knowledge about the disorder. Second, the algorithms used to score Modules 1 to 3 were refined, leading to more precise assessments.

Perhaps the most notable addition was the brand new Toddler Module (T). This entirely new module specifically catered to children between 12 and 30 months old. Previously, the ADOS had limitations in assessing very young children. The Toddler Module filled this critical gap, allowing the ADOS-2 to effectively evaluate a much wider age range. Finally, the developers ensured the ADOS-2 remained compatible with the leading diagnostic framework for ASD. They accomplished this by aligning the diagnostic criteria with the most recent edition of the Diagnostic and Statistical Manual of Mental Disorders (DSM-5). This crucial step ensured the ADOS-2 continued to be a valuable tool in the comprehensive diagnosis of ASD.

Administration, Scoring and Interpretation

The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) administration is a multi-step process conducted by a trained clinician. Here’s a breakdown of the key aspects:

Preparation:

  • Clinician Qualifications: Only a qualified professional who has received specific training in ADOS-2 administration and scoring can conduct the assessment.
  • Selecting the Module: Different modules exist within the ADOS-2, each suited for specific age ranges and communication levels. The clinician will select the most appropriate module based on the individual’s chronological age and expressive language skills.

During the Assessment:

  • Structured Activities: The ADOS-2 utilizes a set of standardized activities designed to elicit behaviors relevant to ASD diagnosis. These activities may involve social interaction tasks, imaginative play with toys, or using common objects in unique ways.
  • Flexibility: While structured, the ADOS-2 allows for some flexibility. The clinician can adjust the activities or difficulty level to better suit the individual’s needs and keep them engaged.
  • Observation and Coding: Throughout the assessment, the clinician observes the individual’s communication, social interaction, use of materials in play, and repetitive behaviors. They then code these observations based on a standardized scoring system.

Reliability and Validity

The Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) is considered a reliable and valid tool for diagnosing Autism Spectrum Disorder (ASD) across various studies. Here’s a breakdown of its strengths in these areas:

Reliability:

  • Standardized Administration and Scoring: The ADOS-2 has a set of guidelines for both administering the assessment and scoring the observations. This consistency helps ensure that different clinicians get similar results, even if they are evaluating individuals in different settings.
  • High Internal Consistency: Studies have shown high Cronbach’s alpha values for the ADOS-2 modules, indicating strong internal consistency. This means the different items within each module tend to measure the same underlying construct (ASD symptoms) effectively.

Validity:

  • Strong Diagnostic Agreement: Research suggests good agreement between ADOS-2 scores and clinician diagnoses based on gold-standard criteria like the DSM-5. This indicates the ADOS-2 effectively captures behaviors relevant to ASD diagnosis.
  • Differentiates ASD from Other Conditions: The ADOS-2 can help distinguish ASD from other developmental disorders or intellectual disabilities. This is because the scoring system focuses on specific behaviors characteristic of ASD.
  • Predictive Validity: Some studies have explored the predictive validity of the ADOS-2, suggesting it may be helpful in predicting future outcomes or needs for individuals with ASD.

Available Versions

18-Items

Reference

(ADOS®-2) autism diagnostic observation scheduleTM, Second edition. (ADOS®-2) Autism Diagnostic Observation Schedule, Second Edition. (n.d.). https://www.wpspublish.com/ados-2-autism-diagnostic-observation-schedule-second-edition

Important Link

Scale File:

Frequently Asked Questions

What is the ADOS-2?
A standardized tool used to diagnose Autism Spectrum Disorder (ASD) across ages.

Who can administer the ADOS-2?
Only trained professionals.

What does the ADOS-2 assess?
Communication, social interaction, play skills, and repetitive behaviors.

How long does the ADOS-2 take?
30-45 minutes, depending on the module and individual.

Is the ADOS-2 reliable?
Yes, due to standardized administration and scoring.

Is the ADOS-2 valid?
Yes, it accurately reflects ASD symptoms and aids diagnosis.

Does the ADOS-2 stand alone for diagnosis?
No, it’s one part of a comprehensive evaluation.

Are there limitations to the ADOS-2?
Yes, potential cultural bias and subjectivity in scoring exist.

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