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dc.contributor.authorWright, Barry
dc.contributor.authorPhillips, H
dc.contributor.authorAllgar, Victoria
dc.contributor.authorSweetman, J
dc.contributor.authorHodkinson, Rachel
dc.contributor.authorHayward, Emily
dc.contributor.authorRalph-Lewis, A
dc.contributor.authorTeige, C
dc.contributor.authorBland, M
dc.contributor.authorLe Couteur, A
dc.date.accessioned2021-11-11T12:51:47Z
dc.date.available2021-11-11T12:51:47Z
dc.date.issued2022-02
dc.identifier.issn1362-3613
dc.identifier.issn1461-7005
dc.identifier.otherARTN 13623613211029116
dc.identifier.urihttp://hdl.handle.net/10026.1/18320
dc.description.abstract

<jats:p> A Delphi consensus methodology was used to adapt the Autism Diagnostic Interview–Revised for the assessment of deaf children with suspected autism spectrum disorder. Each Autism Diagnostic Interview–Revised item was considered by a panel of nine international experts in terms of relevance and acceptability. Modifications were proposed and agreed by the expert panel for 45% of items. The pre-specified criterion for agreement between experts was set at 80% for each item. A first validation of the revised version, adapted for deaf children (Autism Diagnostic Interview–Revised Deaf Adaptation), was undertaken with a UK sample of 78 parents/carers of deaf children with autism spectrum disorder and 126 parents/carers with deaf children without autism spectrum disorder. When compared to National Institute for Health and Care Excellence guideline standard clinical assessments, the Autism Diagnostic Interview–Revised Deaf Adaptation diagnostic algorithm cut-off/threshold scores achieved a sensitivity of 89% (79%–96%) and specificity of 81% (70%–89%) for autism spectrum disorder. The alpha coefficients for each algorithm symptom domain ranged from 0.80 to 0.91, suggesting that the items had high internal consistency. Our findings indicate that the Autism Diagnostic Interview–Revised Deaf Adaptation is likely to be a useful measure for the assessment of deaf children with suspected autism spectrum disorder, although further research is needed. </jats:p><jats:sec><jats:title>Lay abstract</jats:title><jats:p> Autism assessment processes need to improve for deaf children as they are currently being diagnosed later than their hearing counterparts and misdiagnosis can occur. We took one of the most commonly used parent developmental interviews for autism spectrum disorder the Autism Diagnostic Interview–Revised and adapted it using international expert advice. Modifications were proposed and agreed by the expert panel for 45% of items; the remaining 55% of items were unchanged. We then tested the revised version, adapted for deaf children (Autism Diagnostic Interview–Revised Deaf Adaptation), in a UK sample of 78 parents/carers of deaf children with autism spectrum disorder and 126 parents/carers with deaf children without autism spectrum disorder. When compared to National Institute for Health and Care Excellence guideline standard clinical assessments, the Autism Diagnostic Interview–Revised Deaf Adaptation diagnostic algorithm threshold scores could identify those deaf children with a definite diagnosis (true autism spectrum disorder positives) well (sensitivity of 89% (79%–96%)) and those deaf children who did not have autism spectrum disorder (true autism spectrum disorder negatives) well (specificity of 81% (70%–89%)). Our findings indicate that the Autism Diagnostic Interview–Revised Deaf Adaptation is likely to prove a useful measure for the assessment of deaf children with suspected autism spectrum disorder and that further research would be helpful. </jats:p></jats:sec>

dc.format.extent446-459
dc.format.mediumPrint-Electronic
dc.languageen
dc.language.isoeng
dc.publisherSAGE Publications
dc.subjectAutism Diagnostic Interview-Revised
dc.subjectAutism Diagnostic Interview-Revised Deaf Adaptation
dc.subjectautism spectrum disorder
dc.subjectBritish Sign Language
dc.subjectchildren
dc.subjectdeaf
dc.subjectdeaf culture
dc.subjectDelphi consensus methodology
dc.subjectgesture
dc.subjectlanguage
dc.subjectmodified
dc.titleAdapting and validating the Autism Diagnostic Interview - Revised for use with deaf children and young people
dc.typejournal-article
dc.typeJournal Article
dc.typeResearch Support, Non-U.S. Gov't
plymouth.author-urlhttps://www.webofscience.com/api/gateway?GWVersion=2&SrcApp=PARTNER_APP&SrcAuth=LinksAMR&KeyUT=WOS:000675707300001&DestLinkType=FullRecord&DestApp=ALL_WOS&UsrCustomerID=11bb513d99f797142bcfeffcc58ea008
plymouth.issue2
plymouth.volume26
plymouth.publication-statusPublished
plymouth.journalAutism
dc.identifier.doi10.1177/13623613211029116
plymouth.organisational-group/Plymouth
plymouth.organisational-group/Plymouth/Faculty of Health
plymouth.organisational-group/Plymouth/Faculty of Health/Peninsula Medical School
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA
plymouth.organisational-group/Plymouth/REF 2021 Researchers by UoA/UoA01 Clinical Medicine
plymouth.organisational-group/Plymouth/Research Groups
plymouth.organisational-group/Plymouth/Research Groups/Plymouth Institute of Health and Care Research (PIHR)
plymouth.organisational-group/Plymouth/Users by role
plymouth.organisational-group/Plymouth/Users by role/Academics
dc.publisher.placeEngland
dc.identifier.eissn1461-7005
dc.rights.embargoperiodNot known
rioxxterms.versionofrecord10.1177/13623613211029116
rioxxterms.licenseref.urihttp://www.rioxx.net/licenses/all-rights-reserved
rioxxterms.typeJournal Article/Review


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