| Title |
Diagnostic accuracy of the ADOS and ADOS-2 in clinical practice
|
|---|---|
| Published in |
European Child & Adolescent Psychiatry, March 2018
|
| DOI | 10.1007/s00787-018-1143-y |
| Pubmed ID | |
| Authors |
I. Kamp-Becker, K. Albertowski, J. Becker, M. Ghahreman, A. Langmann, T. Mingebach, L. Poustka, L. Weber, H. Schmidt, J. Smidt, T. Stehr, V. Roessner, K. Kucharczyk, N. Wolff, S. Stroth |
| Abstract |
The Autism Diagnostic Observation Schedule is a semi-structured, standardized assessment tool for individuals with suspected autism spectrum disorders (ASD) and is deemed to be part of the gold standard for diagnostic evaluation. Good diagnostic accuracy and interpersonal objectivity have been demonstrated for the ADOS in research setting. The question arises whether this is also true for daily clinical practice and whether diagnostic accuracy depends on specialized experience in the diagnostic evaluation. The present study explores the diagnostic accuracy of the original and the revised version of the ADOS for Modules 1 through 4. Thus, seven cases of ADOS executions were recorded and coded by a group of experts of specialized outpatient clinics for ASD. In an extensive consensus process, including video analysis of every minute of the ADOS executions, a "gold standard" coding for every case was defined. The videos of the ADOS administration were presented to a large group of clinicians (from daily clinical routine care) and their codings (n = 189) were obtained and analysed. Variance of coding and congruence with the expert coding were determined. High variance was found in the codings. The accuracy of the coding depends on the experience of the coder with the ADOS as well as on characteristics of the cases and the quality of the administration of the ADOS. Specialization in the diagnostic of ASD has to be claimed. Specialized outpatient clinics for ASD are required which guarantee a qualified diagnostic/differential diagnostic and case management with the aim of demand-oriented supply of individual cases. |
X Demographics
The data shown below were collected from the profiles of 17 X users who shared this research output. Click here to find out more about how the information was compiled.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| United Kingdom | 4 | 24% |
| United States | 2 | 12% |
| Spain | 2 | 12% |
| France | 1 | 6% |
| India | 1 | 6% |
| Chile | 1 | 6% |
| Canada | 1 | 6% |
| Unknown | 5 | 29% |
Demographic breakdown
| Type | Count | As % |
|---|---|---|
| Members of the public | 14 | 82% |
| Scientists | 2 | 12% |
| Practitioners (doctors, other healthcare professionals) | 1 | 6% |
Mendeley readers
The data shown below were compiled from readership statistics for 156 Mendeley readers of this research output. Click here to see the associated Mendeley record.
Geographical breakdown
| Country | Count | As % |
|---|---|---|
| Unknown | 156 | 100% |
Demographic breakdown
| Readers by professional status | Count | As % |
|---|---|---|
| Student > Master | 21 | 13% |
| Student > Bachelor | 21 | 13% |
| Student > Doctoral Student | 17 | 11% |
| Student > Ph. D. Student | 11 | 7% |
| Other | 8 | 5% |
| Other | 20 | 13% |
| Unknown | 58 | 37% |
| Readers by discipline | Count | As % |
|---|---|---|
| Psychology | 44 | 28% |
| Medicine and Dentistry | 20 | 13% |
| Neuroscience | 9 | 6% |
| Nursing and Health Professions | 6 | 4% |
| Social Sciences | 4 | 3% |
| Other | 12 | 8% |
| Unknown | 61 | 39% |
Attention Score in Context
This research output has an Altmetric Attention Score of 16. This is our high-level measure of the quality and quantity of online attention that it has received. This Attention Score, as well as the ranking and number of research outputs shown below, was calculated when the research output was last mentioned on 29 August 2018.
All research outputs
#2,330,692
of 25,923,151 outputs
Outputs from European Child & Adolescent Psychiatry
#283
of 1,860 outputs
Outputs of similar age
#48,131
of 350,672 outputs
Outputs of similar age from European Child & Adolescent Psychiatry
#4
of 41 outputs
Altmetric has tracked 25,923,151 research outputs across all sources so far. Compared to these this one has done particularly well and is in the 91st percentile: it's in the top 10% of all research outputs ever tracked by Altmetric.
So far Altmetric has tracked 1,860 research outputs from this source. They typically receive a lot more attention than average, with a mean Attention Score of 12.0. This one has done well, scoring higher than 84% of its peers.
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We're also able to compare this research output to 41 others from the same source and published within six weeks on either side of this one. This one has done particularly well, scoring higher than 90% of its contemporaries.