The Brief Observation of Symptoms of Autism (BOSA): Development of a New Adapted Assessment Measure for Remote Telehealth Administration Through COVID-19 and Beyond
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Abstract
Interest in telehealth assessment for autism has increased due to COVID-19 and subsequent expansion of remote psychological services, though options that are easy for clinicians to adopt and available through the lifespan are limited. The Brief Observation of Symptoms of Autism (BOSA) provides a social context with standardized materials and activities that can be coded by clinicians trained in the Autism Diagnostic Observation Schedule. The current project examined psychometric properties to determine optimal use for each BOSA version. Three hundred and seven participants with 453 BOSAs were included to determine best performing items for algorithms, validity, sensitivity, specificity, recommended cut-offs, and proposed ranges of concern. While preliminary, the BOSA provides a promising new option for telehealth-administered assessment for autism.
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SciScore for 10.1101/2021.11.01.21265761: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics not detected. Sex as a biological variable The Toddler Module included 94 observations from 47 children (29 ASD, 21 females) with ages ranging from 15 to 38 months (M = 25.30, SD = 4.31). Randomization The administrations were randomly selected and coded by coders blind to diagnosis. Blinding The administrations were randomly selected and coded by coders blind to diagnosis. Power Analysis not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations …SciScore for 10.1101/2021.11.01.21265761: (What is this?)
Please note, not all rigor criteria are appropriate for all manuscripts.
Table 1: Rigor
Ethics not detected. Sex as a biological variable The Toddler Module included 94 observations from 47 children (29 ASD, 21 females) with ages ranging from 15 to 38 months (M = 25.30, SD = 4.31). Randomization The administrations were randomly selected and coded by coders blind to diagnosis. Blinding The administrations were randomly selected and coded by coders blind to diagnosis. Power Analysis not detected. Table 2: Resources
No key resources detected.
Results from OddPub: We did not detect open data. We also did not detect open code. Researchers are encouraged to share open data when possible (see Nature blog).
Results from LimitationRecognizer: We detected the following sentences addressing limitations in the study:Completing cognitive testing remotely can be done but has limitations, particularly for young children and youth with attentional or social difficulties. Solely completing ASD-specific testing does not give a full diagnostic picture and could cause a clinician to misinterpret difficulties or delays related to other factors of development (e.g., when social skills are immature for chronological age, but may be consistent with developmental level). For this reason, understanding an individual’s cognitive functioning is an important factor in putting their social skills and behaviors into context. Some widely used cognitive measures (e.g., Wechsler series) have been made available online, though there are limitations to which tasks can be administered remotely or without using shared materials and manipulatives. Caregivers may be able to act as facilitators in testing cognitive abilities or developmental level for children, though caution should be used in interpretation of results, as parents could unknowingly provide prompting, making it more difficult to determine the child’s true ability level. Interviews, such as the Vineland Adaptive Behavior Scales, Third Edition (Vineland-3; Sparrow et al., 2016), can be conducted over telehealth to aid in obtaining a thorough report on adaptive functioning. With these considerations and limitations in mind, obtaining comprehensive information should be prioritized to get a full and accurate diagnostic picture as assessment services cont...
Results from TrialIdentifier: No clinical trial numbers were referenced.
Results from Barzooka: We did not find any issues relating to the usage of bar graphs.
Results from JetFighter: We did not find any issues relating to colormaps.
Results from rtransparent:- Thank you for including a conflict of interest statement. Authors are encouraged to include this statement when submitting to a journal.
- Thank you for including a funding statement. Authors are encouraged to include this statement when submitting to a journal.
- No protocol registration statement was detected.
Results from scite Reference Check: We found no unreliable references.
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