Usability and Reliability of a Remotely Administered Adult Autism Assessment, the Autism Diagnostic Observation Schedule (ADOS) Module 4
| Autor: | Benjamin L. Handen, Allen N. Lewis, John J. McGonigle, Michael McCue, I Wayan Pulantara, Bambang Parmanto, Andi Saptono, Jamie L. Schutte |
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| Jazyk: | angličtina |
| Rok vydání: | 2015 |
| Předmět: |
Adult
Male medicine.medical_specialty Telemedicine Adolescent Health Informatics Telehealth Severity of Illness Index Autism Diagnostic Observation Schedule Young Adult Health Information Management Telerehabilitation Surveys and Questionnaires medicine Humans Medical physics Autistic Disorder Original Research Cross-Over Studies business.industry Patient Selection Telepsychiatry Reproducibility of Results Usability General Medicine Equipment Design Professional-Patient Relations medicine.disease Autism spectrum disorder Patient Satisfaction Physical therapy Telecommunications Autism Female business |
| Popis: | Introduction: The Autism Diagnostic Observation Schedule (ADOS) Module 4 is an autism assessment designed for verbally fluent adolescents and adults. Because of a shortage of available clinical expertise, it can be difficult for adults to receive a proper autism spectrum disorder (ASD) diagnostic assessment. A potential option to address this shortage is remote assessment. The objective of this study was to examine the feasibility, usability, and reliability of administering the ADOS Module 4 remotely using the Versatile and Integrated System for Telerehabilitation (VISYTER). Materials and Methods: VISYTER consists of computer stations at the client site and clinician site for video communication and a Web portal for managing and coordinating the assessment process. Twenty-three adults with an ASD diagnosis participated in a within-subject crossover design study in which both a remote ADOS and a face-to-face ADOS were administered. After completing the remote ADOS, participants completed a satisfaction survey. Results: Participant satisfaction with the remote ADOS delivery system was high. The kappa value was greater than 0.61 on 21 of 31 ADOS items. There was substantial agreement on ADOS classification (i.e., diagnosis) between assessments delivered face-to-face versus assessments delivered remotely (interclass coefficient=0.92). Non-agreement may have been due to outside factors or practice effect despite a washout period. Conclusions: The results of this study demonstrate that an autism assessment designed to be delivered face to face can be administered remotely using an integrated Web-based system with high levels of usability and reliability. |
| Databáze: | OpenAIRE |
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