Psychometric properties of VEAN-Hi (Valoración del Espectro Autista para Hispanos), Autism Spectrum Assessment for Hispanic Children (ASA-HiCh) A free open access instrument

Lilia Albores-Gallo, José Arturo López-Figueroa, Omar Náfate-López, Claudia Hilton, Yassel Flores-Rodríguez, Julio Moreno-López

Research output: Contribution to journalArticle

Abstract

Introduction: Early intervention in children with Autism Spectrum Disorder (ASD) improve prognosis. Although instruments can be translated, adapted and validated their performance is suboptimal compared to the original studies. The need to design culturally and context appropriate instruments for earlier assessment of Hispanic children with autism is urgent. Methods: A validity study with a case control design with 70 ASD children and 16 children with Typical Development (TD) was performed. Autism diagnosis was confirmed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (Kiddie SADS-PL/ASD-supplement) and the ADI-R. Results: Internal consistency examined by Cronbach's alpha for the 26 items of the total sample was α=0.81, p<0.01. The one-week test-retest reliability was 0.92, (95% CI 0.83-0.97), p<0.001. Using the criterion of ASD diagnosis vs. TD group a ROC curve (receiver operating characteristic) was constructed. With a cutoff of the Total ASA-HiCh score of 17, yielded an area under the curve of 0.84 (95% CI 0.74-0.94), sensitivity of 75.6 %, specificity of 87.5% and a positive predictive value of 93.9% and negative predictive value of 58.3%. For the K-SADS/ASD classification diagnosis and the ASA-HiCh score 17 the kappa value was k= 0.60, p<0.01. For children <9 years-old Kappa coefficient was k=0.72, p<0.01, and for children <5 years-old k=0.87, p<0.01. In study 2 the kappa value for DSM-IV criteria was k=0.39, p<0.001, and for DSM-5 criteria was k=0.88, p<0.001. The medians for the total score of ASA-HiCh between ASD and TD groups, were analyzed by the Mann-Whitney U test, and were 34.51 and 14.88 respectively (U=102.0 Z-4.02, p=0.001). Conclusion: The ASA-HiCh demonstrated good psychometric properties, future studies are necessary to determine the discriminant validity between ASD and other psychiatric disorders.

Original languageEnglish (US)
Pages (from-to)88-95
Number of pages8
JournalNeuropsychiatry
Volume6
Issue number3
DOIs
StatePublished - 2016
Externally publishedYes

Fingerprint

Autistic Disorder
Hispanic Americans
Psychometrics
ROC Curve
Nonparametric Statistics
Autism Spectrum Disorder
Mood Disorders
Reproducibility of Results
Diagnostic and Statistical Manual of Mental Disorders
Area Under Curve
Psychiatry
Schizophrenia
Appointments and Schedules
Sensitivity and Specificity

Keywords

  • Autism diagnosis
  • Autism Spectrum
  • Hispanic children
  • Psychometric

ASJC Scopus subject areas

  • Clinical Neurology
  • Psychiatry and Mental health

Cite this

Psychometric properties of VEAN-Hi (Valoración del Espectro Autista para Hispanos), Autism Spectrum Assessment for Hispanic Children (ASA-HiCh) A free open access instrument. / Albores-Gallo, Lilia; López-Figueroa, José Arturo; Náfate-López, Omar; Hilton, Claudia; Flores-Rodríguez, Yassel; Moreno-López, Julio.

In: Neuropsychiatry, Vol. 6, No. 3, 2016, p. 88-95.

Research output: Contribution to journalArticle

Albores-Gallo, Lilia ; López-Figueroa, José Arturo ; Náfate-López, Omar ; Hilton, Claudia ; Flores-Rodríguez, Yassel ; Moreno-López, Julio. / Psychometric properties of VEAN-Hi (Valoración del Espectro Autista para Hispanos), Autism Spectrum Assessment for Hispanic Children (ASA-HiCh) A free open access instrument. In: Neuropsychiatry. 2016 ; Vol. 6, No. 3. pp. 88-95.
@article{deb61be99bb7458782ed362bb0c55892,
title = "Psychometric properties of VEAN-Hi (Valoraci{\'o}n del Espectro Autista para Hispanos), Autism Spectrum Assessment for Hispanic Children (ASA-HiCh) A free open access instrument",
abstract = "Introduction: Early intervention in children with Autism Spectrum Disorder (ASD) improve prognosis. Although instruments can be translated, adapted and validated their performance is suboptimal compared to the original studies. The need to design culturally and context appropriate instruments for earlier assessment of Hispanic children with autism is urgent. Methods: A validity study with a case control design with 70 ASD children and 16 children with Typical Development (TD) was performed. Autism diagnosis was confirmed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (Kiddie SADS-PL/ASD-supplement) and the ADI-R. Results: Internal consistency examined by Cronbach's alpha for the 26 items of the total sample was α=0.81, p<0.01. The one-week test-retest reliability was 0.92, (95{\%} CI 0.83-0.97), p<0.001. Using the criterion of ASD diagnosis vs. TD group a ROC curve (receiver operating characteristic) was constructed. With a cutoff of the Total ASA-HiCh score of 17, yielded an area under the curve of 0.84 (95{\%} CI 0.74-0.94), sensitivity of 75.6 {\%}, specificity of 87.5{\%} and a positive predictive value of 93.9{\%} and negative predictive value of 58.3{\%}. For the K-SADS/ASD classification diagnosis and the ASA-HiCh score 17 the kappa value was k= 0.60, p<0.01. For children <9 years-old Kappa coefficient was k=0.72, p<0.01, and for children <5 years-old k=0.87, p<0.01. In study 2 the kappa value for DSM-IV criteria was k=0.39, p<0.001, and for DSM-5 criteria was k=0.88, p<0.001. The medians for the total score of ASA-HiCh between ASD and TD groups, were analyzed by the Mann-Whitney U test, and were 34.51 and 14.88 respectively (U=102.0 Z-4.02, p=0.001). Conclusion: The ASA-HiCh demonstrated good psychometric properties, future studies are necessary to determine the discriminant validity between ASD and other psychiatric disorders.",
keywords = "Autism diagnosis, Autism Spectrum, Hispanic children, Psychometric",
author = "Lilia Albores-Gallo and L{\'o}pez-Figueroa, {Jos{\'e} Arturo} and Omar N{\'a}fate-L{\'o}pez and Claudia Hilton and Yassel Flores-Rodr{\'i}guez and Julio Moreno-L{\'o}pez",
year = "2016",
doi = "10.4172/Neuropsychiatry.1000126",
language = "English (US)",
volume = "6",
pages = "88--95",
journal = "Neuropsychiatry",
issn = "1758-2008",
publisher = "University of Virginia",
number = "3",

}

TY - JOUR

T1 - Psychometric properties of VEAN-Hi (Valoración del Espectro Autista para Hispanos), Autism Spectrum Assessment for Hispanic Children (ASA-HiCh) A free open access instrument

AU - Albores-Gallo, Lilia

AU - López-Figueroa, José Arturo

AU - Náfate-López, Omar

AU - Hilton, Claudia

AU - Flores-Rodríguez, Yassel

AU - Moreno-López, Julio

PY - 2016

Y1 - 2016

N2 - Introduction: Early intervention in children with Autism Spectrum Disorder (ASD) improve prognosis. Although instruments can be translated, adapted and validated their performance is suboptimal compared to the original studies. The need to design culturally and context appropriate instruments for earlier assessment of Hispanic children with autism is urgent. Methods: A validity study with a case control design with 70 ASD children and 16 children with Typical Development (TD) was performed. Autism diagnosis was confirmed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (Kiddie SADS-PL/ASD-supplement) and the ADI-R. Results: Internal consistency examined by Cronbach's alpha for the 26 items of the total sample was α=0.81, p<0.01. The one-week test-retest reliability was 0.92, (95% CI 0.83-0.97), p<0.001. Using the criterion of ASD diagnosis vs. TD group a ROC curve (receiver operating characteristic) was constructed. With a cutoff of the Total ASA-HiCh score of 17, yielded an area under the curve of 0.84 (95% CI 0.74-0.94), sensitivity of 75.6 %, specificity of 87.5% and a positive predictive value of 93.9% and negative predictive value of 58.3%. For the K-SADS/ASD classification diagnosis and the ASA-HiCh score 17 the kappa value was k= 0.60, p<0.01. For children <9 years-old Kappa coefficient was k=0.72, p<0.01, and for children <5 years-old k=0.87, p<0.01. In study 2 the kappa value for DSM-IV criteria was k=0.39, p<0.001, and for DSM-5 criteria was k=0.88, p<0.001. The medians for the total score of ASA-HiCh between ASD and TD groups, were analyzed by the Mann-Whitney U test, and were 34.51 and 14.88 respectively (U=102.0 Z-4.02, p=0.001). Conclusion: The ASA-HiCh demonstrated good psychometric properties, future studies are necessary to determine the discriminant validity between ASD and other psychiatric disorders.

AB - Introduction: Early intervention in children with Autism Spectrum Disorder (ASD) improve prognosis. Although instruments can be translated, adapted and validated their performance is suboptimal compared to the original studies. The need to design culturally and context appropriate instruments for earlier assessment of Hispanic children with autism is urgent. Methods: A validity study with a case control design with 70 ASD children and 16 children with Typical Development (TD) was performed. Autism diagnosis was confirmed with the Schedule for Affective Disorders and Schizophrenia for School-Age Children-Present and Lifetime version (Kiddie SADS-PL/ASD-supplement) and the ADI-R. Results: Internal consistency examined by Cronbach's alpha for the 26 items of the total sample was α=0.81, p<0.01. The one-week test-retest reliability was 0.92, (95% CI 0.83-0.97), p<0.001. Using the criterion of ASD diagnosis vs. TD group a ROC curve (receiver operating characteristic) was constructed. With a cutoff of the Total ASA-HiCh score of 17, yielded an area under the curve of 0.84 (95% CI 0.74-0.94), sensitivity of 75.6 %, specificity of 87.5% and a positive predictive value of 93.9% and negative predictive value of 58.3%. For the K-SADS/ASD classification diagnosis and the ASA-HiCh score 17 the kappa value was k= 0.60, p<0.01. For children <9 years-old Kappa coefficient was k=0.72, p<0.01, and for children <5 years-old k=0.87, p<0.01. In study 2 the kappa value for DSM-IV criteria was k=0.39, p<0.001, and for DSM-5 criteria was k=0.88, p<0.001. The medians for the total score of ASA-HiCh between ASD and TD groups, were analyzed by the Mann-Whitney U test, and were 34.51 and 14.88 respectively (U=102.0 Z-4.02, p=0.001). Conclusion: The ASA-HiCh demonstrated good psychometric properties, future studies are necessary to determine the discriminant validity between ASD and other psychiatric disorders.

KW - Autism diagnosis

KW - Autism Spectrum

KW - Hispanic children

KW - Psychometric

UR - http://www.scopus.com/inward/record.url?scp=85018511431&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=85018511431&partnerID=8YFLogxK

U2 - 10.4172/Neuropsychiatry.1000126

DO - 10.4172/Neuropsychiatry.1000126

M3 - Article

VL - 6

SP - 88

EP - 95

JO - Neuropsychiatry

JF - Neuropsychiatry

SN - 1758-2008

IS - 3

ER -