Informant (Dis)agreement on Ratings of Challenging Behaviors and Social Communication in Preschool Children with Autism Spectrum Disorder

Autor/inn/en	Reetzke, Rachel; Pfeiffer, Danika; Kalb, Luther G.; Holingue, Calliope; Zetlmeisl, Carrie; Hong, Ji Su; Landa, Rebecca
Titel	Informant (Dis)agreement on Ratings of Challenging Behaviors and Social Communication in Preschool Children with Autism Spectrum Disorder
Quelle	In: Journal of Speech, Language, and Hearing Research, 64 (2021) 7, S.2766-2775 (10 Seiten) PDF als Volltext Verfügbarkeit
Zusatzinformation	ORCID (Reetzke, Rachel)
Sprache	englisch
Dokumenttyp	gedruckt; online; Zeitschriftenaufsatz
ISSN	1092-4388
Schlagwörter	Autism; Pervasive Developmental Disorders; Preschool Children; Child Behavior; Behavior Problems; Communication Skills; Interpersonal Competence; Speech Language Pathology; Allied Health Personnel; Parents; Attitudes; Receptive Language; Expressive Language; Autism Diagnostic Observation Schedule + Suchen Sie Ihr Suchwort? Autismus; Pre-school age; Preschool age; Child; Children; Pre-school education; Preschool education; Vorschulalter; Kind; Kinder; Vorschulkind; Vorschulkinder; Vorschulerziehung; Vorschule; Kommunikationsstil; Interpersonale Kompetenz; Eltern; Attitude; Einstellung; Verhalten; Rezeptive Kommunikationsfähigkeit
Abstract	Purpose: Cross-informant ratings are considered best practice for assessing children with autism spectrum disorder (ASD). However, informant disagreement often occurs, which can pose significant challenges to various aspects of clinical services. This study explored the degree of parent and speech-language pathologist (SLP) agreement on ratings of challenging behaviors and social communication skills in preschool children with ASD. Method: Fifty-eight informant ratings of challenging behaviors and social communication skills were collected from parents and SLPs on the same 29 preschool children with ASD (M = 49.93 months, SD = 11.67 months) using the Pervasive Developmental Disorder Behavior Inventory. Parent versus SLP group rating comparisons were assessed with paired t tests and Cohen's d effect sizes. Intraclass correlation coefficients were calculated to examine interrater reliability between individual parent and SLP ratings. Bland-Altman plots were generated to evaluate informant agreement across the entire range of Pervasive Developmental Disorder Behavior Inventory composite scores. Results: Group comparisons indicated that parents rated arousal regulation problems as more severe than SLPs, with no other group differences observed. Parents and SLPs exhibited poor agreement on ratings of challenging behaviors; however, moderate to good agreement was observed for social communication ratings. Conclusions: These results highlight the importance of including parents in the assessment and treatment planning process for preschool children with ASD, as parents may report key behavioral concerns that clinicians may not otherwise observe. Understanding behaviors that may be more prone to informant disagreement has implications for promoting a shared understanding of behavioral concerns and treatment targets between parents and clinicians. (As Provided).
Anmerkungen	American Speech-Language-Hearing Association. 2200 Research Blvd #250, Rockville, MD 20850. Tel: 301-296-5700; Fax: 301-296-8580; e-mail: slhr@asha.org; Web site: http://jslhr.pubs.asha.org
Erfasst von	ERIC (Education Resources Information Center), Washington, DC
Update	2024/1/01