Evaluating the appropriateness of a new computer-administered measure of adaptive function for children and youth with autism spectrum disorders

Autism. 2016 Jan;20(1):14-25. doi: 10.1177/1362361314564473. Epub 2015 Jan 28.

Abstract

The Pediatric Evaluation of Disability Inventory-Computer Adaptive Test is an alternative method for describing the adaptive function of children and youth with disabilities using a computer-administered assessment. This study evaluated the performance of the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test with a national sample of children and youth with autism spectrum disorders aged 3-21 years. Parents (n = 365) completed an online survey that included demographics, the Social Communication Questionnaire, and the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test Social/Cognitive, Daily Activities, and Responsibility domains. Item response theory analysis confirmed items in each domain fit a unidimensional model and few items misfit. A large number of items in the Social/Cognitive domain showed differential item functioning, indicating a unique order of item difficulty in this population in this domain. Differences in item difficulty estimates were addressed through a parameter linking (equating) process. Simulations supported the accuracy and precision of the Computer Adaptive Test. Results suggest that the Pediatric Evaluation of Disability Inventory-Computer Adaptive Test, as modified for autism spectrum disorder, is an efficient and sound assessment for this population.

Keywords: adaptive behavior; adolescents; autism spectrum disorders; children; function; measurement.

Publication types

  • Research Support, N.I.H., Extramural

MeSH terms

  • Activities of Daily Living
  • Adaptation, Psychological*
  • Adolescent
  • Adult
  • Autism Spectrum Disorder / psychology*
  • Child
  • Child, Preschool
  • Computers
  • Disability Evaluation*
  • Factor Analysis, Statistical
  • Female
  • Health Surveys / methods*
  • Humans
  • Male
  • Psychometrics
  • Reproducibility of Results
  • Social Adjustment*
  • Social Behavior
  • Young Adult