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What is the concordance between parent- and education professional-reported adaptive functioning in autistic children using the VABS-II?

Journal of autism and developmental disorders2023

Moore Heather L, Couteur Ann Le, Charman Tony, Green Jonathan, Parr Jeremy R, Grahame Victoria

What this study means for families

This study looked at how parents and teachers rate the daily living skills of autistic children. They found that parents and teachers often disagreed about children's abilities. Teachers were better at spotting skills that were just starting to develop, while parents saw skills as either there or not there. Both viewpoints are important for understanding your child's needs and planning support.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Research summary

This study examined how well parents and education professionals agree when rating adaptive functioning in 233 lower-ability autistic children using the Vineland Adaptive Behavior Scales-II (VABS-II). Results showed low agreement between informants at both domain and item levels, with better concordance on objectively measurable behaviors. Higher child nonverbal ability was associated with improved agreement between raters. When disagreements occurred, education professionals were more likely to identify emerging skills, while parents tended to rate behaviors as either fully present or absent.

The findings suggest that adaptive functioning assessments should incorporate perspectives from multiple settings to develop more comprehensive and personalized interventions.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Key findings

  • 1

    Low agreement between parents and education professionals on VABS-II ratings at both domain and item levels

    Confidence: moderateRelevance: Suggests need for multi-informant assessment approaches in clinical practice
  • 2

    Better concordance on objectively measured behaviors compared to subjective assessments

    Confidence: moderateRelevance: Indicates reliability varies by behavior type and measurement approach
  • 3

    Higher child nonverbal ability associated with improved parent-professional concordance

    Confidence: moderateRelevance: May inform assessment protocols based on child characteristics
  • 4

    Education professionals more likely to identify emergent skills; parents more likely to rate behaviors as present/absent

    Confidence: moderateRelevance: Highlights different perspectives that may complement intervention planning

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Clinical implications

Multi-informant assessment approaches should be standard practice for adaptive functioning evaluation. Different rater perspectives provide complementary information for intervention planning. Assessment protocols may need adjustment based on child's nonverbal ability level.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Limitations

Limited to lower-ability autistic children from single research sample. Abstract does not specify study methodology or potential confounding variables. Generalizability to broader autism population unclear.

Summary by AutismInsights from published abstract. This is not a substitute for reading the original paper.

Original abstract

Adaptive functioning of autistic children is traditionally measured through informant-report, often from parents. Behaviour varies across settings though, and context-specific reports should be considered. Limited and inconsistent results show low parent-education professional concordance, but no research has yet explored item level response variation. We investigated Vineland Adaptive Behaviour Scales-II concordance using 233 lower ability autistic children from the PACT-G sample.

Domain and item level agreement was low, but better on objectively measured behaviours. Higher child nonverbal ability improved concordance. Where disagreements occurred, education professionals identified emergent skills more and parents were more likely to rate present/absent. Parents and education professionals view the adaptive abilities of autistic children differently and both should be considered when developing personalised interventions and support.

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Evidence Grade

Emerging

moderate

Grade assigned by AutismInsights based on study type and published abstract.

Study Details

Journal
Journal of autism and developmental disorders
Year
2023
PMID
35579790
DOI
10.1007/s10803-022-05602-2

MeSH Terms

HumansChildAutistic DisorderAutism Spectrum DisorderAdaptation, PsychologicalParentsEducational Status