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The Autism Diagnostic Observation Schedule-Second Edition (ADOS-2) is an activity-based assessment administered by trained clinicians to evaluate communication skills, social interaction, and imaginative use of materials in individuals who are suspected to have autism spectrum disorder (ASD).
The ADOS-2, module four (for adolescents and adults with fluent language ability) [18] is principally a semi-structured interview, involving tasks which facilitate interaction between the interviewee and the administrator, which takes on average 60 min to complete.
The ADOS-2 incorporates the use of planned social activities designed for different developmental levels and chronological ages that provide situations in which social interactions, communication and particular types of behaviors are likely to appear.
The sum of the individual behavior scores is the overall score on the test module. The threshold levels for an ASD diagnosis may vary according to both module and age-level\u2026 a 13 on Module 3 might be perfectly normal for an 8-year-old, but indicate low-functioning ASD for a 19-year-old. Sponsored Content.
A total score of 29 or more is indicative of clinically significant autism traits (Broadbent, et al., 2013). Using the cut-off score of 29 has a false positive rate of 1%, however will fail to identify 14.4% of people who actually do meet the diagnostic criteria for DSM-5 defined Autism Spectrum Disorder.
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An ADOS Score is Just One Element of an ASD Diagnosis The behaviors of the test subject are given a score of between zero and three, weighed against the normal behavior of a neurotypical person taking the test. Zero indicates a normal behavior while three indicates abnormal function.
The ADOS is a semi-structured, standardised assessment of communication, social interaction, and play or imaginative use of materials for individuals who have been referred because of possible autism.
For the diagnostic cut-off, the sum of the two subscales is used, with a score of 8 or more indicating an autism diagnosis.
The ADOS consists of four modules, appropriate for children and adults of differing language levels, ranging from non-verbal to verbally fluent. The most able, verbally fluent, children may be assessed with module 3; less verbal children with modules 1 or 2. Module 4 is appropriate for verbal adolescents and adults.
Within each age-language cell, ADOS-2 total scores are matched to their corresponding comparison scores. The comparison score ranges from 1\u201310, where 1 indicates minimal-to-no evidence of autism-related symptoms and 10 indicates a high level of impairment.

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