INTRODUCTION: The Autism Diagnostic Observation Schedule (ADOS) Module 4 is an autism assessment designed for verbally fluent adolescents and adults. Because of a shortage of available clinical expertise, it can be difficult for adults to receive a proper autism spectrum disorder (ASD) diagnostic assessment. A potential option to address this shortage is remote assessment. The objective of this study was to examine the feasibility, usability, and reliability of administering the ADOS Module 4 remotely using the Versatile and Integrated System for Telerehabilitation (VISYTER). MATERIALS AND METHODS: VISYTER consists of computer stations at the client site and clinician site for video communication and a Web portal for managing and coordinating the assessment process. Twenty-three adults with an ASD diagnosis participated in a within-subject crossover design study in which both a remote ADOS and a face-to-face ADOS were administered. After completing the remote ADOS, participants completed a satisfaction survey. RESULTS: Participant satisfaction with the remote ADOS delivery system was high. The kappa value was greater than 0.61 on 21 of 31 ADOS items. There was substantial agreement on ADOS classification (i.e., diagnosis) between assessments delivered face-to-face versus assessments delivered remotely (interclass coefficient=0.92). Non-agreement may have been due to outside factors or practice effect despite a washout period. CONCLUSIONS: The results of this study demonstrate that an autism assessment designed to be delivered face to face can be administered remotely using an integrated Web-based system with high levels of usability and reliability.
INTRODUCTION: The Autism Diagnostic Observation Schedule (ADOS) Module 4 is an autism assessment designed for verbally fluent adolescents and adults. Because of a shortage of available clinical expertise, it can be difficult for adults to receive a proper autism spectrum disorder (ASD) diagnostic assessment. A potential option to address this shortage is remote assessment. The objective of this study was to examine the feasibility, usability, and reliability of administering the ADOS Module 4 remotely using the Versatile and Integrated System for Telerehabilitation (VISYTER). MATERIALS AND METHODS: VISYTER consists of computer stations at the client site and clinician site for video communication and a Web portal for managing and coordinating the assessment process. Twenty-three adults with an ASD diagnosis participated in a within-subject crossover design study in which both a remote ADOS and a face-to-face ADOS were administered. After completing the remote ADOS, participants completed a satisfaction survey. RESULTS:Participant satisfaction with the remote ADOS delivery system was high. The kappa value was greater than 0.61 on 21 of 31 ADOS items. There was substantial agreement on ADOS classification (i.e., diagnosis) between assessments delivered face-to-face versus assessments delivered remotely (interclass coefficient=0.92). Non-agreement may have been due to outside factors or practice effect despite a washout period. CONCLUSIONS: The results of this study demonstrate that an autism assessment designed to be delivered face to face can be administered remotely using an integrated Web-based system with high levels of usability and reliability.
Authors: Bambang Parmanto; Andi Saptono; Gede Pramana; Wayan Pulantara; Richard M Schein; Mark R Schmeler; Michael P McCue; David M Brienza Journal: Telemed J E Health Date: 2010-10-29 Impact factor: 3.536
Authors: Bambang Parmanto; I Wayan Pulantara; Jamie L Schutte; Andi Saptono; Michael P McCue Journal: Telemed J E Health Date: 2012-12-11 Impact factor: 3.536
Authors: David J Reinkensmeyer; Sarah Blackstone; Cathy Bodine; John Brabyn; David Brienza; Kevin Caves; Frank DeRuyter; Edmund Durfee; Stefania Fatone; Geoff Fernie; Steven Gard; Patricia Karg; Todd A Kuiken; Gerald F Harris; Mike Jones; Yue Li; Jordana Maisel; Michael McCue; Michelle A Meade; Helena Mitchell; Tracy L Mitzner; James L Patton; Philip S Requejo; James H Rimmer; Wendy A Rogers; W Zev Rymer; Jon A Sanford; Lawrence Schneider; Levin Sliker; Stephen Sprigle; Aaron Steinfeld; Edward Steinfeld; Gregg Vanderheiden; Carolee Winstein; Li-Qun Zhang; Thomas Corfman Journal: J Neuroeng Rehabil Date: 2017-11-06 Impact factor: 4.262
Authors: Lauren Harris; Daniel Gilmore; Christopher Hanks; Daniel Coury; Susan Moffatt-Bruce; Jennifer H Garvin; Brittany N Hand Journal: Autism Date: 2021-11-30