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Clinical Validity of the ADI-R in a US-Based Latino Population

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Abstract

The Autism Diagnostic Interview-Revised (ADI-R) has been validated as a tool to aid in the diagnosis of Autism; however, given the growing diversity in the United States, the ADI-R must be validated for different languages and cultures. This study evaluates the validity of the ADI-R in a US-based Latino, Spanish-speaking population of 50 children and adolescents with ASD and developmental disability. Sensitivity and specificity of the ADI-R as a diagnostic tool were moderate, but lower than previously reported values. Validity of the social reciprocity and restrictive and repetitive behaviors domains was high, but low in the communication domain. Findings suggest that language discordance between caregiver and child may influence reporting of communication symptoms and contribute to lower sensitivity and specificity.

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Acknowledgments

This research was supported by the National Institute of Child Health and Human Development (R03 HD064828-01A1, PI Magaña). S. Vanegas was supported by the Illinois LEND, Health Resources and Services Administration (HRSA), Department of Health and Human Services (DHHS) Grant (T73MC11047, PI Acharya). We wish to thank all of the families for their generous participation.

Author Contributions

SV participated in review of clinical files, performed the statistical analysis and drafted the manuscript; SM conceived of the study, led the design and coordination of the study and helped draft the manuscript; MM participated in the coordination of the data and helped draft the manuscript; EM participated in review of the clinical files and helped to draft the manuscript; All authors read and approved the final manuscript.

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Authors and Affiliations

  1. Department of Disability and Human Development, University of Illinois at Chicago, M/C 626, 1640 W. Roosevelt Rd., Chicago, IL, 60608, USA

    Sandra B. Vanegas, Sandra Magaña, Miguel Morales & Ellyn McNamara

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  1. Sandra B. Vanegas
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  2. Sandra Magaña
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  3. Miguel Morales
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  4. Ellyn McNamara
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Correspondence to Sandra B. Vanegas.

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Vanegas, S.B., Magaña, S., Morales, M. et al. Clinical Validity of the ADI-R in a US-Based Latino Population. J Autism Dev Disord 46, 1623–1635 (2016). https://doi.org/10.1007/s10803-015-2690-4

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