Autism in Aotearoa Is the RAADS-14 a Valid Tool for a New Zealand Population?
Screening measures for autism spectrum disorder (ASD) are important tools for clinicians and researchers. However, where a measure developed and validated for one population is used with another, its performance in this new context must be carefully examined. The RAADS-14, a brief ASD screen develop...
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Published in: | European journal of psychological assessment : official organ of the European Association of Psychological Assessment Vol. 37; no. 3; pp. 247 - 257 |
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Main Authors: | , |
Format: | Journal Article |
Language: | English |
Published: |
Hogrefe Publishing
01-01-2021
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Subjects: | |
Online Access: | Get full text |
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Summary: | Screening measures for autism spectrum disorder (ASD) are
important tools for clinicians and researchers. However, where a measure
developed and validated for one population is used with another, its performance
in this new context must be carefully examined. The RAADS-14, a brief ASD screen
developed in Sweden, was evaluated with a sample of New Zealand adults
(N = 387), 41 of whom self-reported a prior
diagnosis of ASD. The convergent validity of the RAADS-14 (Hypothesis 2) was
supported by a strong positive correlation with the AQ-10 (short version of the
Autism Spectrum Quotient), r = .81. Discriminant
validity (Hypothesis 3) was also supported by a strong negative correlation with
the EQ-Short (short version of the Empathy Quotient),
r = −.75. However, the measure did not
meet inferential criteria for internal consistency (Hypothesis 1), and
confirmatory factor analysis (CFA) found a poor fit of the proposed three-factor
model (Hypothesis 4) to the data. A cut-off score of 14/42 provided adequate
sensitivity (95%) to detect participants with self-reported ASD diagnoses, but
not adequate specificity (70%), suggesting a very high rate of false positives
should be expected if relying on RAADS-14 scores alone to interpret presence of
ASD. In sum, our results do not provide sufficient evidence of reliability and
validity to support the use of the RAADS-14 with the New Zealand population. We
provide suggestions for refinement of the RAADS-14 that may lead to increased
reliability and validity. |
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ISSN: | 1015-5759 2151-2426 |
DOI: | 10.1027/1015-5759/a000598 |