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Post published on Twitter/X on 12 Dec 2020 01:42

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Barry Wright, Helen Phillips, Ann Le Couteur, Jennifer Sweetman, Rachel Hodkinson, Amelia Ralph-Lewis, Emily Hayward, Alice Brennan, et al. (2020). Modifying and validating the social responsiveness scale edition 2 for use with deaf children and young people. PLOS ONE, 15(12), e0243162. Public Library of Science (PLoS).

Publication date
7 Dec 2020
Identifier
10.1371/journal.pone.0243162
Authors
Barry Wright, Helen Phillips, Ann Le Couteur, Jennifer Sweetman, Rachel Hodkinson, Amelia Ralph-Lewis, Emily Hayward, Alice Brennan, Josie Mulloy, Natalie Day, Martin Bland, Victoria Allgar
Source
PLOS ONE
Details
15(12), e0243162
Reference type
article
Publisher
Public Library of Science (PLoS)
Metadata source
crossref

Abstract

A Delphi consensus methodology was used to adapt a screening tool, the Social Responsiveness Scale– 2 (SRS-2), for use with deaf children including those whose preferred communication method is sign language. Using this approach; 27 international experts (The Delphi International Expert Panel), on the topic of autism spectrum disorder (ASD) in deaf people, contributed to the review of item content. A criterion for agreement was set at 80% of experts on each item (with 75% acceptable in the final fourth round). The agreed modifications are discussed. The modified SRS-2 research adaptation for deaf people (referred to here as the “SRS-2 Deaf adaptation”) was then translated into British Sign Language using a robust translation methodology and validated in England in a sample of 198 deaf children, 76 with Autism Spectrum Disorders (ASD) and 122 without ASD. The SRS-2 Deaf adaptation was compared blind to a NICE (National Institute for Health and Care Excellence) guideline standard clinical assessment. The area under the Receiver Operating (ROC) curve was 0.811 (95% CI: 0.753, 0.869), with an optimal cut-off value of 73, which gave a sensitivity of 82% and a specificity of 67%. The Cronbach Alpha coefficient was 0.968 suggesting high internal consistency. The Intraclass Correlation Coefficient was 0.897, supporting test-retest reliability. This performance is equivalent to similar instruments used for screening ASD in the hearing population.

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