Élaboration de l’Échelle d’inflexibilité comportementale pour les enfants présentant un trouble du spectre de l’autisme et d’autres troubles du développement

Titre original en anglais : Development of the Behavioral Inflexibility Scale for Children with Autism Spectrum Disorder and Other Developmental Disabilities

Cette publication est incluse dans le projet « Contributions académiques de personnes autistes sur l’autisme ». un auteur·ice de cette publication est identifié·e comme autiste dans le projet.

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Lecavalier, L., Bodfish, J., Harrop, C., Whitten, A., Jones, D., Pritchett, J., Faldowski, R., & Boyd, B. A. (2020). Development of the Behavioral Inflexibility Scale for Children with Autism Spectrum Disorder and Other Developmental Disabilities. Autism Research, 13(3), 489-499. https://doi.org/10.1002/aur.2257

Date de publication: 06/01/2020 Ajout dans AutiHub: 23/10/2026 Type: Article Langue de l’article: Anglais
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Auteurs

Auteur·ices des publications
8
Auteur·ices de la publication identifié·es comme autistes
1 / 8 (12,5 %)
  1. Luc Lecavalier
  2. James Bodfish
  3. Clare Harrop
  4. Allison Whitten
  1. Desiree Jones *
  2. Jill Pritchett
  3. Richard Faldowski
  4. Brian A. Boyd

Résumé

L’inflexibilité comportementale (IC) désigne des schémas de comportement rigides qui s’opposent à la nécessité de s’adapter aux exigences environnementales changeantes. Nous avons élaboré, au moyen d’un processus itératif en plusieurs étapes, une mesure de résultat de l’IC renseignée par les parents pour les enfants présentant un trouble du spectre de l’autisme (TSA) et d’autres troubles du développement. Un ensemble de 62 items candidats a été généré à partir des retours d’un groupe d’experts, de l’examen d’échelles existantes et de groupes de discussion. Un processus de consensus a été utilisé pour produire les 38 items finaux. Les parents de 943 enfants (tranche d’âge : 3 à 18 ans ; moyenne : 11,4 ans ; 79 % de garçons) présentant un TSA ont rempli une enquête en ligne. Cent trente-trois parents ont évalué leur enfant à deux reprises en l’espace de 3 semaines (moyenne = 16,5 jours). Une série d’analyses factorielles a suggéré que les 38 items mesuraient un construit unique. Les scores présentaient une faible corrélation avec le niveau de fonctionnement (-0,12) et ne différaient pas selon le sexe. Les scores présentaient une corrélation négligeable avec l’âge (-0,07), bien que l’invariance de mesure n’ait pas été étayée. Le score total moyen de l’Échelle d’inflexibilité comportementale (BIS) suivait une distribution normale. La cohérence interne était de alpha = 0,97 et la stabilité temporelle était de r = 0,92. Les corrélations avec les évaluations parentales sur les sous-échelles de la Repetitive Behavior Scale—Revised variaient de 0,48 à 0,89. La corrélation avec les évaluations parentales du score total du Social Communication Questionnaire était de 0,52. Nos données montrent que l’IC chez les enfants présentant un TSA varie considérablement de légère à sévère et que la BIS à 38 items est valide et fiable. Autism Res 2020, 13 : 489-499. © 2020 Les auteurs. Autism Research publié par l’International Society for Autism Research, publié par Wiley Periodicals, Inc. Résumé grand public : Nous avons élaboré, au moyen d’un processus en plusieurs étapes, une échelle d’évaluation de l’inflexibilité comportementale (IC) remplie par les parents pour les enfants présentant des troubles du développement. L’Échelle d’inflexibilité comportementale (BIS) contient 38 questions évaluées sur une échelle à 6 points. Les parents de 943 enfants présentant un trouble du spectre de l’autisme (TSA) ont rempli une enquête en ligne. Nous avons examiné les associations entre la BIS et d’autres échelles ainsi que des variables démographiques. La BIS est valide et fiable. L’IC chez les enfants présentant un TSA varie de légère à sévère.

Behavior inflexibility (BI) refers to rigid patterns of behavior that contrast with the need to be adaptable to changing environmental demands. We developed a parent‐reported outcome measure of BI for children with autism spectrum disorder (ASD) and other developmental disabilities with a multi‐step iterative process. A pool of 62 candidate items was generated through expert panel feedback, review of existing scales and focus groups. A consensus process was used to generate the final 38 items. Parents of 943 children (age range, 3–18 years; average, 11.4 years; 79% boys) with ASD completed an online survey. One hundred thirty‐three parents rated their child twice within 3 weeks (average = 16.5 days). A series of factor analyses suggested that the 38 items measured a single construct. Scores had a weak correlation with level of functioning (−0.12) and did not differ based on sex. Scores had a negligible correlation with age (−0.07), although measurement invariance was not supported. The mean total score for the Behavioral Inflexibility Scale (BIS) was normally distributed. Internal consistency was α = 0.97 and temporal stability was r = 0.92. Correlations with parent ratings on the subscales of the Repetitive Behavior Scale—Revised varied from 0.48 to 0.89. The correlation with parent ratings on the Social Communication Questionnaire total score was 0.52. Our data show that BI in children with ASD ranges significantly from mild to severe and that the 38‐item BIS is valid and reliable. Autism Res 2020, 13: 489–499. © 2020 The Authors. Autism Research published by International Society for Autism Research published by Wiley Periodicals, Inc. Lay Summary We developed a parent‐completed rating scale of behavior inflexibility (BI) for children with developmental disabilities using a multistep process. The Behavioral Inflexibility Scale (BIS) contains 38 questions rated on a 6‐point scale. Parents of 943 children with autism spectrum disorder (ASD) completed an online survey. We examined associations between the BIS and other scales and demographic variables. The BIS is valid and reliable. BI in children with ASD ranges from mild to severe.

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Références citées
68
Avec un DOI
57
Sans DOI, à partir du texte brut de la bibliographie
10
0 / 68 (0,0 %) références citées comprennent au moins une personne identifiée comme autiste.
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67 / 68 (98,5 %)
Sans nom d’auteurice détecté
1
Sans titre structuré
1
Sans identifiant stable
9
Références avec noms bruts d’auteurices restant à vérifier
1
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3
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Noms d’auteurices détectés dans la bibliographie citée
357
À partir du DOI ou de métadonnées externes
357
À partir du texte brut validé de la bibliographie
0
Noms bruts déjà validés
0
Noms bruts restant à vérifier
1
95 / 357 (26,6 %) noms sont associés à un·e auteurice déjà présent·e dans AutiHub. 262 / 357 (73,4 %) noms ne sont pas encore associés.
Noms associés à une personne identifiée comme autiste
0 / 357 (0,0 %)
Calculé sur l’ensemble des noms d’auteurices détectés dans la bibliographie citée. Parmi les noms associés à un·e auteurice déjà présent·e dans AutiHub : 0 / 95 (0,0 %). Personnes distinctes identifiées comme autistes : 0 / 261 (0,0 %).
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