Trends in Psychiatry and Psychotherapy
https://trends.org.br/article/doi/10.1590/2237-6089-2018-0063
Trends in Psychiatry and Psychotherapy
Original Article

Preliminary evidence of the validity process of the Autism Diagnostic Observation Schedule (ADOS): translation, cross-cultural adaptation and semantic equivalence of the Brazilian Portuguese version

Evidências preliminares do processo de validação da Autism Diagnostic Observation Schedule (ADOS): tradução, adaptação transcultural e equivalência semântica para a versão em português do Brasil

Maria Clara Pacífico; Cristiane Silvestre de Paula; Victor Santos Namur; Rosane Lowenthal; Cleonice Alves Bosa; Maria Cristina Triguero Veloz Teixeira

http://dx.doi.org/10.1590/2237-6089-2018-0063 Trends Psychiatry Psychother, vol.41, n3, p.218-226, 2019
PDF
SciELO
Downloads: 0
Views: 738

Abstract

Abstract Objectives: To translate and back-translate the Autism Diagnostic Observation Schedule (ADOS) into Brazilian Portuguese, to assess its cross-cultural semantic equivalence, and to verify indicators of quality of the final version by analyzing the inter-rater reliability of the ADOS scores. Methods: This study had three stages: 1) translation and back-translation; 2) semantic equivalence analysis; and 3) pre-test to verify the agreement between mental health specialists and an ADOS senior examiner regarding the scoring procedure. Authorization to translate and carry out the cultural adaptation of the instrument was first obtained from the Western Psychological Services, publishers of the instrument. Results: The main preliminary results pointed to good equivalence between the original English version and the final version and the Brazilian version following the cultural adaptation process. Some semantic differences were found between the original version and the back-translation into English, but they did not interfere with the first translation into Portuguese or into the final version. One of the limitations of the study was the small sample size; for that reason, the inter-rater reliability of the ADOS scores between the specialists and the senior examiner using the kappa coefficient was adequate for 7 out of 10 areas. Conclusions: We conclude that the creation of an official Brazilian version of ADOS will help to strengthen clinical and scientific research into ASD, and deter the use of other unauthorized versions of ADOS in the country.

Keywords

Autism spectrum disorder, Autism Diagnostic Observation Schedule, translation, cultural adaptation

Resumo

Resumo Objetivos: Traduzir e retrotraduzir a Autism Diagnostic Observation Schedule (ADOS) para a língua portuguesa do Brasil, verificar sua equivalência semântica transcultural e verificar indicadores de qualidade da versão final analisando a confiabilidade interavaliadores na pontuação da ADOS. Métodos: O estudo teve três etapas: 1) tradução e retrotradução; 2) análise de equivalência semântica; e 3) pré-teste para verificar a concordância entre especialistas em saúde mental e um examinador sênior em relação ao procedimento de pontuação. A realização do estudo foi feita com a autorização da Western Psychological Services, distribuidor oficial do instrumento. Resultados: Os principais resultados preliminares indicaram uma boa equivalência entre a versão original em inglês e a versão brasileira após o processo de adaptação cultural. Algumas diferenças semânticas foram encontradas entre a versão original e a retrotradução, mas que não interferiram na primeira tradução para o português nem na versão final. Uma das limitações do estudo foi o tamanho amostral pequeno; em razão disso, a confiabilidade interavaliadores entre as pontuações da ADOS dadas pelos especialistas e pelo examinador sênior utilizando o coeficiente kappa foi adequada para 7 das 10 áreas. Conclusão: Conclui-se que, com a versão brasileira da ADOS, oficializa-se uma versão única da escala em português, fortalecendo os campos clínicos e científicos de pesquisa em TEA e impedindo que no país sejam utilizadas outras versões não autorizadas da ADOS.

Palavras-chave

Transtorno do espectro autista, Autism Diagnostic Observation Schedule, tradução, adaptação cultural

References

Diagnostic and statistical manual of mental disorders. 2013.

Elsabbagh M, Divan G, Koh Y-J, Kim YS, Kauchali S, Marcín C. Global prevalence of autism and other pervasive developmental disorders. Autism Res. 2012;5:160-79.

Fombonne E, Marcin C, Manero AC, Bruno R, Diaz C, Villalobos M. Prevalence of autism spectrum disorders in Guanajuato, Mexico: The Leon Survey. J Autism Dev Disord. 2016;46:1669-85.

Paula CS, Cunha GR, Silva LC, Teixeira MCTV. Conceituação do transtorno do espectro autista: definição epidemiológica. Autismo: avaliação psicológica e neuropsicológica. 2017:7-28.

Cawthorpe D. Comprehensive description of comorbidity for autism spectrum disorder in a general population. Perm J. 2017;21.

Brentani H, Paula CS, Bordini D, Rolim D, Sato F, Portolese J. Autism spectrum disorders: an overview on diagnosis and treatment. Braz J Psychiatry. 2013;35:S62-72.

Ministério da Saúde. Diretrizes de atenção à reabilitação da pessoa com transtorno do espectro do autismo. 2014.

Krug DA, Arick J, Almond P. Behavior checklist for identifying severely handicapped individuals with high levels of autistic behavior. J Child Psychol Psychiatry. 1980;21:221-9.

Marteleto MRF, Pedromônico MRM. Validity of Autism Behavior Checklist (ABC): preliminary study. Braz J Psychiatry. 2005;27:295-301.

Rutter M, Bailey A, Lord C. Social Communication Questionnaire. 2003.

Sato FP, Paula CS, Lowenthal R, Nakano EY, Brunoni D, Schwartzman JS. Instrument to screen cases of pervasive developmental disorder: a preliminary indication of validity. Braz J Psychiatry. 2009;31:30-3.

Schopler E, Reichler RJ, Renner BR. The childhood autism rating scale (CARS): For diagnostic screening and classification of autism. 1986.

Pereira A, Riesgo RS, Wagner MB. Autismo infantil: tradução e validação da Childhood Autism Rating Scale para uso no Brasil. J Pediatr (Rio J). 2008;84:487-94.

Robins DL, Fein D, Barton ML, Green JA. The Modified Checklist for Autism in Toddlers: an initial study investigating the early detection of autism and pervasive developmental disorders. J Autism Dev Disord. 2001;31:131-44.

Losapio MF, Pondé MP. Tradução para o português da escala M-CHAT para rastreamento precoce de autismo. Rev Psiquiatr Rio Gd Sul. 2008;30:221-9.

Bosa CA, Zanon RB, Backes B. Autismo: construção de um protocolo de avaliação do comportamento da criança – Protea. Rev Psicol Teor Pratica. 2016;18:194-205.

Carvalho FA, Paula CS, Teixeira MCTV, Zaqueu L, da CC, Famá D'Antino ME. Rastreamento de sinais precoces de transtornos do espectro do autismo em crianças de creches de um município de São Paulo. Rev Psicol Teor Pratica. 2013;15:144-54.

Paula CS, Cunha GR, Bordini D, Brunoni D, Moya AC, Bosa CA. Identifying autism with a brief and low-cost screening instrument OERA: construct validity, invariance testing, and agreement between judges. J Autism Dev Disord. 2018;48:1780-91.

Grodberg D, Weinger PM, Kolevzon A, Soorya L, Buxbaum JD. Brief Report: The Autism Mental Status Examination: Development of a brief autism-focused exam. J Autism Dev Disord. 2012;42:455-9.

Grodberg D, Weinger PM, Halpern D, Parides M, Kolevzon A, Buxbaum JD. The Autism Mental Status Exam: sensitivity and specificity using DSM-5 criteria for autism spectrum disorder in verbally fluent adults. J Autism Dev Disord. 2014;44:609-14.

Galdino MP, Pegoraro LFL, Saad LO, Grodberg D, Celeri EHRV. Evidence of validity of the Autism Mental Status Examination (AMSE) in a Brazilian Sample. J Autism Dev Disord. 2018:1-6.

Lord C, Rutter M, Goode S, Heemsbergen J, Jordan H, Mawhood L. Autism Diagnostic Observation Schedule: A standardized observation of communicative and social behavior. J Autism Dev Disord. 1989;19:185-212.

Lord C, Rutter M, DiLavore PC, Risi S. Autism Diagnostic Observation Schedule (ADOS). 2000.

Lord C, Rutter M, DiLavore PC, Risi S, Gotham K, Bishop S. Autism Diagnostic Observation Schedule, Second Edition (ADOS-2). 2012.

Le Couteur A, Rutter M, Lord C, Rios P, Robertson S, Holdgrafer M. Autism diagnostic interview: A standardized investigator-based instrument. J Autism Dev Disord. 1989;19:363-87.

Lord C, Rutter M, Le Couteur A. Autism Diagnostic Interview-Revised: A revised version of a diagnostic interview for caregivers of individuals with possible pervasive developmental disorders. J Autism Dev Disord. 1994;24:659-85.

Bölte S, Poustka F. Diagnostische Beobachtungsskala für Autistische Störungen (ADOS): Erste Ergebnisse zur Zuverlässigkeit und Gültigkeit. Z Kinder Jugendpsychiatr Psychother. 2004;32:45-50.

Li J-H, Zhong J-M, Cai L-Y, Chen Y, Zhou M-Z. Comparison of clinical application of three autism rating scales. Chinese J Contemp Pediatr. 2005;7:59-62.

Gotham K, Pickles A, Lord C. Standardizing ADOS Scores for a measure of severity in autism spectrum disorders. J Autism Dev Disord. 2009;39:693-705.

Papanikolaou K, Paliokosta E, Houliaras G, Vgenopoulou S, Giouroukou E, Pehlivanidis A. Using the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule-Generic for the diagnosis of autism spectrum disorders in a Greek sample with a wide range of intellectual abilities. J Autism Dev Disord. 2009;39:414-20.

Oosterling I, Roos S, Bildt A, Rommelse N, Jonge M, Visser J. Improved diagnostic validity of the ADOS Revised Algorithms: A replication study in an independent sample. J Autism Dev Disord. 2010;40:689-703.

Chojnicka I, Ploski R. Polish version of the ADOS (Autism Diagnostic Observation Schedule-Generic). Psychiatr Pol. 2011;46:781-9.

Becker MM, Wagner MB, Bosa CA, Schmidt C, Longo D, Papaleo C. Translation and validation of Autism Diagnostic Interview-Revised (ADI-R) for autism diagnosis in Brazil. Arq Neuropsiquiatr. 2012;70:185-90.

Falkmer T, Anderson K, Falkmer M, Horlin C. Diagnostic procedures in autism spectrum disorders: a systematic literature review. Eur Child Adolesc Psychiatry. 2013;22:329-40.

Sun X, Allison C, Auyeung B, Matthews FE, Zhang Z, Baron-Cohen S. Comparison between a Mandarin Chinese version of the Childhood Autism Spectrum Test and the Clancy Autism Behaviour Scale in mainland China. Res Dev Disabil. 2014;35:1599-608.

Zander E, Sturm H, Bölte S. The added value of the combined use of the Autism Diagnostic Interview-Revised and the Autism Diagnostic Observation Schedule: Diagnostic validity in a clinical Swedish sample of toddlers and young preschoolers. Autism. 2015;19:187-99.

Chojnicka I, Pisula E. Adaptation and Validation of the ADOS-2, Polish Version. Front Psychol. 2017;8:1916.

Rudra A, Banerjee S, Singhal N, Barua M, Mukerji S, Chakrabarti B. Translation and usability of autism screening and diagnostic tools for autism spectrum conditions in India. Autism Res. 2014;7:598-607.

Hus V, Lord C. The Autism Diagnostic Observation Schedule, Module 4: Revised algorithm and standardized severity scores. J Autism Dev Disord. 2014;44:1996-2012.

Esler AN, Bal VH, Guthrie W, Wetherby A, Weismer SE, Lord C. The Autism Diagnostic Observation Schedule, Toddler Module: Standardized severity scores. J Autism Dev Disord. 2015;45:2704-20.

Western Psychological Services. Published translations [Internet]. .

Copyrights permissions [Internet]. .

Directrizes internacionais para a utilização de testes. 2003.

Reichenheim ME, Moraes CL. Operacionalização de adaptação transcultural de instrumentos de aferição usados em epidemiologia. Rev Saude Publica. 2007;41:665-73.

Pasquali L. Instrumentação psicológica. Fundamentos e práticas. 2010.

Siegel S, Castellan Jr. NJ. Nonparametric statistics for the behavioral sciences international edition. 1988.

Pereira MG. Epidemiologia: teoria e prática. 2005.

6165f1efa953951232268763 trends Articles
Links & Downloads
2238-0019 (Electronic)
Trends Psychiatry Psychother ©2024 All rights reserved.

Trends Psychiatry Psychother

Share this page
Page Sections