The Asperger Syndrome (and high-functioning autism) Diagnostic Interview (ASDI): a preliminary study of a new structured clinical interview.
The ASDI interview gives near-perfect agreement across raters and days when diagnosing Asperger Syndrome and high-functioning autism.
01Research in Context
What this study did
The team built a new interview called the ASDI. It asks about Asperger traits and high-functioning autism.
They tried it on a small group of people. Two raters gave the interview twice to check if answers stayed the same.
What they found
The interview scored better than 0.90 on kappa for both raters and time points. That means almost perfect agreement.
It also matched other trusted tools, so it looks like a valid way to spot Asperger Syndrome and high-functioning autism.
How this fits with other research
Lord et al. (1997) did the same kind of work on the ADI-R. The ASDI follows their recipe but zooms in on the high-functioning slice.
Cederlund et al. (2010) later gave the ASDI to older males. They found teens and parents often answered differently, while the ASDI still worked. This extends the 2001 data to a new age band.
Ferreri et al. (2011) showed two short parent checklists matched the long ADI-R over 90% of the time. Their result seems to clash with the ASDI idea that you need a long interview, but the two studies tested different ages and tools. Both agree that parent input is key.
Why it matters
If you assess bright clients who talk well, the ASDI gives you a structured script and shows top-notch reliability. Pair it with parent forms for a fuller picture, and always ask yourself whose report you trust most when answers differ.
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02At a glance
03Original abstract
The development of the Asperger Syndrome (and high-functioning autism) Diagnostic Interview (ASDI) is described. Preliminary data from a clinical study suggest that inter-rater reliability and test-retest stability may be excellent, with kappas exceeding 0.90 in both instances. The validity appears to be relatively good. No attempt was made in the present study to validate the instrument as regards the distinction between Asperger syndrome and high-functioning autism.
Autism : the international journal of research and practice, 2001 · doi:10.1177/1362361301005001006