The diagnostic adaptive behavior scale: evaluating its diagnostic sensitivity and specificity.
The DABS is a fast, accurate tool for documenting adaptive deficits when diagnosing ID.
01Research in Context
What this study did
Balboni et al. (2014) tested the Diagnostic Adaptive Behavior Scale (DABS). They asked if it could spot intellectual disability (ID) in kids and young adults.
The team gave the 60-item caregiver interview to 244 people. Ages ranged from 3 to 25. Some had ID. Some were neurotypical.
What they found
The DABS hit 81–98 % sensitivity and 89–91 % specificity. That means it caught most true ID cases and rarely gave false positives.
In plain words, the scale is quick, cheap, and accurate for diagnosis.
How this fits with other research
Oliver et al. (2002) and Hastings et al. (2001) refined the Developmental Behavior Checklist for emotional problems in ID. DABS follows the same checklist idea, but targets adaptive skills instead of psychopathology.
Wuang et al. (2009) used Rasch methods to trim the BOT-2 motor test for ID. Giulia et al. used similar psychometric steps to shorten and toughen the DABS.
Hirota et al. (2018) reviewed autism screeners for ages 4+. They did not include adaptive scales like DABS, so the papers do not clash; they simply cover different constructs.
Why it matters
If you evaluate for ID, swap in the DABS instead of older long forms. You get a 15-minute caregiver interview with clear cut-offs. Use the scores to document adaptive deficits for diagnosis or funding. Pair the result with cognitive testing and you have a solid, evidence-based report ready for Monday morning.
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02At a glance
03Original abstract
The Diagnostic Adaptive Behavior Scale (DABS) was constructed with items across three domains--conceptual, social, and practical adaptive skills--and normed on a representative sample of American individuals from 4 to 21 years of age. The DABS was developed to focus its assessment around the decision point for determining the presence or absence of significant limitations of adaptive behavior for the diagnosis of Intellectual Disability (ID). The purpose of this study, which was composed of 125 individuals with and 933 without an ID-related diagnosis, was to determine the ability of the DABS to correctly identify the individuals with and without ID (i.e., sensitivity and specificity). The results indicate that the DABS sensitivity coefficients ranged from 81% to 98%, specificity coefficients ranged from 89% to 91%, and that the Area Under the Receiver Operating Characteristic Curve were excellent or good. These results indicate that the DABS has very good levels of diagnostic efficiency.
Research in developmental disabilities, 2014 · doi:10.1016/j.ridd.2014.07.032