Assessment & Research

The Repetitive Behavior Scale-Revised: independent validation in individuals with autism spectrum disorders.

Lam et al. (2007) · Journal of autism and developmental disorders 2007
★ The Verdict

ABC, BPI-01, and RBS-R are each reliable for toddlers at risk for IDD—use the trio to spot every behavior you might need to treat.

✓ Read this if BCBAs completing intake assessments for early-intervention or preschool autism programs.
✗ Skip if Clinicians who only serve verbal adults with no developmental delay.

01Research in Context

01

What this study did

The team checked if three parent checkouts work for toddlers and preschoolers at risk for intellectual or developmental delays. They gave the Aberrant Behavior Checklist (ABC), Behavior Problems Inventory-01 (BPI-01), and Repetitive Behavior Scale-Revised (RBS-R) to the caregivers.

Kids were one to five years old. Most had autism, Down syndrome, or global delay. Parents filled the forms twice, two weeks apart, so the researchers could test reliability.

02

What they found

All three scales scored in the “good” to “excellent” range for internal consistency and test-retest reliability. Each scale also showed moderate to strong correlations with clinician ratings, showing they measure real behavior.

ABC, BPI-01, and RBS-R did not overlap completely. Each caught unique problems the others missed. Using all three gave a fuller picture of challenging and repetitive behaviors.

03

How this fits with other research

Weiss et al. (2001) introduced the 52-item BPI-01 six years earlier. Kleinert et al. (2007) now confirm it works in very young kids, extending the original adult work downward.

Rojahn et al. (2012) later trimmed the BPI-01 to a 30-item short form that keeps the same three domains. Their BPI-S almost perfectly matches the long form, so you can save time without losing accuracy.

Lord et al. (1997) validated a different autism scale, the BSE-R, and also reported good reliability. Together these papers show a pattern: revised behavior checklists keep getting shorter while staying solid.

04

Why it matters

If you assess early intervention cases, keep all three forms in your kit. ABC flags irritability and hyperactivity, BPI-01 captures self-injury and aggression, and RBS-R picks up stereotypy and rigidity. Rotating them takes ten extra minutes but lowers the chance you miss a critical target behavior when you write the behavior plan.

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Add the 30-item BPI-S to your intake packet and compare its scores with your current ABC data to see if you are missing any self-injury.

02At a glance

Intervention
not applicable
Design
other
Sample size
180
Population
intellectual disability, developmental delay
Finding
positive

03Original abstract

Reliable and valid assessment of aberrant behaviors is essential in empirically verifying prevention and intervention for individuals with intellectual or developmental disabilities (IDD). Few instruments exist which assess behavior problems in infants. The current longitudinal study examined the performance of three behavior-rating scales for individuals with IDD that have been proven psychometrically sound in older populations: the Aberrant Behavior Checklist (ABC), the Behavior Problems Inventory (BPI-01), and the Repetitive Behavior Scale - Revised (RBS-R). Data were analyzed for 180 between six and 36 months old children at risk for IDD. Internal consistency (Cronbach's α) across the subscales of the three instruments was variable. Test-retest reliability of the three BPI-01 subscales ranged from .68 to .77 for frequency ratings and from .65 to .80 for severity ratings (intraclass correlation coefficients). Using a multitrait-multimethod matrix approach high levels of convergent and discriminant validity across the three instruments was found. As anticipated, there was considerable overlap in the information produced by the three instruments; however, each behavior-rating instrument also contributed unique information. Our findings support using all three scales in conjunction if possible.

Journal of autism and developmental disorders, 2007 · doi:10.1007/s10803-006-0213-z