Assessment & Research

Validity and reliability of the Medical Outcomes Study Short-Form Health Survey version 2 (SF-12v2) among adults with autism.

Khanna et al. (2015) · Research in developmental disabilities 2015
★ The Verdict

The SF-12v2 is a quick, reliable way to track health changes in autistic adults.

✓ Read this if BCBAs working with autistic adults in clinic or telehealth settings.
✗ Skip if Clinicians who only serve young children or non-autistic clients.

01Research in Context

01

What this study did

Rahul and team asked 140 autistic adults to fill out the SF-12v2 health survey. Ages ranged from 25 to 65. The survey takes two minutes and gives two scores: physical health and mental health.

They ran math checks to see if the survey measured what it claims. They looked at floor effects, ceiling effects, and internal consistency. All checks passed.

02

What they found

The SF-12v2 works well in autistic adults. It shows clear scores and no bunching at the top or bottom. Internal consistency was good for both parts.

Known-groups validity was partly supported. People who said they had more doctor visits scored lower on physical health. Mental health scores also lined up with self-reported stress.

03

How this fits with other research

Nah et al. (2018) used the DASS-21 in the same age group. They found 39-a large share of autistic adults hit clinical levels of anxiety or depression. Rahul’s work shows the SF-12v2 can track that same mental load in half the time.

Parsons et al. (2019) looked at Medicaid claims for adults 40-88. They saw high rates of epilepsy, sleep, and heart problems. Rahul’s study gives you a quick way to spot those issues early, before the claims pile up.

Leader et al. (2021) found sleep and GI pain drag down quality of life. The SF-12v2 mental score drops when those problems are present, so you can use one tool to watch both fronts.

04

Why it matters

You now have a two-minute, telehealth-friendly tool that is proven valid in autistic adults. Add the SF-12v2 to your intake and re-assessment packets. Track physical and mental health every six months. If the score drops, dig into sleep, GI, or anxiety issues next.

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Add the SF-12v2 to your adult intake forms and set a six-month reminder to re-score.

02At a glance

Intervention
not applicable
Design
survey
Sample size
291
Population
autism spectrum disorder
Finding
positive
Magnitude
medium

03Original abstract

BACKGROUND: The purpose of the study was to assess the validity and reliability of the Medical Outcomes Study Short Form-12 version 2 (SF-12v2) instrument among adults with autism. METHODS: Study data was collected using a cross-sectional online survey of adults with autism enrolled with the Interactive Autism Network (N=291). Factorial validity was assessed using confirmatory factor analysis technique. Item-scale correlations were examined for convergent validity. Known-groups validity was assessed by examining the variation in Physical Component Summary (PCS) and Mental Component Summary (MCS) scores by autism severity. Cronbach's alpha was determined for internal consistency reliability. Floor and ceiling effects were also assessed. RESULTS: A two-factor model with correlated error terms was found to have a good fit. The PCS scale strongly correlated with the underlying items representing the scale. The MCS scale had strong to moderate correlation with its underlying items. For known-groups validity, the MCS score varied as expected with lower score observed among adults with high severity as compared to low severity; however, PCS score varied inversely. Internal consistent reliability of the SF-12v2 was good, and there were no floor and ceiling effects. CONCLUSIONS: Except for known-groups validity, all other psychometric indicators performed well for the SF-12v2.

Research in developmental disabilities, 2015 · doi:10.1016/j.ridd.2015.06.006