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Autism Diagnostic Observation Schedule (ADOS)- Module 2

ados2_2001

02

Autism Diagnostic Observation Schedule (ADOS) - General Module 2 - Phrase Speech (2001 or later)

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Element NameData TypeSizeRequiredDescriptionValue RangeNotesAliases
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*GUID
src_subject_idString20RequiredSubject ID how it's defined in lab/projectAdos2_2001_SRC_Subject_ID, ID, NDAR_SUBJECT_NUMBER, ind_id, individual, measure_individual
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYYRequired fieldAdos2_2001_interview_date, Date, measure_date_of_evaluation
interview_ageIntegerRequiredAge in months at the time of the interview/test/sampling/imaging.0 :: 1260Age is rounded to chronological month. If the research participant is 15-days-old at time of interview, the appropriate value would be 0 months. If the participant is 16-days-old, the value would be 1 month.Ados2_2001_interview_age, CA, INTERVIEW_AGE_MONTHS, measure_eval_age_months
comments_miscString4,000RecommendedMiscellaneous comments on study, interview, methodology relevant to this form dataADOS_Comm, Ados2_2001_comments_misc, Comm, DataEntryNotes, Version
genderString20RequiredSex of the subjectM;FM = Male; F = FemaleAdos2_2001_gender, SEX
observation_b_1String255RecommendedConstruction TaskAdos2_2001_Observation_1
observation_b_1_1String255RecommendedConstruction Task Communication SampleAdos2_2001_Observation_1_1
observation_b_2String255RecommendedResponse to NameAdos2_2001_Observation_2, rname
observation_b_3String255RecommendedMake-Believe PlayAdos2_2001_Observation_3
observation_b_4String255RecommendedJoint Interactive PlayAdos2_2001_Observation_4
observation_b_5String255RecommendedConversationAdos2_2001_Observation_5
observation_b_6String255RecommendedResponse to Joint AttentionAdos2_2001_Observation_6
observation_b_7String255RecommendedDemonstration TaskAdos2_2001_Observation_7
observation_b_8String255RecommendedDescription of a PictureAdos2_2001_Observation_8
observation_b_9String255RecommendedTelling a Story From a BookAdos2_2001_Observation_9
observation_b_10String255RecommendedFree PlayAdos2_2001_Observation_10
observation_b_11String255RecommendedBirthday PartyAdos2_2001_Observation_11
observation_b_12String255RecommendedSnackAdos2_2001_Observation_12
observation_b_13String255RecommendedAnticipation of a Routine With ObjectsAdos2_2001_Observation_13
observation_b_14String255RecommendedBubble PlayAdos2_2001_Observation_14
observation_b_14_1String255Recommendedpointing with index finger
Yes;No
Ados2_2001_Observation_14_1
observation_b_14_2String255Recommendedopen-handed reach
Yes;No
Ados2_2001_Observation_14_2
observation_b_14_3String255Recommendedother gesture
Yes;No
Ados2_2001_Observation_14_3
observation_b_14_3_cmtString255Recommendedspecify:Ados2_2001_Observation_14_3_CMT
observation_b_14_4String255Recommendedvocalization:
Yes;No
Ados2_2001_Observation_14_4
observation_b_14_4_1String255Recommendedwords
Yes;No
Ados2_2001_Observation_14_4_1
observation_b_14_4_2String255Recommendednonverbal
Yes;No
Ados2_2001_Observation_14_4_2
observation_b_14_5String255Recommendedeye contact:
Yes;No
Ados2_2001_Observation_14_5
observation_b_14_5_1String255Recommendedalone
Yes;No
Ados2_2001_Observation_14_5_1
observation_b_14_5_2String255Recommendedwith pointing
Yes;No
Ados2_2001_Observation_14_5_2
observation_b_14_5_3String255Recommendedwith vocalization
Yes;No
Ados2_2001_Observation_14_5_3
observation_b_14_6String255Recommendedmechanical animal
Yes;No
Ados2_2001_Observation_14_6
observation_b_14_7String255Recommendedballoon
Yes;No
Ados2_2001_Observation_14_7
observation_b_14_8String255Recommendedbubbles
Yes;No
Ados2_2001_Observation_14_8
observation_b_14_9String255Recommendedother
Yes;No
Ados2_2001_Observation_14_9
observation_b_14_9_cmtString255Recommendedspecify:Ados2_2001_Observation_14_9_CMT
observation_commentsString255RecommendedObservation CommentsAdos2_2001_Observation_Comments
codinga_olang_bIntegerRecommendedOverall Level of Non-Echoed Language0::5;7;8;9; 999ADOS-1 (2001): 0 = Non-echoed phrase speech of three or more words per utterance; some grammatical markings, such as plurals or tense. 1 = Speech is primarily two- or three-word utterances, with minimal or no grammatical markings. 2 = Occasional phrases; mostly single words. 3 = Single words only, or no spoken language. 7 = All speech is echoed (immediate or delayed), with or without communicative intent.; ADOS-2 (2012) and ADAPTED ADOS: 0 = Non-echoed phrase speech of three or more words per utterance; some grammatical markings, such as plural or tense. 1 = Speech is primarily two- or three-wrd utterances, with minimal or no grammatical markings. 2 = Occasional phrases only; mostly single words. 3 = Recognizable single words or word approximations only; must use at least five different words during session. 4 = At least one word or word approximation, but fewer than five words used during session. 5 = No spontaneous use of spoken words or word approximations. 7 = All speech is echoed (immediate or delayed), with or without communicative intent.A1, Ados2_2001_codinga_olang, C_Q1, NON_ECHO_LANG_LEVEL, OLoNEL, a1_non_echoed_2, ados_mod2_a1, olang
codinga_asov_bIntegerRequiredAmount of Social Overtures/Maintenance of Attention0::3;7;8;9ADOS-1 (2001): 0 = Frequent attempts to get or maintain the examiner's attention AND/OR to direct the examiner's attention to objects or actions of interest to the child. 1 = Some attempts at getting, maintaining, or directing the examiner's attention as described above for a rating of 0, but reduced in frequency or the number of contexts used (e.g., only seeks attention to direct examiner's behavior). 2 = Shows relatively little concern as to whether the examiner is paying attention to him/her unless he/she needs help, AND/OR makes few attempts to get, maintain, or direct the examiner's attention. 7 = Unusually frequent, intense, or excessive demands for attention outside structured tasks or questions within the ADOS evaluation, regardless of the social appropriateness of individual behaviors.; ADOS-2 (2012) and ADAPTED ADOS: 0 = Frequent attempts to get or maintain the examiner's attention AND/OR to direct the examiner's attention to objects or actions of interest to the participant. 1 = Some attempts at getting, maintaining or directing the examiner's attention as described above for a rating of 0, but reduced in frequency or the number of different activities in which they are used. 2 = Makes one attempt to get, maintain or direct the examiner's attention. 3 = Shows relatively little concern as to whether the examiner is paying attention to him/her unless s/he needs help (e.g. only initiates social contact when requesting).A2, ASOV, Ados2_2001_codinga_asov, AoSOMoA, a2_social_overture_2, ados_mod2_a2, asov
codinga_spabn_bIntegerRequiredSpeech Abnormalities Associated with Autism (Intonation/Volume/Rhythm/Rate)0::3;7;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Appropriately varying intonation, reasonable volume, and normal rate of speech, with regular rhythm coordinated with breathing. 1 = Little variation in pitch and tone; rather flat or exaggerated intonation, but not obviously peculiar, OR slightly unusual volume, AND/OR speech that tends to be somewhat unusually slow, fast, or jerky. 2 = Speech that is clearly abnormal for ANY of the following reasons: slow and halting; inappropriately rapid; jerky and irregular in rhythm (other than ordinary stutter/stammer); odd intonation or inappropriate pitch and stress; markedly flat and toneless ("mechanical"); consistently abnormal volume. 7 = Stutter or stammer or other fluency disorder (if odd intonation is also present, code 1 or 2 accordingly). 8 = Phrase speech inadequate in frequency or complexity for assessment of intonation/rhythm/rate. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = Appropriately varying intonation, reasonable volume, and normal rate of speech, with regular rhythem coordinated with breathing. 1 = Little variation in pich and tone; rather flat or exaggerated intonation, but not obviously peculiar, OR slightly unusual volume, AND/OR speech that tends ot be somewhat unusually slow, fast, or jerky. 2 = Speech that is clearly abnormal for ANY of the following reasons: slow and halting; inappropriatelyrapid; jerky and irregular in rhythm (other than ordinary stutter/stammer); odd intonation or inappropriate pich and stress; markedly flat and tone-less ("mechanical"); consistently abnormal volume. 3 = Speech that is difficult to understand because of one ormore speech abnormalities as specified above. 7 = Stutter or stammer or other fluency disorder. 8 = N/A (speech inadequate in frequency or complexity for assessment of intonation/rhythm/rate).A3, Ados2_2001_codinga_spabn, SAAwA, SPAB, SPEECH_ABNORM, a3_speech_abnormalities, ados_mod2_a3, spabn
codinga_iecho_bIntegerRecommendedImmediate Echolalia0;1;2;3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Does not repeat others' speech. 1 = Occasional echoing. 2 = Echoing words and phrases regularly, but some spontaneous language, which can be stereotyped. 3 = Speech largely consists of immediate echolalia. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = Rarely or never repeats others' speech. 1 = Occasional echoing. 2 = Echoing words and phrases regularly but some spontaneous language (it can be stereotyped). 3 = Speech largely consists of immediate echolalia. 8 = N/A or not enough language to judge.A4, Ados2_2001_codinga_iecho, ECHOLALIA_IMMEDIATE, IECHO, Im_Echo, a4_immediate_echololia_2, ados_mod2_a4, iecho
codinga_stereo_bIntegerRequiredStereotyped/Idiosyncratic Use of Words or Phrases0;1;2;3;8;9ADOS-1 (2001): 0 = Rarely or never uses stereotyped or idiosyncratic words or phrases. 1 = Use of words or phrases tends to be more repetitive than that of most individuals at the same level of complexity, but not obviously odd, OR occasional stereotyped utterances or use of odd words, OR use of phrases in an unusual way, with other flexible spontaneous language, as well. 2 = Often uses stereotyped utterances or odd words or phrases with some other language. 3 = Phrases almost exclusively odd or stereotyped utterances.; ADOS-2 (2012): 0 = Rarely or never uses stereotyped or idiosyncratic words or phrases. 1 = Use of words or phrases tends to be more repetitive than that of most individuals at the same level of expressive language, but not obviously odd, OR occasional stereotyped utterances or use of odd words, OR use of phrases in an unusual way, with other flexible spontaneous language as well. 2 = Often uses stereotyped utterances or odd words or phrases, with some other language. 3 = Frequently uses odd or stereotyped speech, and rarely uses non-stereotyped spontaneous speech. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.A5, Ados2_2001_codinga_stereo, SIUoWoP, STER, a5_stereotyped_words_2, ados_mod2_a5, stereo
codinga_convs_bIntegerRecommendedConversation0;1;2;3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Conversation flows, building on the examiner's dialogue. This rating requires that much of the child's speech provide both a response to the examiner's speech and some additional talking (not necessarily a question) that builds on what has just been said and allows a response from the examiner (i.e., sequences of at least four elements: examiner opens, child comments, examiner responds, child responds to response). 1 = Speech includes some spontaneous elaboration of the child's own responses for the examiner's benefit OR provides leads for the examiner to follow, but either this is less in amount than would be expected for the child's expressive language level or it is limited in flexibility. 2 = Little reciprocal conversation sustained by the child; may follow his or her own train of thought rather than participate in an interchange; may have some spontaneous offering of information or comments, but little sense of reciprocity. 3 = Little spontaneous communicative speech (although there may be much echoed or noncommunicative speech). This rating can be used to describe children who make some limited, but very few, responses to conversational initiations. by the examiner. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = Converation flows, building on the examiner's dialogue. This rating requires that much of the participant's speech includes some spontaneous elaboration of the participant's own responses for the examiner's benefit OR provides leads for the examiner to follow. 1 = Participant initiates with and responds to the examiner, but not in the same interchange. 2 = Participant initiates with OR responds to the examiner on several occasions, but not both. 3 = Little or no spontaneous communicative speech (although there may be much echoed or noncommunicative speech). This rating also includes participants who make very limited responses.A6, Ados2_2001_codinga_convs, CONV, Conv, a6_conversation_2, ados_mod2_a6, convs
codinga_point_bIntegerRecommendedPointing0;1;2;3;8;9ADOS-1 (2001): 0 = Points with index finger to show visually-directed referencing (i.e., coordinated gaze to object and person) of distal object to express interest. 1 = Uses pointing to reference objects to express interest, but without sufficient flexibility to meet criteria for a rating of 0 (e.g., absence of coordinated gaze, though the child may vocalize); OR produces an approximation of pointing rather than an index finger point; OR coordinates only pointing that includes touching a picture or other nearby objects with gaze or vocalization; OR points to request only; OR points to a person only. 2 = Points only when close to or actually touching an object, without coordinated gaze. 3 = Does not point to objects in any way.; ADOS-2 (2012): 0 = Points with index finger to show visually directed referencing (i.e., coordinated gaze to object and person) of distal object to express interest. 1 = Uses pointing to reference objects to express interest, but without sufficient flexibility to meet criteria for a rating of 0 (e.g., absence of coordinated gaze with distal pointing, though the child may vocalize); AND/OR produces an approximation of pointing (coordinated with gaze or vocalization) rather than an index finger point; AND/OR coordinates only pointing that includes touching a picture or other nearby objects with gaze or vocalization; AND/OR points to request only (coordinated with gaze or vocalization); AND/OR points with coordination (gaze or vocalization) only to a person or to himself or herself. 2 = Points only without coordinated gaze or vocalization AND pointing is not for the purpose of expressing interest. 3 = Does not point as described above. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADPATED ADOS: 0 = Points with index finger to reference an object in at least two activities (e.g., points to picture on the wall and out the window). Points can be to distal objects OR when close to or actually touching an object, but must be for the purpose of shared attention AND involve coordinated gaze OR vocalization. 1 = Coordinates pointing with gaze or vocalization for the purpoes of shared attention on only one occasion OR only uses pointing with coordinated gaze or vocalization to request objects. 2 = Points to reference or request, without coordinated or vocalization. Points to distal or nearby objects that do not include coordinated gaze or vocaliztion should be coded here. Also code here if participant uses something besides a well-formed index finger point. 3 = Does not point to objects as described above.A7, Ados2_2001_codinga_point, PNT, Pointing, a7_pointing_2, ados_mod2_a7, point
codinga_gest_bIntegerRequiredDescriptive, Conventional, Instrumental, or Informational Gestures0;1;2;3;8;90 = Spontaneous use of several descriptive gestures. These gestures may be typical or idiosyncratic, but must be communicative. May also use conventional or instrumental gestures. 1 = Some spontaneous use of descriptive gestures, but exaggerated or limited in range and/or contexts (e.g., occur only during "Demonstration Task"), OR frequent use of conventional or instrumental gestures, but rare or no use of descriptive gestures. 2 = Some spontaneous use of informational, conventional, or instrumental gestures, but rare or no use of descriptive gestures. 3 = No or very limited spontaneous use of conventional, instrumental, informational, or descriptive gestures. Grabbing and communicative reaching are coded here. 8 = N/A (e.g., limited by physical disability). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.A8, Ados2_2001_codinga_gest, DCIoIG, DGES, GES, a8_gestures_2, ados_mod2_a8, dgest
codingb_ueye_bIntegerRecommendedUnusual Eye Contact0;2;3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Appropriate gaze with subtle changes meshed with other communication. 2 = Uses poorly modulated eye contact to initiate, terminate, or regulate social interaction. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = Appropriate gaze with subtle changes meshed with other communication. 2 = Uses poorly modulated eye contact to initiate, terminate, or regulate social interaction. 3 = Uses poorly modulated eye contact to initiate, terminate, or regulate social interaction AND frequently actively avoids eye contact (e.g., by turning away, pushing away, closing eyes).Ados2_2001_codingb_ueye, B1, EYE, Un_Eye_Con, ados_mod2_b1, b01_eye_contact_2, ueye
codingb_faceo_bIntegerRecommendedFacial Expressions Directed to Others0::3;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Directs a range of appropriate facial expressions to the examiner and/or parent/caregiver in order to communicate affective or cognitive states. 1 = Some direction of facial expressions to the examiner and/or parent/caregiver (e.g., directs only expressions indicating emotional extreme(s) to others, or occasionally directs wider range of expressions). A child who has a limited range of facial expressions, but who directs most of his or her facial expressions to another person, may be rated here. 2 = Does not direct appropriate facial expressions to others. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = Directs at least three different facial expressions toward examiner in order to communicate affect (e.g., amused, confused, concerned, irritated, skeptical, proud). 1 = Some direction of facial expressions to the examiner. A participant who has a limited range of direct facial expressions (but at least TWO) should be scored here. Participants who direct at least one of the facial expressions across several different activities but hte other only once OR whose facial expressions are slightly unusual, but are directed to the examiner on several occasions may also be scored here. 2 = Some range of facial expression but little directing (e.g. participant has 2 facial expressions each directed only once) OR direction of only ONE facial expressoin. 3 = Limited range of facial expression AND little or no directing. also score here if the participant only ever directs very odd facial expressions.Ados2_2001_codingb_faceo, B2, EXP, FEDtO, ados_mod2_b2, b02_facial_others_2, faceo
codingb_shrnj_bIntegerRecommendedShared Enjoyment in Interaction0::3;8;9ADOS-1 (2001): 0 = Shows definite and appropriate pleasure in interactive participation or conversation during more than one task or conversational topic. 1 = Shows some appropriate pleasure in the examiner's actions, OR shows definite pleasure during one interaction. 2 = Shows little or no expressed pleasure in interaction. May show pleasure in his/her own actions or part of the conversation, but not in the examiner's behavior or in interaction. 8 = Not scorable due to little or no interaction, or for other reasons.; ADOS-2 (2012): 0 = Shows definite pleasure with the examiner that is appropriate to the context and occurs during more than one activity. Must include pleasure in at least one activity that is not purely physical in nature (e.g., not tickling). 1 = Shows some pleasure appropriate to the context during interactions with the examiner, OR shows definite pleasure directed to the examiner during one interaction (may be physical in nature). 2 = Shows little or no expressed pleasure during interaction with the examiner, but shows pleasure in his or her own actions, in interaction with a parent/caregiver, or in noninteractive components of the ADOS-2 materials or activities. 3 = Little or no expressed pleasure during the ADOS-2 evaluation and little interest in toys. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = Shows definite and appropriate pleasure with the examiner during more than one activity. 1 = Shows definite, clear pleasure directed to the examiner during one interaction. 2 = Shows some appropriate pleasure during interactions with the examiner. The participant's attempt to share enjoyment may be unclear or brief, but appears to be directed to the examiner. 3 = Shows little or no expressed pleasure during interaction with the examiner, but shows pleasure in his/her own actions or in non-interactive components of the ADOS materials or activities.Ados2_2001_codingb_shrnj, B3, ENJ, SHARE_ENJOY_INTERACT, ShEnj_in_Int, ados_mod2_b3, b03_shared_enjoyment_2, shrnj
codingb_rname_bIntegerRecommendedResponse to Name0;1;2;3;8;9ADOS-1 (2001): 0 = Looks toward the examiner and makes eye contact immediately on at least one of the first two clear presses made by the examiner (i.e., name only is called). 1 = Makes eye contact with the examiner immediately on the examiner's third or fourth press of name only OR looks toward the parent/caregiver and makes eye contact immediately for the first or second press of name only. 2 = Does not make eye contact with either the examiner or the parent/caregiver after his/her name is called in four attempts, but shifts gaze briefly (no eye contact), OR looks at least once when an interesting or familiar vocalization or verbalization is made (e.g., tongue clucking; I'm gonna get you"). 3 = Does not look toward either the examiner or the parent/caregiver after any purely verbal or vocal attempt to get attention.; ADOS-2 (2012): 0 = Looks toward the examiner and makes eye contact immediately on at least one of the first two presses made by the examiner. 1 = Looks toward the parent/caregiver and makes eye contact after first or second press of name only, OR makes eye contact with the examiner after the examiners third or fourth press of name only. 2 = Does not immediately make eye contact with either the examiner or the parent/caregiver after his or her name is called in six attempts, but shifts gaze briefly (no eye contact), shifts gaze after a delay, OR looks at least once when an interesting or familiar vocalization or verbalization is made (e.g., tongue clucking, "I'm gonna get you"). 3 = Does not look toward either the examiner or the parent/caregiver after any purely verbal or vocal attempt to get attention. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = Looks toward the examiner and makes eye contact immediately on at least one of the first two clear presses made by the examiner (i.e., name only is called) OR responds vocally to one of the first two presses AND makes eye contact on one of the next two presses after the vocal response. 1 = Looks towards the examinr and makes eye contact immeidately after the third or fourth press of name only. OR responds vocally to the first two presses but does not make eye contact on any of hte following four presses in which his/her name is called. 2 = Does not make eye contact with the examiner on any press, but looks toard the examiner without making eye contact OR responds vocally without eye contact to the 3rd, 4th, or 5th press OR only makes eye contact with the examiner after the examiner says something interesting. 3 = Does not look toward or respond vocally to the examiner after any vocal attempt to get attention.Ados2_2001_codingb_rname, B4, NAME, RESPOND_NAME, Resp_t_Name, ados_mod2_b4, b04_response_name_b2
codingb_show_bIntegerRecommendedShowing0;1;2;8;90 = Spontaneously shows toys or objects during the ADOS evaluation by holding them up or placing them in front of others and using eye contact with or without vocalization. 1 = Shows toys or objects in a partial or inconsistent manner (e.g., holds them up and/or places them in front of others without coordinated eye contact, looks from an object in his or her hands to another person without clearly orienting it toward that person, or shows objects as described above for a rating of 0 on one occasion only). 2 = Does not show objects to another person. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingb_show, B5, SHO, SHOWING, Showing, ados_mod2_b5, b05_showing_2, show
codingb_sijnt_bIntegerRecommendedSpontaneous Initiation of Joint Attention0;1;2;8;9ADOS-1 (2001) and ADOS-2 (2012): 0 = Uses clearly integrated eye contact to direct another persons attention to an object that is out of reach by looking at the object, then at the examiner or the parent/caregiver, and then back at the object OR by using a three-point gaze shift starting with the examiner or parent/caregiver. Eye contact may be coordinated with pointing and/or vocalization. One clear example is sufficient for this rating. 1 = Partially references an object that is clearly out of reach in order to direct another person's attention. May spontaneously look at and point to the object and/or vocalize, but does not coordinate either of these with looking at another person, OR may look at an object and then look at or point to the examiner or the parent/caregiver, but not look back at the object. 2 = No approximation of spontaneous initiation of joint attention in order to direct another person's attention to an object that is out of reach. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = Uses clearly integrated eye contact to reference an object that is out of reach by looking at the object, then at the examiner, and then back to the object OR by using a three-point gaze shift starting with the examiner. A participant who uses only a two-point gaze shift AND points or vocalizes should also be coded here. 1 = Looks at an object and then loks at the examiner, but does not look back at the object, vocalize or point OR may spontaneously look at the object, point or vocalize, but does not coordinate either of these with looking at another person. 2 = No approximation of spontaneous initiation of joint attention in order to reference an object that is out of reach. A participant who looks at the examiner and then at an object, without combining it with other forms of communication (i.e. vocalization or gestures), is coded here.Ados2_2001_codingb_sijnt, B6, IJA, Spon_In_of_JA, ados_mod2_b6, b06_spontaneous_joint_2, sijnt
codingb_rjnt_bIntegerRecommendedResponse to Joint Attention0;1;2;3;8;90 = Uses the orientation of the examiner's eyes and face alone as a cue to look toward the target, without the need for pointing. The child must follow the examiner's gaze and turn his or her face or eyes in the direction of the target after watching the examiner do so; he or she does not actually have to catch sight of the target. 1 = Follows the examiner's pointing by looking at or toward the target. 2 = Does not follow the examiner's gaze or pointing to orient toward the object, but looks at the target when activated. 3 = Does not orient to the object even when the object is activated. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingb_rjnt, B7, RESPONSE_JOINT_ATTN, RJA, Resp_to_JA, ados_mod2_b7, b07_response_joint_2, rjnt
codingb_qsov_bIntegerRecommendedQuality of Social Overtures0;1;2;3;8;90 = Effectively uses nonverbal and verbal means to make clear social overtures to the examiner. The overtures must be appropriate to immediate contexts. 1 = Slightly unusual quality of some social overtures. Overtures may be restricted to personal demands or related to the child's own interests, but with some attempt to involve the examiner in those interests. 2 = Significant minority (or more) of inappropriate overtures; many overtures lack integration into context AND/OR social quality. This includes the child's bringing up preoccupations with little attempt to involve the examiner in them. 3 = No social overtures of any kind. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingb_qsov, B8, QSOV, Qual_of_SO, ados_mod2_b8, b08_quality_overture, qsov
codingb_qsres_bIntegerRecommendedQuality of Social Response0;1;2;3;8;90 = Shows a range of appropriate responses that are varied according to immediate social situations and presses. 1 = Shows responsiveness to most social situations, but somewhat limited, socially awkward, inappropriate, inconsistent, or consistently negative. 2 = Odd, stereotyped responses, or responses that are restricted in range or inappropriate to the context. 3 = Minimal or no response to the examiner's attempts to engage the child. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingb_qsres, B9, QSR, Qual_of_SR, ados_mod2_b9, b09_quality_response, qsres
codingb_arsoc_bIntegerRecommendedAmount of Reciprocal Social Communication0;1;2;3;8;90 = Extensive use of verbal or nonverbal behaviors (at whatever level attained) for social interchange (i.e., chat, comments, remarks, or nonverbal behaviors that appear to have reciprocal intent). 1 = Some reciprocal social communication (as described above for a rating of 0 ), but reduced in frequency or amount, or in the number of contexts in which such behaviors occur (regardless of amount of nonsocial talk). 2 = Most communication is either object-oriented (i.e., to ask for things), OR response to questions, OR echolalic, OR concerned with particular preoccupations; little or no social chat or give-and-take. 3 = Little or no communication with examiner or parent/caregiver. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ARSC, Ados2_2001_codingb_arsoc, AoRSC, B10, ados_mod2_b10, arsoc, b10_reciprocal_social_2
codingb_oqrap_bIntegerRecommendedOverall Quality of Rapport0;1;2;3;8;90 = Comfortable interaction between the child and examiner that is appropriate to the context of the ADOS assessment. 1 = Interaction sometimes comfortable, but not sustained (e.g., sometimes feels awkward or stilted, or the child's behavior seems mechanical or slightly inappropriate). 2 = One-sided or unusual interaction resulting in a consistently mildly uncomfortable session or a session that would have been difficult if the examiner had not continuously modified the structure of the situation beyond the standard activities in the ADOS evaluation. 3 = The child shows minimal regard for the examiner, OR the session is markedly uncomfortable for a significant proportion of the time. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingb_oqrap, B11, OQR, OvQu_o_Rap, ados_mod2_b11, b11_quality_rapport, oqrap
codingc_fplay_bIntegerRecommendedFunctional Play with Objects0;1;2;3;8;90 = Spontaneously plays with a variety of toys in a conventional manner, including appropriate play with several different miniatures/representational toys (e.g., telephone, truck, dishes, doll furniture, materials in the "Birthday Party" activity). Do not include imitations, prompted actions, or pushing the car. 1 = Some spontaneous functional play with at least one miniature/representational toy. Do not include imitations, responses to direct requests (e.g., "Answer the phone"), pushing the car, or use of construction toys. 2 = Plays appropriately with cause-and-effect toys and/or construction toys only, AND/OR pushing the car. This may include imitating a demonstration or imitating more representational play with other toys. 3 = No play with toys or only stereotyped play. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingc_fplay, C1, FUNCTION_PLAY_TOY, Fxl_Play_w_Ob, PLAY, ados_mod2_c1, c1_functional_play_2, fplay
codingc_imgcr_bIntegerRequiredImagination/Creativity0;1;2;3;8;90 = Variety of spontaneous, inventive, creative play or activities, including use of doll or figures as agents of action. 1 = Some spontaneous creative or make-believe play, but rather limited in range. May include some use of doll or figures as agents, but less flexible than what would qualify for a rating of 0. 2 = Little spontaneous creative or make-believe play, OR only play that is repetitive or stereotyped in quality. 3 = No creative or inventive play (not even stereotyped or repetitive play). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingc_imgcr, C2, IMAG, IMAGIN_PLAY, IMGCR, Imag_Creat, ados_mod2_c2, c2_imagination_2, sc2
codingd_usens_bIntegerRequiredUnusual Sensory Interest in Material/Person0;1;2;3;8;9ADOS-1 (2001): 0 = No sniffing, repetitive touching, feeling of texture, licking, mouthing, or biting interest in the repetition of or unusually strong reactions to certain sounds, or unusual or prolonged visual examination. 1 = Occasional unusual sensory interests or responses, OR not as clear as specified below for a rating of 2. 2 = Definite interest in nonfunctional elements of play materials, OR sensory examination of himself/herself or others on more than one occasion, OR persistent unusual sensory response to several materials or events.; ADOS-2 (2012): 0 = No unusual sensory interests or sensory-seeking behaviors. 1 = Several possible sensory interests not as clear as specified below for a rating of 2 AND/OR only one clear occurrence of an unusual sensory interest or a sensory-seeking behavior. One "possible" sensory interest should be coded 0. 2 = Definite interest in sensory elements of objects or of play materials, OR sensory examination of himself or herself or others; two or more clear occurrences must be observed. May be observed during the same activity. 3 = Definite unusual sensory-seeking behaviors occur during at least two different tasks or activities and may interfere with the ADOS-2 assessment. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.; ADAPTED ADOS: 0 = No sniffing, repetitive touching, feeling of texture or licking (not mouthing or biting), interest in the repetition of or unusually strong reactions to certain sounds, or unusual or prolonged visual examination. 1 = Sensory interests or responses not as clear as specified below for ratings of 2 and 3. 2 = Occasional clearly unusual sensory interests or responses (e.g., two different sensory interests demonstrated at least once each). 3 = Definite interest in nonfunctional elments of materials, (TWO clear examples of the same sensory interest is sufficient for a code of '3') OR sensory examination of himself/herself or others on more than one occasion, OR persistent unusal sensory response to several materials or events.Ados2_2001_codingd_usens, D1, SINT, USIiPMP, ados_mod2_d1, d1_unusual_sensory, usens
codingd_usens_b_cmtString255RecommendedSpecifyAdos2_2001_codingd_usens_cmt
codingd_oman_bIntegerRecommendedHand and Finger and Other Complex Mannerisms0;1;2;3;8;9ADOS-1 (2001): 0 = None. 1 = Very brief or rare hand and finger mannerisms or complex mannerisms, OR mannerisms not as clear as specified below for a rating of 2. 2 = Definite finger flicking or twisting, AND/OR hand or other mannerisms or stereotypes.; ADOS-2 (2012): 0 = None. 1 = Unusual and/or repetitive hand and finger mannerisms or complex mannerisms not as clear as specified below for a rating of 2. 2 = Definite finger flicking or twisting, AND/OR hand or finger or complex mannerisms, stereotypies, or posturing. May be brief and/or rare if clear. 3 = Mannerisms, as described above, occur frequently, during at least two different tasks or activities, and/or may interfere with the ADOS-2 assessment. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingd_oman, D2, H_a_F_a_OCM, MAN, ados_mod2_d2, d2_complex_mannerisms_2, oman
codingd_oman_b_cmtString255RecommendedSpecifyAdos2_2001_codingd_oman_cmt
codingd_selfinj_bIntegerRecommendedSelf-Injurious Behavior0;1;2;8;90 = No attempts to harm self. 1 = Dubious or possible self-injury, and/or rare but clear self-injury (e.g., one clear example of biting at own hand or arm, pulling own hair, slapping own face, or banging own head). 2 = More than one clear example of self-injury, such as head banging, face slapping, hair pulling, or self-biting. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingd_selfinj, BEHAVIOR_SELF_INJURY, D3, SIB, SelfInjBeh, ados_mod2_d3, d3_self_injurious_2, selfinj
codingd_urbeh_bIntegerRecommendedUnusually Repetitive Interests or Stereotyped Behaviors0;1;2;3;8;90 = No repetitive or stereotyped behaviors during the ADOS evaluation. 1 = An interest or behavior that is repetitive or stereotyped to an unusual degree, including an intense interest in a particular toy or object, a definite interest in an unusual object or activity (odd for the child's level of motor skill), an unusually routinized activity, or a clear interest in a part of an object. This interest or behavior occurs in conjunction with several other activities and does not prevent the child from completing any ADOS activities. 2 = Clearly repetitive or stereotyped interests and/or behaviors, as described above. These behaviors may form a substantial minority of the child's interests and spontaneous behaviors and may interfere with the child's ability to complete ADOS activities, but it is possible for his or her attention to be directed to other objects or activities, at least momentarily. 3 = Repetitive or stereotyped interests and/or behaviors, as described above, form the majority of the child's interests, AND/OR attempts to direct his or her attention to other objects or activities are met with significant resistance and/or distress. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codingd_urbeh, D4, RINT, URIoSB, ados_mod2_d4, d4_unusually_repetitive_2, urbeh
codingd_urbeh_b_cmtString255RecommendedSpecify unusual preoccupations, rituals, repetitive behaviors:Ados2_2001_codingd_urbeh_cmt
codinge_actve_bIntegerRecommendedOveractivity0;1;2;3;7;8;9ADOS-1 (2001): 0 = Sits or stands still appropriately when expected to do so during the assessment. 1 = Sits briefly or stands still when expected to do so for activities besides the snack. Often fidgets, moves about, or is in and out of his/her seat, but is not obviously restless or unusually fidgety. Difficulties in the assessment are not principally due to overactivity. 2 = Hardly remains still at all (not counting the snack). May move around the room in a way that is difficult to interrupt; the level of activity disrupts the assessment. 7 = Underactive.; ADOS-2 (2012) and ADAPTED ADOS: 0 = Sits or stands still appropriately when expected to do so during the ADOS-2 assessment. May explore the room as expected for developmental level but is not obviously overactive. 1 = Sits or stands still when clearly expected to do so (e.g., during the birthday party) for activities besides the snack, but often fidgets, moves about, or gets up out of his or her seat. 2 = Fidgety; more active than other children of same developmental level. 3 = Incessantly and energetically moves around the room in a way that is difficult to interrupt; the level of activity disrupts the ADOS-2 assessment. 7 = Underactive. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codinge_actve, E1, OVER, OVERACTIVITY, Overactivity, actve, ados_mod2_e1, e1_overactivity_2
codinge_agg_bIntegerRecommendedTantrums, Aggression, Negative or Disruptive Behavior0;1;2;3;8;9ADOS-1 (2001): 0 = Not disruptive, negative, destructive, or aggressive during the ADOS assessment. 1 = Occasional display of mild upset, anger, aggression, negativism, or disruptive behavior to the parent/caregiver or the examiner. 2 = Shows marked or repeated negativism, temper tantrums, or significant aggression (e.g., hitting or biting others). Loud screaming or yelling is included here.; ADOS-2 (2012): 0 = Not upset, disruptive, negative, destructive, or aggressive during the ADOS-2 assessment. 1 = Displays an example of mild upset, anger, aggression, negativism, or intentionally disruptive behavior to the parent/caregiver or the examiner. 2 = More than one intentionally disruptive (e.g., swiping toys off the table) or mildly aggressive act. Loud screaming can be coded here. 3 = Shows marked or repeated negativism, temper tantrums, or more significant aggression (e.g., hitting or biting others). 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.Ados2_2001_codinge_agg, E2, TANT, TANTRUMS, TANoDB, ados_mod2_e2, agg, e2_tantrums_2
codinge_anxtyIntegerRecommendedAnxiety0;1;2;8;90 = No obvious anxiety (e.g., trembling or jumpiness). 1 = Mild signs of anxiety, especially at the beginning of the ADOS session, OR marked anxiety only in response to a specific request or to one particular toy or task. 2 = Marked anxiety in response to more than one toy or task or several times during the ADOS evaluation. 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ANX, ANXIETY, Ados2_2001_codinge_anxty, Anxiety, E3, ados_mod2_e3, anxty, e3_anxiety_2
scoresumm_b_a2IntegerRecommendedAmount of Social Overtures/Maintenance of AttentionASOV_recode, ATTN_MAINTENANCE, Ados2_2001_scoresumm_a2
scoresumm_b_a5IntegerRecommendedStereotyped/Idiosyncratic use of Words or PhrasesAdos2_2001_scoresumm_a5, STER_recode, USE_WORD_PHRASE, csa5
scoresumm_b_a6IntegerRecommendedConversationAdos2_2001_scoresumm_a6, CONSERVA, CONV_recode
scoresumm_b_a7IntegerRecommendedPointingAdos2_2001_scoresumm_a7, PNT_recode, POINT_OBJECT
scoresumm_b_a8IntegerRecommendedDescriptive, Conventional, Instrumental or Informational GesturesAdos2_2001_scoresumm_a8, DGES_recode, USE_GESTURE, csa9
scoresumm_atotalIntegerRequiredCommunication Total999 = NA/NK/missingAdos2_2001_scoresumm_atotal, COMMUNICATION_TOTAL, CSSATotal, M2_Com, ados_mod2_comm_total, cssatotal
scoresumm_b_b1IntegerRecommendedUnusual Eye ContactAdos2_2001_scoresumm_b1, EYE_CONTACT, EYE_recode, sb1
scoresumm_b_b2IntegerRecommendedFacial Expressions Directed to OthersAdos2_2001_scoresumm_b2, EXP_recode, FACIAL_EXPRESS_DIRECT, sb2
scoresumm_b_b6IntegerRecommendedSpontaneous Initiation of Joint AttentionAdos2_2001_scoresumm_b6, IJA_recode, INITIATE_JOINT_ATTN, sb6
scoresumm_b_b8IntegerRecommendedQuality of Social OverturesAdos2_2001_scoresumm_b8, QSOV_recode, SOCIAL_OVRTURE_QUALITY, ssocovt
scoresumm_b_b9IntegerRecommendedQuality of Social ResponseAdos2_2001_scoresumm_b9, QSR_recode, SOCIAL_RESPONSE, ssocrsp
scoresumm_b_b10IntegerRecommendedAmount of Reciprocal Social CommunicationARSC_recode, Ados2_2001_scoresumm_b10, COMMUNICATE_RECIPROCAL, ssoccom
scoresumm_b_b11IntegerRecommendedOverall Quality of RapportAdos2_2001_scoresumm_b11, OQR_recode, RAPPORT_QUALITY, ssqualrp
scoresumm_btotalIntegerRequiredSocial Interaction Total999=NA/NK/missingAdos2_2001_scoresumm_btotal, CSSBTotal, M2_Soc, SOCIAL_INTERACT_TOTAL, ados_mod2_soc_int_total, sbtotal
scoresumm_abtotalIntegerRequiredCommunication + Social Interaction TotalAdos2_2001_scoresumm_abtotal, COMMUNIC_SOC_INTERACT_TOTAL, CSSABTotal, M2_ComSoc_ttl, ados_mod2_comm_soc_int_tot, communication_social, sa_css, sabtotal
scoresumm_b_c2IntegerRequiredImagination/CreativityAdos2_2001_scoresumm_c2, CSC2, CSSCTOTAL, IMAGINATION_CREATIVITY, M2_Play, ados_mod2_imagination_tot, csc2
scoresumm_b_d1IntegerRecommendedUnusual Sensory Interest in Play Material/PersonAdos2_2001_scoresumm_d1, SINT_recode, UNUSUAL_SENSE_INTERST, sd1
scoresumm_b_d2IntegerRecommendedHand and Finger and Other Complex MannerismsAdos2_2001_scoresumm_d2, COMPLEX_MANNERISM, MAN_recode, sd2
scoresumm_b_d4IntegerRecommendedUnusually Repetitive Interests or Stereotyped BehaviorsAdos2_2001_scoresumm_d4, BEHAVIOR_UNUSUAL, RINT_recode, sd4
scoresumm_dtotalIntegerRequiredStereotyped Behaviors and Restricted Interests Total999=NA/NK/missingAdos2_2001_scoresumm_dtotal, CSSDTotal, M2_RR, STEROTYPED_BEHAV_RESTRICT_INTERESTS_TOTAL, ados_mod2_ster_behav_total, rrb_css, sdtotal
scoresumm_adosdiagString255RequiredADOS Diagnosis ClassificationMODULE 1: Autism = Few to no words overall total is 16 or higher, OR Some words overall total is 12 or higher; Autism spectrum = Few to no words overall total is 11 to 15, OR Some words total is 8 to 11; Non-spectrum = Few to no words overall total is 10 or lower, OR Some words overall total is 7 or lower; MODULE 2: Autism = Younger than 5 years overal total is 10 or higher, OR Aged 5 years or older overall total is 9 or higher; Autism spectrum = Younger than 5 years overall total is 7 to 9, OR Aged 5 years or older overall total is 8; Non-spectrum = Younger than 5 years overall total is 6 or lower, OR Aged 5 years or older overall total is 7 or lower 9; MODULE 3: Autism = Overall total is 9 or higher; Autism spectrum = Overall total is 7 or 8; Non-spectrum = Overall total is 6 or lower; MODULE 4: Autism = Communication total is 3 or higher, AND Social interaction total is 6 or higher, AND Communication + Social interaction total is 10 or higher; Autism spectrum = Communication total is 2 or higher, AND Social interaction total is 4 or higher, AND Communication + Social interaction total is 7 or higher, AND at least one of the following is true: Communication total is 2, Social interaction total is 4 or 5, Communication + Social interaction total is 7 to 9; Non-spectrum = At least one of the following is true: Communication total is 1 or lower, Social interaction total is 3 or lower, Communication + Social interaction total is 6 or lower 9 = Cannot be rated for some reason other than that listed above, such as if an examiner makes an error and does not administer a particular ADOS activity.ADOS_Class, ADOS_OLD_ALG_CLASS, Ados2_2001_scoresumm_adosdiag, CSadosgdiag, Orig_Algo_DX, Orig_Algo_Dx, ados_classif2, adosgdiag, diagnosis_ados, diagnosis_ados
scoresumm_overalldiagString255RequiredOverall ADOS DiagnosisAdos2_2001_scoresumm_overalldiag, CLINJUDG_DIAG, Dx, diagnosis_overall
algorithmString50Recommendedalgorithm used for scoring
calc_statusString20RecommendedCalculation Statuscomplete;missing-valuesstatus
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