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CPEA STAART ADOS WPS Module 1

cs_ados_wps_1

02

ADOS WPS Module 1 as Defined by the CPEA STAART project

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Element NameData TypeSizeRequiredDescriptionValue RangeNotesAliases
subjectkeyGUIDRequiredThe NDAR Global Unique Identifier (GUID) for research subjectNDAR*
interview_dateDateRequiredDate on which the interview/genetic test/sampling/imaging was completed. MM/DD/YYYYRequired fieldADOS_DATE_STD
cycleIntegerRecommendedTimepoint information-1 = Screener; 0 = Baseline; 97 = Taper; 98 = Withdrawal; 99 = Interim contact
patidString20Recommendedsrc_Subject_idA Participant ID provided by DM-STAT must be present to process form
networkString20RecommendedNetworkCPEA or STAART Network
siteString100RecommendedSiteStudy Site
studyString100RecommendedStudy
ados_alg_cmsitIntegerRecommendedCommunication Social Interaction Total0 :: 24MODULE 1: 7 = Autism spectrum cut-off; 12 = Autism cut-off. MODULE 2: 8 = Autism spectrum cut-off; 12 = Autism cut-off. MODULES 3 AND 4: 7 = Autism spectrum cut-off; 10 = Autism cut-offq24_tot3
ados_alg_commtIntegerRecommendedCommunication Total0 :: 10MODULE 1: 2 = Autism spectrum cut-off; 4 = Autism cut-off. MODULE 2: 3 = Autism spectrum cut-off; 5 = Autism cut-off. MODULES 3 AND 4: 2 = Autism spectrum cut-off; 3 = Autism cut-offq24_tot1
ados_alg_playtIntegerRecommendedPlay Total0 :: 4q24_tot4
ados_alg_sbritIntegerRecommendedStereotyped Behaviors and Restricted Interests Total0 :: 6q24_tot5
ados_alg_sclitIntegerRecommendedSocial Interaction Total0 :: 14MODULE 1: 4 = Autism spectrum cut-off; 7 = Autism cut-off. MODULE 2: 4 = Autism spectrum cut-off; 6 = Autism cut-off. MODULES 3 AND 4: 4 = Autism spectrum cut-off; 6 = Autism cut-offq24_tot2
ados_com_classString50RecommendedADOS: Communication Classification
ados_csi_classString50RecommendedADOS: Social-Communication Classification
ados_dateIntegerRecommendedADOS Dateq24_date
ados_rsi_classString50RecommendedADOS: Stereotyped Behaviors-Restricted Interests Classification
ados_dia_classString50RecommendedADOS Classification
ados_dia_diagString75RecommendedOverall Diagnosisq24_comm
ados_dxString15RecommendedADOS Diagnosis
ados_lac_afinfIntegerRecommendedAsks for InformationNulled value range of: 0;1;2;3 to accept outlier data. 0 = Asks the examiner about his or her thoughts, feelings, or experiences on several occasions. 1 = Occasionally (at least one clear example) asks the examiner about his or her thoughts, feelings, or experiences. 2 = Responds appropriately to examiner's comments about his or her thoughts, feelings, and experiences, but does not spontaneously inquire about them. 3 = Rarely or never expresses interest in the examiner's thoughts, feelings, or experiences.
ados_lac_asomaIntegerRecommendedAmount of Social Overtures/Maintenance of AttentionNulled value range of: 0;1;2;7 to accept outlier data. 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_lac_cnvstIntegerRecommendedConversationNulled value range of: 0;1;2;3 to accept outlier data. 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.
ados_lac_dciigIntegerRecommendedDescriptive, Conventional, Instrumental, or Informational GesturesNulled value range of: 0;1;2;3;8 to accept outlier data. 0 = 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).
ados_lac_eoegtIntegerRecommendedEmphatic or Emotional GesturesNulled value range of: 0;1;2;3;8 to accept outlier data. 0 = Variety of appropriate emphatic and/or emotional gestures that are well-integrated with speech. 1 = Some emphatic or emotional gestures, but exaggerated, OR limited in frequency, appropriateness, integration, or style. 2 = Odd, excessive, or definitely awkwardly integrated emphatic or emotional gestures. 3 = No or very limited emphatic or emotional gestures. 8 = N/A (e.g., limited by physical disability).
ados_lac_fvdtoIntegerRecommendedFrequency of Vocalization Directed to OthersNulled value range of: 0;1;2;3 to accept outlier data. 0 = Directs vocalizations to parent/caregiver or examiner in a variety of pragmatic contexts. Must include chatting or vocalizing to be friendly or to express interest, as well as to make needs known. 1 = Directs vocalizations to parent/caregiver or examiner consistently in one pragmatic context, OR directs a limited number of vocalizations to parent/caregiver or examiner across a variety of pragmatic contexts. 2 = Directs an occasional vocalization to parent/caregiver or examiner inconsistently in a limited number of pragmatic contexts. May include whining or crying due to frustration. 3 = Vocalizations never or almost never appear to be directed to parent/caregiver or examiner, OR rarely or never vocalizes.q24_a2
ados_lac_gestrIntegerRecommendedGesturesNulled value range of: 0;1;2;8 to accept outlier data. 0 = Spontaneous use of at least two different gestures of any type (descriptive, conventional, emotional, or instrumental, excluding pointing); at least one used more than once. 1 = Spontaneous use of descriptive, conventional, instrumental, or emotional gestures, but exaggerated or limited in range and/or contexts (e.g., only one or used only once each). Communicative reaching can be coded here, but not as pa rt of a code of 0. 2 = No spontaneous use of descriptive, conventional, instrumental, or emotional gestures, OR inappropriate use only (e.g., a child who signs "more" when he wants something to stop). 8 = N/A (e.g., limited by severe motor difficulties).q24_a8
ados_lac_imechIntegerRecommendedImmediate EcholaliaNulled value range of: 0;1;2;3;8 to accept outlier data. 0 = Does not repeat others' speech. (Note: Requires at least five words to code 0 rather than 8.) 1 = Occasional echoing. 2 = Echoing words and phrases regularly, but some spontaneous language, which can be stereotyped. 3 = Speech largely consists of immediate echolalia. 8 = No echolalia noted, but language too limited to judge.q24_a4
ados_lac_ivlvbFloatRecommendedIntonation of Vocalization or VerbalizationNulled value range of: 0;1;2;8 to accept outlier data. 0 = Normal, appropriately varying intonation, with no peculiar or odd intonation. 1 = Little variation in pitch and tone; rather flat or exaggerated, or occasional peculiar intonation. 2 = Odd intonation or inappropriate pitch and stress, AND/OR markedly flat and toneless mechanical vocalizations, OR an odd cry and few other vocalizations. 8 = N/A (insufficient vocalizations for assessment of intonation; includes presence of normal cry and few other vocalizations).q24_a3
ados_lac_offrsIntegerRecommendedOffers InformationNulled value range of: 0;1;2 to accept outlier data. 0 = Spontaneously offers information about his/her own thoughts, feelings, or experiences on several occasions. 1 = Occasionally offers information spontaneously about his or her own thoughts, feelings, or experiences. 2 = Rarely or never offers information spontaneously, except about circumscribed interests or preoccupations, OR offers information about facts or general knowledge, including preoccupations or circumscribed interests.
ados_lac_olnel1IntegerRecommendedOverall Level of Non-Echoed LanguageNulled value range of: 0;1;2;3;8 to accept outlier data. 0 = Regular use of utterances with two or more words. 1 = Occasional phrases only; mostly single words. 2 = Recognizable single words only; must use at least five different words during session. 3 = At least one word or word approximation, but fewer than five words used during session. 8 = No words or word approximations.q24_a1
ados_lac_point1IntegerRecommendedPointing_Pointing to Express InterestNulled value range of: 0;1;2;3 to accept outlier data. 0 = Points with index finger to show visually directed referencing (coordinated gaze to object and person) of distal objects in at least two activities (e.g., points to bubbles and to balloon). 1 = Uses pointing to reference objects, but without sufficient flexibility or frequency to meet criteria for a rating of 0 (e.g., only one instance of pointing that fits the preceding description for a rating of 0, or 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 with coordination (gaze or vocalization) only to a person or to himself or herself. 2 = Points only when close to or actually touching an object, without coordinated gaze or vocalization. Does not have to be well-formed index finger point. 3 = Does not point as described aboveq24_a7
ados_lac_rptevIntegerRecommendedReporting of EventsNulled value range of: 0;1;2;3 to accept outlier data. 0 = Reports a specific nonroutine event (e.g., a holiday, a vacation, a shopping trip) that is not part of any preoccupations or intense interests and seems likely to be real. Gives a reasonable account without specific probes, but may need to be asked a general question to get started. 1 = Gives a reasonable account of a routine event (e.g., playing a favorite game, usual routine when he or she arrives home from school) that is not part of a preoccupation or intense interest and seems likely to be real. Gives the account without specific probes, but initially may need to be asked to describe the event. Include accounts from the "Demonstration Task" here. 2 = Provides an account of routine or non routine events, but dependent on specific probes, OR only describes an event that seems unlikely to have been real. 3 = Inconsistent or insufficient responses, even to specific probes. 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_lac_saawaIntegerRecommendedSpeech Abnormalities Associated with Autism (Intonation/Volumen/Rhythm/Rate)Nulled value range of: 0;1;2;7;8 to accept outlier data. 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.
ados_lac_stidw1IntegerRecommendedStereotyped_Idiosyncratic Use of Words or PhrasesNulled value range of: 0;1;2;3;8 to accept outlier data. 0 = Rarely or never uses stereotyped or idiosyncratic words or phrases. (Note: Requires at least five words to code 0 rather than 8.) 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. 8 = Language too limited to judge.q24_a5
ados_lac_uobtcIntegerRecommendedUse of Other s Body to CommunicateNulled value range of: 0;1;2;8 to accept outlier data. 0 = No use of another person's body for a specific goal (e.g., to manipulate an object), except in situations where other strategies have not worked (e.g., when others are conversing and the participant cannot get their attention) and in conjunction with coordinated gaze. 1 = Takes another person's hand and leads him/her places without coordinated gaze, but no placement of hand on objects and no use of another person's body as a tool, to point, or for a specific goal. 2 = Movement of another person's hand when it is holding an object OR pushing examiner's hand away from object without eye contact. 3 = Placement of another person's hand or other body part on object (including placing the balloon or food to the examiner's mouth without coordinated gaze), OR use of his/her hand or other body part as a tool or to gesture "for" the participant (such as pointing). 8 = Little or no spontaneous communication.q24_a6
ados_moduleIntegerRecommendedADOS Modulemodule
ados_oab_anxtyIntegerRecommendedAnxietyNulled value range of: 0;1;2 to accept outlier data. 0 = 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.q24_e3
ados_oab_ovratIntegerRecommendedOveractivityNulled value range of: 0;1;2;7 to accept outlier data. 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 (e.g., during the symbolic imitation task, the birthday party) for activities besides the snack. Often fidgets, moves about, or gets up 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.q24_e1
ados_oab_tandbIntegerRecommendedTantrums, Aggression, Negative or Disruptive BehaviorNulled value range of: 0;1;2 to accept outlier data. 0 = Not upset, disruptive, negative, destructive, or aggressive during ADOS. 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 more significant aggression (e.g., hitting, biting others). Loud screaming is included here.q24_e2
ados_ply_fpwobIntegerRecommendedFunctional Play with ObjectsNulled value range of: 0;1;2;3 to accept outlier data. 0 = 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, 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 the examiner's or a parent/caregiver's 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.q24_c1
ados_ply_imgcr1IntegerRecommendedImagination CreativityNulled value range of: 0;1;2;3 to accept outlier data. 0 = Spontaneous use of a doll or other object as an independent agent, OR spontaneous use of objects to represent other objects (e.g., pretends to eat the string like spaghetti). 1 = Spontaneous pretend play with a doll (e.g., feeding, hugging, or giving a drink) or other objects, but no use of a doll or other toy as an independent agent or to represent something else. 2 = Imitates pretend play as described above for a rating of 1, OR imitation with a placeholder; no spontaneous pretend play. 3 = No imitated or spontaneous pretend play.
ados_rsi_arscmIntegerRecommendedAmount of Reciprocal Social CommunicationNulled value range of: 0;1;2;3 to accept outlier data. 0 = 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.
ados_rsi_seitt1IntegerRecommendedADOS: Shared Enjoyment0 = 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_rsi_cmooaIntegerRecommendedCommunication of Own AffectNulled value range of: 0;1;2;3 to accept outlier data. 0 = Effective communication of a range of emotions that he/she is feeling or has felt. 1 = Some description of experiencing several emotions, but limited in range or effectiveness of communication (may communicate one emotion effectively). 2 = Communicates about one emotion only, with minimal description of others. 3 = Minimal or no communication of his/her own affect.
ados_rsi_ecooeIntegerRecommendedEmpathy/Comments on Others EmotionsNulled value range of: 0;1;2;3 to accept outlier data. 0 = Communicates clear understanding and shared emotion with others for several different emotions. 1 = Communicates some degree of understanding and shared emotion with others for more than one emotion, OR communicates clear understanding and shared emotion of one emotion experienced by another individual. 2 = Communicates some understanding and/or shared emotion of at least one experience of another individual. 3 = No or minimal communication of emotional understanding or shared emotion.
ados_rsi_fedtoIntegerRecommendedFacial Expression Directed to OthersNulled value range of: 0;1;2 to accept outlier data. 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.q24_b3
ados_rsi_givngIntegerRecommendedGivingNulled value range of: 0;1;2 to accept outlier data. 0 = Spontaneously gives toys or objects to other people in a variety of contexts throughout the ADOS evaluation, including giving toys, food, or pretend food for the purpose of sharing. 1 = Gives objects to other people for the purpose of getting help (e.g., in operating toys or opening food containers) or as part of a routine. 2 = Rarely or never gives anything to another person.q24_b8
ados_rsi_igobdIntegerRecommendedIntegration of Gaze and Other Behaviors During Social OverturesNulled value range of: 0;1;2;3 to accept outlier data. 0 = Uses eye contact effectively with words or vocalizations or gestures to communicate social intention. 1 = Uses eye contact and other strategies independently of each other to communicate social intention (i.e., uses both eye contact and vocalization at different times, but does not coordinate them with each other). 2 = Uses either eye contact or other strategies (e.g., vocalization, gestures) to communicate social intention. 3 = Uses neither eye contact nor other strategies to communicate social intention, OR no social overtures.q24_b4
ados_rsi_insgtIntegerRecommendedInsightNulled value range of: 0;1;2;3 to accept outlier data. 0 = Shows several examples of insight into the nature of typical social relationships, including his/her own role in at least one. 1 = Shows examples of insight into several typical social relationships, but not into his/her own role, OR into only one relationship including his/her own role. 2 = Shows some insight into one typical social relationship, though not necessarily about his/her own role in it. 3 = Shows no or limited insight into typical social relationships, with or without knowledge of his/her own role in them.
ados_rsi_lplncIntegerRecommendedLanguage Production and Linked Nonverbal CommunicationNulled value range of: 0;1;2;7;8 to accept outlier data. 0 = Vocalization usually accompanied by subtle and socially appropriate changes in gesture, gaze, and facial expression. 1 = Vocalization accompanied by abnormal, limited, or less than usual frequency and/or range of gesture, gaze, and facial expression, OR use of one modality almost exclusively (e.g., frequent use of gaze, but very limited use of gesture and facial expression). 2 = Little or no nonverbal communication linked with vocalization. 7 = Some avoidance of direct eye gaze, particularly at ihe beginning of the interview, perhaps because of shyness, but shows some modulation and coordination of language and nonverbal behavior. 8 = N/A; no vocalization OR no or minimal use of gesture, facial expression, or socially directed gaze. This code should be assigned automatically if the absence of linking can be accounted for by the limited frequency of unusual eye contact, facial expressions, and/or gestures.
ados_rsi_oqorpIntegerRecommendedOverall Quality of RapportNulled value range of: 0;1;2;3 to accept outlier data. 0 = 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.
ados_rsi_qscloIntegerRecommendedQuality of Social OverturesNulled value range of: 0;1;2;3 to accept outlier data. 0 = Effectively uses nonverbal and verbal means to make clear social overtures to the examiner or the parent/caregiver. The overtures must be appropriate to immediate contexts. 1 = Slightly unusual quality of social overtures. Assign this rating if overtures are restricted to personal demands or related to strong interests, but with some attempt to involve the examiner or the parent/caregiver in those interests. 2 = Overtures often lack integration into context AND/OR social quality. Assign this rating if there are some clearly inappropriate overtures, even if there are other overtures. 3 = No social overtures of any kind.q24_b12
ados_rsi_qsclrIntegerRecommendedQuality of Social ResponseNulled value range of: 0;1;2;3 to accept outlier data. 0 = 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.
ados_rsi_reqstIntegerRecommendedRequestingNulled value range of: 0;1;2;3 to accept outlier data. 0 = Exhibits appropriate integration of eye contact and at least one behavior (e.g., vocalization, gesture, or handing an object to the examiner or the parent/caregiver) to request bubbles, the remote-controlled toy animal, object routine, or social routine. Must include eye contact and a definite indication of wanting the other person to do or give something (e.g., by persisting in the request if the other person pauses before responding). This does not include physically pulling or placing the examiner's hand on an object or to the child himself or herself. 1 = Uses one or more behavior(s) listed above to request the remote-controlled toy animal, bubbles, and/or a routine, without integrating eye contact and other behavior(s), such as vocalization or gesture. This includes handing an object to the examiner or parent/caregiver without looking at him or her, looking at the other person without another behavior, and brief requests without persistence. It does not include physically pulling the examiner's hand to an object or to himself or herself. 2 = Does not directly request, as specified above for ratings of 0 or 1, but uses some physical means to request at least one action as part of a routine (e.g., pulls the examiner's hand to an object or to himself or herself). 3 = May participate in routine(s) or try to activate an object by vocalizing, banging, or other actions (e.g., bouncing) without looking at another person or vocalizing for help, but does not request, as specified above.q24_b7
ados_rsi_rspbtIntegerRecommendedResponsibilityNulled value range of: 0;1;2 to accept outlier data. 0 = Sees himself/herself as responsible for his/her own actions in several contexts, including dealing with minor problems in daily living. 1 = Provides at least one clear indication of seeing himself/herself as responsible for his/her own actions. May show no more than one clear lack of responsibility, but not consistent across contexts or consistently less straightforward than what is described above or a rating of 0. 2 = Shows limited indication of a sense of responsibility for his/her own actions or shows several clear examples of lack of responsibility that would be appropriate for his/her chronological age.
ados_rsi_rspjaIntegerRecommendedResponse to Joint AttentionNulled value range of: 0;1;2;3 to accept outlier data. 0 = 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/her face or eyes in the direction of the target after watching the examiner do so; he/she does not actually have to catch sight of the target. 1 = Responds to the examiner's pointing by looking at or toward the target. 2 = Looks at the target when it is activated or placed directly in front of himlher, but does not make use of the examiner's gaze or pointing in order to locate the target from a distance. 3 = No interest or awareness of the target. If it is not possible to get the child's attention in order to direct it in five attempts, assign this rating.q24_b11
ados_rsi_rspsmIntegerRecommendedResponsive Social Smile0 = Smiles immediately in response to one of the first two smiles of the examiner and/or parent/caregiver. This must be a clear change from nonsmiling to a fully responsive smile that is not prompted by a specific request (e.g., "Give me a smile"). 1 = Delayed or partial smile in response to one of the first two smiles of the examiner and/or parent/caregiver, OR smiles fully or partially only after more than two smiles by the parent/caregiver, OR smiles only in response to a specific request. 2 = Smiles fully or partially at the parent/caregiver only after being tickled or touched in some way OR in response to a repeated action with a physical component (even if the child is not actually touched). 3 = Does not smile in response to another person.q24_b2
ados_rsi_rsptn1IntegerRecommendedResponse to NameNulled value range of: 0;1;2;3 to accept outlier data. 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 examiner's 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.q24_b6
ados_rsi_seiit1IntegerRecommendedShared Enjoyment in InteractionNulled value range of: 0;1;2 to accept outlier data. 0 = Shows definite and appropriate pleasure with the examiner during more than one activity. Must include pleasure in at least one activity that is not purely physical in nature (e.g., tickling). 1 = Shows some appropriate pleasure in the examiner's actions during more than one activity, OR shows definite pleasure directed to the examiner during one interaction (may be physical in nature). 2 = Shows little or no expressed pleasure in interaction with the examiner. May show pleasure in his/her own actions, in interaction with a parent/caregiver, or in the available toys.q24_b5
ados_rsi_showgIntegerRecommendedShowingNulled value range of: 0;1;2 to accept outlier data. 0 = Spontaneously shows toys or objects throughout 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/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.q24_b9
ados_rsi_spijaIntegerRecommendedSpontaneous Initiation of Joint AttentionNulled value range of: 0;1;2 to accept outlier data. 0 = Uses clearly integrated eye contact to reference an object that is out of reach by looking at the object, then at the examiner or the parent/caregiver, and then back to the object. Eye contact may be coordinated with pointing and/or vocalization. One clear example of an attempt to draw another person's attention to an object (i.e., more than just referencing) is sufficient for this rating. 1 = Partially references an object that is clearly out of reach. May spontaneously look 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 reference an object that is out of reach.q24_b10
ados_rsi_uneycIntegerRecommendedUnusual Eye Contact0 = 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).q24_b1
ados_sar_bhvirIntegerRecommendedADOS: Stereotyped Behaviors and Restricted Interests: Behavior When Interrupted
ados_sar_cmrtlIntegerRecommendedCompulsions or RitualsNulled value range of: 0;1;2 to accept outlier data. 0 = No obvious activities or verbal routines that must be completed in full or according to a sequence that is not part of the task. 1 = Unusually routinized in speech or activities (includes insistence on finishing the book or providing a list that is not relevant to the conversation), but no behavior that appears clearly compulsive in quality. 2 = One or more activities or verbal routines that the participant has to perform or say in a special way. The participant appears under pressure or becomes anxious if an activity is disrupted (i.e., compulsive quality is present). Include the recitation of lists that must be completed or that the examiner is asked to record (e.g., friends, favorite foods) or insistence that the examiner respond verbally in a highly specific way.
ados_sar_erustIntegerRecommendedExcessive Interest in or References to Unusual or Highly Specific Topics or Objects or Repetitive BehaviorsNulled value range of: 0;1;2;3 to accept outlier data. 0 = No excessive interest in or references to unusual or highly specific or restricted topics or objects. 1 = Occasional references to unusual or highly specific topics or patterns of interest, occurring to an unusual degree. 2 = Definite, stereotyped, or unusual patterns of interest that may or may not intrude and/or interfere with social communication. 3 = Definite preoccupation(s) to a degree that interferes with the assessment.
ados_sar_hfocmIntegerRecommendedHand and Finger and Other Complex MannerismsNulled value range of: 0;1;2 to accept outlier data. 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, ANP/OR, hand or other mannerisms or stereotypes.q24_d2
ados_sar_sfijbIntegerRecommendedSelf-Injurious BehaviorNulled value range of: 0;1;2 to accept outlier data. 0 = 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.q24_d3
ados_sar_urisbIntegerRecommendedUnusually Repetitive Interests or Stereotyped BehaviorsNulled value range of: 0;1;2;3 to accept outlier data. 0 = 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.q24_d4
ados_sar_usipmIntegerRecommendedUnusual Sensory Interest in Play Material PersonNulled value range of: 0;1;2 to accept outlier data. 0 = No sniffing, repetitive touching, feeling of texture, licking or biting (not mouthing), 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.q24_d1
ados_versionString35RecommendedADOS Version
Data Structure

This page displays the data structure defined for the measure identified in the title and structure short name. The table below displays a list of data elements in this structure (also called variables) and the following information:

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Distribution for DataStructure: cs_ados_wps_102 and Element:
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