The Brief Observation of Symptoms of Autism (BOSA): Development of a New Adapted Assessment Measure for Remote Telehealth Administration Through COVID-19 and Beyond

Deanna Dow, Alison Holbrook, Christina Toolan, Nicole McDonald, Kyle Sterrett, Nicole Rosen, So Hyun Kim, Catherine Lord

Research output: Contribution to journalArticlepeer-review

29 Scopus citations

Abstract

Interest in telehealth assessment for autism has increased due to COVID-19 and subsequent expansion of remote psychological services, though options that are easy for clinicians to adopt and available through the lifespan are limited. The Brief Observation of Symptoms of Autism (BOSA) provides a social context with standardized materials and activities that can be coded by clinicians trained in the Autism Diagnostic Observation Schedule. The current project examined psychometric properties to determine optimal use for each BOSA version. Three hundred and seven participants with 453 BOSAs were included to determine best performing items for algorithms, validity, sensitivity, specificity, recommended cut-offs, and proposed ranges of concern. While preliminary, the BOSA provides a promising new option for telehealth-administered assessment for autism.

Original languageEnglish (US)
Pages (from-to)5383-5394
Number of pages12
JournalJournal of Autism and Developmental Disorders
Volume52
Issue number12
DOIs
StatePublished - Dec 2022
Externally publishedYes

Bibliographical note

Funding Information:
Funding was provided by Simons Foundation Autism Research Initiative (Grant No.: 811870).

Funding Information:
We would like to thank the following clinical and research groups at UCLA for contributing deidentified data for this project: UCLA PEERS® Clinic, KidsConnect, Children’s Friendship Program, Expressive Movement Initiative (EMI), JASPER Early Intervention for Tuberous Sclerosis Complex, and Baby BIBS research study. This work was supported by a grant from SFARI (811870, CL).

Publisher Copyright:
© 2021, The Author(s).

Keywords

  • Assessment
  • Autism spectrum disorder
  • Diagnosis
  • Screening

PubMed: MeSH publication types

  • Journal Article

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