Measurement invariance of the Childhood Autism Rating Scale (CARS) across six countries.

The Childhood Autism Rating Scale (CARS) is a simple and inexpensive tool for Autism spectrum disorder (ASD) assessments, with evidenced psychometric data from different countries. However, it is still unclear whether ASD symptoms are measured the same way across different societies and world regions with this tool, since data on its cross-cultural validity are lacking. This study evaluated the cross-cultural measurement invariance of the CARS among children with ASD from six countries, for whom data were aggregated from previous studies in India (n = 101), Jamaica (n = 139), Mexico (n = 72), Spain (n = 99), Turkey (n = 150), and the United States of America (n = 186). We analyzed the approximate measurement invariance based on Bayesian structural equation modeling. The model did not fit the data and its measurement invariance did not hold, with all items found non-invariant across the countries. Items related to social communication and interaction (i.e., relating to people, imitation, emotional response, and verbal and nonverbal communication) displayed lower levels of cross-country non-invariance compared to items about stereotyped behaviors/sensory sensitivity (i.e., body and object use, adaptation to change, or taste, smell, and touch response). This study found that the CARS may not provide cross-culturally valid ASD assessments. Thus, cross-cultural comparisons with the CARS should consider first which items operate differently across samples of interest, since its cross-cultural measurement non-invariance could be a source of cross-cultural variability in ASD presentations. Additional studies are needed before drawing valid recommendations in relation to the cultural sensitivity of particular items.

Elicited vs. Spontaneous Language as Methods for the Assessment of Grammatical Development: The DEME Assessment Tool.

Introduction and Objectives: This study compares data collection approaches in the assessment of grammatical development in Spanish-speaking children. Specifically, we compared error rates produced in data collected using samples from spontaneous language versus elicited production, using both broad (overall) and narrow measures (errors with noun phrases). Methods and Participants: Monolingual-Spanish-speaking five-year-olds (n=55) were divided into typical language development (TL) and at-risk (Risk) according to a preexisting test, Tamiz de Problemas del Lenguaje. All children completed an elicited production and a narrative task. Results: Children in the TL group outperform children in the Risk group in all measures used in this study. Statistically significant differences were found between children at Risk and TL children in both spontaneous and elicited language measures, although the effect size of the elicited language measures was considerably higher. Elicited and spontaneous tasks are more likely to produce results that are in accord than in disaccord. However, when results are in disaccord, the results almost always show low performance in elicited language but high performance in spontaneous language. Elicitation methods do not seem to have an impact on the type of error produced for neither narrow nor broad measures.

Morphological Errors in Monolingual Spanish-Speaking Children With and Without Developmental Language Disorders.

Purpose The purpose of this study was to identify which morphological markers have the best diagnostic accuracy to identify developmental language disorders (DLD) in monolingual Spanish-speaking children. Method The participants in this study included 50 Spanish-speaking monolingual children with (n = 25) and without (n = 25) DLD. Data collection took place in Mexico. Children were administered a comprehensive elicitation task that set up felicitous contexts to produce morphological structures previously identified as problematic for Spanish-speaking children with DLD: articles, direct object pronouns, adjectives, plurals, verb conjugations, and the subjunctive in Spanish. Results Statistically significant group differences between children with and without DLD were found for all morphological structures examined but plurals. Logistic regression analyses suggested that a model that included clitic and verbs was the best model to uniquely predict group membership. This model showed sensitivity of 96% and specificity of 80%. Conclusion Clitics and verbs should be considered morphological markers of DLD in monolingual Spanish-speaking children.