Preliminary Psychometric Properties of the Autism Classification System of Functioning: Social Communication (ACSF: SC) in Urdu-Speaking Children

IF 1.8 4区医学 Q2 PEDIATRICS

Child Care Health and Development Pub Date : 2025-06-17 DOI:10.1111/cch.70117

Gul Afshan, Sonila Ali, Nadia Mazhar, Sadia Parkar, Misbah Jindani, Sidra Kaleem Jafri

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引用次数: 0

Abstract

Background

Autism spectrum disorder (ASD) is a neurodevelopmental disorder characterized by deficits in social communication and interaction. The Autism Classification System of Functioning: Social Communication (ACSF: SC) is a promising tool to categorize levels of functioning for social communication skills in children with ASD. However, its psychometric properties in Urdu-speaking populations remain unexplored. This study aims to investigate these properties, addressing a gap and offering insights for clinical practice in the region.

Methods

The English version of ACSF: SC was translated into Urdu, followed by cultural adaptation. The Urdu ACSF: SC was approved by the developers of the tool and will be published on their website (Canchild) after final edits. Therapists and parents assessed the reliability of their classifications. For interrater reliability, two speech and language pathologists (SLPs), two occupational therapists (OTs), two behavioural therapists (BTs) and 50 parents participated to classify the communication level of 50 autistic children aged 3–10 years. The test–retest reliability test was performed with a 14-day interval. Only 46 parents were able to complete the retest after 14 days. The measurement of the interrater and test–retest reliability was conducted via weighted kappa coefficients.

Results

The analyses of typical performance level and best capacity level revealed that the communication levels of children in ACSF: SC were consistent. The weighted kappa interrater reliability varied from fair (0.265) to good (0.687) for the best capacity level and from fair (0.271) to excellent (0.822) for the typical performance level; test–retest reliability ranged from moderate (0.437) to excellent (0.885) for the best capacity level and from moderate (0.575) to good (0.741) for the typical performance level.

Conclusion

The adapted ACSF: SC tool successfully estimates the level of communication ability of Urdu-speaking children with ASD and is culturally and linguistically appropriate for describing communication ability in this population.

Key Message

The study confirms that the Urdu version of the ACSF: SC is a reliable tool for children with ASD and can be effectively used in clinical settings.
Psychometric properties of Urdu version of the ACSF: SC align closely with those of the original English version, making it a suitable tool for use with Urdu-speaking populations.

查看原文本刊更多论文

乌尔都语儿童孤独症功能分类系统的初步心理测量特征：社会沟通（ACSF: SC）

自闭症谱系障碍（ASD）是一种以社会沟通和互动障碍为特征的神经发育障碍。自闭症功能分类系统：社会沟通（ACSF: SC）是一种很有前途的工具，用于分类自闭症儿童的社会沟通技能功能水平。然而，它在乌尔都语人群中的心理测量特性仍未被探索。本研究旨在调查这些属性，解决差距，并为该地区的临床实践提供见解。方法将《ACSF: SC》英文版翻译成乌尔都语，并进行文化改编。乌尔都语ACSF: SC得到了该工具开发人员的批准，并将在最终编辑后发布在他们的网站（Canchild）上。治疗师和家长评估了他们分类的可靠性。采用两名言语和语言病理学家（slp）、两名职业治疗师（OTs）、两名行为治疗师（bt）和50名家长对50名3-10岁自闭症儿童的沟通水平进行了信度分类。信度测试每隔14天进行一次。14天后，只有46名家长能够完成重新测试。通过加权kappa系数测量解释信度和重测信度。结果典型表现水平和最佳能力水平分析显示，ACSF: SC儿童的沟通水平是一致的。最佳容量水平的加权kappa判读信度从一般（0.265）到良好（0.687），典型性能水平的加权kappa判读信度从一般（0.271）到优异（0.822）；对于最佳容量水平，重测信度范围从中等（0.437）到优秀（0.885），对于典型性能水平，从中等（0.575）到良好（0.741）。结论改进的ACSF: SC工具成功地估计了乌尔都语自闭症儿童的沟通能力水平，并且在文化和语言上适合于描述该人群的沟通能力。该研究证实，乌尔都语版本的ACSF: SC是一种可靠的工具，可以在临床环境中有效地使用。乌尔都语版本的ACSF: SC的心理测量特性与原始英语版本的心理测量特性密切相关，使其成为乌尔都语人群使用的合适工具。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Child Care Health and Development 医学-小儿科

CiteScore

3.40

自引率

5.30%

发文量

136

审稿时长

4-8 weeks

期刊介绍： Child: care, health and development is an international, peer-reviewed journal which publishes papers dealing with all aspects of the health and development of children and young people. We aim to attract quantitative and qualitative research papers relevant to people from all disciplines working in child health. We welcome studies which examine the effects of social and environmental factors on health and development as well as those dealing with clinical issues, the organization of services and health policy. We particularly encourage the submission of studies related to those who are disadvantaged by physical, developmental, emotional and social problems. The journal also aims to collate important research findings and to provide a forum for discussion of global child health issues.