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Research Article

Linking autism measures with the ICF-CY: Functionality beyond the borders of diagnosis and interrater agreement issues

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Pages 321-331 | Received 09 Sep 2012, Accepted 20 Sep 2012, Published online: 19 Jul 2013
 

Abstract

Purpose: This study aims to: (1) link measurements used in the diagnosis of children with autism spectrum disorders (ASDs) with the International Classification of Functioning, Disability and Health – Children and Youth Version (ICF-CY) and (2) analyse issues relating with interrater agreement within this process.

Method: Three instruments for ASD diagnosis were linked with the ICF-CY using deductive content analysis.

Results: Correspondences between items’ content and ICF-CY dimensions were identified for all ICF-CY components, except for environmental factors. Interrater agreement varied with the content of the units analyzed.

Conclusion: The linkage between the ICF-CY and the analyzed measures provides a way to document assessment–intervention outcomes using a common language, as well as to integrate diagnostic and functional data. Diagnostic measurements provide functional information beyond the diagnostic criteria defined for autism. A functional perspective is added to diagnostic outcomes, thus better informing educational and rehabilitation practices for children with ASD.

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