PTOTSLPOtherJournal of intellectual disability research : JIDR2021

Concordance of the Adaptive Behavior Assessment System, second and third editions.

A M von Buttlar, T A Zabel, A E Pritchard and 1 others

PMID 33404084

WHAT IT FOUND

Caregiver ratings on the newer ABAS-3 were consistently higher than on the older ABAS-2, especially for practical skills.

This score jump reflects a change in the test version, not actual improvement in the child's abilities. Clinicians should not interpret this increase as clinical progress.

Key findings

01General Adaptive Composite (GAC) scores were higher on the ABAS-3 than the ABAS-2, with a mean difference of 6.7 points in the within-subjects analysis.

02The Practical composite showed the largest discrepancy between versions, with a mean score increase of 8.6 points on the ABAS-3.

03For participants with verbal IQ scores at or below 75, the ABAS-3 GAC scores were over 8 points higher than ABAS-2 scores, shifting many from the 'below average' to the 'low average' range.

STILL TO COME

How it was doneWhat they foundWhat it means for PTsWhat it means for OTsWhat it means for SLPs

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What it does not show

The study used convenience samples of clinically referred children, so the results may not apply to children who are not in clinical care. The order of tests was not randomised; the ABAS-2 was always used first and the ABAS-3 second, which could introduce bias if children improved over time due to maturation or intervention. The researchers could not confirm diagnoses because the data relied on billing codes, using IQ scores as a proxy for risk of intellectual disability instead. Participants were only included if they had complete data, which might exclude children with more complex or incomplete assessments.

Declared interests

The authors reported no real or potential conflicts of interest.

The easy way to misread this

Do not interpret higher ABAS-3 scores as evidence of functional improvement or treatment success. The increase is likely a testing artefact caused by the version change, particularly in practical skills, and does not reflect actual gains in the child's abilities.

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