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 33404084WHAT 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
Read the rest of this summary
You get three full summaries a month, free, and we do not ask for a card. Search, the TL;DRs and your library stay unlimited either way.
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.