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Autism Diagnostic Interview - Revised (ADI-R)

The Autism Diagnostic Interview - Revised (ADI-R) is a standardized interview tool used by trained clinicians to collect a developmental history from caregivers as part of a comprehensive evaluation for autism spectrum disorder (ASD). Administering the highly structured 90-150 minute interview requires expertise in ASD symptoms and diagnostic criteria. Along with the Autism Diagnostic Observation Schedule, it is considered essential for an ASD diagnosis in research and specialty clinic settings, though its length limits general clinical use. Scores are obtained in the core ASD domains to inform diagnosis.

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4K views

Autism Diagnostic Interview - Revised (ADI-R)

The Autism Diagnostic Interview - Revised (ADI-R) is a standardized interview tool used by trained clinicians to collect a developmental history from caregivers as part of a comprehensive evaluation for autism spectrum disorder (ASD). Administering the highly structured 90-150 minute interview requires expertise in ASD symptoms and diagnostic criteria. Along with the Autism Diagnostic Observation Schedule, it is considered essential for an ASD diagnosis in research and specialty clinic settings, though its length limits general clinical use. Scores are obtained in the core ASD domains to inform diagnosis.

Uploaded by

aspire center
Copyright
© © All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
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AUTISM DIAGNOSTIC INTERVIEW – REVISED (ADI-R)

The Autism Diagnostic Interview – Revised (ADI-R) is a highly recognized evaluative


measure for diagnosing Autism Spectrum Disorder (ASD). Along with additional
assessments, a well trained clinician will use this systematic interview tool as part
of a comprehensive evaluation which should include clinical observation and
additional evaluation measures for diagnosing ASD. It is most frequently used in
research and specialty clinics.

Name Autism Diagnostic Interview – Revised (ADI-R)


Reference Rutter M, LeCouteur A, Lord C (2003, 2008). Autism
Diagnostic Interview – Revised. Los Angeles: Western
Psychological Services.
Summary The ADI-R is a way of collecting a systematic
developmental history for children being evaluated for
ASD. It was designed by researchers in ASD, many of
whom also created the Autism Diagnostic Observation
Schedule, 2nd Edition (ADOS-2). Together, the ADI-R
and ADOS-2 are considered the “gold standard”
instruments for diagnosing ASD, and both have been
widely used in ASD research and specialty clinics.
However, the time required to administer the ADI-R is
prohibitive for many general clinical applications.
Age Range Individuals of any age with a developmental level of at
least 2 years
Format A trained examiner conducts a 90-150 minute
interview with a caregiver who knows the
individual’s early developmental history and current
functioning. The examiner elicits descriptions
of behaviors and rates them using anchors provided
with each item.
Who Can Administer Interviewers must be adept in general interviewing
and Interpret skills and have the ability to both recognize and
obtain detailed descriptions of behaviors relevant to
ADI-R items. This is not a structured interview with
clear decision trees: responses require interpretation
by the interviewer. Thus, interviewers must be well
conversant with the concepts of ASD and the many
ways in which ASD symptoms can manifest. Like the
ADOS-2, the ADI-R is commercially available.
However, training in administration and scoring is
available and highly recommended. Training can be as
brief as attending a 2 day workshop or as extensive as
establishing reliability with the authors (an extensive
process of establishing that administration and
scoring is consistent with the authors’ administration
and scoring). In specialty training clinics and research
settings, trainees often administer the ADI-R under
close supervision of an ASD expert while mastering
the skill of diagnosing ASD.
Results Yielded Both “Lifetime” and “Current” Scores in the 3 domains
of Social Interaction, Communication, and Range of
Restrictive, Repetitive, and Stereotyped Behaviors
and Interests are obtained. Separate Communication
algorithms are available for verbal and nonverbal
individuals. In addition, scores indicating
abnormal development before the age of 3 are also
obtained.
Author’s Suggested The ADI-R provides a helpful standardized approach to
Uses and Cautions gathering diagnostic information, but it does not
obviate the need to consider broader clinical issues.
Development and The ADI-R has been widely adopted for research
Ongoing Research purposes around the world and is continually being
studied by the authors and others. It is well-
established as the preferred method for obtaining an
in-depth developmental history for ASD.
Related Articles:

Getting an Evaluation for Autism Spectrum Disorder


Who is Able to Diagnose Autism Spectrum Disorder
Elements of an Evaluation for Autism Spectrum Disorder

The Center for Autism Research and The Children's Hospital of Philadelphia do not endorse or recommend any specific person or organization or form
of treatment . The information included within the CAR Autism Roadmap & trade; and CAR Resource Directory & trade; should not be considered
medical advice and should serve only as a guide to resources publicly and privately available . Choosing a treatment, course of action, and/or a
resource is a personal decision, which should take into account each individual's and family's particular circumstances .

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