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Using the AQ-10 with adults who have a borderline or mild learning disability: Pilot analysis of an adapted AQ-10

  • Elizabeth Kent

    Student thesis: PhD

    Abstract

    There is a need for appropriate screening tools for the assessment of autism spectrum disorder (ASD) in those with learning disabilities (LD) given the co-occurrence of the two conditions. The AQ-10 is the screening tool recommended by NICE (2012) for the case identification of ASD in adults with a borderline or mild learning disability. However, the AQ-10 was not developed with this population in mind. A mixed-methods approach was used to investigate the utility of the AQ-10 in its original form as a case identification tool. The AQ-10 was then redesigned and piloted. Qualitative results revealed individuals found the AQ-10 too inaccessible in its current format. Following revision, the diagnostic validity of the revised measure (AQ-10-R) showed good sensitivity (0.85) and specificity (0.77), whereas the diagnostic validity of the original AQ-10 was poor. The internal consistency for the AQ-10-R was 0.67 and 0.30 for the AQ-10. These findings indicate that simple formatting and administration changes may be needed to the AQ-10 before clinicians consider using it when helping to make decisions regarding referral for diagnostic assessment in those with borderline or mild learning disabilities.
    Date of Award2015
    Original languageEnglish

    Keywords

    • Learning Disability, Autism Spectrum Disorder, Intellectual impairment, Screening, Case identification, AQ-10.

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