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Measuring Changes in Social Communication Behaviors: Preliminary Development of the Brief Observation of Social Communication Change (BOSCC)

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Abstract

Psychometric properties and initial validity of the Brief Observation of Social Communication Change (BOSCC), a measure of treatment-response for social-communication behaviors, are described. The BOSCC coding scheme is applied to 177 video observations of 56 young children with ASD and minimal language abilities. The BOSCC has high to excellent inter-rater and test–retest reliability and shows convergent validity with measures of language and communication skills. The BOSCC Core total demonstrates statistically significant amounts of change over time compared to a no change alternative while the ADOS CSS over the same period of time did not. This work is a first step in the development of a novel outcome measure for social-communication behaviors with applications to clinical trials and longitudinal studies.

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Acknowledgments

This work was supported by a Dennis Weatherstone Predoctoral Fellowship from Autism Speaks and a Graduate Student fellowship with Weill Cornell Medical College and Teachers College, Columbia University awarded to author R.G. Work for this project was also supported by Grants awarded to author C.L. from NIMH (R01MH081757, 1RC1MH089721, R01RFAMH14100, R01MH078165), Autism Speaks (5766), and HRSA (UA3MC11055) and author K.M. from Marilyn and James Simons Family Giving and a NIH T32 (5T32MH016434-35). In addition, this work was partially funded by the UK National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London. The views expressed are those of the authors and not necessarily those of the UK NHS, the NIHR or the Department of Health. The authors would like to sincerely thank Catherine Dick, Kyle Frost, Michelle Heyman, Natalie Hong, and Sophie Manevich for assistance with data coding and Sheri Stegall at Western Psychological Services for copyright assistance.

Author Contribution

R.G. participated in study conceptualization, measure development, data coding, analysis, interpretation, and manuscript preparation. T.C. and C.C. participated in conceptualization and development of the Brief Observation of Social Communication Change (BOSCC). K.M. and S.D. participated in study conceptualization, measure development and data coding. A.P. assisted with data analyses and interpretation. C.L. participated in study conceptualization, measure development, data analysis and interpretation, and manuscript preparation.

Funding

This study was funded by NIMH (R01MH081757, 1RC1MH089721, R01RFAMH14100, R01MH078165), NIH (5T32MH016434-35), Autism Speaks (5766, 9650), HRSA (UA3MC11055), a Graduate Student fellowship with Weill Cornell Medical College and Teachers College, Columbia University, Marilyn and James Simons Family Giving, and the UK National Institute for Health Research (NIHR) Biomedical Research Centre at South London and Maudsley NHS Foundation Trust and King’s College London. The views expressed are those of the authors and not necessarily those of the UK NHS, the NIHR or the Department of Health.

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Authors and Affiliations

  1. Center for Autism and the Developing Brain, Weill Cornell Medical College, New York-Presbyterian Hospital, 21 Bloomingdale Road, Rogers Building, White Plains, NY, 10605, USA

    Rebecca Grzadzinski, Sarah Dufek & Catherine Lord

  2. Teachers College, Columbia University, New York, NY, USA

    Rebecca Grzadzinski

  3. Center for Autism Research and Treatment, Semel Institute for Neuroscience and Human Behavior, University of California, Los Angeles, CA, USA

    Themba Carr

  4. University of Michigan, Ann Arbor, MI, USA

    Costanza Colombi

  5. Center for Autism and Developmental Disorders, Maine Behavioral Health Care, South Portland, ME, USA

    Kelly McGuire

  6. New York Presbyterian Hospital, Columbia University Medical Center and New York State Psychiatric Institute, New York, NY, USA

    Kelly McGuire

  7. Institute of Psychiatry, Psychology and Neuroscience, Kings College London, London, UK

    Andrew Pickles

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  1. Rebecca Grzadzinski
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  2. Themba Carr
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  3. Costanza Colombi
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  4. Kelly McGuire
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  5. Sarah Dufek
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  6. Andrew Pickles
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  7. Catherine Lord
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Correspondence to Catherine Lord.

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Conflict of interest

C.L. receives royalties from the sale of the ADI-R and the ADOS-2. All royalties related to the research were donated to a non-profit organization. No other authors have conflicts of interest with regard to this study.

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All procedures performed in studies involving human participants were in accordance with the ethical standards of the institutional and/or national research committee and with the 1964 Helsinki declaration and its later amendments or comparable ethical standards.

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Informed consent was obtained from all individual participants included in the study.

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Grzadzinski, R., Carr, T., Colombi, C. et al. Measuring Changes in Social Communication Behaviors: Preliminary Development of the Brief Observation of Social Communication Change (BOSCC). J Autism Dev Disord 46, 2464–2479 (2016). https://doi.org/10.1007/s10803-016-2782-9

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