Validation of the Pictorial Infant Communication Scale for preschool-aged children with autism spectrum disorder
Christine S Ghilain1,2, Meaghan V Parlade1, Matthew T McBee3
11 University of Miami, USA.
Insights
The Pictorial Infant Communication Scale effectively measures joint attention in young children, offering a valuable parent-report tool for assessing social communication development, especially in autism spectrum disorder.
Area of Science:
- Developmental Psychology
- Clinical Psychology
- Speech-Language Pathology
Background:
- Joint attention is vital for social communication and often impaired in children with autism spectrum disorder (ASD).
- Existing parent-report measures assess broad social communication, while targeted joint attention assessment is typically time-intensive.
- A need exists for efficient, parent-report tools to specifically measure joint attention skills.
Purpose of the Study:
- To examine the psychometric properties of the Pictorial Infant Communication Scale (PICS).
- To evaluate PICS as an efficient parent-report measure for joint attention in preschool-aged children, particularly those with ASD.
Main Methods:
- The study assessed the psychometric properties of the Pictorial Infant Communication Scale.
- Confirmatory factor analysis was used to support the underlying factor structure.
- Concurrent validity was examined by correlating PICS scores with direct clinical measures.
Main Results:
- The Pictorial Infant Communication Scale demonstrated high internal consistency and strong intercorrelations between subscales.
- Confirmatory factor analysis supported a three-factor model of joint attention.
- Significant correlations were found between PICS scores and measures of child joint attention, language, and ASD symptom severity.
Conclusions:
- The Pictorial Infant Communication Scale is a psychometrically sound and promising tool for measuring joint attention.
- PICS can effectively complement structured assessments in evaluating early social communication development.
- This scale offers an efficient method for assessing joint attention skills in preschool children with ASD.
Abstract:
Joint attention, or the shared focus of attention between objects or events and a social partner, is a crucial milestone in the development of social communication and a notable area of deficit in children with autism spectrum disorder. While valid parent-report screening measures of social communication are available, the majority of these measures are designed to assess a wide range of behaviors. Targeted assessment of joint attention and related skills is primarily limited to semi-structured, examiner-led interactions, which are time-consuming and laborious to score. The Pictorial Infant Communication Scale is an efficient parent-report measure of joint attention that can be used as a complement to structured assessments in fully characterizing early social communication development. This study examined the psychometric properties of the Pictorial Infant Communication Scale. Results revealed a high degree of internal consistency and strong intercorrelations between subscales. Additionally, confirmatory factor analysis supported a three-factor model of joint attention. Furthermore, significant correlations between the Pictorial Infant Communication Scale and direct clinical measures of child joint attention, language skills, and autism spectrum disorder symptom severity were suggestive of concurrent validity. Findings suggest that the Pictorial Infant Communication Scale is a promising tool for measuring joint attention skills in preschool-aged children with autism spectrum disorder.
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