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Clinically derived 12-factor structure and confirmatory factor analysis of the neurodevelopmental parent report for

Nicole T Baumer1,2,3, Katherine G Pawlowski1, Joseph L Amaral4

  • 1Division of Developmental Medicine, Boston Children's Hospital, Boston, MA, United States.

Frontiers in Psychiatry
|September 15, 2023
PubMed

Insights

The Neurodevelopmental Parent Report for Outcome Monitoring (ND-PROM) effectively assesses autism spectrum disorder (ASD) core symptoms and comorbidities. Its 12-factor structure is validated for tracking functioning across diverse domains in children with ASD.

Area of Science:

  • Neurodevelopmental disorders
  • Pediatric psychology
  • Clinical assessment tools

Background:

  • Autism spectrum disorder (ASD) is a complex neurodevelopmental condition.
  • Co-occurring conditions significantly influence ASD patient outcomes and treatment needs.
  • Comprehensive assessment across multiple domains is crucial for effective ASD clinical care.

Purpose of the Study:

  • To evaluate the psychometric properties of the Neurodevelopmental Parent Report for Outcome Monitoring (ND-PROM).
  • To test a proposed 12-factor structure of the ND-PROM in a clinical population of children with ASD.

Main Methods:

  • Confirmatory factor analysis (CFA) was used to examine the ND-PROM's factor structure.
  • Measurement invariance was assessed based on sex.
  • The ND-PROM was administered to 246 children diagnosed with ASD.

Main Results:

  • A 12-factor correlated structure of the ND-PROM was identified, encompassing language, social, behavioral, and adaptive domains.
  • The identified factor structure demonstrated measurement invariance across sexes.
  • The factors included expressive and receptive language, nonverbal communication, social-emotional understanding, social interaction, independent play, adaptive/toileting skills, restrictive/repetitive behaviors, sensory processes, challenging behaviors, impulse/ADHD, and mental health.

Conclusions:

  • The ND-PROM provides a robust measure of distinct developmental and behavioral functioning aspects in ASD.
  • The tool is valuable for monitoring independent functioning across various domains in children with ASD.
  • The validated 12-factor structure supports the ND-PROM's utility in clinical practice and research for ASD.

Keywords:
ASD-PROMND-PROMautism spectrum disorder (ASD)confirmatory factor analysisdevelopmental questionnaireparent reported outcome measures

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