Psychometric properties of the Jordanian Arabic version of the RITA-T (Rapid Interactive Screening Test for Autism in Toddlers) in early intervention settings
摘要
The study examines the psychometric properties of the Jordanian version of the Rapid Interactive Screening Test for Autism in Toddlers (RITA-T) among children who aged 1.5–3 years in early intervention settings in Jordan.
Design/methodology/approachA descriptive validation study is conducted with 150 toddlers referred to early intervention centers because of developmental concerns (e.g., social-communication red flags and/or elevated M-CHAT-R/F scores). ASD/Non-ASD status is determined using a multidisciplinary DSM-5–based clinical assessment. The Jordanian RITA-T is administered by trained specialists; internal consistency and test–retest reliability are examined, and concurrent validity is assessed using CARS-2 symptom-severity ratings. Screening accuracy indices are calculated against the DSM-5–based classification.
FindingsThe Jordanian RITA-T demonstrated accepted internal consistency (Cronbach’s alpha = 0.851) and good test–retest reliability (r = .870). Concurrent validity with CARS-2 severity ratings is strong (Spearman’s rho = 0.891). In this referred sample, a cutoff score of 16.5 yielded high sensitivity (97.3%) and specificity (98.2%) for distinguishing toddlers classified as ASD versus non-ASD by the multidisciplinary DSM-5 reference standard.
Research limitations/implicationsThe sample represents a referred/high-risk (Tier 2) clinical cohort from early intervention centers and did not include a community-based typically developing control group. Screening accuracy may therefore be inflated due to spectrum bias and should not be generalized to Tier 1 population screening without further study.
Practical implicationsThe Jordanian RITA-T may be useful as a brief Tier 2 interactive screening in early intervention and developmental clinics to support timely referral for comprehensive screening evaluation. Population-based validation, including typically developing toddlers, is recommended before wider pediatric screening use.
Social implicationsImplementing the Jordanian RITA-T in early childhood services can facilitate earlier identification of toddlers at risk of ASD and improve access to timely supports, which may positively influence developmental trajectories and social participation opportunities.
Originality/valueThis study provides initial evidence on the reliability and validity of an Arabic (Jordanian) version of the RITA-T in early intervention settings, contributing to the cross-cultural evidence base for interactive ASD screening tools.