The Classroom Observation Schedule to Measure Intentional Communication (COSMIC): an observational measure of the intentional communication of children with autism in an unstructured classroom setting

J Autism Dev Disord. 2008 Nov;38(10):1807-18. doi: 10.1007/s10803-008-0569-3. Epub 2008 Apr 10.

Abstract

The Classroom Observation Schedule to Measure Intentional Communication (COSMIC) was devised to provide ecologically valid outcome measures for a communication-focused intervention trial. Ninety-one children with autism spectrum disorder aged 6 years 10 months (SD 16 months) were videoed during their everyday snack, teaching and free play activities. Inter-rater reliability was high and relevant items showed significant associations with comparable items from concurrent Autism Diagnostic Observation Schedule-Generic (Lord et al. 2000, J Autism Dev Disord 30(3):205-223) assessments. In a subsample of 28 children initial differences in rates of initiations, initiated speech/vocalisation and commenting were predictive of language and communication competence 15 months later. Results suggest that the use of observational measures of intentional communication in natural settings is a valuable assessment strategy for research and clinical practice.

Publication types

  • Comparative Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Autistic Disorder / diagnosis*
  • Autistic Disorder / psychology
  • Autistic Disorder / therapy
  • Child
  • Child Behavior / psychology
  • Child, Preschool
  • Communication
  • Communication Disorders
  • Female
  • Humans
  • Intention
  • Language Development Disorders / diagnosis
  • Language Development Disorders / therapy
  • Language Tests / statistics & numerical data
  • Male
  • Nonverbal Communication
  • Observation
  • Play and Playthings
  • Social Behavior
  • Video Recording
  • Vocabulary