# A Big Data Approach Toward the Development of a New Quantitative Measure of Restricted and Repetitive Behaviors

> **NIH NIH R21** · STANFORD UNIVERSITY · 2020 · $236,550

## Abstract

Project Summary
Restricted and repetitive behaviors (RRB) are a core feature of autism spectrum disorder (ASD) and also occur
across a range of other neurodevelopmental disorders. RRB present a major barrier to learning and
adaptation, interfere with family functioning and present a source of considerable stress for parents. Despite
their clinical significance, underlying mechanisms behind this complex behavioral domain are poorly
understood and effective, targeted, individually tailored treatment options are currently lacking. One of the
major barriers to moving the RRB research agenda forward has been the lack of clarity around the structure
and conceptualization of RRB and the limitations of the currently available measures, particularly in terms of
their (i) inability to comprehensively capture the full range of RRB and (ii) lack of sensitivity to treatment-related
change. Therefore, the overarching aim of this project is to develop a parent report measure for
comprehensive and quantitative RRB assessment applicable across clinical populations and across the life-
span and useful in both etiological- and treatment-related research. In order to achieve this goal, we will first
conduct advanced statistical analyses of multiple, large, high-quality datasets containing a range of currently
available measures in order to achieve fine-grained differentiation between distinct RRB domains (Specific Aim
1) and to identify domains not adequately captured by the current measures (Specific Aim 2). The
implementation of this initial phase of the project will ensure that robustness and generalizability of the factor
structures for each individual measure across age, developmental level, gender, and diagnostic status, is
established and that generalizable core RRB structure across the currently available RRB instruments is
identified. Neither of these two different aspects have been comprehensively addressed before. Robust
derived RRB factor structure, together with the identification of potential RRB domains that might be under-
represented and not adequately depicted by the current instruments, together with the systematic review of the
literature will inform the development of items of the new scale to capture the full range of RRB. The pilot
version of the new scale will be psychometrically evaluated online within a large sample of children and
adolescents with ASD (Specific Aim 3). This project will lay the foundation for future investigations aimed at
further refinement of the newly developed informant-based scale and the development of a clinician interview
and objective instrument, as well as their validation across ASD ansd neurodevelopmental disorders, and the
testing of their utility as a clinical outcome measure.

## Key facts

- **NIH application ID:** 9874787
- **Project number:** 1R21MH121876-01
- **Recipient organization:** STANFORD UNIVERSITY
- **Principal Investigator:** ANTONIO HARDAN
- **Activity code:** R21 (R01, R21, SBIR, etc.)
- **Funding institute:** NIH
- **Fiscal year:** 2020
- **Award amount:** $236,550
- **Award type:** 1
- **Project period:** 2019-12-06 → 2021-10-31

## Primary source

NIH RePORTER: https://reporter.nih.gov/project-details/9874787

## Citation

> US National Institutes of Health, RePORTER application 9874787, A Big Data Approach Toward the Development of a New Quantitative Measure of Restricted and Repetitive Behaviors (1R21MH121876-01). Retrieved via AI Analytics 2026-06-11 from https://api.ai-analytics.org/grant/nih/9874787. Licensed CC0.

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