A Randomized Clinical Trial Targeting Daily Living Skills in Autistic Adolescents Without an Intellectual Disability Before the Transition to Adulthood.
A Randomized Clinical Trial Targeting Daily Living Skills in Autistic Adolescents Without an Intellectual Disability Before the Transition to Adulthood.
复制标题
一项针对无智力障碍的自闭症青少年在过渡到成年之前的日常生活技能的随机临床试验。
DOI：
10.1097/dbp.0000000000001222
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发表时间：
2023
期刊：
影响因子：
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通讯作者：
Stark,LoriJ
中科院分区：
文献类型：
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作者：
Duncan,Amie;Meinzen-Derr,Jareen;Ruble,Lisa;Fassler,Carrie;Stark,LoriJ
Objectives:In the United States, more than 75,000 autistic adolescents graduate from high school each year, and many lack the skills to successfully transition to college, work, and independent living. Daily living skills (DLS) in autistic adolescents without an intellectual disability (ID) fall 6 to 8 years behind peers. Better DLS are linked to more positive adult outcomes for autistic individuals. Surviving and Thriving in the Real World (STRW) is the only known evidence-based intervention that targets age-appropriate DLS in autistic adolescents without ID. The study objective was to evaluate STRW's efficacy compared with an active comparator (Program for the Evaluation and Enrichment of Relational Skills [PEERS]).Method:Autistic adolescents in their last 2 years of high school were randomized to STRW or PEERS. Outcome measures were the Vineland Adaptive Behavior Scales, Third Edition (VABS-3), DLS domain and subdomains (Personal, Domestic, Community), and DLS Goal Attainment Scaling (DLS-GAS) areas (Morning Routine, Cooking, Laundry, Money).Results:Adolescents were randomly assigned to STRW (n= 34) or PEERS (n= 30). Owing to COVID-19, 28.1% received in-person intervention and 71.9% received telehealth intervention. STRW youth made significant gains on the VABS-3 DLS domain (p= 0.01) and Domestic subdomain (p= 0.005) and DLS-GAS Total, Laundry, and Money areas (all p's< 0.05) compared with PEERS.Conclusion:STRW shows promise for acquiring age-appropriate DLS compared with PEERS. Adolescents in STRW progressed toward achieving DLS in the average range and closing the gap between chronological age and DLS. By improving DLS, STRW may facilitate more successful adult outcomes.
