Transition Support Program for Young Adults With Autism Spectrum Disorders
- Conditions
- Autism Spectrum Disorder
- Interventions
- Behavioral: McGill Transition Support Program
- Registration Number
- NCT02439671
- Lead Sponsor
- McGill University
- Brief Summary
This study investigates a service delivery model to better support young adults with autism spectrum disorders (ASD) in the transition from school to the community. The effectiveness of the "McGill Transition Support Program", a small-group format intervention (meeting once a week for 2 hours over 10 weeks) focusing on communication, self-determination and working with others skills, is measured by multiple pre- and post-program-assessments in a "staggered enrollment trial", a variant of a randomized controlled trial (RCT).
- Detailed Description
The difficulties characterizing Autism Spectrum Disorder (ASD) are often associated with childhood; however, ASD is a lifespan diagnosis that continues to impact opportunities in the community. There is currently a very significant gap in support services for young adults with ASDs that has grave consequences both for individuals and their families in terms of vocational success and social inclusion and for society as a whole in terms of the financial burden of long-term adult care.
Individuals on the higher end of the autism spectrum do not have intellectual disability and possess good language skills. Yet they often show significant difficulty with applying their skills during demanding social interactions, which is detrimental to their ability to form relationships and navigate interactions in the workplace. In the few studies of outcomes of adults with ASD it is reported that fewer than 5% of adults at the highest end of the spectrum were living independently and only 12% were employed viably. This underscores the tremendous need for targeted services for young adults with ASD without intellectual disability.
The McGill Transition Support Program was developed to target participants' self-expressed needs in communication, self-determination and working with others skills, which have been associated with better quality of life. Besides the intake, pre- and post-program measures sessions, the participants, aged 18 - 30 years, take part in ten 2-hour group meetings. The study design has been termed a "staggered enrollment trial", that is participants were randomly assigned to take part in the program in the next available cycle or to the waiting list for a subsequent cycle. Pre- and post-program assessment include social problem solving stories, quality of life and self-determination measures, a communication task and a needs and skills questionnaire.
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 34
- proficient and able to communicate in English
- between the ages of 18 and 30 years upon entering the study
- ASD classification according to scores on either or both the Social Communication Questionnaire-Lifetime (SCQ) and the Autism Diagnostic Observation Schedule-2 (ADOS-2, Module 4 revised algorithm)
- Either or both non-verbal IQ, assessed by Raven's Progressive Matrices, or verbal IQ assessed by Wechsler Abbreviated Scales of Intelligence, verbal subtests, in the normal range
- current enrollment in another similar transition support service, that is, a group-format service that has the goals of improving the areas of social interaction and communication, self-determination and advocacy, and working with others skills
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Immediate intervention McGill Transition Support Program Participant assigned to McGill Transition Support Program in next available session
- Primary Outcome Measures
Name Time Method Change in Social problem-solving task (Channon & Crawford, 2010) 4-6 weeks prior to session, 4-6 weeks after session Change in Arc's Self-Determination Scale (SDS; Wehmeyer & Kelchner, 1995) 4-6 weeks prior to session, 4-6 weeks after session, and 12 month follow-up post-Program Change in Quality of Life Questionnaire (Shalock & Keith, 1993) 4-6 weeks prior to session, abridged version: 4-6 weeks after session and 12 month follow-up post-Program
- Secondary Outcome Measures
Name Time Method Questionnaire on vocational, educational and living situation outcomes 12 month follow-up post-Program Communication task (Nadig, Vivanti, & Ozonoff, 2009) 4-6 weeks prior to session, 4-6 weeks after session Participant Program Evaluation Survey (Flanagan & Nadig, 2012) 4-6 weeks after Program and 12 month follow-up post-Program Questionnaire composed of qualitative (open-ended) questions
Curriculum-specific workbook questions every week for 9 weeks at the end of group intervention meetings Parent Program Evaluation Survey (Flanagan & Nadig, 2012) 4-6 weeks after Program (Questionnaire composed of quantitative (Likert-type) and qualitative (open-ended) questions)
Trial Locations
- Locations (1)
McGill University
🇨🇦Montreal, Quebec, Canada