Exploring the Feasibility of Social Prescription in People on the Autism Spectrum
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 90
- 试验地点
- 1
- 主要终点
- Activity satisfaction
研究概览
简要总结
This study will examine whether visiting the National Taiwan Museum can support the social and emotional well-being of autistic adults.
The research team plans to recruit 90 autistic adults aged 18 to 50 from the Department of Psychiatry at National Taiwan University Hospital. Participants must have average-range intellectual ability and be able and willing to complete the study activities and assessments. People with serious physical or mental health conditions that would prevent full participation will not be included. Participants must also agree to audio and video recording during the activities.
After an outpatient doctor confirms eligibility, participants will complete questionnaires and choose one of three museum participation options:
- Visit the museum once independently.
- Join five guided museum visits with group discussions.
- Invite a friend to visit the museum together.
Each group will include about 30 participants.
For the guided group, each session will last about 90 minutes and include a professional museum tour, a question-and-answer period, time for independent exploration, and a group discussion. Participants will be encouraged to select exhibits that interest them, record their observations, share their thoughts, listen to others, and respond to different viewpoints.
The five planned museum themes include Taiwan's history and identity, relationships between people and nature, architecture and living spaces, human evolution and the future, and attitudes toward money and financial planning. The discussions will explore everyday topics such as stereotypes, personal values, preferred living environments, hopes for the future, and managing money.
Participants will complete questionnaires before and after the program. These questionnaires will assess areas such as autistic characteristics, social communication, empathy, sensory experiences, comfort with social touch, emotional skills, loneliness, anxiety, depression, and anxiety during social interaction. Participants will also rate how enjoyable, comfortable, safe, interesting, and socially engaging they found the museum activities.
The researchers will compare participants' results before and after the program. They will also compare the three participation options to determine whether independent visits, guided group activities, or visiting with a friend produce different outcomes.
The overall goal is to understand whether museum-based activities can be used as a form of social prescribing to improve social participation, emotional well-being, confidence, and quality of life among autistic adults.
详细描述
This study will evaluate a museum-based social prescribing program for autistic adults with average-range intellectual functioning. Social prescribing is a person-centered approach that connects individuals with nonmedical community resources to support health, well-being, and social participation. Although social prescribing has been applied to people with chronic medical and psychiatric conditions, its effectiveness for autistic adults has not been well established. This study is being conducted through collaboration between the Department of Psychiatry at National Taiwan University Hospital and the National Taiwan Museum.
Approximately 90 autistic adults will be recruited through the outpatient services of National Taiwan University Hospital. After clinical referral and completion of baseline assessments, participants will select one of three museum participation programs, with a target enrollment of approximately 30 participants per group. Because participants choose their preferred program, assignment is nonrandomized.
The three programs are:
- **Independent Museum Visit:** Participants will visit the National Taiwan Museum once at a time of their choosing.
- **Guided Museum Program:** Participants will attend five structured group sessions, with approximately 10-15 participants per group. Each session will last approximately 90 minutes and will include a museum-guided introduction, a question-and-answer period, independent exploration of selected exhibits, and a facilitated group discussion.
- **Museum Visit With a Friend:** Participants will invite a friend or companion to visit the museum with them.
The guided program will use permanent museum exhibitions as prompts for social interaction, reflection, and discussion. Proposed themes include stereotypes and personal identity, relationships between people and nature, ideals and realities of living environments, human evolution and the future, and personal attitudes toward money and financial planning. During the discussion period, participants will share observations or photographs from the exhibits, listen to other participants, provide feedback, and express their own perspectives.
研究设计
- 研究类型
- Interventional
- 分配方式
- Non Randomized
- 干预模型
- Parallel
- 主要目的
- Supportive Care
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 50 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •Meet the diagnostic criteria for autism spectrum disorder.
- •Have intellectual functioning within the normal range.
- •Be willing and able to participate in the study procedures.
- •Be willing to attend the relevant museum activities and group discussions, when applicable.
- •Agree to audio and video recording during relevant study activities.
排除标准
- •Are unwilling to complete the required assessments.
- •Have a serious physical or psychiatric condition that limits their physical stamina, emotional capacity, or ability to understand and complete the study procedures.
- •Refuse audio or video recording.
研究组 & 干预措施
Independent museum visit
Will visit the museum independently on one occasion
干预措施: Independent museum visit (Behavioral)
Guided museum visits and group discussions
Will attend five structured museum sessions with a group of approximately 10 to 15 participants. Every session will consist of a guided museum visit followed by a facilitated group discussion.
干预措施: Guided museum visits and group discussions (Behavioral)
Museum visit with a friend
Will invite a friend or companion of their choice to visit the museum with them
干预措施: Museum visit with a friend (Behavioral)
结局指标
主要结局
Activity satisfaction
时间窗: Change from baseline to after the intervention
Participants will also complete an activity evaluation based on the University College London Museum Wellbeing Questionnaire. The questionnaire contains 12 items rated on a five-point scale from "never" to "always." It assesses whether participants: Felt happy. Became absorbed in the activity. Felt comfortable and relaxed. Felt safe and secure. Enjoyed the company of others. Enjoyed talking with other people. Found the activity new and interesting. Enjoyed taking part. Found the activity arrangement engaging. Considered the activity entertaining. Felt confident while participating. Experienced a sense of physical and emotional well-being after the activity. Higher scores suggest greater satisfaction.
次要结局
- Loneliness(Change from baseline to after the intervention)
- Emotional intelligence(Change from baseline to after the intervention)
- Social interaction anxiety(Change from baseline to after the intervention)
- Depression(Change from baseline to after the intervention)
- Anxiety(Change from baseline to after the intervention)