Developing and Evaluating a Culturally Sensitive Sexual Health Education Program for Autistic Young Adults in South Korea With Input From a Community Advisory Board
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 30
- 试验地点
- 2
- 主要终点
- Psychosexual Knowledge Test (PKT)
研究概览
简要总结
The goal of this single-arm clinical trial is to conduct a preliminary evaluation of Our Love, Our Style, a group-based sexuality and relationship education program for autistic young adults in South Korea. The study aims to examine the preliminary efficacy of the program by assessing increases in sexuality knowledge, sexual and relationship behaviors, and motivation. It will also evaluate the feasibility and acceptability of implementing the program among Korean autistic young adults.
Participants will receive a 10-session, online, group-based program (90 minutes per session, once a week for 10 weeks) delivered via telehealth. The program is adapted to the Korean cultural context and tailored to the needs of autistic young adults aged 18-35 years. It will cover the following topics: social relationships (e.g., distinguishing types of relationships, apologizing, and refusing), romantic relationships, consent, sexual behavior, reproduction, prevention of sexual harassment, online and social media use related to sexuality, gender, and sexual orientation.
研究设计
- 研究类型
- Interventional
- 分配方式
- Na
- 干预模型
- Single Group
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 35 Years（Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •previous medical diagnosis of autism spectrum disorder (ASD) or ASD based on DSM-5 using Autism Diagnostic Observation Schedule, Second Edition (ADOS-2)
- •Verbal ability sufficient to produce full sentences (i.e. ADOS-2 Module 4 language level)
- •Full-Scale IQ equal to or above 70
排除标准
- •- Presence of prominent hallucinations or delusions
结局指标
主要结局
Psychosexual Knowledge Test (PKT)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 37-item multiple-choice test designed to assess a broad range of psychosexual knowledge, from understanding physical terminology to applied sexual and psychological concepts. Each item is scored as True/False
Perceived Knowledge Questionnaire (PKQ)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 5-item self-report measure evaluating participants' perceived level of sexual health knowledge. Items are answered in a True/False format.
Korean Relationship and Sexuality Scale (KRSS)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 150-item self-report scale developed to comprehensively evaluate sexual health knowledge and understanding of relationships, corresponding to the content covered in the intervention program. Visual aids are provided to support autistic participants' comfort with visual materials. Each item is rated as Agree or Disagree.
Sexual Desire Inventory-2 (SDI-2)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 14-item self-report questionnaire measuring the frequency and intensity of sexual desire across various contexts. Items are rated on an 8-point scale ranging from 0 (Not at all) to 7 (More than once a day).
Self-Efficacy in Romantic Relationships Scale
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 12-item scale assessing self-efficacy and beliefs regarding one's ability to maintain and manage romantic relationships. Each item is rated on a 9-point Likert scale from 1 (Strongly disagree) to 9 (Strongly agree).
Sexual and Dating Experiences Questionnaire
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 7-item multiple-choice questionnaire evaluating participants' experiences with various intimate and dating behaviors. Each item is answered as Never, Once or twice, or More than twice.
Sexual Experience Questionnaire (SEQ)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 12-item instrument assessing the frequency of diverse sexual experiences. Responses are recorded using a four-point frequency scale: Never, Once, A few times, or Many times.
Program Feasibility Survey
时间窗: post-intervention (1 week after the completion of the intervention)
This questionnaire will be completed by participants at the end of the intervention program to assess the feasibility of the intervention. It includes items evaluating the practicality and usability of the program (e.g., "The online platform was easy to use," "I was able to find time to complete assigned tasks"). Each item is rated on a 5-point Likert scale (1 = strongly disagree, 3 = neutral, 5 = strongly agree). Scores for each item range from 1 to 5, with higher scores indicating that participants perceived the program as more feasible.
Program Acceptability Survey
时间窗: post-intervention (1 week after the completion of the intervention)
This questionnaire will be completed by participants at the end of the intervention program to assess the acceptability and overall satisfaction with the intervention. It includes items evaluating perceived benefits of the sessions (e.g., "I benefited from the sessions with the interventionist"). Each item is rated on a 5-point Likert scale (1 = strongly disagree, 3 = neutral, 5 = strongly agree). Scores for each item range from 1 to 5, with higher scores indicating that participants perceived the program as more acceptable.
Psychosexual Knowledge Test (PKT)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 37-item multiple-choice test designed to assess a broad range of psychosexual knowledge, from understanding physical terminology to applied sexual and psychological concepts. Each item is scored as True/False
Perceived Knowledge Questionnaire (PKQ)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 5-item self-report measure evaluating participants' perceived level of sexual health knowledge. Items are answered in a True/False format.
Korean Relationship and Sexuality Scale (KRSS)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 150-item self-report scale developed to comprehensively evaluate sexual health knowledge and understanding of relationships, corresponding to the content covered in the intervention program. Visual aids are provided to support autistic participants' comfort with visual materials. Each item is rated as Agree or Disagree.
Self-Efficacy in Romantic Relationships Scale
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 12-item scale assessing self-efficacy and beliefs regarding one's ability to maintain and manage romantic relationships. Each item is rated on a 9-point Likert scale from 1 (Strongly disagree) to 9 (Strongly agree).
Program Feasibility Survey
时间窗: post-intervention (1 week after the completion of the intervention)
This questionnaire will be completed by participants at the end of the intervention program to assess the feasibility of the intervention. It includes items evaluating the practicality and usability of the program (e.g., "The online platform was easy to use," "I was able to find time to complete assigned tasks"). Each item is rated on a 5-point Likert scale (1 = strongly disagree, 3 = neutral, 5 = strongly agree). Scores for each item range from 1 to 5, with higher scores indicating that participants perceived the program as more feasible.
Sexual Desire Inventory-2 (SDI-2)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 14-item self-report questionnaire measuring the frequency and intensity of sexual desire across various contexts. Items are rated on an 8-point scale ranging from 0 (Not at all) to 7 (More than once a day).
Sexual and Dating Experiences Questionnaire
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 7-item multiple-choice questionnaire evaluating participants' experiences with various intimate and dating behaviors. Each item is answered as Never, Once or twice, or More than twice.
Sexual Experience Questionnaire (SEQ)
时间窗: Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention (follow-up).
A 12-item instrument assessing the frequency of diverse sexual experiences. Responses are recorded using a four-point frequency scale: Never, Once, A few times, or Many times.
Program Acceptability Survey
时间窗: post-intervention (1 week after the completion of the intervention)
This questionnaire will be completed by participants at the end of the intervention program to assess the acceptability and overall satisfaction with the intervention. It includes items evaluating perceived benefits of the sessions (e.g., "I benefited from the sessions with the interventionist"). Each item is rated on a 5-point Likert scale (1 = strongly disagree, 3 = neutral, 5 = strongly agree). Scores for each item range from 1 to 5, with higher scores indicating that participants perceived the program as more acceptable.
次要结局
- Loneliness and Social Isolation Scale(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Discrimination and Stigma Scale (DISC-12)(Baseline (pre-intervention))
- Camouflaging Autistic Traits Questionnaire (CAT-Q)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Korean-Adolescents/Adults Sensory Profile (K-AASP)(Baseline (pre-intervention))
- Beck Depression Inventory (BDI)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Beck Anxiety Inventory (BAI)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- UCLA Loneliness Scale (Korean Short Form)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Relationships, Employment, Autonomy, and Life Satisfaction Scale (REALS)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Korean-Adolescents/Adults Sensory Profile (K-AASP)(Baseline (pre-intervention))
- UCLA Loneliness Scale (Korean Short Form)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Discrimination and Stigma Scale (DISC-12)(Baseline (pre-intervention))
- Relationships, Employment, Autonomy, and Life Satisfaction Scale (REALS)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Beck Depression Inventory (BDI)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Camouflaging Autistic Traits Questionnaire (CAT-Q)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Beck Anxiety Inventory (BAI)(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
- Loneliness and Social Isolation Scale(Baseline (pre-intervention), 1 week post-intervention, and 10 weeks post-intervention follow-up.)
研究者
So Hyun Kim
Associate Professor
Korea University