Enhancing Motivation to Complete Daily Living Skills Among Transition-aged Autistic Youth
试验速览
- 阶段
- 不适用
- 状态
- 招募中
- 入组人数
- 180
- 试验地点
- 1
- 主要终点
- Motivation to Change
研究概览
简要总结
The goal of this clinical trial is to enhance motivation to complete daily living skills among 16 to 25-year-old autistic teens and young adults. Here are the main questions the trial aims to answer:
Can this trial improve motivation to complete daily living skills for skills that people know how to do but struggle to do them consistently?
Can this trial improve completion of the daily living skill that the participant identifies they want to do more often?
Do people report feeling more empowered to complete the daily living skill they want to do more often?
Are there any characteristics of a person that make them more or less likely to benefit from the treatment?
Researchers will compare treatments that target different types of motivation:
- One treatment focuses on internal motivation and explores what is important to someone and then connect that value back to their daily living skill goal.
- A second treatment focuses on external motivation and will explore a person finding outside sources of motivation, like rewards.
- A third treatment will use a combination of both methods.
Autistic teens and young adults enrolled in this study will also be asked to choose someone in their life to be involved in the study with them. This person is called an "Important Person" (IP) and can be anyone close to them, like a family member, friend, roommate, partner, etc. The IP will be expected to support the teen/young adult throughout this treatment.
Participants and their IPs will:
- Complete five 'talk' therapy sessions that will last 60 to 90 minutes. The IPs will join the last 15 minutes of each session)
- Be assigned to one of the three motivation treatments
- Fill out questionnaires before the first session, after sessions 2 through 5, and 2 weeks after therapy ends
详细描述
Many autistic teens and young adults often have a hard time doing the everyday skills they need to live on their own. These daily living skills (DLS) include things like taking care of themselves (like showering and getting dressed), doing chores at home (like cooking and cleaning), and handling things in the community (like saving money). Even if someone is able to do these skills, they might still struggle to do them. This shows that being able and knowing how to do these skills isn't the only important part-other things can make it hard to do daily tasks, like motivation.
Early research shows that some autistic young adults may not feel very motivated to do these daily tasks. There are different types of motivation. The researchers made three programs that focus on these different types.
One program focuses on intrinsic (internal) motivation and uses Motivational Interviewing strategies. Motivational Interviewing is a type of therapy that helps people find their personal reasons for making changes in their lives. This program will explore what is important to the participant and connect that value back to their daily living skill goal.
The researchers also made an extrinsic (external) motivation program. This program uses different behavioral strategies and will focus on a person finding outside sources of motivation. Some examples of these strategies are tracking how many times the participant completes their daily living skill in a week and giving themself a reward (like 'skin' in a video game or a t-shirt of their favorite band) if they reach their goal.
The third program is a combined program. This program includes activities from both the extrinsic motivation and intrinsic motivation programs explained above.
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- Single (Participant)
入排标准
- 年龄范围
- 16 Years 至 25 Years（Child, Adult）
- 性别
- All
- 接受健康志愿者
- 否
入选标准
- •for Autistic Teens and Young Adults:
- •Age 16-25 years
- •Participants reporting an autism diagnosis from a qualified provider (Psychiatrist, Psychologist, Developmental Pediatrician, Neurologist). When possible, diagnosis will be confirmed through the Children's Hospital of Philadelphia (CHOP) Electronic Health Record (EHR).
- •Must identify an important person who is able to communicate by understanding and speaking full sentences in English
- •Ability to communicate by understanding and using full sentences in English
- •Informed Consent
- •Be willing to have sessions audio- and video-recorded
排除标准
- •for Autistic Teens and Young Adults:
- •Diagnosis of Intellectual Disability
- •Participant is currently considered a suicide risk in the opinion of the Investigator or is currently demonstrating active suicidal or homicidal ideation or self-injurious behavior.
- •Current, comorbid psychiatric disorder with sufficiently intense symptoms in the opinion of the Investigator that these symptoms may confound treatment.
- •Changes to mental health treatment plan (ex. starting or ending therapy or psychotropic medications over the course of this intervention).
- •Participation in a prior trial of our intrinsic motivation condition
- •Inclusion Criteria for Important Person:
- •Age 18 years or older
- •Must attend at least 15 minutes of each treatment session
- •Ability to communicate by understanding and using full sentences in English
- •Informed consent
- •Be willing to have sessions audio- and video-recorded
- •Exclusion Criteria for Important Person:
- •- Is not willing to support the autistic teen/young adult with their daily living skill goal
研究组 & 干预措施
Extrinsic Motivation Treatment
Individuals assigned to this group will participate in the Extrinsic Motivation Treatment. This treatment explores a person finding outside sources of motivation, such as treating themselves to something like or want.
干预措施: Extrinsic Motivation Treatment (Behavioral)
Intrinsic Motivation Treatment
Individuals assigned to this group will participate in the Intrinsic Motivation Treatment, which focuses on exploring a person's reasons for improving their completion of the daily living skill, such as reaching their goal of independence.
干预措施: Intrinsic Motivation Treatment (Behavioral)
Combined Intrinsic and Extrinsic Motivation Treatment
Individuals assigned to this group will participate in the Combined Intrinsic and Extrinsic Motivation Treatment. This treatment combines methods from the Intrinsic Motivation Treatment and the Extrinsic Motivation Treatment. For example, exploring both a person's reasons behind wanting to improve upon their completion of a daily living skill as well as what outside sources will help increase their motivation to improve upon that skill.
干预措施: Combined Intrinsic and Extrinsic Motivation Treatment (Behavioral)
结局指标
主要结局
Motivation to Change
时间窗: Up to 9 weeks.
The primary outcome measure for this study is the individual's motivation to change and improve upon their daily living skill. Motivation will be measured through 4 separate questions that ask about one's desire, ability, need, and commitment to change. All 4 questions will use the same scale, which ranges from 1 - 10. A total score will be used as the measure. This total score will be calculated by adding the score from each individual question. A higher score indicates a greater level of motivation.
次要结局
- Behavior Change Scale(Up to 9 weeks.)
- Empowerment Measure(Up to 9 weeks.)