跳至主要内容
临床试验/NCT03842332
NCT03842332Unknown不适用

Resilience in Action: Building Resilience and Appropriate Independence in Young Adults With Autism

University of California, San Francisco1 个研究点 分布在 1 个国家目标入组 42 人开始时间: 2019年1月25日最近更新:
适应症
干预措施

试验速览

阶段
不适用
入组人数
42
试验地点
1
主要终点
Change in Baseline Resilience at 3-6 months

研究概览

简要总结

This study evaluates the effects of a 12-week life-skills resilience curriculum for young adults with autism. The project utilizes a wait-list crossover design and compares the intervention to standard care.

详细描述

As young adults with autism spectrum disorder (YAASD) transition out of the academic supports provided by school, these young adults experience a degradation of social skills over time. This has led to poor academic, educational and health outcomes. YAASD require continuous and ongoing skill development in order to maximize their potential; however, there are few services available to adults with autism to develop and maintain their skills. While interventions exist in early childhood, mid-childhood and adolescence, few programs have been focused on the young adult with autism. Resilience in Action (RiA), is a research study, performed and delivered in the community setting, which seeks to develop supports to address the 'adult world' needs of young adults with autism exiting out of secondary education.

The investigators propose to develop this program through three specific aims. In the first aim, the investigators propose in-depth interviews with adults with autism and/or their families and service providers to better understand barriers and facilitators to "adult living" after graduating out of the school system. In the second aim, the investigators will use the information gained from Aim 1 to develop a 12-week curriculum integrating a resilience framework and methodologies into a community adult life skills program for persons with disabilities. A trained transition curriculum expert who had developed transition curriculum for youth with autism spectrum disorder in our local school district will assist in this "adult" curriculum to fill gaps that exist in the school district curriculum. As part of the infrastructure and support for this pilot, the investigators will generate a protocol for the participant's existing case manager to help support youth and families after the curriculum is completed. The third aim is to then pilot test RiA on 30 young adults with autism who have recently graduated from the secondary education system. Through an iterative program evaluation, the investigators will further hone the intervention and adapt the program to different levels of disability and learning styles. The investigators will measure characteristics of those who were successfully engaged in the program and measure outcomes such as socialization, quality of life, vocational/social activities and self-efficacy. Through this research the investigators will have developed a final protocol for a resiliency course to be tested in a larger clinical trial to see how this type of curriculum can improve longer term social and health outcomes.

研究设计

研究类型
Interventional
分配方式
Non Randomized
干预模型
Crossover
主要目的
Treatment
盲法
None

入排标准

年龄范围
18 Years 至 26 Years(Adult)
性别
All
接受健康志愿者
否

入选标准

  • •Moderate to high functioning autism spectrum disorder, defined as an SRS T-score less than 75
  • •Participants must be able to participate in a one hour class with nine other participants and be able to interact with participants and the teacher without support.
  • •Completing the high school transition program or have exited the school system within the last three years

排除标准

  • •Non-English speaking
  • •Unable to consent
  • •Wards of the state
  • •Incarcerated.

研究组 & 干预措施

Resilience Training

Experimental

This group will participate in the 12 week Life Skills and Resilience Program that includes vocational skills and adult skills important for an adult in society. Participants will also receive standard case management plus resiliency-focused support to encourage family and young adult interaction with professionals and peers. Case managers will then utilize a resiliency framework for their interaction with the participant.

干预措施: Life Skills and Resilience Program (Behavioral)

Standard Care

No Intervention

This group will receive case management referral to community training programs when requested by family, or need (as identified by case worker). Standard case management includes intake includes housing counseling, case management with mental health and behavioral services, and referral to day programs as needed and identified by case management

结局指标

主要结局

Change in Baseline Resilience at 3-6 months

时间窗: Baseline & 3-6 months

Resilience Scale (RS) developed by Wagnild and Young (1990) * Personal competence and acceptance of self and life, which measures the construct of resilience. * Adapted for 2nd and 5th grade reading level * Possible scores range from 25 to 175 with higher scores reflecting higher resilience

Change in Baseline General Family Functioning at 3-6 months

时间窗: Baseline & 3-6 months

McMaster Family Assessment Device (FAD), General Functioning Subscale * The General Functioning Subscale ranges from 1 to 4 with higher scores indicating worse levels of family functioning. * A score of 2.00 or above indicates problematic family functioning.

Change in Baseline Self Efficacy at 3-6 months

时间窗: Baseline & 3-6 months

PROMIS® A person's belief in his/her capacity to manage functioning and have control over meaningful events.

Change in Baseline Pediatric Quality of Life at 3-6 months

时间窗: Baseline & 3-6 months

Pediatric Quality of Life Inventory (PedsQL) 4.0 Generic Core Scales * Validated quality of life measure that has been developed across different developmental ages and adults * Scale ranges from 0 to 100 and higher scores indicate better Health-Related Quality of Life * Four sub-scales include Physical Functioning, Emotional Functioning, Social Functioning, and School Functioning * Total Scale Score is the mean computed as the sum of all the items over the number of items answered on all the Scales

Change in Baseline Satisfaction with Social Roles at 3-6 months and Activities (v2.0)

时间窗: Baseline & 3-6 months

PROMIS Satisfaction with Social Roles and Activities * Measures satisfaction with performing one's usual social roles and activities (e.g., "I am satisfied with my ability to participate in family activities") * Raw scores (ranging from 6 to 40) are converted to T-scores with a mean of 50 and standard deviation of 10 * A higher PROMIS T-score represents greater satisfaction with social roles and activities.

次要结局

  • Change in Baseline Employment Status(Baseline & 3-6 months)

研究者

申办方类型
Other
责任方
Sponsor

研究点 (1)

Loading locations...

相似试验