Daily Living Skills Intervention for Adolescents With Autism Spectrum Disorder

NCT03984487 | Completed Results DMC

• 1 other identifier: CIN-DUNCAN-2018-2886
• Study Type: interventional
• Target: 73
• Locations: 1 country
• Sites: 1

Brief Summary

The main objective of the current proposal is to conduct a pilot RCT (i.e., treatment group and social skills control group) to examine how participation in Surviving and Thriving in the Real World (STRW) Intervention affects proximal outcomes with a larger sample size (n = 72). As social skills, executive functioning, and parenting factors have been linked to the acquisition of Daily Living Skills (DLS), the current study will also explore how these are linked to participation in STRW. Lastly, goal attainment scaling (GAS) will be utilized, along with gold standard parent report and adolescent self-report measures, to assess DLS.

Conditions

Autism Spectrum Disorder

Outcome Measures

Primary Outcomes (1)

• Vineland Adaptive Behavior Scales, 3rd Edition

  The VABS-3 is a well-established standardized measure of adaptive behavior that assesses skills in the Communication, Daily Living Skills, and Socialization domains. The Daily Living Skills domain is comprised of the Personal, Domestic, and Community subdomains and has items that directly correspond to goals being targeted in the STRW intervention. We are reporting the average (mean) Daily Living Skills Domain Raw Scores, both at baseline at post-treatment. The range for total raw score for the entire domain is 0 to 286. The higher the score, the more independent they are at overall daily living skills.

  4 months (from baseline to post-intervention)

Study Arms (2)

STRW

EXPERIMENTAL

Participants will receive the daily living skills intervention, Surviving and Thriving in the Real World (STRW).

Behavioral: Surviving and Thriving in the Real World

PEERS

ACTIVE COMPARATOR

Participants will receive a social skills intervention, Program for the Education and Enrichment of Relational Skills (PEERS).

Behavioral: Program for the Education and Enrichment of Relational Skills

Interventions

Surviving and Thriving in the Real World BEHAVIORAL

The STRW intervention consists of 14 weekly concurrent adolescent and parent group sessions. The DLS to be targeted in the intervention include: Morning Routine (i.e., completing a morning personal hygiene routine); Laundry (i.e., sorting clothing, using a washing machine and dryer, and folding and putting clothes away); Kitchen/Cooking (i.e., cooking items in the microwave, oven, and stove, safe kitchen practices, cleaning up the kitchen after cooking, and grocery shopping); Self-Management (i.e., managing worry and stress related to learning DLS and transitioning to adulthood); and Money Management (i.e., using money to purchase items, evaluating the quality and price of items, understanding and using a checking and savings account, and budgeting money to cover expenses).

STRW

Program for the Education and Enrichment of Relational Skills BEHAVIORAL

PEERS is an evidence-based social skills training program for youth with social challenges between the ages of 13-18.The program includes a teen group and a parent group that meet concurrently. Teens learn about conversations, electronic communication, joining groups, humor, handling teasing and disagreements, and planning get-togethers with other teens. Parents learn how to coach their teens to continue to use the skills when the program is complete.

PEERS

Eligibility Criteria

• Age: 15 Years - 22 Years
• Sex: all
• Healthy Volunteers: No
• Age Groups: Child (0-17), Adult (18-64)

You may qualify if:

• in the last 2 years of high school
• diagnosis of ASD based on clinical judgement and/or meeting the cut-off score on the Autism Diagnostic Observation Schedule, 2nd Edition
• full scale IQ of 70 or above as measured by the Stanford Binet Intelligence Scales, 5th Edition
• deficient Daily Living Skills as assessed by the Vineland Adaptive Behavior Scales, 3rd Edition - at least 1 of the 3 Daily Living Skills subdomains is at least 15 points below their full scale IQ

You may not qualify if:

• significant aggressive behaviors or mental health issues that require treatment out of the scope of the current intervention.
• if the adolescent has already completed the social skills group (PEERS), either at Cincinnati Children's or in another setting, unless it has been a significant amount of time since they did the PEERS group (2-3 years, or up to the discretion of the PI).

Sponsors & Collaborators

• Children's Hospital Medical Center, Cincinnati: lead
• United States Department of Defense: collaborator

Study Sites (1)

Cincinnati Children's Hospital Medical Center

Cincinnati, Ohio, 45229, United States

Location

MeSH Terms

Conditions

Autism Spectrum Disorder

Condition Hierarchy (Ancestors)

Child Development Disorders, Pervasive; Neurodevelopmental Disorders; Mental Disorders

Limitations and Caveats

Limitations of the current study include use of a caregiver report measure for the primary outcome, a relatively small sample size, and the need for a more diverse sample of autistic teens.

Results Point of Contact

• Title: Dr. Amie Duncan
• Organization: Cincinnati Children's Hospital

Amie.Duncan@cchmc.org

513-803-2416

Study Officials

• Amie M Duncan, Ph.D.

  Children's Hospital Medical Center, Cincinnati

  PRINCIPAL INVESTIGATOR

Publication Agreements

• PI is Sponsor Employee: No
• Restrictive Agreement: No

Study Design

• Study Type: interventional
• Phase: not applicable
• Allocation: RANDOMIZED
• Masking: SINGLE
• Who Masked: OUTCOMES ASSESSOR
• Masking Details: Coordinator who is assessing goals of participants id masked from knowing which group each participant was randomized to.
• Purpose: TREATMENT
• Intervention Model: PARALLEL
• Sponsor Type: OTHER
• Responsible Party: SPONSOR

Model Details: Randomized Clinical Trial - A study in which the participants are divided by chance into separate groups that compare different treatments or other interventions.

Study Record Dates

• First Submitted: May 24, 2019
• First Posted: June 13, 2019
• Study Start: May 17, 2018
• Primary Completion: June 30, 2022
• Study Completion: August 31, 2023
• Last Updated: July 23, 2024
• Results First Posted: July 23, 2024

Record last verified: 2024-07

Data Sharing

• IPD Sharing: Will not share

Locations

US (1)