SPAN-ASD: Pilot implementation to promote functional goals of autistic adolescents and young adults

IF 2.9 2区医学 Q1 EDUCATION, SPECIAL

Research in Developmental Disabilities Pub Date : 2024-11-04 DOI:10.1016/j.ridd.2024.104864

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引用次数: 0

Abstract

Purpose

This concurrent embedded-design study evaluated the initial efficacy of the Social Participation and Navigation (SPAN-ASD) remote intervention for autistic adolescents and young adults (AYA) in achieving personal goals and enhancing self-efficacy. The study also explored participants' experiences through follow-up interviews.

Methods

Twelve autistic AYA (9 male; 12–20 years, M = 16.2, SD = 3.3) completed baseline data using demographic, Daily Routine and Autonomy (DRA), and Child and Adolescent Scale of Participation (CASP) questionnaires, and set two goals. The Canadian Occupational Performance Measure (COPM) and SPAN Self-Efficacy Scale (SPAN-SES) assessed Goal 1 at baseline, preintervention, and postintervention, and Goal 2 at postintervention and follow-up. We applied Friedman’s and Wilcoxon’s tests to evaluate time differences and calculated effect sizes. Semi-structured interviews explored participants' perceptions, with thematic analysis identifying key themes.

Results

Postintervention, Goal 1 performance and satisfaction improved significantly (p <.01) with large effect sizes (respectively, Z = −2.92, r = −.59; Z = −2.86, r = −.58). Goal 2 also showed significant improvement (p <.05) in performance (Z = −2.5, r = −.51) and satisfaction (Z = −2.08, r = −.43). SPAN-SES scores showed no significant differences; medium effect sizes (>.30) suggested increased self-efficacy in setting and planning goals and decreased ability to review plans. Thematic analysis revealed three themes: facilitating personal change, using metacognitive strategies, and perspectives on the SPAN-ASD intervention.

Conclusion

SPAN-ASD improves functional goal achievement and self-efficacy in goal-setting and planning for autistic AYA. Future research should explore its potential for promoting autonomy.

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SPAN-ASD：试行促进自闭症青少年和年轻成人的功能目标

目的这项同步嵌入式设计研究评估了社会参与和导航（SPAN-ASD）远程干预对自闭症青少年和年轻人（AYA）实现个人目标和提高自我效能的初步效果。该研究还通过后续访谈探讨了参与者的经验。方法12名患有自闭症的青少年和年轻人（9名男性；12-20岁，男=16.2，女=3.3）使用人口统计学、日常常规和自主性（DRA）以及儿童和青少年参与量表（CASP）问卷填写了基线数据，并设定了两个目标。加拿大职业表现测量法（COPM）和 SPAN 自我效能量表（SPAN-SES）对基线、干预前和干预后的目标 1 以及干预后和随访的目标 2 进行了评估。我们采用弗里德曼检验和威尔科克森检验来评估时间差异并计算效应大小。结果干预后，目标 1 的绩效和满意度有了显著提高（p <.01），效果大小较大（分别为 Z = -2.92，r = -.59; Z = -2.86，r = -.58）。目标 2 在绩效（Z = -2.5，r = -.51）和满意度（Z = -2.08，r = -.43）方面也有明显改善（p <.05）。SPAN-SES 分数没有显示出显著差异；中等效应大小（> .30）表明，设定和规划目标的自我效能有所提高，而审查计划的能力有所下降。主题分析揭示了三个主题：促进个人改变、使用元认知策略以及对 SPAN-ASD 干预的看法。未来的研究应探索其促进自主性的潜力。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Research in Developmental Disabilities Multiple-

CiteScore

5.50

自引率

6.50%

发文量

178

期刊介绍： Research In Developmental Disabilities is aimed at publishing original research of an interdisciplinary nature that has a direct bearing on the remediation of problems associated with developmental disabilities. Manuscripts will be solicited throughout the world. Articles will be primarily empirical studies, although an occasional position paper or review will be accepted. The aim of the journal will be to publish articles on all aspects of research with the developmentally disabled, with any methodologically sound approach being acceptable.