Investigating Social Competence in a Pilot Randomized Clinical Trial of a Theatre-Based Intervention Enhanced for Adults with Autism Spectrum Disorder.

Autor: Corbett BA; Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA. blythe.corbett@vumc.org.; Vanderbilt University Medical Center, Vanderbilt Kennedy Center, Nashville, TN, USA. blythe.corbett@vumc.org.; Department of Psychology, Vanderbilt University, Nashville, TN, USA. blythe.corbett@vumc.org., Key AP; Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.; Vanderbilt University Medical Center, Vanderbilt Kennedy Center, Nashville, TN, USA.; Department of Hearing and Speech Sciences, Vanderbilt University Medical Center, Nashville, TN, USA., Klemencic ME; Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA., Muscatello RA; Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA.; Vanderbilt University Medical Center, Vanderbilt Kennedy Center, Nashville, TN, USA., Jones D; Vanderbilt University Medical Center, Vanderbilt Kennedy Center, Nashville, TN, USA., Pilkington J; Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA., Burroughs C; Department of Psychiatry and Behavioral Sciences, Vanderbilt University Medical Center, Nashville, TN, USA., Vandekar S; Department of Biostatistics, Vanderbilt University Medical Center, Nashville, TN, USA.
Jazyk: angličtina
Zdroj: Journal of autism and developmental disorders [J Autism Dev Disord] 2023 Dec 18. Date of Electronic Publication: 2023 Dec 18.
DOI: 10.1007/s10803-023-06214-0
Abstrakt: Autism spectrum disorder (ASD) is characterized by challenges in social competence that persist in adulthood, yet few treatment options exist. A pilot randomized clinical trial (RCT) of a peer-mediated, theatre-based intervention with established efficacy in youth with ASD was examined in autistic adults. The final sample consisted of forty-seven 18-to-40-year-old participants randomized to the experimental (EXP N = 23) or waitlist control (WLC N = 24) condition. A multimodal, social interdependent model was employed to examine social competence changes in brain (incidental face memory (IFM) using event-related potentials), cognition (Wechsler Memory Scale-III), behavior (Contextual Assessment of Social Skills) and function (Social Responsiveness Scale (SRS); Adaptive Behavior Assessment Scale (ABAS) Social Composite). Using analysis of covariance in which pretest was controlled in the model, posttest between-group differences were observed on IFM (p = 0.016, η 2  = 0.139, d = 0.79) and several social and adaptive functional (SRS, ABAS) outcomes in social communication and interaction (SCI) (p = 0.019, η 2  = 0.121, d = -00.45), communication (p = 0.044 η 2  = 0.09, d = -00.31), and motivation (p = 0.001, η 2  = 0.229, d = -0.79) domains. At two-month follow-up, gains in social motivation remained (p = 0.041, η 2  = 0.100, d = -0.77). The results offer preliminary support for a unique theatre-based social skills intervention for autistic adults who have few treatment options to enhance social competence. The trial was pre-registered with ClinicalTrials.gov (Identifier: NCT04349644).
(© 2023. The Author(s).)
Databáze: MEDLINE
Externí odkaz: