OTRCTJournal of developmental and behavioral pediatrics : JDBP2023

A Randomized Clinical Trial Targeting Daily Living Skills in Autistic Adolescents Without an Intellectual Disability Before the Transition to Adulthood.

Amie Duncan, Jareen Meinzen-Derr, Lisa Ruble and 2 others

PMID 37862694

WHAT IT FOUND

Autistic teens in their last two years of high school gained more daily living skills from a 14-session programme than from a social skills group, on the overall score and on domestic skills.

Personal care and community skills improved equally in both groups.

Key findings

01Teens in the STRW programme gained more on the overall daily living skills score than the social skills group (34.7 points versus 28.0 points) and more on domestic skills, but the two groups did not differ on personal care or community skills.

02On goals set individually by caregivers, STRW teens improved more in laundry and in money management and on the combined goal score, but there was no difference in morning routine or cooking.

03Outcomes were the same whether the programme was delivered in person or by telehealth.

STILL TO COME

How it was doneWhat they foundWhat it means for OTs

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What it does not show

This was a pilot. Sixty-four teens completed it, and the authors say a larger sample is needed to work out which teens respond. Every outcome came from the caregiver, who knew which programme their teen was in and had invested effort in it, so the reported gains may be biased. The adolescents' own view was not collected. Delivery changed from in person to telehealth partway through because of COVID-19, and the authors say a fully powered trial of the telehealth version is still needed. Gains were measured within two weeks of finishing, so nothing here shows whether the skills were kept. The sample lacked diversity in income and race, and all participants had an IQ of 70 or above, so this says nothing about autistic teens with lower IQ or higher support needs.

Declared interests

The only declaration in the text supplied says the authors have no conflicts of interest to disclose. No funding source is named.

The easy way to misread this

Do not read this as proof the programme works. It was a pilot of 64 teens, every outcome was reported by a caregiver who knew which programme their teen was in, and the skills were measured only right after treatment ended, so nobody knows whether the gains lasted.

Summarised by AI from the full paper, without a clinician reviewing it. Check it against the source before it changes what you do. Read it on PubMed →