OTSLPRCTJournal of autism and developmental disorders2025

Building Better Bridges: Outcomes of a Community-Partnered New School Transition Intervention for Students on the Autism Spectrum.

Heather J Nuske, Tristram Smith, Lynne Levato and 21 others

PMID 38865033

WHAT IT FOUND

Caregiver coaching improved school transition ratings for students on the autism spectrum in under-resourced schools.

Teachers reported significantly higher transition success with coaching. Caregiver ratings showed a non-significant trend. Self-efficacy increased with coaching, but worry decreased similarly in both groups.

Key findings

01Teachers reported significantly higher transition success in the coaching group compared to the binder-only group after the transition.

02Caregiver ratings of transition success showed a non-significant trend favoring the coaching group.

03Coaching improved caregiver self-efficacy for managing the transition, but did not reduce caregiver worry more than the binder alone.

STILL TO COME

How it was doneWhat they foundWhat it means for OTsWhat it means for SLPs

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What it does not show

Participants were not blinded to their group assignment, which may bias self-reported outcomes. The primary outcome measure (TEQ) was self-developed for this study and not previously validated. There was a moderate attrition rate of 20.6% among caregivers. Pre- and post-transition teachers were different people, introducing measurement inconsistency. The study did not determine which specific component of coaching drove the effects. Results may not generalize to populations outside under-resourced US public schools or to students with intellectual disability without autism.

Declared interests

Funding was provided by the Health Resources and Services Administration and the National Institute of Mental Health. No other conflicts of interest were declared in the provided text.

The easy way to misread this

Do not assume the intervention reduces caregiver anxiety. While coaching improved transition success ratings and self-efficacy, caregiver worry decreased similarly in both the coaching and binder-only groups, suggesting the reduction in worry may be due to the passage of time or the resources themselves rather than the coaching.

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 →