Department of Pediatrics, Cincinnati Children's Hospital Medical Center, 3333 Burnet Ave, Cincinnati, OH, 45229-3039, USA.
University of Cincinnati College of Medicine, Cincinnati, OH, USA.
Clin Child Fam Psychol Rev. 2021 Dec;24(4):744-764. doi: 10.1007/s10567-021-00360-6. Epub 2021 Jul 1.
Daily living skill deficits commonly co-occur in individuals with autism spectrum disorder (ASD). These deficits in adolescence are associated with poor outcomes, in both employment and independent living skills as adults. Currently, there are no interventions that directly target daily living skill acquisition in adolescents with ASD without an intellectual disability to facilitate a successful transition to adulthood. In this paper, we discuss the development, refinement, and initial efficacy studies of Surviving and Thriving in the Real World (STRW), a 14-session group treatment for both adolescents with ASD and their parent/caregiver that promotes attainment of critical daily living skills. We summarize initial feasibility studies that have been instrumental in the iterative development of STRW. The structure, core treatment elements, and content of STRW are described in detail. Lastly, we discuss the transition of the in-person STRW intervention to STRW-telehealth, which allows for adolescents with ASD to work on daily living skills in their own home with support from a therapist.
日常生活技能缺陷在自闭症谱系障碍（ASD）个体中普遍存在。这些在青春期的缺陷与成年后的就业和独立生活技能差有关。目前，对于没有智力障碍的 ASD 青少年，没有直接针对日常生活技能习得的干预措施，无法促进他们成功过渡到成年期。在本文中，我们讨论了 Surviving and Thriving in the Real World（STRW）的发展、改进和初步疗效研究，STRW 是一种针对 ASD 青少年及其父母/照顾者的 14 节小组治疗方法，旨在促进关键日常生活技能的获得。我们总结了在 STRW 迭代开发中发挥重要作用的初步可行性研究。详细描述了 STRW 的结构、核心治疗要素和内容。最后，我们讨论了现场 STRW 干预向 STRW-远程医疗的转变，这使得 ASD 青少年可以在自己的家中，在治疗师的支持下，练习日常生活技能。
