Dickerson Anne E, Murphy Lynne, McIntyre Mary
Department of Occupational Therapy, East Carolina University, Greenville, USA.
J Autism Dev Disord. 2025 Jun;55(6):2157-2169. doi: 10.1007/s10803-024-06618-6. Epub 2024 Oct 19.
To examine change in driving and community mobility outcomes for teens and young adults with autism as a result of participating in an occupational therapy intervention designed as a Bootcamp as perceived by the participants and their parents. Matched questionnaires were completed by novice drivers with autism as well as their parents prior to and immediately after the intervention. The intervention consisted of a 5-day (32 h) intervention using interactive driving simulators, role playing, and highly interactive learning experiences. Sixty-seven participants and their parents completed the pre and post surveys. Of these, 52 (80%) were male and 13 (20%) were female, with a mean age of 17.8 ± 3.03 years. Wilcoxon signed rank tests was used for the Likert scale questions and paired t test for ratio level data. Results demonstrated participants perceived significant improvement in knowledge, skills and abilities related to both driving and community mobility. There were also significant differences in perception from the parents' perspective, but not as evident as the participants. Only a few significant changes were perceived in terms of executive functioning, which support accuracy of the results. Findings also showed significantly improvement in anxiety and confidence.As driving and community mobility is critical for young adults with autism to be successful in adult roles, intervention for improving knowledge, skills, and abilities in this complex daily task is essential. This study demonstrates statistically significant outcomes of a driving and community mobility occupational therapy intervention from the perspective of the participants and their parents.
为了考察患有自闭症的青少年和年轻人在参与一项被设计为新兵训练营形式的职业治疗干预后,其驾驶和社区出行能力的变化情况,这是参与者及其父母所感知到的。自闭症新手驾驶员及其父母在干预前和干预后立即完成了匹配的问卷。干预包括为期5天(32小时)的干预,使用交互式驾驶模拟器、角色扮演和高度互动的学习体验。67名参与者及其父母完成了前后调查。其中,52名(80%)为男性,13名(20%)为女性,平均年龄为17.8±3.03岁。对李克特量表问题使用威尔科克森符号秩检验,对比率水平数据使用配对t检验。结果表明,参与者认为在与驾驶和社区出行相关的知识、技能和能力方面有显著提高。从父母的角度来看,认知上也存在显著差异,但不如参与者明显。在执行功能方面,仅察觉到一些显著变化,这支持了结果的准确性。研究结果还显示焦虑和自信心有显著改善。由于驾驶和社区出行对于患有自闭症的年轻人成功扮演成年人角色至关重要,因此在这项复杂的日常任务中,进行干预以提高知识、技能和能力至关重要。本研究从参与者及其父母的角度证明了驾驶和社区出行职业治疗干预具有统计学意义的结果。