Duncan Amie, Meinzen-Derr Jareen, Ruble Lisa, Fassler Carrie, Stark Lori J
Cincinnati Children's Hospital Medical Center, OH, USA.
Ball State University, Muncie, IN, USA.
Focus Autism Other Dev Disabl. 2025 Jul 24. doi: 10.1177/10883576251355188.
Autistic adolescents without an intellectual disability (ID) have daily living skills (DLS) that are approximately 6 years below peers. This study evaluated the efficacy of the Surviving and Thriving in the Real World (STRW) intervention, which targets DLS, compared to an active control group. Autistic adolescents were randomized to STRW or control. The primary outcome was the caregiver-reported Vineland Adaptive Behavior Scales, 3rd Edition (VABS-3) DLS domain and Personal, Domestic, and Community sub-domains. The secondary outcome was DLS Goal Attainment Scaling (DLS-GAS) caregiver interview. Compared to control ( = 22), autistic teens in STRW ( = 26) made significant improvements on the VABS-3 DLS domain ( = .04) and Domestic sub-domain ( = .01) and the DLS-GAS areas of Cooking, Laundry, and Money Management (all 's < .05). STRW narrowed the gap between DLS and age as autistic adolescents acquired age-appropriate domestic, personal, and community DLS compared to the control group.
没有智力障碍（ID）的自闭症青少年的日常生活技能（DLS）比同龄人落后约6年。本研究评估了针对DLS的“在现实世界中生存与发展”（STRW）干预措施与积极对照组相比的效果。自闭症青少年被随机分为STRW组或对照组。主要结局是照顾者报告的《文兰适应行为量表》第三版（VABS - 3）的DLS领域以及个人、家庭和社区子领域。次要结局是DLS目标达成量表（DLS - GAS）照顾者访谈。与对照组（n = 22）相比，STRW组（n = 26）的自闭症青少年在VABS - 3的DLS领域（p = .04）、家庭子领域（p = .01）以及DLS - GAS的烹饪、洗衣和财务管理方面（所有p值 < .05）都有显著改善。由于与对照组相比，自闭症青少年获得了与年龄相适应的家庭、个人和社区DLS，STRW缩小了DLS与年龄之间的差距。
