Achieving Steady Work Among Adults With Autism Through Specialized Employment Program
Ориентир для пациента и семьи
Простыми словами
Автоматическая сводка по структурированным данным реестра. Она помогает сориентироваться, но не заменяет официальный протокол или оценку врача.
- Что изучают
- В протоколе указаны: NaW, NaW-DS.
- Кому может быть актуально
- Состояния в реестре: Autism Spectrum Disorder, Autism. Базовые параметры: 18 лет — 55 лет · Все.
- Что важно проверить
- Возраст, диагноз и пол — только базовые ориентиры. Предыдущее лечение, анализы и другие обязательные условия указаны ниже в критериях участия.
- Где проводится
- США
- Следующий шаг
- Сохраните исследование, покажите его лечащему врачу и уточните актуальный статус у исследовательского центра. Расходы, документы и поездка →
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Обзор
Individuals with autism spectrum disorder (ASD) have significantly higher levels of unemployment and underemployment compared to their typically developing peers and all other groups with neurodevelopmental disorders, even though major companies that have employed and trained young people with ASD acclaim their significant innovations in their companies. The investigators hope to examine the effects of specialized employment support programs, over current traditional vocational rehabilitation approaches, for adults with ASD on their ability to maintain steady employment and overall benefit to the organizations at which they will be employed. The investigators predict that Stanford University's Neurodiversity at Work (NaW) Program will improve employment outcomes and positively impact the overall quality of life of individuals with ASD in this program. The investigators hope that the findings of the study will lead to the advancement of programs aimed to support individuals with ASD.
Подробное описание
To date, there has been limited research examining effects of specialized employment support programs (such as Stanford's Neurodiversity at Work) for adults with ASD. Results from this study will have substantial positive impact on the field because they will significantly elevate the investigators' understanding of the factors involved in successful employment and QoL outcomes in individuals with ASD. Furthermore, understanding the trajectories of psychiatric symptoms, employment outcomes and QoL will facilitate the development of educational tools, training materials and intervention tools to help in improving overall outcomes of individuals with ASD.
The study has four specific aims that the investigators hope will contribute towards the advancement and proliferation of programs, such as Stanford's Neurodiversity at Work (NaW) aimed to support individuals with ASD, both in in the workplace and beyond.
The investigators' first aim is to compare job retention rates resulting from NaW starting before onboarding and NaW starting 6 months after onboarding (NaW-DS) for adults with ASD, as well as compare duration of sustained employment for NaW and NaW-DS (NaW-delayed start).
The second aim is to compare the change in QoL between NaW and NaW-DS for adults with ASD at month 15 past onboarding. The investigators predict that NaW will result in a higher QoL, as measured by the World Health Organization Quality of Life assessment (WHOQOL-100), in adults with ASD, compared to NaW-DS. The investigators also have an exploratory aim of determining costs of employee turnover achieved from the NaW and NaW-DS, as well as comparing rates of job offers between specialized internship programs (IP) and specialized pre-employment training programs (PT).
Additionally, behavioral assessments will be administered to participants throughout the duration of the study as additional exploratory measures.
Results from this study will provide an evidence base for the understanding of trajectories of psychiatric symptoms, employment outcomes and QoL will facilitate the development of education tools, training materials and intervention tools to help improving overall outcomes of individuals with ASD.
Вмешательства
- Поведенческое NaW
Participants will receive assistance with finding employment, onboarding, training, and so on. - Поведенческое NaW-DS
Participants will receive assistance with onboarding and training 6 months after the initiation of their employment.
Первичные конечные точки
- Job Retention Rates [Срок оценки: Before onboarding for NaW arm; 6 months after onboarding for NaW-DS arm; 15 months after onboarding for both arms.]
- Duration of Sustained Employment [Срок оценки: 15 months after onboarding.]
- Costs of Employee Turnover [Срок оценки: 15 months after onboarding.]
- Rates of Job Offers [Срок оценки: 15 months after onboarding.]
- World Health Organization Quality of Life Assessment [WHOQOL-100] [Срок оценки: At screening, 3 months after onboarding at job position, 6 months after onboarding, 12 months after onboarding, 15 months after onboarding, 18 months after onboarding.]
Вторичные конечные точки (8)
- Maslach's Burnout Measure [Срок оценки: Baseline, 6 months after onboarding, 12 months after onboarding, and 18 months after onboarding.]
- Meyer and Allen's Affective Commitment Measure [Срок оценки: Baseline, 6 months after onboarding, 12 months after onboarding, and 18 months after onboarding.]
- Eisenberger's Perceived Organizational Support [Срок оценки: Baseline, 6 months after onboarding, 12 months after onboarding, and 18 months after onboarding.]
- Morgensen and Humphrey's Job Characteristics (WDQ) [Срок оценки: Baseline, 6 months after onboarding, 12 months after onboarding, and 18 months after onboarding.]
- Judge's Global Job Satisfaction [Срок оценки: Baseline, 6 months after onboarding, 12 months after onboarding, and 18 months after onboarding.]
- MOAQ Subscale: Intent to Turnover [Срок оценки: Baseline, 6 months after onboarding, 12 months after onboarding, and 18 months after onboarding.]
- Work Motivation and Engagement (UWES) [Срок оценки: Baseline, 6 months after onboarding, 12 months after onboarding, and 18 months after onboarding.]
- ANZ Financial Well-being Scale [Срок оценки: Baseline, 6 months after onboarding, 12 months after onboarding, and 18 months after onboarding.]
Критерии участия
Критерии включения
- Moderately functioning group of participants:
- Males and females with ASD
- Between the ages of 18-55
- No significant current psychosocial stressors per history
- Able to travel to work independently
- Attended either an internship program, pre-employment training, or both
- Possess an IQ between 60 and 90
- High functioning group of participants:
- Males and females with ASD
- Between the ages of 18-55
- No significant current psychosocial stressors per history
- Able to travel to work independently
- Attended either an internship program, pre-employment training, or both
- Possess a college degree
- Possess an IQ of 90 or above
Критерии исключения
- DSM-5 diagnosis of other severe psychiatric disorder such as bipolar disorder or schizophrenia.
Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.
Здоровые добровольцы: Да
Дизайн исследования
- Распределение
- Рандомизированное
- Модель
- Параллельные группы
- Маскирование
- Простое слепое
- Основная цель
- Лечение
Центры проведения
США · 1 центр
- Stanford University School of Medicine — Palo Alto
Идентификаторы
NCT: NCT04107064 · 50268