Evidence map›Paper›PMID 34625016›Full record

Trial reportJournal of neurodevelopmental disorders2021

Impact of Working Together for adults with autism spectrum disorder: a multifamily group intervention.

Leann Smith DaWalt, Emily Hickey, Rebekah Hudock, Amy Esler, Marsha Mailick

Abstract readRandomized Controlled Trial
PubMed Full text at PMC Publisher
In one paragraph

Trial report in Journal of neurodevelopmental disorders, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 7 papers.

0numbers the graph read from it
0cells of the map it votes in
7citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

7 citing papers in PubMed.

  1. Article
  2. Article
  3. Article
  4. Article
  5. First things first: An exploration of the effects of psychoeducation for older autistic adults.Autism : the international journal of research and practice · 2024
    Article
  6. Article
  7. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

5 authors.

Leann Smith DaWaltWaisman Center, University of Wisconsin-Madison, 1500 Highland Ave, Madison, WI, USA.
Emily HickeyWaisman Center, University of Wisconsin-Madison, 1500 Highland Ave, Madison, WI, USA. ejhickey2@wisc.edu.ORCID 0000-0002-9526-4468
Rebekah HudockDepartment of Pediatrics, University of Minnesota, Minneapolis, USA.
Amy EslerDepartment of Pediatrics, University of Minnesota, Minneapolis, USA.
Marsha MailickWaisman Center, University of Wisconsin-Madison, 1500 Highland Ave, Madison, WI, USA.

Funding

INSTITUTIONAL CTSA (UW-MADISON): CLINICAL TRIALSUL1RR025011 · NCRR · UNIVERSITY OF WISCONSIN-MADISON · PI DREZNER, MARC KENNETH · 2007 to 2011
$29.5M
Waisman Intellectual and Developmental Disabilities Research Center Down Syndrome RegistryU54HD090256 · NICHD · UNIVERSITY OF WISCONSIN-MADISON · PI MESSING, ALBEE · 2016 to 2020
$6.0M
IMPACTS OF PARENTING ADOLESCENTS &ADULTS WITH AUTISMR01AG008768 · NIA · UNIVERSITY OF WISCONSIN-MADISON · PI MAILICK, MARSHA RUTH · 1990 to 2011
$4.3M
Multi-family Group Psychoeducation for Young Adults with ASDR34MH104308 · NIMH · UNIVERSITY OF WISCONSIN-MADISON · PI DAWALT, LEANN SMITH · 2014 to 2016
$677k
NCRR NIH HHS UL1 RR025011NIA NIH HHS R01 AG008768NIA NIH HHS R01 AG08768NICHD NIH HHS U54 HD090256NIMH NIH HHS R34 MH104308
6 · The paper itself

Abstract

backgroundAdults with autism spectrum disorder (ASD) have lower engagement in their communities, higher rates of unemployment/underemployment, and continued difficulties with challenging behavior compared to their neurotypical peers. Multi-family psychoeducation emphasizes education and problem-solving with the goal of improving these outcomes for the individual with the disability.

methodsUsing a randomized waitlist control design, the present study evaluated a multi-family group psychoeducation intervention, Working Together, for adults on the autism spectrum without intellectual disability (n = 40). Five waves of data were collected at 3-month intervals. In this design, families in the intervention condition participated in intervention during the 6 months between baseline and time 3 data collection; the waitlist control condition received the intervention immediately after the time 3 data collection. We compared these two conditions, intervention group (n = 20) vs waitlist control group (n = 20), on key outcomes for the adults with ASD: engagement in work-related activities, engagement in meaningful activities, and behavior problems.

resultsResults indicated medium to large effect sizes associated with the Working Together intervention across key outcomes, including adults on the spectrum experiencing significant increases in meaningful activities and decreases in internalizing problems. Although increases in work-related activities were not statistically significant, an observed one-half of a standard deviation difference from before to after the intervention indicated clinically significant change. We also found maintenance of the treatment effect through 6 months post-treatment for the intervention group and replication of the treatment effect within the control group after they received the intervention.

conclusionWorking Together is a promising multi-family group psychoeducation intervention designed to improve functioning during adulthood. These findings highlight the need for more intervention services research during adulthood and specifically the need for family-centered supports.

Indexed as

Autism Spectrum DisorderIntellectual DisabilityAdultHumansAdulthoodAutism spectrum disorderBehavior problemsMulti-family group psychoeducation

Identifiers

PMID34625016
PMCPMC8499454

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.