Effects of A Gamified, Behavior Change Techniques-Based Mobile Application on Increasing Physical Activity and Reducing Anxiety in Adults with Autism Spectrum Disorder: A Preliminary Study (Preprint)

2021 ◽  
Author(s):  
Daehyoung Lee ◽  
Georgia C Frey ◽  
Donetta J Cothran ◽  
Jaroslaw Harezlak ◽  
Patrick C Shih
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Autism Spectrum Disorder ◽  
Mobile Application ◽  
Sedentary Time ◽  
Autism Spectrum ◽  
Physical And Mental Health ◽  
Adults With Autism ◽  
Behavior Change Techniques ◽  
Adults With Asd

BACKGROUND Physical activity (PA) has an impact on physical and mental health in neurotypical populations, and addressing these variables may improve the prevalent burden of anxiety in adults with autism spectrum disorder (ASD). Gamified mobile applications using behavior change techniques (BCTs) present a promising way to increase PA and reduce sedentary time, thus reducing anxiety in adults with ASD. OBJECTIVE This study aimed to compare the efficacy of a gamified and BCTs-based mobile application, PuzzleWalk vs. a commercially available application Google Fit (Google LLC, CA) on increasing PA and reducing sedentary time as an adjunct anxiety treatment for this population. METHODS Twenty-four adults with ASD were assigned to either PuzzleWalk or Google Fit group for five weeks, using a covariate adaptive randomization design. Physical activity and anxiety were assessed over 7 days at three different data collection periods (i.e., baseline, intervention start, intervention end) using triaxial accelerometers and the Beck Anxiety Inventory. Group differences in outcome variables were assessed by repeated measures ANCOVA adjusting for age, sex, and BMI. RESULTS Findings indicated that PuzzleWalk group spent a significantly larger amount of time for application use compared to Google Fit group (F 2, 38 = 5.07, p = 0.011, partial η2 = 0.21) while anxiety was unfavorably associated with increases in light PA and decreases in sedentary time after intervention (all p < 0.05). CONCLUSIONS Additional research is needed to clarify the determinants of physical and mental health as well as their interrelationship in adults with ASD. In addition, more research is needed to identify the factors that facilitate the use and adoption of mobile health technology in these individuals. The small, albeit insignificant, changes in PA and/or anxiety may be of clinical significance to adults with ASD. CLINICALTRIAL N/A

scholarly journals Aging With Autism Spectrum Disorder: An Exploration of Physical Activity Engagement

2020 ◽  
Vol 4 (Supplement_1) ◽  
pp. 400-401
Author(s):  
Danielle Waldron ◽  
Beth Dugan ◽  
Jeffrey Stokes ◽  
Caitlin Coyle ◽  
John Kramer
Keyword(s):  
Mental Health ◽  
Physical Activity ◽  
Autism Spectrum Disorder ◽  
General Population ◽  
Community Engagement ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Physical And Mental Health ◽  
Community Group ◽  
Factors Associated

Abstract Adults with Autism Spectrum Disorder (ASD) participate in physical activity (PA) infrequently compared to adults in the general population. This is problematic as individuals with ASD suffer from disproportionate physical and mental health co-morbidities as well as diminished life expectancy, but do not reap the physical and mental health benefits of PA. This study used data from the National Core Indicators-In Person Consumer Survey (n=4,370; age: 18-78) to analyze factors associated with both aerobic PA and muscle strengthening (MS) activity in adults with ASD receiving state Developmental Disability Services. This research used multilevel logistic regression modeling, with mediation and moderation analyses to explore personal and environmental factors associated with PA/MS in this population. Findings indicated the following significant associations between community engagement and PA and MS: community contact (OR=1.17; p&lt;0.001; OR=1.07; p&lt;0.001), community group participation (OR=1.83; p&lt;0.001; OR=1.91; p&lt;0.001), and employment/day program participation (OR=1.32; p&lt;0.05; OR=1.32; p&lt;0.001). Additionally, at older ages, participants were less likely to engage in PA and MS three or more times a week (OR=0.99; p&lt;0.05; OR=0.99; p&lt;0.05). These findings indicate that increasing age is associated with decreased PA and MS activity in this group, while community engagement may facilitate their PA and MS activity. While much remains unknown about the population aging with ASD, it is evident that they suffer from poorer health than the general population and have experienced lifelong difficulties with socialization and communication. Greater access to community engagement opportunities may promote this population’s healthy aging, as well as support their unique social needs.

scholarly journals Knowledge Gaps in Mobile Health Research for Promoting Physical Activity in Adults With Autism Spectrum Disorder

2021 ◽  
Vol 12 ◽  
Author(s):  
Daehyoung Lee
Keyword(s):  
Physical Activity ◽  
Autism Spectrum Disorder ◽  
Behavior Change ◽  
Mobile Health ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Adults With Autism ◽  
Mobile Health Applications ◽  
Adults With Asd ◽  
Health Applications

A growing body of research highlights that adults with autism spectrum disorder (ASD) have poor health outcomes, yet effective health interventions are lacking for this population. While mobile health applications demonstrate potential for promoting physical activity (PA) in adults with ASD, scientific evidence for supporting this tool’s long-term effectiveness on PA behavior change remains inconclusive. This study aimed to provide the latest information on PA research and the prospective role of mobile health applications for promoting PA in adults with ASD. A literature review demonstrated that a few available studies show contradictory results regarding PA levels in adults with ASD, and behavior change techniques and gamification-guided mobile health applications can be promising tactics to leverage autism’s strengths and increase PA in these individuals. Optimizing design decisions based on needs analysis and user feedback is crucial to identifying and developing a sustainable mobile health intervention for PA promotion in adults with ASD.

scholarly journals Implicit Semantic Processing of Linguistic and Non-linguistic Stimuli in Adults with Autism Spectrum Disorder

2021 ◽  
Author(s):  
Emme O’Rourke ◽  
Emily L. Coderre
Keyword(s):  
Autism Spectrum Disorder ◽  
Language Processing ◽  
Semantic Processing ◽  
Autistic Traits ◽  
Autism Spectrum ◽  
Event Related Potential ◽  
Spectrum Disorder ◽  
Adults With Autism ◽  
Priming Task ◽  
Adults With Asd

AbstractWhile many individuals with autism spectrum disorder (ASD) experience difficulties with language processing, non-linguistic semantic processing may be intact. We examined neural responses to an implicit semantic priming task by comparing N400 responses—an event-related potential related to semantic processing—in response to semantically related or unrelated pairs of words or pictures. Adults with ASD showed larger N400 responses than typically developing adults for pictures, but no group differences occurred for words. However, we also observed complex modulations of N400 amplitude by age and by level of autistic traits. These results offer important implications for how groups are delineated and compared in autism research.

scholarly journals Neuropsychiatric profile and psychotropic medication use in adults with autism spectrum disorder: results from the Australian Longitudinal Study of Adults with Autism

BJPsych Open ◽  
2018 ◽  
Vol 4 (6) ◽  
pp. 461-466 ◽  
Author(s):  
Rachael C. Cvejic ◽  
Samuel R. C. Arnold ◽  
Kitty-Rose Foley ◽  
Julian N. Trollor
Keyword(s):  
Autism Spectrum Disorder ◽  
Longitudinal Study ◽  
Psychotropic Medication ◽  
Medication Use ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Limited Evidence ◽  
Adults With Autism ◽  
Adolescents With Autism ◽  
Adults With Asd

BackgroundChildren and adolescents with autism spectrum disorder (ASD) are a highly medicated group. Few studies have examined the neuropsychiatric profile and patterns of psychotropic medication use among adults with ASD.AimsTo describe and compare the neuropsychiatric profile and psychotropic medication use in a cohort of adults with ASD and non-autistic controls.MethodBaseline data from a survey-based, longitudinal study of adults with ASD in Australia. Participants were 188 adults with ASD and 115 controls aged 25–80 years.ResultsASD was associated with increased odds of psychotropic medication use even when controlling for the presence of any neurological or psychiatric disorder. There were no corresponding indications for 14.4% of psychotropic medications prescribed to adults with ASD.ConclusionsThis study found substantial psychotropic prescribing for adults with ASD. Patterns of psychotropic medication use may reflect prescribing for behavioural indications despite limited evidence to support this practice.Declaration of interestNone.

Employment Training for Young Adults with Autism Spectrum Disorder

2017 ◽  
pp. 196-222
Author(s):  
David W. Test ◽  
Debra G. Holzberg ◽  
Kelly Clark ◽  
Misty Terrell ◽  
Dana E. Rusher
Keyword(s):  
Autism Spectrum Disorder ◽  
Young Adults ◽  
Employment Outcomes ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Adults With Autism ◽  
Evidence Based Practices ◽  
Young Adults With Autism ◽  
Employment Rates ◽  
Adults With Asd

Despite legislation to improve post-school outcomes for young adults with autism spectrum disorder, they experience poorer employment outcomes than their peers without disabilities. Data indicate persons with ASD experience lower employment rates, earn less money, work fewer hours, are less engaged in their communities, and live independently less frequently than their peers without disabilities. Furthermore, the earnings of individuals with ASD lag behind earnings of their peers both with and without disabilities. In order to help improve employment outcomes for youth with ASD, this chapter describes the characteristics contributing to employment of individuals with ASD, the factors influencing employment of individuals with ASD, and the research related to evidence-based practices for young adults with ASD.

Use of a Videoconferencing Intervention and Systematic Hierarchy to Teach Daily Living Skills to Young Adults With Autism Spectrum Disorder

2020 ◽  
pp. 109830072092121
Author(s):  
Katerina Ford ◽  
Mian Wang ◽  
Lynn Kern Koegel ◽  
Robert L. Koegel ◽  
Andrew Fedders
Keyword(s):  
Autism Spectrum Disorder ◽  
Transition To Adulthood ◽  
Autism Spectrum ◽  
Spectrum Disorder ◽  
Adults With Autism ◽  
Qualified Personnel ◽  
Behavior Outcomes ◽  
Living Skills ◽  
Adults With Asd ◽  
Number Of Individuals

Given the increasing number of individuals diagnosed with autism spectrum disorder (ASD), there is a critical need to develop programs that facilitate positive behavior outcomes during the transition to adulthood. Furthermore, many adults with ASD do not have access to intervention programs due to remote locations, lack of qualified personnel, and/or long waitlists. This study, conducted within the context of a combined multiple baseline and changing criterion design, examined the use of videoconferencing (VC) to provide intervention from a remote location. Results showed that following intervention participants were able to independently perform the targeted skills and all targeted skills maintained during follow-up probes. All participants rated the intervention highly and said that they would recommend the intervention to others. These results are discussed in relation to potential avenues to increase access to services for individuals with ASD, particularly in remote and underserved areas, using VC.

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