Weight Management Intervention for Youth and Young Adults With Autism Spectrum Disorder

Author(s):  
Autism ◽  
2019 ◽  
Vol 24 (3) ◽  
pp. 633-644 ◽  
Author(s):  
Micah O Mazurek ◽  
Gary Stobbe ◽  
Rachel Loftin ◽  
Beth A Malow ◽  
Mavara M Agrawal ◽  
...  

Transition-age youth and young adults with autism spectrum disorder have complex healthcare needs, yet the current healthcare system is not equipped to adequately meet the needs of this growing population. Primary care providers lack training and confidence in caring for youth and young adults with autism spectrum disorder. The current study developed and tested an adaptation of the Extension for Community Healthcare Outcomes model to train and mentor primary care providers ( n = 16) in best-practice care for transition-age youth and young adults with autism spectrum disorder. The Extension for Community Healthcare Outcomes Autism Transition program consisted of 12 weekly 1-h sessions connecting primary care providers to an interdisciplinary expert team via multipoint videoconferencing. Sessions included brief didactics, case-based learning, and guided practice. Measures of primary care provider self-efficacy, knowledge, and practice were administered pre- and post-training. Participants demonstrated significant improvements in self-efficacy regarding caring for youth/young adults with autism spectrum disorder and reported high satisfaction and changes in practice as a result of participation. By contrast, no significant improvements in knowledge or perceived barriers were observed. Overall, the results indicate that the model holds promise for improving primary care providers’ confidence and interest in working with transition-age youth and young adults with autism spectrum disorder. However, further refinements may be helpful for enhancing scope and impact on practice.


2018 ◽  
Vol 33 (4) ◽  
pp. 284-296 ◽  
Author(s):  
Mohammad Nasser Saadatzi ◽  
Robert C. Pennington ◽  
Karla C. Welch ◽  
James H. Graham

The authors of the current investigation developed and evaluated the effects of a tutoring system based on a small-group arrangement to two young adults with autism spectrum disorder on the acquisition, maintenance, and generalization of sight words. The tutoring system was comprised of a virtual teacher to instruct sight words, and a humanoid robot which adopted a peer metaphor, where its function was to act as an emulated peer. With the introduction of the robot peer (RP), the traditional dyadic interaction in tutoring systems was augmented to a novel triadic interaction in order to enrich the social content of the learning environment and to facilitate observational learning (OL). The virtual teacher implemented a constant time delay strategy to instruct three types of sight words: (a) target words exclusive to the participant, (b) target words common between the participant and the RP, and (c) nontarget words exclusive to the RP. In order to examine the efficacy of intervention, a multiple-probe design across three word sets, replicated across two participants, was utilized. Results indicated that both participants acquired, generalized, and maintained target words with 100% accuracy. Furthermore, the participants made fewer errors and required less instruction time to learn the words common between the participants and the RP. Finally, the participants acquired, through OL, the majority of words taught exclusively to the RP.


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