Abstract
Background
One aim of an autism spectrum disorder (ASD) diagnosis is to obtain special support for the disorder, though this does not guarantee practical support. We developed a psychoeducational program using cognitive-behavioral therapy (CBT) and Aware and Care for my Autistic Traits (ACAT) for Japanese adolescents with high-functioning ASD and their parents.
Methods
This multisite study is a randomized controlled trial. In total, 24 participants will be assigned to the ACAT group and 24 to the treatment-as-usual (TAU) group. The ACAT group will receive a weekly 100-min session for 6 weeks, regular medical care, and one follow-up session. In this ongoing clinical trial, we will compare the scores of the measures recorded in the pre- and post-intervention stages between the ACAT and TAU groups. A total of 41 patients out of a target of 48 have participated in the trial to date. The primary outcome measure is the Autism Knowledge Questionnaire. Secondary outcome measures include Barriers to Access to Care Evaluation 3rd Edition, the Strengths and Difficulties Questionnaire, the Vineland Adaptive Behavior Scales second edition, the Parenting Resilience Elements Questionnaire, the General Health Questionnaire 12, and the Depression Self-Rating Scale for Children assessments, as well as an electroencephalographic recording.
Discussion
It is expected that participants in the ACAT group will significantly increase their self-understanding and awareness of ASD symptoms compared to those in the TAU group. Additionally, the ACAT group is expected to exhibit improved social adaptation and mental health if children and parents are able to better understand the ASD characteristics through sessions. This intervention will contribute to the establishment of an effective evidence-based treatment strategy for adolescents with ASD.
Trial registration
UMIN Register 000029851. Registered on January 06, 2018
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Details
1 Chiba University, Research Center for Child Mental Development, Chiba, Japan (GRID:grid.136304.3) (ISNI:0000 0004 0370 1101)
2 University College London, Research Department of Clinical, Educational & Health Psychology, London, UK (GRID:grid.83440.3b) (ISNI:0000000121901201)
3 Fukushima University Child Mental Health-Care Center, Fukushima, Japan (GRID:grid.443549.b) (ISNI:0000 0001 0603 1148)
4 Chiba University, Research Center for Child Mental Development, Chiba, Japan (GRID:grid.136304.3) (ISNI:0000 0004 0370 1101); Laureate Instituto for Brain Research, Tulsa, USA (GRID:grid.136304.3)
5 Hamamatsu University School of Medicine, Department of Psychiatry, Shizuoka, Japan (GRID:grid.505613.4)
6 Chiba University Center for Forensic Mental Health, Chiba, Japan (GRID:grid.411500.1)
7 Chiba University Hospital, Biostatistics Section, Clinical Research Center, Chiba, Japan (GRID:grid.411321.4) (ISNI:0000 0004 0632 2959)
8 Fukushima University Child Mental Health-Care Center, Fukushima, Japan (GRID:grid.443549.b) (ISNI:0000 0001 0603 1148); Tokyo Medical University Ibaraki Medical Center, Department of Psychiatry, Ibaraki, Japan (GRID:grid.412784.c) (ISNI:0000 0004 0386 8171)
9 Teikyo University, Department of Psychology, Faculty of Liberal Arts, Tokyo, Japan (GRID:grid.264706.1) (ISNI:0000 0000 9239 9995)
10 Nagoya University of Arts and Sciences, Department of Human Care, Nagoya, Japan (GRID:grid.444512.2)
11 Hibarigaoka Hospital, Department of Psychiatry, Fukushima, Japan (GRID:grid.444512.2)
12 Hori Mental Clinic, Fukushima, Japan (GRID:grid.444512.2)