Motivation for Daily Living Skills
Trial statusRecruiting
Trial phaseNot applicable
Trial typeInterventional
Biological sexAll
Age16-25
SponsorChildren's Hospital of Philadelphia
About this trial
The goal of this clinical trial is to enhance motivation to complete daily living skills among 16 to 25-year-old autistic teens and young adults. Here are the main questions the trial aims to answer:
Can this trial improve motivation to complete daily living skills for skills that people know how to do but struggle to do them consistently?
Can this trial improve completion of the daily living skill that the participant identifies they want to do more often?
Do people report feeling more empowered to complete the daily living skill they want to do more often?
Are there any characteristics of a person that make them more or less likely to benefit from the treatment?
Researchers will compare treatments that target different types of motivation:
* One treatment focuses on internal motivation and explores what is important to someone and then connect that value back to their daily living skill goal. * A second treatment focuses on external motivation and will explore a person finding outside sources of motivation, like rewards. * A third treatment will use a combination of both methods.
Autistic teens and young adults enrolled in this study will also be asked to choose someone in their life to be involved in the study with them. This person is called an "Important Person" (IP) and can be anyone close to them, like a family member, friend, roommate, partner, etc. The IP will be expected to support the teen/young adult throughout this treatment.
Participants and their IPs will:
* Complete five 'talk' therapy sessions that will last 60 to 90 minutes. The IPs will join the last 15 minutes of each session) * Be assigned to one of the three motivation treatments * Fill out questionnaires before the first session, after sessions 2 through 5, and 2 weeks after therapy ends
Eligibility criteria
This trial does not accept healthy volunteersQualifiers
Age 16-25 years
Participants reporting an autism diagnosis from a qualified provider (Psychiatrist, Psychologist, Developmental Pediatrician, Neurologist). When possible, diagnosis will be confirmed through the Children's Hospital of Philadelphia (CHOP) Electronic Health Record (EHR).
Must identify an important person who is able to communicate by understanding and speaking full sentences in English
Ability to communicate by understanding and using full sentences in English
Disqualifiers
Diagnosis of Intellectual Disability
Participant is currently considered a suicide risk in the opinion of the Investigator or is currently demonstrating active suicidal or homicidal ideation or self-injurious behavior.
Current, comorbid psychiatric disorder with sufficiently intense symptoms in the opinion of the Investigator that these symptoms may confound treatment.
Changes to mental health treatment plan (ex. starting or ending therapy or psychotropic medications over the course of this intervention).
Trial design
Design model
Parallel
Treatments tested in this trial
Intrinsic Motivation Treatment
BehavioralThe Intrinsic Motivation treatment utilizes principles of Motivational Interviewing to help autistic young adults increase their desire and completion of daily living skills. This is a five-session intervention. Each clinical session is 60 minutes long. The goals of the treatment are to enhance motivation and behavior change.
Extrinsic Motivation Treatment
BehavioralThe Extrinsic Motivation treatment utilizes behavioral principles to help autistic adolescents and young adults create reward schedules and behavioral tracking sheets to enhance desire and completion of daily living skills. This is a five-session intervention. Each clinical session is 60 minutes long. The goals of the treatment are to enhance motivation and behavior change.
Combined Intrinsic and Extrinsic Motivation Treatment
BehavioralThe Combined Intrinsic and Extrinsic Motivation treatment combines elements of both intrinsic and extrinsic motivation treatments to enhance desire and completion of daily living skills. This is a five-session intervention. Each clinical session is 60-90 minutes long. The goals of the treatment are to enhance motivation and behavior change.
Treatment groups
180 Participants
are divided into 3 treatment groupsGroup A: Intrinsic Motivation TreatmentExperimental treatment 1 intervention
Group B: Extrinsic Motivation TreatmentActive comparator 1 intervention
Group C: Combined Intrinsic and Extrinsic Motivation TreatmentExperimental treatment 1 intervention
Trial outcomes
Primary outcomes
1
Motivation to Change
The primary outcome measure for this study is the individual's motivation to change and improve upon their daily living skill. Motivation will be measured through 4 separate questions that ask about one's desire, ability, need, and commitment to change. All 4 questions will use the same scale, which ranges from 1 - 10. A total score will be used as the measure. This total score will be calculated by adding the score from each individual question. A higher score indicates a greater level of motivation.
Time frame
Up to 9 weeks.Secondary outcomes
1
Behavior Change Scale
The Behavior Change Scale is a one-question scale that was created by the study team. It asks how often the person completed their daily living skill goal over the past week with 4 response options: is not able to (0), never or almost never when needed (1), sometimes when needed (2), and always or almost always when needed (3). Each response option has a number associated with it and scores will be calculated based on that number. A higher score indicates a greater level of behavior change.
Time frame
Up to 9 weeks.2
Empowerment Measure
This questionnaire measures a participant's level of empowerment by asking them to answer questions about different aspects of doing their daily living skill goal. For example, how much control they have over doing their goal, their opportunities for pursuing and taking the lead in doing their goal, and how capable they think they are. This questionnaire has 14 items and participants are asked to rate how much they agree or disagree on a 7-point scale. Higher scores indicate higher levels of empowerment.
Time frame
Up to 9 weeks.Sponsors and contacts
Click on the lead sponsor to view all of their trials.
Source ClinicalTrials.gov