Autism & Developmental

A Pilot Randomised Controlled Trial of a School-Based Resilience Intervention to Prevent Depressive Symptoms for Young Adolescents with Autism Spectrum Disorder: A Mixed Methods Analysis.

Mackay et al. (2017) · Journal of autism and developmental disorders 2017
★ The Verdict

A school resilience class helped autistic teens feel more capable, yet it did not lower depression scores.

✓ Read this if BCBAs working with autistic middle-schoolers in general-ed settings
✗ Skip if Clinicians targeting severe mood disorders or working outside schools

01Research in Context

01

What this study did

Researchers tested a school program called RAP-A-ASD. It teaches coping skills to autistic teens.

They ran a small randomized trial in regular middle schools. Some kids got the program, some did not.

02

What they found

Parents said their kids felt better at handling problems. These gains stayed strong after the program ended.

Yet the teens’ depression scores did not drop. Numbers stayed flat for both groups.

03

How this fits with other research

Hillier et al. (2018) later moved the same idea to college. Their peer group cut loneliness and anxiety, showing the coping model can work when it grows up with the students.

Pahnke et al. (2014) ran a similar school group using ACT. They saw lower stress and more prosocial acts, but their kids were in special-ed classes. The mixed RAP-A-ASD results may come from mainstream classrooms where needs are less intense.

Laposa et al. (2017) warns that parent reports can rise even without help. RAP-A-ASD’s parent-rated gains fit this warning, while the null depression numbers keep the story honest.

04

Why it matters

You can run RAP-A-ASD right in homeroom with minimal gear. Expect parents to notice stronger coping, but do not rely on that alone. Track mood with student self-cards or direct observation to see real change. Pair the lessons with stronger depression tools if symptom drops are your goal.

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Add a daily 3-point mood check-in after each coping lesson to watch for real depression shifts.

02At a glance

Intervention
other
Design
randomized controlled trial
Sample size
29
Population
autism spectrum disorder
Finding
mixed

03Original abstract

Despite increased depression in adolescents with Autism Spectrum Disorder (ASD), effective prevention approaches for this population are limited. A mixed methods pilot randomised controlled trial (N = 29) of the evidence-based Resourceful Adolescent Program-Autism Spectrum Disorder (RAP-A-ASD) designed to prevent depression was conducted in schools with adolescents with ASD in years 6 and 7. Quantitative results showed significant intervention effects on parent reports of adolescent coping self-efficacy (maintained at 6 month follow-up) but no effect on depressive symptoms or mental health. Qualitative outcomes reflected perceived improvements from the intervention for adolescents' coping self-efficacy, self-confidence, social skills, and affect regulation. Converging results remain encouraging given this population's difficulties coping with adversity, managing emotions and interacting socially which strongly influence developmental outcomes.

Journal of autism and developmental disorders, 2017 · doi:10.1007/s10803-017-3263-5