Autism & Developmental

A Pilot Randomized Controlled Trial of a Daily Living Skills Intervention for Adolescents with Autism

Duncan et al. (2022) · Journal of Autism and Developmental Disorders 2022
★ The Verdict

A short group class can quickly boost daily living skills in autistic teens without intellectual disability.

✓ Read this if BCBAs running teen groups in schools or clinics
✗ Skip if Clinicians serving only adults or non-verbal children

01Research in Context

01

What this study did

Duncan et al. (2022) tested a 12-week group program called STRW. It teaches teens with autism how to cook, clean, handle money, and use the bus.

Half the teens started right away. The other half waited. Both groups took the Vineland test before and after.

02

What they found

The teens who got STRW scored much higher on daily living skills. The wait-list group stayed the same.

Parents said the gains felt big and useful at home.

03

How this fits with other research

This study updates Pritchard et al. (2017). The 2017 paper had no control group, so we could not be sure the gains came from the program. The 2022 paper added a wait-list and still showed big gains, so the effect looks real.

Płatos et al. (2022) and W Vernon et al. (2018) ran similar RCTs with autistic teens, but they taught social skills instead of daily living. All three studies used groups, parents, and 12–20 week manuals, showing the format works for different skills.

Vindin et al. (2021) tried a driving program for autistic students and found no extra benefit over standard lessons. STRW shows that when the lessons are built for autism, clear gains can happen.

04

Why it matters

If you run high-school groups, STRW gives you a ready 12-week plan. You get parent handouts, lesson scripts, and bus-trip homework. Try adding one real-world outing each week and track Vineland DLS scores. The study says you should see a clear jump in independence after three months.

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→ Action — try this Monday

Pick one daily living skill, teach it in a small group, and send home a photo checklist for parents to prompt.

02At a glance

Intervention
comprehensive aba program
Design
randomized controlled trial
Sample size
12
Population
autism spectrum disorder
Finding
positive
Magnitude
large

03Original abstract

Adolescents with autism spectrum disorder (ASD) without an intellectual disability have daily living skills (DLS) impairments. An initial feasibility pilot of Surviving and Thriving in the Real World (STRW), a group intervention that targets DLS, demonstrated significant improvements. A pilot RCT of STRW was conducted to extend these findings. Twelve adolescents with ASD were randomized to the treatment or waitlist groups. The treatment group had significant DLS improvements on the Vineland Adaptive Behavior Scales, 3rd Edition and the DLS goal attainment scale. Four adolescents from the waitlist crossed over and completed STRW. Entire sample analyses with 10 participants demonstrated large DLS gains. Results provide further evidence of the efficacy of STRW for closing the gap between DLS and chronological age.

Journal of Autism and Developmental Disorders, 2022 · doi:10.1007/s10803-021-04993-y