评估自闭症过渡年龄青少年虚拟访谈培训的 1 类混合多站点随机对照试验方案

IF 1.4 Q4 MEDICINE, RESEARCH & EXPERIMENTAL Contemporary Clinical Trials Communications Pub Date : 2024-10-18 DOI:10.1016/j.conctc.2024.101384
Matthew J. Smith , James L. Merle , Mary Baker-Ericzén , Kari Sherwood , Lindsay A. Bornheimer , Brittany Ross , Meghan Harrington , Apara Sharma , Cheryl Brown , Timotheus (TJ) Gordon . , David Telfer , Jocelyn Reese , Jennifer Hirst , Eugene A. Oulvey , Valerie Dignadice , Ed-Dee Williams , Sandra Magaña , Kara Hume , Connie Sung , Jane K. Burke-Miller , Justin D. Smith
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引用次数: 0

摘要

许多政策规定,患有自闭症的过渡适龄青少年必须接受就业服务,以便在高中毕业前为就业做好准备。这些服务的一个主要限制是求职面试部分,它依赖于非标准化、资源密集型、由工作人员主导的角色扮演来帮助自闭症过渡适龄青少年提高面试技巧。自闭症社区呼吁改善求职面试准备工作。为了填补服务方面的这一空白,我们的团队与自闭症社区合作,将虚拟现实求职面试培训(VR-JIT;对患有严重精神疾病的成年人有效)这一干预措施调整为过渡年龄青少年虚拟面试培训(VIT-TAY)。这种经过调整的干预措施是为满足自闭症过渡年龄青少年的需求而量身定制的,同时保留了 VR-JIT 的核心内容(即带有四级自动反馈和电子学习内容的在线求职面试模拟器)。一项试点随机对照试验(RCT)证明了 VIT-TAY 的可行性和初步有效性,即在过渡服务或就业前过渡服务(Pre-ETS)中加入 VIT-TAY,可在六个月内提高求职面试技能、减少焦虑并提高就业率。因此,本混合型 1 类效果-实施研究方案的总体目标是在不同地理位置的 16 所学校中对 VIT-TAY 进行全面的 RCT 研究。我们的具体目标是:1)评估采用 VIT-TAY 的预教育与培训服务(或过渡服务)与采用积极对照干预措施的预教育与培训服务(或过渡服务)(即:就业面试说教/电子学习)相比,是否更有效;2)评估采用 VIT-TAY 的预教育与培训服务(或过渡服务)是否更有效、2)评估随机化后九个月的就业机制;以及 3)对 VIT-TAY 在不同环境中的初步实施情况(如可接受性、可行性、实施障碍和促进因素)进行多层次、混合方法的过程评估。)
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A type 1 hybrid multi-site randomized controlled trial protocol for evaluating virtual interview training among autistic transition-age youth
A number of policies mandate that autistic transition-age youth receive employment services to prepare for the workforce before high school graduation. A key limitation to these services is the job interview component, which relies on non-standardized, resource-intensive, staff-led role-plays to help autistic transition-age youth improve their interview skills. The autism community has called for better job interview preparation. To address this gap in services, our team, collaborated with the autism community to adapt the intervention, Virtual Reality Job Interview Training (VR-JIT; effective among adults with serious mental illness), into Virtual Interview Training for Transition Age Youth (VIT-TAY). This adapted intervention was tailored to meet the needs of autistic transition age youth while maintaining the core components of VR-JIT (i.e., an online job interview simulator with four levels of automated feedback and e-learning content). A pilot randomized controlled trial (RCT) demonstrated VIT-TAY's feasibility and initial effectiveness at improving job interview skills, reducing anxiety, and increasing employment rates within six months when added to transition services or pre-employment transition services (Pre-ETS). Thus, the overarching goal of this Hybrid Type 1 effectiveness-implementation study protocol is to conduct a fully-powered RCT of VIT-TAY across 16 schools in various geographical locations. Our specific aims are to 1) Evaluate whether Pre-ETS (or transition services) with VIT-TAY, as compared to Pre-ETS (or transition services) with an active control intervention (i.e., job interview didactics/e-learning with a series of 3–5 min videos of employed autistic adults talking about their career pathways) enhances employment outcomes; 2) Evaluate mechanisms of employment by nine months post-randomization; and 3) Conduct a multilevel, mixed-method process evaluation of the initial implementation of VIT-TAY across settings (e.g., acceptability, feasibility, and barriers and facilitators of implementation).
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来源期刊
Contemporary Clinical Trials Communications
Contemporary Clinical Trials Communications Pharmacology, Toxicology and Pharmaceutics-Pharmacology
CiteScore
2.70
自引率
6.70%
发文量
146
审稿时长
20 weeks
期刊介绍: Contemporary Clinical Trials Communications is an international peer reviewed open access journal that publishes articles pertaining to all aspects of clinical trials, including, but not limited to, design, conduct, analysis, regulation and ethics. Manuscripts submitted should appeal to a readership drawn from a wide range of disciplines including medicine, life science, pharmaceutical science, biostatistics, epidemiology, computer science, management science, behavioral science, and bioethics. Contemporary Clinical Trials Communications is unique in that it is outside the confines of disease specifications, and it strives to increase the transparency of medical research and reduce publication bias by publishing scientifically valid original research findings irrespective of their perceived importance, significance or impact. Both randomized and non-randomized trials are within the scope of the Journal. Some common topics include trial design rationale and methods, operational methodologies and challenges, and positive and negative trial results. In addition to original research, the Journal also welcomes other types of communications including, but are not limited to, methodology reviews, perspectives and discussions. Through timely dissemination of advances in clinical trials, the goal of Contemporary Clinical Trials Communications is to serve as a platform to enhance the communication and collaboration within the global clinical trials community that ultimately advances this field of research for the benefit of patients.
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