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A Collaborative Public/Private Employment Training and Placement Model ASD Transition Age Youth With Autism Spectrum Disorder (ASD) (ProjSEARCH1)

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ClinicalTrials.gov Identifier: NCT02360332
Recruitment Status : Completed
First Posted : February 10, 2015
Last Update Posted : February 10, 2015
Sponsor:
Collaborators:
Henrico County Public Schools
Virginia Department of Aging and Rehabilitative Services
Chesterfield County Public Schools
Information provided by (Responsible Party):
Virginia Commonwealth University

Brief Summary:
The aim of the research project is to conduct evidence-based research on a nationally known vocational rehabilitation (VR) service model (Project Search) for individuals with Autism Spectrum Disorders (ASD). This information may be useful to high schools and vocational rehabilitation agencies that endeavor to use evidence based practices to serve individuals with ASD.

Condition or disease Intervention/treatment Phase
Autism Spectrum Disorder Behavioral: Project SEARCH plus ASD Supports Not Applicable

Detailed Description:

Autism is recognized to be a "complex disorder" as well as "a spectrum of disorders" that includes Asperger's syndrome and pervasive developmental disorder- not otherwise specified. Diagnostic criteria for autism focus on impairments affecting socialization, verbal and nonverbal communication, and restricted and repetitive patterns of behavior. The number of high school students diagnosed with autism, for example, has been increasing over time with almost 194,000 students ages 6 through 21 nationwide identified as having autism and receive special education services under the Individuals with Disabilities Education Act (IDEA). These young people create a significant need for vocational rehabilitation intervention in the decade ahead. Currently many persons with ASD continue to be. Howlin, et al. (2004) described the outcomes for 68 young adults with ASD (mean age 29), and found that a third worked and almost half were unemployed. RSA notes that in 2005 fewer than 2000 individuals with ASD received VR services. In Virginia the figure is only 255 total clients enrolled from between 2000 and 2007.

In this project the investigators will conduct a randomized clinical trial which examines the impact of intensive community-based work experiences on the employment outcomes of youth with ASD. This study will test the efficacy of a nationally recognized model of an employer based employment training and placement program (Project SEARCH) for youth with ASD. Four dependent measures will be investigated: (1) employment status upon completion of the program, at 90 days post completion and 12 months post completion (primary), (2) wage upon completion, at 90 days post completion, and 12 months post completion (secondary), (3) number of hours worked per week (secondary) upon completion, at 90 days post completion and 12 months post completion. Three specific hypotheses are proposed, and (4) intensity of supports needed at work at completion, at 90 days post completion and 12 months post completion.

Hypothesis I: Individuals who participate in an employer based employment training and placement program will demonstrate a higher rate of employment than those in the control condition.

Hypothesis II: Individuals who participate in an employer based employment training and placement program will earn higher wages on average at project completion compared to those in the control condition.

Hypothesis III: Individuals who participate in an employer based employment training and placement program will work more hours per week on average than those in the control condition.

Hypothesis IV: Individuals who participate in an employer based employment training and placement program will require less intensive work support than those in the control condition.

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Study Type : Interventional  (Clinical Trial)
Actual Enrollment : 54 participants
Allocation: Randomized
Intervention Model: Single Group Assignment
Masking: None (Open Label)
Primary Purpose: Treatment
Official Title: A Collaborative Public/Private Employment Training and Placement Model for Transition Age Youth With Autism Spectrum Disorder (ASD)
Study Start Date : October 2009
Actual Primary Completion Date : September 2013
Actual Study Completion Date : January 2015

Resource links provided by the National Library of Medicine


Arm Intervention/treatment
Experimental: PS-ASD
Treatment Condition, participants assigned to this condition will receive the treatment, one school year (9 months) of Project SEARCH plus ASD Supports
Behavioral: Project SEARCH plus ASD Supports
Project SEARCH program (Rutkowski, Daston, Kuiken, and Riehle, 2006) is a work based learning model for high school transition that was developed at Cincinnati Children's Hospital Medical Center. The model provides complete immersion in the workplace. Students spend their entire school day at the workplace for a full school year. Consistent with principles of work based learning, Project SEARCH facilitates the development of a broad range of high-quality jobs within the employer organization and provides over 700 of supervised work experience. The model also relies on the intensive application of supported employments strategies (task analysis and customization, systematic instruction, ongoing support, etc.) to allow the participation of individuals with extensive support needs.
Other Name: PS-ASD

No Intervention: High School As Usual
Control Condition, Participants assigned to this condition will have no interaction or intervention with the research team with the exception of data collection at the specified time points.



Primary Outcome Measures :
  1. Change in Employment Status across 3 points in time (Employed or not employed) [ Time Frame: 9 months, 12 months, 21 months ]
    Are subjects currently employed?


Secondary Outcome Measures :
  1. Change in Hours worked weekly across 3 points in time [ Time Frame: 9 months, 12 months, 21 months ]
    How many hours do subjects work weekly

  2. Change in Hourly wage earned across 3 points in time [ Time Frame: 9 months, 12 months, 21 months ]
    How much money do subjects earn hourly

  3. Change in Intensity of work support required across 3 points in time [ Time Frame: 9 months, 12 months, 21 months ]
    What type and how much do support do subjects require at work?



Information from the National Library of Medicine

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Ages Eligible for Study:   18 Years to 21 Years   (Adult)
Sexes Eligible for Study:   All
Accepts Healthy Volunteers:   Yes
Criteria

Inclusion Criteria:

  1. Being a student in the local public school where the research was being conducted,
  2. Having an ASD medical diagnosis and/or educational eligibility,
  3. Displaying independent self-care,
  4. Being able to provide consent or assent,
  5. Having funding for supported employment through VR, and
  6. Having continued eligibility for public school educational services in the coming school year.

Exclusion Criteria:

  1. Life threatening or dangerously severe aggressive or destructive behavior
  2. History of fire setting
  3. History of substance abuse

Information from the National Library of Medicine

To learn more about this study, you or your doctor may contact the study research staff using the contact information provided by the sponsor.

Please refer to this study by its ClinicalTrials.gov identifier (NCT number): NCT02360332


Sponsors and Collaborators
Virginia Commonwealth University
Henrico County Public Schools
Virginia Department of Aging and Rehabilitative Services
Chesterfield County Public Schools
Investigators
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Principal Investigator: Paul Wehman, PhD Virginia Commonwealth University
Publications:
Schall, C. M. (2010). Positive behavior support: Supporting adults with autism spectrum disorders in the workplace. Journal of Vocational Rehabilitation, 32, 109-115.
Schall, C. M. & McDonough, J. T. (2010). Autism Spectrum Disorders in Adolescence and Early Adulthood: Characteristics and Issues. Journal of Vocational Rehabilitation, 32, 81-88.
Wehman, P., Schall, C., McDonough, J., Molinelli, A., Riehle, E., Ham, W., & Thiss, W. (2014). Project SEARCH for youth with autism spectrum disorders: Increasing competitive employment on transition from high school. Journal of Positive Behavior Intervention, 15, 144-155.
Wehman, P., Schall, C., Carr, S., Targett, P., West, M., & Cifu, G., (2014). Transition from school to adulthood for youth with ASD: What we know and what we need to know. Journal of Disability Policy Studies, 25, 30-40; DOI: 10.1177/1044207313518071.
Ham, W., McDonough, J., Molinelli, A., Schall, C., & Wehman, P. (2014). Employment Supports for Young Adults with ASD: Two Case Studies. Journal of Vocational Rehabilitation. DOI: 10.3233/JVR-140677.

Publications automatically indexed to this study by ClinicalTrials.gov Identifier (NCT Number):
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Responsible Party: Virginia Commonwealth University
ClinicalTrials.gov Identifier: NCT02360332    
Other Study ID Numbers: NIDDRDRRP09-13
First Posted: February 10, 2015    Key Record Dates
Last Update Posted: February 10, 2015
Last Verified: February 2015
Keywords provided by Virginia Commonwealth University:
Autism
transition to adulthood
employment
High School Seniors
Additional relevant MeSH terms:
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Autistic Disorder
Autism Spectrum Disorder
Child Development Disorders, Pervasive
Neurodevelopmental Disorders
Mental Disorders