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Assessing Outcomes of Three Different Museum-based Social Prescription Programs in Autistic Adults

13. august 2026 opdateret af: National Taiwan University Hospital

Exploring the Feasibility of Social Prescription in People on the Autism Spectrum

This study will examine whether visiting the National Taiwan Museum can support the social and emotional well-being of autistic adults.

The research team plans to recruit 90 autistic adults aged 18 to 50 from the Department of Psychiatry at National Taiwan University Hospital. Participants must have average-range intellectual ability and be able and willing to complete the study activities and assessments. People with serious physical or mental health conditions that would prevent full participation will not be included. Participants must also agree to audio and video recording during the activities.

After an outpatient doctor confirms eligibility, participants will complete questionnaires and choose one of three museum participation options:

  1. Visit the museum once independently.
  2. Join five guided museum visits with group discussions.
  3. Invite a friend to visit the museum together.

Each group will include about 30 participants.

For the guided group, each session will last about 90 minutes and include a professional museum tour, a question-and-answer period, time for independent exploration, and a group discussion. Participants will be encouraged to select exhibits that interest them, record their observations, share their thoughts, listen to others, and respond to different viewpoints.

The five planned museum themes include Taiwan's history and identity, relationships between people and nature, architecture and living spaces, human evolution and the future, and attitudes toward money and financial planning. The discussions will explore everyday topics such as stereotypes, personal values, preferred living environments, hopes for the future, and managing money.

Participants will complete questionnaires before and after the program. These questionnaires will assess areas such as autistic characteristics, social communication, empathy, sensory experiences, comfort with social touch, emotional skills, loneliness, anxiety, depression, and anxiety during social interaction. Participants will also rate how enjoyable, comfortable, safe, interesting, and socially engaging they found the museum activities.

The researchers will compare participants' results before and after the program. They will also compare the three participation options to determine whether independent visits, guided group activities, or visiting with a friend produce different outcomes.

The overall goal is to understand whether museum-based activities can be used as a form of social prescribing to improve social participation, emotional well-being, confidence, and quality of life among autistic adults.

Studieoversigt

Status

Rekruttering

Betingelser

Intervention / Behandling

Detaljeret beskrivelse

This study will evaluate a museum-based social prescribing program for autistic adults with average-range intellectual functioning. Social prescribing is a person-centered approach that connects individuals with nonmedical community resources to support health, well-being, and social participation. Although social prescribing has been applied to people with chronic medical and psychiatric conditions, its effectiveness for autistic adults has not been well established. This study is being conducted through collaboration between the Department of Psychiatry at National Taiwan University Hospital and the National Taiwan Museum.

Approximately 90 autistic adults will be recruited through the outpatient services of National Taiwan University Hospital. After clinical referral and completion of baseline assessments, participants will select one of three museum participation programs, with a target enrollment of approximately 30 participants per group. Because participants choose their preferred program, assignment is nonrandomized.

The three programs are:

  1. **Independent Museum Visit:** Participants will visit the National Taiwan Museum once at a time of their choosing.
  2. **Guided Museum Program:** Participants will attend five structured group sessions, with approximately 10-15 participants per group. Each session will last approximately 90 minutes and will include a museum-guided introduction, a question-and-answer period, independent exploration of selected exhibits, and a facilitated group discussion.
  3. **Museum Visit With a Friend:** Participants will invite a friend or companion to visit the museum with them.

The guided program will use permanent museum exhibitions as prompts for social interaction, reflection, and discussion. Proposed themes include stereotypes and personal identity, relationships between people and nature, ideals and realities of living environments, human evolution and the future, and personal attitudes toward money and financial planning. During the discussion period, participants will share observations or photographs from the exhibits, listen to other participants, provide feedback, and express their own perspectives.

Quantitative assessments will be administered before participation and, for selected measures, after completion of the assigned museum program. Baseline assessments will characterize autism-related traits, social responsiveness, sensory processing, sensory sensitivity, attitudes toward social touch, emotional functioning, loneliness, anxiety, depression, and social interaction anxiety. Post-program assessments will focus on changes in emotional functioning, loneliness, anxiety, depression, and social interaction anxiety, as well as satisfaction with the museum experience.

Participants who complete their selected program may also be invited to take part in a focus group lasting approximately 30-60 minutes. The discussion will explore perceived benefits, difficulties, satisfaction, and recommendations for improving the program. Focus groups will be audio- and video-recorded and transcribed for qualitative analysis.

Quantitative analyses will examine within-participant changes in emotional intelligence, loneliness, anxiety, depression, and social interaction anxiety. Differences among the three participation programs will also be evaluated, including differences in activity satisfaction and changes from baseline. Exploratory analyses will examine whether baseline autism-related, social, and sensory characteristics are associated with program response. Qualitative data will be summarized thematically to identify perceived benefits and areas requiring improvement.

All research records will be identified by study code rather than participant name. Paper records will be stored in locked cabinets, and electronic files, including audio and video recordings, will be stored on password-protected computers. Study data will be retained for 20 years and then destroyed according to institutional procedures.

Undersøgelsestype

Interventionel

Tilmelding (Anslået)

90

Fase

  • Ikke anvendelig

Kontakter og lokationer

Dette afsnit indeholder kontaktoplysninger for dem, der udfører undersøgelsen, og oplysninger om, hvor denne undersøgelse udføres.

Studiekontakt

Studiesteder

      • Taipei, Taiwan
        • Rekruttering
        • National Taiwan University Hospital
        • Kontakt:

Deltagelseskriterier

Forskere leder efter personer, der passer til en bestemt beskrivelse, kaldet berettigelseskriterier. Nogle eksempler på disse kriterier er en persons generelle helbredstilstand eller tidligere behandlinger.

Berettigelseskriterier

Aldre berettiget til at studere

  • Voksen

Tager imod sunde frivillige

Ingen

Beskrivelse

Inclusion Criteria:

  • Meet the diagnostic criteria for autism spectrum disorder.
  • Have intellectual functioning within the normal range.
  • Be willing and able to participate in the study procedures.
  • Be willing to attend the relevant museum activities and group discussions, when applicable.
  • Agree to audio and video recording during relevant study activities.

Exclusion Criteria:

  • Are unwilling to complete the required assessments.
  • Have a serious physical or psychiatric condition that limits their physical stamina, emotional capacity, or ability to understand and complete the study procedures.
  • Refuse audio or video recording.

Studieplan

Dette afsnit indeholder detaljer om studieplanen, herunder hvordan undersøgelsen er designet, og hvad undersøgelsen måler.

Hvordan er undersøgelsen tilrettelagt?

Design detaljer

  • Primært formål: Støttende pleje
  • Tildeling: Ikke-randomiseret
  • Interventionel model: Parallel tildeling
  • Maskning: Ingen (Åben etiket)

Våben og indgreb

Deltagergruppe / Arm
Intervention / Behandling
Eksperimentel: Independent museum visit
Will visit the museum independently on one occasion
Visit the museum independently on one occasion
Eksperimentel: Guided museum visits and group discussions
Will attend five structured museum sessions with a group of approximately 10 to 15 participants. Every session will consist of a guided museum visit followed by a facilitated group discussion.
Participants will attend five structured museum sessions. Each group will include approximately 10 to 15 participants. Every session will consist of a guided museum visit followed by a facilitated group discussion.
Eksperimentel: Museum visit with a friend
Will invite a friend or companion of their choice to visit the museum with them
Participants will invite a friend or companion of their choice to visit the museum with them.

Hvad måler undersøgelsen?

Primære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Activity satisfaction
Tidsramme: Change from baseline to after the intervention

Participants will also complete an activity evaluation based on the University College London Museum Wellbeing Questionnaire.

The questionnaire contains 12 items rated on a five-point scale from "never" to "always." It assesses whether participants:

Felt happy. Became absorbed in the activity. Felt comfortable and relaxed. Felt safe and secure. Enjoyed the company of others. Enjoyed talking with other people. Found the activity new and interesting. Enjoyed taking part. Found the activity arrangement engaging. Considered the activity entertaining. Felt confident while participating. Experienced a sense of physical and emotional well-being after the activity.

Higher scores suggest greater satisfaction.

Change from baseline to after the intervention

Sekundære resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Loneliness
Tidsramme: Change from baseline to after the intervention
Measured using the UCLA Loneliness Scale, a 20-item measure of loneliness and perceived social isolation. Participants indicate how often they experience feelings described in each item. Higher scores indicate more loneliness.
Change from baseline to after the intervention
Emotional intelligence
Tidsramme: Change from baseline to after the intervention
The Schutte Emotional Intelligence Scale is a 33-item measure of emotional abilities. It assesses areas such as expressing emotions, understanding one's own emotions, understanding the emotions of others, and using emotions to support problem-solving. Higher scores suggest higher emotional intelligence and functioning.
Change from baseline to after the intervention
Social interaction anxiety
Tidsramme: Change from baseline to after the intervention
The Social Interaction Anxiety Scale is a self-report measure of anxiety experienced during interactions with other people. Participants rate how closely each item reflects their usual experiences. Higher scores indicate greater social interaction anxiety.
Change from baseline to after the intervention
Depression
Tidsramme: Change from baseline to after the intervention
The Beck Depression Inventory is a 21-item questionnaire used to assess the severity of depressive symptoms. Higher scores indicate more severe depressive symptoms.
Change from baseline to after the intervention
Anxiety
Tidsramme: Change from baseline to after the intervention
Measured using the Beck Anxiety Inventory, a 21-item questionnaire that assesses the severity of anxiety symptoms during the previous month. It covers physical symptoms, nervous-system responses, panic-related symptoms, and subjective feelings of anxiety. Higher scores indicate more severe anxiety symptoms.
Change from baseline to after the intervention

Andre resultatmål

Resultatmål
Foranstaltningsbeskrivelse
Tidsramme
Autistic characteristics
Tidsramme: Change from baseline to after the intervention
The Autism Spectrum Quotient is a 50-item questionnaire used to assess autistic characteristics. It may be completed by the participant or an observer. Items are rated using four response options and then converted into binary scores. The total score ranges from 0 to 50, with higher scores indicating more pronounced autistic characteristics.
Change from baseline to after the intervention
Empathy
Tidsramme: Change from baseline to after the intervention
The Empathy Quotient is a 40-item questionnaire used to assess empathy-related abilities. It may be completed by the participant or an observer. Items are rated using four response options and converted into binary scores. Lower total scores indicate greater difficulty with empathy.
Change from baseline to after the intervention
Social responsiveness
Tidsramme: Change from baseline to after the intervention
The Social Responsiveness Scale is a 65-item measure of autistic characteristics that can be observed in everyday social situations. It assesses social awareness, social information processing, reciprocal social communication, social avoidance, and restricted or repetitive behavior. It may be completed by the participant or a caregiver. Higher scores indicate greater social and behavioral difficulties associated with autism.
Change from baseline to after the intervention
Sensory processing patterns
Tidsramme: Change from baseline to after the intervention

The Adolescent/Adult Sensory Profile is a 60-item self-report questionnaire that assesses how individuals respond to sensory experiences in daily life. It covers visual, auditory, tactile, taste and smell, body-position, and activity-related experiences.

The measure evaluates four sensory-processing patterns:

Low registration. Sensation seeking. Sensory sensitivity. Sensation avoiding.

Change from baseline to after the intervention
Sensory perception
Tidsramme: Change from baseline to after the intervention
The Sensory Perception Quotient is a brief 10-item self-report measure of sensitivity across five sensory systems: vision, hearing, touch, taste, and smell. Each sensory area is assessed using two items. Scores from all items are summed to provide an overall sensory-perception score. Higher scores mean greater sensory perception and sensitivity.
Change from baseline to after the intervention
Social touch sensistivity
Tidsramme: Change from baseline to after the intervention
The Social Touch Questionnaire is a 20-item self-report measure used to assess comfort or discomfort with social touch. Items are rated on a five-point scale. Half of the items are reverse-scored. Total scores range from 0 to 80, with higher scores reflecting greater discomfort or avoidance related to social touch.
Change from baseline to after the intervention

Samarbejdspartnere og efterforskere

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Sponsor

Samarbejdspartnere

Publikationer og nyttige links

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Generelle publikationer

Datoer for undersøgelser

Disse datoer sporer fremskridtene for indsendelser af undersøgelsesrekord og resumeresultater til ClinicalTrials.gov. Studieregistreringer og rapporterede resultater gennemgås af National Library of Medicine (NLM) for at sikre, at de opfylder specifikke kvalitetskontrolstandarder, før de offentliggøres på den offentlige hjemmeside.

Studer store datoer

Studiestart (Faktiske)

1. maj 2024

Primær færdiggørelse (Anslået)

1. december 2027

Studieafslutning (Anslået)

1. december 2027

Datoer for studieregistrering

Først indsendt

29. juli 2026

Først indsendt, der opfyldte QC-kriterier

13. august 2026

Først opslået (Faktiske)

17. august 2026

Opdateringer af undersøgelsesjournaler

Sidste opdatering sendt (Faktiske)

17. august 2026

Sidste opdatering indsendt, der opfyldte kvalitetskontrolkriterier

13. august 2026

Sidst verificeret

1. juli 2026

Mere information

Begreber relateret til denne undersøgelse

Andre undersøgelses-id-numre

  • 202404073RINA

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