HEARTS R34 타당성 조사, 자폐증 참가자 (HEARTS-R34)

실험적: 지금 하트

HEARTS NOW 그룹 참가자는 Zoom을 통해 관계에 대한 주간 6개 세션 온라인 HEARTS 수업에 참여하게 됩니다.

행동: HEARTS 수업

HEARTS는 자폐 성인에게 우정과 건강한 데이트 관계에 대해 가르칩니다. HEARTS는 6개 세션이며 줌을 통해 매주 모임을 갖습니다. 각 세션은 90분입니다.

활성 비교기: 마음은 나중에

HEARTS LATER 그룹의 참가자는 Zoom을 통해 관계에 대한 6주간의 온라인 지원 그룹에 참여하게 됩니다. 이 부문의 참가자는 연구가 끝난 후 HEARTS 수업을 들을 수 있는 선택권을 갖게 됩니다.

행동: 온라인 토론 그룹

90분 토론 그룹이 6주 동안 매주 온라인으로 만나 자폐 성인을 위한 우정과 건강한 데이트 관계에 대해 논의합니다.

Hostile Automatic Thoughts (HATS)

The 25-item Hostile Automatic Thoughts (HAT) Scale is a self-report measure that assesses participants' ability to engage in perspective-taking related to perceived rejection and the extent to which they attribute hostile intentions to a person given an ambiguous situation. Completed by participant. For each item participants will select either: often, sometimes, or never. Higher scores are associated with higher levels of perceived rejection. Scale minimum possible score of 25, scale maximum possible score of 125. A higher score is less desirable and indicates more Hostile Automatic Thoughts.

Rejection Sensitivity Questionnaire

The Rejection Sensitivity Questionnaire (RSQ), a 10-item self-report measure that assesses participants' capacity to be resilient when experiencing social rejection such as sending a text message and not getting a reply. Lower scores are associated with more resilience given rejection and thus are desirable. The minimum possible score is 20 and the maximum possible score is 720.

CGI-I

This was a binary variable that represents either improvement, or no improvement. To assess improvement, we used the Clinical Global Impressions-Improvement (CGI-I) which is a global measure of improvement and functioning, and measures satisfaction with quality of close relationships. Each of the 3 items are rated on a 7-point scale from: 1 (normal) to 7 (amongst the most severely ill patients). CGI-C scores range from 7 (very much worse) to 1 (very much improved). In this study, those who scored 1, 2 or 3 were considered "improved" and those who scored 4, 5, 6 or 7 were considered "not improved."

SMI

Social motivation was assessed via the Autistic Social Health Interview. The ASHI, adapted from the Social Motivation Interview (Elias & White, 2020), assesses the following dimensions of social health: person's satisfaction with their interpersonal relationships, motivation to socialize, quantity of social relationships and encounters, and willingness to persist in social interaction. During the interview, the interviewer enquires about behaviors over the prior two weeks. The total ASHI score can range from 0-24, with higher scores indicative of greater overall social health.

Intervention Acceptability

An investigator developed self report 3-item scale to assess participants' feelings about whether HEARTS was informative, interesting, how likely participants would be to recommend it to other people and suggestions for how it could be improved will be used to assess this outcome. Participants will indicate their satisfaction on a scale from 1 to 10, where 10 represents highest satisfaction.

Content Acceptability, Week 1

This is an original measure with no scale name and with no subscales that assesses acceptability of intervention content. It is 29 items. Each item asks the participant how useful they found a piece of intervention content. Responses range from 1 to 10 with 1 representing "not at all useful" and 10 representing "very useful." The measure is scored by calculating the average across the items for a given week (Week 1, 3 items; Week 2, 6 items; Week 3, 4 items; Week 4, 6 items; Week 5, 5 items; Week 6, 5 items). The six scores representing each week are then averaged together for a total score. The total score range is 1 to 10.

Teacher Rating of Participant Engagement and Satisfaction

Teachers of the HEARTS intervention will complete a 3-item survey to assess their rating of participant engagement and satisfaction scores (PESS). Scores can range from 0 to 3 where 0 is low and 3 is high satisfaction. Higher scores are more favorable.