A Hybrid Effectiveness-Implementation RCT of Virtual Interview Training for Autistic Transition-Age Youth

针对自闭症过渡年龄青少年的虚拟面试培训的混合有效性实施随机对照试验

基本信息

批准号：
10643547
负责人：
Matthew James Smith
金额：
$ 83.74万
依托单位：
UNIVERSITY OF MICHIGAN AT ANN ARBOR
依托单位国家：
美国
项目类别：
财政年份：
2023
资助国家：
美国
起止时间：
2023-09-01 至 2027-05-31
项目状态：
未结题

来源：
https://reporter.nih.gov/project-details/10643547
关键词：
Address Age Anxiety Behavior Career Choice Disparity E-learning Education Effectiveness Employment Enrollment Evaluation Evidence based practice Face Feedback Focus Groups Future Goals Grant Health Services Research Hour Hybrids Internet Intervention Interview Job Application Measures Mediating Mediation Mental Depression Mental Health Methods Motivation National Institute of Mental Health Occupations Outcome Persons Pilot Projects Play Preparation Race Randomized Randomized, Controlled Trials Recommendation Rehabilitation therapy Research Resources Role Schools Series Services Site Special Education Strategic Planning Surveys System Teacher Professional Development Technology Testing Time Token Economy Training Unemployment Validation Variant Voice Wages Work Youth active control adolescent with autism spectrum disorder adult with autism spectrum disorder autism community autism spectrum disorder autistic budget impact career preparation college cost effective cost effectiveness effectiveness evaluation effectiveness/implementation hybrid experience follow-up future implementation high school hybrid type 1 trial hybrid type 2 trial implementation cost implementation efforts implementation evaluation implementation outcomes implementation process implementation strategy implementation/effectiveness improved improved outcome innovation process evaluation psychological distress recruit scaffold skills social skills teacher trait usability virtual virtual reality

Address Age Anxiety Behavior Career Choice Disparity E-learning Education Effectiveness Employment Enrollment Evaluation Evidence based practice Face Feedback Focus Groups Future Goals Grant Health Services Research Hour Hybrids Internet Intervention Interview Job Application Measures Mediating Mediation Mental Depression Mental Health Methods Motivation National Institute of Mental Health Occupations Outcome Persons Pilot Projects Play Preparation Race Randomized Randomized, Controlled Trials Recommendation Rehabilitation therapy Research Resources Role Schools Series Services Site Special Education Strategic Planning Surveys System Teacher Professional Development Technology Testing Time Token Economy Training Unemployment Validation Variant Voice Wages Work Youth active control adolescent with autism spectrum disorder adult with autism spectrum disorder autism community autism spectrum disorder autistic budget impact career preparation college cost effective cost effectiveness effectiveness evaluation effectiveness/implementation hybrid experience follow-up future implementation high school hybrid type 1 trial hybrid type 2 trial implementation cost implementation efforts implementation evaluation implementation outcomes implementation process implementation strategy implementation/effectiveness improved improved outcome innovation process evaluation psychological distress recruit scaffold skills social skills teacher trait usability virtual virtual reality

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项目摘要

Project Summary: Pre-employment transition services is federally-mandated by the Workforce Innovation and Opportunities Act (2014) to help prepare autistic transition-age youth for the workforce prior to existing high school. However, there are few evidence-based practices implemented within pre-employment transition services, which contribute to low employment rates among autistic transition-age youth. A limitation of pre-employment transition services is the job interview component, which utilizes teacher-led role-play training that lacks empirical validation, is resource-intensive, and does not adhere to best practices to train sustainable changes in behavior (e.g., repeated practice, scaffolding, token economy). Moreover, the autism community as voice the need for better job interview preparation. To fill this training need, our team (via R34 MH111531) partnered with the autism community to adapt Virtual Reality Job interview Training (VR-JIT, an internet-delivered job interview simulator with four levels of automated feedback with elearning job interview content) to meet the needs of autistic transition-age youth (now called Virtual Interview Training for Transition Age Youth (VIT)). Our subsequent randomized controlled trial demonstrated several aspects of VIT feasibility, including delivery by local teachers at five schools, training teachers as VIT implementers, and completing the pilot RCT (i.e., recruitment, enrollment, study completers). The results of this pilot study demonstrated that VIT was initially effective at improving job interview skills, job interview anxiety, and competitive employment within 6 months of completing VIT. Thus, the overarching goal of this study is to conduct a fully-powered trial to evaluate the impact of VIT across approximately 16 schools via a hybrid type 1 effectiveness-implementation RCT. Our specific aims are to 1) Evaluate whether pre-employment transition services (ETS) with VIT, as compared to ETS with an active control intervention (i.e., job interview didactics/elearning with a series of 3-5 minutes videos of employed autistic adults talking about their career pathways), enhances employment outcomes; 2) Evaluate mechanisms of employment outcomes and psychological distress by nine months post- randomization; and 3) Conduct a multilevel, mixed-method process evaluation to assess initial implementation outcomes (i.e., facilitators, barriers, scalability, and affordability of VIT implementation).

项目摘要：《劳动力创新与机会法》联邦授权的就业过渡服务是联邦政府的（2014年）为了在现有高中之前为劳动力准备自闭症过渡年龄青年。然而，在就业前过渡服务中几乎没有循证实践，这在自闭症过渡年龄的青年中促进了低工作率。前就业的限制过渡服务是工作面试部分，它利用教师主导的角色扮演培训经验验证，是资源密集的，不遵守最佳实践来培训可持续变化在行为上（例如，重复的实践，脚手架，代币经济）。而且，自闭症社区作为声音需要更好的工作面试准备。为了满足培训需求，我们的团队（通过R34 MH111531）合作自闭症社区适应虚拟现实工作面试培训（VR-jit，互联网交付的工作采访模拟器，具有四个级别的自动反馈，以及电子学习面试内容）自闭症过渡时代青年的需求（现在称为过渡年龄青年（VIT）的虚拟面试培训）。我们的随后的随机对照试验证明了VIT可行性的几个方面，包括通过五所学校的当地教师，培训教师为VIT实施者，并完成了飞行员RCT（即招聘，入学人数，学习完成者）。这项试验研究的结果表明，VIT最初是有效提高工作面试技巧，工作面试焦虑和竞争性就业完成VIT。因此，这项研究的总体目标是进行一项完全动力的试验，以评估 VIT在大约16所学校中通过混合1型有效性实现RCT的影响。我们的具体目的是1）评估与VIT的就业前过渡服务（ETS）是否与具有主动控制干预措施的ET（即，工作面试教学/电子学习，一系列3-5分钟受雇的自闭症成年人谈论自己的职业道路的视频，可以提高就业成果； 2）在九个月后，评估就业结果和心理困扰的机制 - 随机化； 3）进行多级，混合方法评估以评估初始实施结果（即促进者，障碍，可扩展性和VIT实施的负担能力）。