A randomised controlled trial of PEGASUS, a psychoeducational programme for young people with high-functioning autism spectrum disorder / Kate GORDON in Journal of Child Psychology and Psychiatry, 56-4 (April 2015)  

Public ISBD [article]  inJournal of Child Psychology and Psychiatry > 56-4 (April 2015) . - p.468-476 Titre : A randomised controlled trial of PEGASUS, a psychoeducational programme for young people with high-functioning autism spectrum disorder Type de document : Texte imprimé et/ou numérique Auteurs : Kate GORDON, Auteur ; Marianna MURIN, Auteur ; Ozlem BAYKANER, Auteur ; Laura ROUGHAN, Auteur ; Vaan LIVERMORE-HARDY, Auteur ; David SKUSE, Auteur ; Will MANDY, Auteur Article en page(s) : p.468-476 Langues : Anglais (eng) Mots-clés : Autism spectrum disorder  psychoeducation  postdiagnosis  self-awareness  group intervention  randomised control trial Index. décimale : PER Périodiques Résumé : Background Psychoeducation is an essential component of postdiagnostic care for people with ASD (autism spectrum disorder), but there is currently no evidence base for clinical practice. We designed, manualised and evaluated PEGASUS (psychoeducation group for autism spectrum understanding and support), a group psychoeducational programme aiming to enhance the self-awareness of young people with ASD by teaching them about their diagnosis. Methods This single-blind RCT (randomised control trial) involved 48 young people (9–14 years) with high-functioning ASD. Half were randomly assigned to PEGASUS, administered in six weekly group sessions, with the others receiving no additional intervention. ASD-related self-awareness, the primary outcome, was evaluated using the bespoke Autism Knowledge Quiz (AKQ). Secondary outcome measures included the Rosenberg Self-Esteem Scale. All measures were collected during home visits and scored by researchers blind to group assignment. The trial is registered on ClinicalTrials (NCT01187940, http://www.clinicaltrials.gov) and was funded by the Baily Thomas Charitable Trust. Results Bootstrap multiple regression showed ASD knowledge (? = .29, p < .001, 95% CIs [0.13, 0.44]) and ASD self-awareness (? = .42, p = .001, 95% CIs [0.17, 0.67]), measured by number of ASD-related personal strengths and difficulties listed by participants, increased for those who attended PEGASUS (n = 24) compared with controls (n = 24). There was no effect of PEGASUS on self-esteem by self-report (? = .10, p = .404, 95% CIs [?0.14, 0.35]) or parent report (? = .12, p = .324, 95% CIs [?0.12, 0.36]). Conclusions After PEGASUS, participants had more general knowledge about ASD, and showed a greater awareness of their collection of unique strengths and difficulties associated with ASD. Psychoeducation did not lower self-esteem. This RCT provides initial evidence for PEGASUS's efficacy as a psychoeducation programme for people with ASD. En ligne : http://dx.doi.org/10.1111/jcpp.12304 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260 [article] A randomised controlled trial of PEGASUS, a psychoeducational programme for young people with high-functioning autism spectrum disorder [Texte imprimé et/ou numérique] / Kate GORDON, Auteur ; Marianna MURIN, Auteur ; Ozlem BAYKANER, Auteur ; Laura ROUGHAN, Auteur ; Vaan LIVERMORE-HARDY, Auteur ; David SKUSE, Auteur ; Will MANDY, Auteur . - p.468-476. Langues : Anglais (eng) in Journal of Child Psychology and Psychiatry > 56-4 (April 2015) . - p.468-476 Mots-clés : Autism spectrum disorder  psychoeducation  postdiagnosis  self-awareness  group intervention  randomised control trial Index. décimale : PER Périodiques Résumé : Background Psychoeducation is an essential component of postdiagnostic care for people with ASD (autism spectrum disorder), but there is currently no evidence base for clinical practice. We designed, manualised and evaluated PEGASUS (psychoeducation group for autism spectrum understanding and support), a group psychoeducational programme aiming to enhance the self-awareness of young people with ASD by teaching them about their diagnosis. Methods This single-blind RCT (randomised control trial) involved 48 young people (9–14 years) with high-functioning ASD. Half were randomly assigned to PEGASUS, administered in six weekly group sessions, with the others receiving no additional intervention. ASD-related self-awareness, the primary outcome, was evaluated using the bespoke Autism Knowledge Quiz (AKQ). Secondary outcome measures included the Rosenberg Self-Esteem Scale. All measures were collected during home visits and scored by researchers blind to group assignment. The trial is registered on ClinicalTrials (NCT01187940, http://www.clinicaltrials.gov) and was funded by the Baily Thomas Charitable Trust. Results Bootstrap multiple regression showed ASD knowledge (? = .29, p < .001, 95% CIs [0.13, 0.44]) and ASD self-awareness (? = .42, p = .001, 95% CIs [0.17, 0.67]), measured by number of ASD-related personal strengths and difficulties listed by participants, increased for those who attended PEGASUS (n = 24) compared with controls (n = 24). There was no effect of PEGASUS on self-esteem by self-report (? = .10, p = .404, 95% CIs [?0.14, 0.35]) or parent report (? = .12, p = .324, 95% CIs [?0.12, 0.36]). Conclusions After PEGASUS, participants had more general knowledge about ASD, and showed a greater awareness of their collection of unique strengths and difficulties associated with ASD. Psychoeducation did not lower self-esteem. This RCT provides initial evidence for PEGASUS's efficacy as a psychoeducation programme for people with ASD. En ligne : http://dx.doi.org/10.1111/jcpp.12304 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=260

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