The experience of autistic adults accessing adapted cognitive behaviour therapy: ADEPT (Autism Depression Trial) qualitative evaluation / Jeremy HORWOOD in Research in Autism Spectrum Disorders, 86 (August 2021)  

Public ISBD [article]  inResearch in Autism Spectrum Disorders > 86 (August 2021) . - 101802 Titre : The experience of autistic adults accessing adapted cognitive behaviour therapy: ADEPT (Autism Depression Trial) qualitative evaluation Type de document : Texte imprimé et/ou numérique Auteurs : Jeremy HORWOOD, Auteur ; Kate COOPER, Auteur ; Hannah HARVEY, Auteur ; Lauren DAVIES, Auteur ; Ailsa RUSSELL, Auteur Article en page(s) : 101802 Langues : Anglais (eng) Mots-clés : Autism spectrum disorders  Adults  Qualitative research  Depression  Cognitive behaviour therapy Index. décimale : PER Périodiques Résumé : Background High rates of depression are frequently reported in autistic adults. There have been no randomised trials investigating low-intensity psychological interventions for mild-moderate depression adapted for autistic adults. Method This qualitative evaluation investigated the acceptability of the ADEPT pilot randomised controlled trial (RCT) design and guided self-help intervention. Participants (autistic adults with a diagnosis of depression (PHQ-9 score ? 10)) were randomised to Guided Self-Help (GSH): low intensity psychological intervention based on Behavioural Activation adapted for autistic adults, or Treatment as Usual (TAU). 21 trial participants (14 GSH and 7 TAU), and 5 low intensity psychological therapists or ‘coaches’ were interviewed, and transcripts analysed thematically. Results All participants and coaches welcomed an intervention for depression adapted for autistic adults due to current lack of provision in mainstream services. Interviews highlighted participants' preference for GSH over TAU. Dissatisfaction with prior experience of TAU was identified as a potential driver for differential attrition from the TAU arm. Participants who received GSH appreciated the coaches having a good understanding of autistic adults and were positive towards the aim and structure of the GSH intervention. Suggested improvements include more regularly checking progress with therapy goals. Conclusions A full scale RCT to evaluate the effectiveness of this intervention is now warranted. Future trial study design needs to address potential for differential rate of participant recruitment and attrition between the treatment and comparison groups due to negative prior experience of TAU. En ligne : https://doi.org/10.1016/j.rasd.2021.101802 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458 [article] The experience of autistic adults accessing adapted cognitive behaviour therapy: ADEPT (Autism Depression Trial) qualitative evaluation [Texte imprimé et/ou numérique] / Jeremy HORWOOD, Auteur ; Kate COOPER, Auteur ; Hannah HARVEY, Auteur ; Lauren DAVIES, Auteur ; Ailsa RUSSELL, Auteur . - 101802. Langues : Anglais (eng) in Research in Autism Spectrum Disorders > 86 (August 2021) . - 101802 Mots-clés : Autism spectrum disorders  Adults  Qualitative research  Depression  Cognitive behaviour therapy Index. décimale : PER Périodiques Résumé : Background High rates of depression are frequently reported in autistic adults. There have been no randomised trials investigating low-intensity psychological interventions for mild-moderate depression adapted for autistic adults. Method This qualitative evaluation investigated the acceptability of the ADEPT pilot randomised controlled trial (RCT) design and guided self-help intervention. Participants (autistic adults with a diagnosis of depression (PHQ-9 score ? 10)) were randomised to Guided Self-Help (GSH): low intensity psychological intervention based on Behavioural Activation adapted for autistic adults, or Treatment as Usual (TAU). 21 trial participants (14 GSH and 7 TAU), and 5 low intensity psychological therapists or ‘coaches’ were interviewed, and transcripts analysed thematically. Results All participants and coaches welcomed an intervention for depression adapted for autistic adults due to current lack of provision in mainstream services. Interviews highlighted participants' preference for GSH over TAU. Dissatisfaction with prior experience of TAU was identified as a potential driver for differential attrition from the TAU arm. Participants who received GSH appreciated the coaches having a good understanding of autistic adults and were positive towards the aim and structure of the GSH intervention. Suggested improvements include more regularly checking progress with therapy goals. Conclusions A full scale RCT to evaluate the effectiveness of this intervention is now warranted. Future trial study design needs to address potential for differential rate of participant recruitment and attrition between the treatment and comparison groups due to negative prior experience of TAU. En ligne : https://doi.org/10.1016/j.rasd.2021.101802 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=458

The feasibility of low-intensity psychological therapy for depression co-occurring with autism in adults: The Autism Depression Trial (ADEPT) - a pilot randomised controlled trial / Ailsa RUSSELL in Autism, 24-6 (August 2020)  

Public ISBD [article]  inAutism > 24-6 (August 2020) . - p.1360-1372 Titre : The feasibility of low-intensity psychological therapy for depression co-occurring with autism in adults: The Autism Depression Trial (ADEPT) - a pilot randomised controlled trial Type de document : Texte imprimé et/ou numérique Auteurs : Ailsa RUSSELL, Auteur ; Daisy M GAUNT, Auteur ; Kate COOPER, Auteur ; Stephen BARTON, Auteur ; Jeremy HORWOOD, Auteur ; David KESSLER, Auteur ; Chris METCALFE, Auteur ; Ian ENSUM, Auteur ; Barry INGHAM, Auteur ; Jeremy R. PARR, Auteur ; Dheeraj RAI, Auteur ; Nicola WILES, Auteur Article en page(s) : p.1360-1372 Langues : Anglais (eng) Mots-clés : adults  autism  cognitive behaviour therapy  depression Index. décimale : PER Périodiques Résumé : Low-intensity cognitive behaviour therapy including behavioural activation is an evidence-based treatment for depression, a condition frequently co-occurring with autism. The feasibility of adapting low-intensity cognitive behaviour therapy for depression to meet the needs of autistic adults via a randomised controlled trial was investigated. The adapted intervention (guided self-help) comprised materials for nine individual sessions with a low-intensity psychological therapist. Autistic adults (n?=?70) with depression (Patient Health Questionnaire-9 score ?10) recruited from National Health Service adult autism services and research cohorts were randomly allocated to guided self-help or treatment as usual. Outcomes at 10-, 16- and 24-weeks post-randomisation were blind to treatment group. Rates of retention in the study differed by treatment group with more participants attending follow-up in the guided self-help group than treatment as usual. The adapted intervention was well-received, 86% (n?=?30/35) of participants attended the pre-defined 'dose' of five sessions of treatment and 71% (25/35) attended all treatment sessions. The findings of this pilot randomised controlled trial indicate that low-intensity cognitive behaviour therapy informed by behavioural activation can be successfully adapted to meet the needs of autistic people. Evaluation of the effectiveness of this intervention in a full scale randomised controlled trial is now warranted. En ligne : http://dx.doi.org/10.1177/1362361319889272 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428 [article] The feasibility of low-intensity psychological therapy for depression co-occurring with autism in adults: The Autism Depression Trial (ADEPT) - a pilot randomised controlled trial [Texte imprimé et/ou numérique] / Ailsa RUSSELL, Auteur ; Daisy M GAUNT, Auteur ; Kate COOPER, Auteur ; Stephen BARTON, Auteur ; Jeremy HORWOOD, Auteur ; David KESSLER, Auteur ; Chris METCALFE, Auteur ; Ian ENSUM, Auteur ; Barry INGHAM, Auteur ; Jeremy R. PARR, Auteur ; Dheeraj RAI, Auteur ; Nicola WILES, Auteur . - p.1360-1372. Langues : Anglais (eng) in Autism > 24-6 (August 2020) . - p.1360-1372 Mots-clés : adults  autism  cognitive behaviour therapy  depression Index. décimale : PER Périodiques Résumé : Low-intensity cognitive behaviour therapy including behavioural activation is an evidence-based treatment for depression, a condition frequently co-occurring with autism. The feasibility of adapting low-intensity cognitive behaviour therapy for depression to meet the needs of autistic adults via a randomised controlled trial was investigated. The adapted intervention (guided self-help) comprised materials for nine individual sessions with a low-intensity psychological therapist. Autistic adults (n?=?70) with depression (Patient Health Questionnaire-9 score ?10) recruited from National Health Service adult autism services and research cohorts were randomly allocated to guided self-help or treatment as usual. Outcomes at 10-, 16- and 24-weeks post-randomisation were blind to treatment group. Rates of retention in the study differed by treatment group with more participants attending follow-up in the guided self-help group than treatment as usual. The adapted intervention was well-received, 86% (n?=?30/35) of participants attended the pre-defined 'dose' of five sessions of treatment and 71% (25/35) attended all treatment sessions. The findings of this pilot randomised controlled trial indicate that low-intensity cognitive behaviour therapy informed by behavioural activation can be successfully adapted to meet the needs of autistic people. Evaluation of the effectiveness of this intervention in a full scale randomised controlled trial is now warranted. En ligne : http://dx.doi.org/10.1177/1362361319889272 Permalink : https://www.cra-rhone-alpes.org/cid/opac_css/index.php?lvl=notice_display&id=428

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