Abstract
This study aimed to provide an updated and comprehensive review of the efficacy of psychosocial interventions for the employability of individuals with autism spectrum disorder (ASD). Ten studies (423 participants) were identified in the literature. Compared to control groups, the proportion of those who could work was significantly higher among those who had participated in employment support programs and higher, but not significantly, among those who had received communication skills training. The communication skills training group had an improved communication score on employment. This systematic review showed that psychosocial interventions could increase the number of individuals with ASD who are employable and improve their communication skills for employment.
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References
ADDMN Surveillance. (2016). Principal Investigators. MMWR Surveillance Summary, 58, 1–20.
American Psychiatric Association (APA). (2013). Diagnostic and Statistical Manual of Mental Disorders (5th ed.). APA.
Cohen, J. (1988). Statistical power analysis for the behavioral sciences. Lawrence Earlbaum Associates.
DerSimonian, R., & Laird, N. (1986). Metaanalysis in Clinical-Trials. Controlled Clinical Trials, 7(3), 177–188. https://doi.org/10.1016/0197-2456(86)90046-2
Eack, S. M., Hogarty, S. S., Greenwald, D. P., Litschge, M. Y., Porton, S. A., Mazefsky, C. A., & Minshew, N. J. (2018). Cognitive enhancement therapy for adult autism spectrum disorder: Results of an 18-month randomized clinical trial. Autism Resarch, 11(3), 519–530. https://doi.org/10.1002/aur.1913
Gentry, T., Kriner, R., Sima, A., McDonough, J., & Wehman, P. (2015). Reducing the need for personal supports among workers with autism using an iPod Touch as an assistive technology: Delayed randomized control trial. Journal of Autism and Developmental Disorders, 45(3), 669–684. https://doi.org/10.1007/s10803-014-2221-8
Guyatt, G., Rennie, D., Meade, M. O., & Cook, D. J. (Eds.). (2008). Users’ guides to the medical literature (2nd ed.). McGraw Hill Medical.
Hagner, D., Kurtz, A., Cloutier, H., Arakelian, C., Brucker, D. L., & May, J. (2012). Outcomes of a family-centered transition process for students with autism spectrum disorders. Focus on Autism and Other Developmental Disabilities, 27(1), 42–50. https://doi.org/10.1177/1088357611430841
Hayes, G. R., Custodio, V. E., Haimson, O. L., Nguyen, K., Ringland, K. E., Ulgado, R. R., …, Weiner, R. (2015). Mobile video modeling for employment interviews for individuals with autism. Journal of Vocational Rehabilitation, 43(3), 275–287. https://doi.org/10.3233/Jvr-150775
Hedley, D., Uljarevic, M., Cameron, L., Halder, S., Richdale, A., & Dissanayake, C. (2017). Employment programmes and interventions targeting adults with autism spectrum disorder: A systematic review of the literature. Autism, 21(8), 929–941. https://doi.org/10.1177/1362361316661855
Hendricks, D. (2010). Employment and adults with autism spectrum disorders: Challenges and strategies for success. Journal of Vocational Rehabilitation, 32(2), 125–134. https://doi.org/10.3233/Jvr-2010-0502
Higgins, J. P. T., Green, S. (2011). Cochrane Handbook for Systematic Reviews of Interventions Version 5.1.0 [updated March 2011]. The Cochrane Collaboration,
Glanville, J., Duffy, S., McCool, R., & Varley, D. (2014). Searching ClinicalTrials.gov and the International Clinical Trials Registry Platform to inform systematic reviews: What are the optimal search approaches? Journal of the Medical Library Association., 102(3), 177–83. https://doi.org/10.3163/1536-5050.102.3.007
Kumazaki, H., Muramatsu, T., Yoshikawa, Y., Corbett, B. A., Matsumoto, Y., Higashida H., …, Kikuchi, M. (2019). Job interview training targeting nonverbal communication using an android robot for individuals with autism spectrum disorder. Autism, 23(6), 1586–1595. https://doi.org/10.1177/1362361319827134
Kumazaki, H., Warren, Z., Corbett, B. A., Yoshikawa, Y., Matsumoto, Y., Higashida, H., …, Kikuchi, M. (2017). Android robot-mediated mock job interview sessions for young adults with autism spectrum disorder: A pilot study. Frontiers in Psychiatry, 8, 169. https://doi.org/10.3389/fpsyt.2017.00169
Liberati, A., Altman, D. G., Tetzlaff, J., Mulrow, C., Gotzsche, P. C., Ioannidis, J. P. A., …, Moher, D. (2009). The PRISMA statement for reporting systematic reviews and meta-analyses of studies that evaluate healthcare interventions: Explanation and elaboration. BMJ 339, B2700. https://doi.org/10.1136/Bmj.B2700.
Lotter, V. (1966). Epidemiology of autistic conditions in young children - 1 Prevalence. Social Psychiatry, 1(3), 124–135.
Morgan, L., Leatzow, A., Clark, S., & Siller, M. (2014). Interview skills for adults with autism spectrum disorder: A pilot randomized controlled trial. Journal of Autism and Developmental Disorders, 44(9), 2290–2300. https://doi.org/10.1007/s10803-014-2100-3
Newschaffer, C. J., Falb, M. D., & Gurney, J. G. (2005). National autism prevalence trends from United States special education data. Pediatrics, 115(3), e277–282. https://doi.org/10.1542/peds.2004-1958
Seaman, R. L., & Cannella-Malone, H. I. (2016). Vocational skills interventions for adults with autism spectrum disorder: A review of the literature. Journal of Developmental and Physical Disabilities, 28(3), 479–494. https://doi.org/10.1007/s10882-016-9479-z
Smith, M. J., Ginger, E. J., Wright, K., Wright, M. A., Taylor, J. L., Humm, L. B., …, Fleming, M. F. (2014). Virtual reality job interview training in adults with autism spectrum disorder. Journal of Autism and Developmental Disorders, 44(10), 2450–2463. https://doi.org/10.1007/s10803-014-2113-y
Strickland, D. C., Coles, C. D., & Southern, L. B. (2013). JobTIPS: A transition to employment program for individuals with autism spectrum disorders. Journal of Autism and Developmental Disorders, 43(10), 2472–2483. https://doi.org/10.1007/s10803-013-1800-4
Walsh, E., Holloway, J., McCoy, A., & Lydon, H. (2017). Technology-aided interventions for employment skills in adults with autism spectrum disorder: A systematic review. Review Journal of Autism and Developmental Disorders, 4(1), 12–25. https://doi.org/10.1007/s40489-016-0093-x
Wehman, P., Schall, C., McDonough, J., Sima, A., Brooke, A., Ham, W., …, Riehle, E. (2019). Competitive employment for transition-aged youth with significant impact from autism: A multi-site randomized clinical trial. Journal of Autism and Developmental Disorders. https://doi.org/10.1007/s10803-019-03940-2
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All the authors contributed to the study conception and design. Material preparation, data collection, and analysis were performed by Yusuke Ogawa and Norio Watanabe. The first draft of the manuscript was written by Yusuke Ogawa, and all authors commented on previous versions of the manuscript. All the authors read and approved the final manuscript.
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We have the following potential conflicts of interest. All the authors have received a research grant from the Ministry of Health, Labour, and Welfare, Japan. NW has received fees from Sogen-sha and Medical review for writings, and from Advantage Risk Management for consulting.
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Ogawa, Y., Itani, O., Jike, M. et al. Psychosocial Interventions for Employment of Individuals with Autism Spectrum Disorder: a Systematic Review and Meta-analysis of Randomized Clinical Trials. Rev J Autism Dev Disord 10, 38–50 (2023). https://doi.org/10.1007/s40489-021-00285-4
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DOI: https://doi.org/10.1007/s40489-021-00285-4