Enhancing pre-employment transition services: A type 1 hybrid randomized controlled trial protocol for evaluating WorkChat: A Virtual Workday among autistic transition-age youth

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Smith, M. J., Sherwood, K. L., Sung, C., Williams, E. D., Ross, B., Sharma, S., Sharma, A., Harrington, M., Brown, C., Telfer, D., Bond, J., Toda, S., Kearon, D., Morrow, S., Lovelace, T., Dababnah, S., Kattari, S. K., Magaña, S., Watkins, T.,..., & Steacy, C. (2023). Enhancing pre-employment transition services: A type 1 hybrid randomized controlled trial protocol for evaluating WorkChat: A Virtual Workday among autistic transition-age youth. Contemporary Clinical Trials Communications, 34, 101153. https://doi.org/10.1016/j.conctc.2023.101153

Publication date: 7 Jun 2023 Added to AutiHub: 14 Sep 2026 Type: Article Article language: English
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Authors

Publication authors
32
Publication authors identified as autistic
3 / 32 (9.4%)
  1. Matthew J. Smith
  2. Kari L. Sherwood
  3. Connie Sung
  4. Ed-Dee Williams
  5. Brittany Ross
  6. Sagun Sharma
  7. Apara Sharma
  8. Meghan Harrington
  9. Cheryl Brown
  10. David Telfer *
  11. Justine Bond
  1. Sen Toda
  2. David Kearon
  3. Shelby Morrow
  4. Temple Lovelace
  5. Sarah Dababnah
  6. Shanna K Kattari *
  7. Sandra Magaña
  8. Tikia Watkins
  9. Caleb Liggett *
  10. Edwina Riddle
  11. Justin D. Smith
  1. Kara Hume
  2. Tamara Dawkins
  3. Mary Baker-Ericzén
  4. Shaun M. Eack
  5. Brandi Sinco
  6. Jane K. Burke-Miller
  7. Dale Olsen
  8. Jeff Elkins
  9. Laura Humm
  10. Chris Steacy

Abstract

Autistic transition-age youth experience high rates of unemployment and underemployment, in part due to the social challenges they may face when having conversations in the workplace. In an effort to help enhance conversational abilities in the workplace, our collaborative team partnered to develop WorkChat: A Virtual Workday. Specifically, our team of scientists, community partners, and diversity and inclusion experts participated in a community-engaged process to develop WorkChat using iterative feedback from autistic transition-age youth and their teachers. With initial development complete, this study reports on the protocol that our collaborative team developed, reviewed, and approved to conduct a randomized controlled trial (RCT) to evaluate the real-world effectiveness and initial implementation process outcomes of WorkChat when integrated into post-secondary pre-employment transition services (Pre-ETS). Our aims are to: 1) evaluate whether services-as-usual in combination with WorkChat, compared to services-as-usual with an attention control, enhances social cognition and work-based social ability (between pre- and post-test); reduces anxiety about work-based social encounters (between pre- and post-test), and increases sustained employment by 9-month follow-up; 2) evaluate whether social cognitive ability and work-based social ability mediate the effect of WorkChat on sustained employment; and 3) conduct a multilevel, mixed-method process evaluation of WorkChat implementation.

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Cited references
119
With a DOI
96
Without a DOI, from raw bibliography text
21
0 / 119 (0.0%) cited references include at least one author identified as autistic.
References with data to complete
5 / 119 (4.2%)
References with detected author names
114 / 119 (95.8%)
Without detected author names
5
Without a structured title
0
Without a stable identifier
19
References with raw author names still to review
0
References with external metadata lookup issues
0
These indicators apply to cited references displayed on this page, after technical duplicates have been merged. A reference without a DOI can still support author statistics when a title and author names are available.
Author names detected in the cited bibliography
517
From DOI or external metadata
517
From validated raw bibliography text
0
Raw names already validated
0
Raw names still to review
0
128 / 517 (24.8%) names are linked to an author already present in AutiHub. 389 / 517 (75.2%) names are not yet linked.
Names linked to a person identified as autistic
0 / 517 (0.0%)
Calculated across all author names detected in the cited bibliography. Among names linked to an author already present in AutiHub: 0 / 128 (0.0%). Distinct people identified as autistic: 0 / 373 (0.0%).
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