Coping with uncertainty in everyday situations (CUES©) to address intolerance of uncertainty in autistic children: an intervention feasibility trial

J Autism Dev Disord. 2023 Sep;53(9):3460-3474. doi: 10.1007/s10803-022-05645-5. Epub 2022 Jul 5.

Abstract

Background: Anxiety related to uncertainty is common in autism. Coping with Uncertainty in Everyday Situations (CUES©) is a parent-mediated group intervention aiming to increase autistic children's tolerance to uncertain situations. A pilot study was conducted to test its feasibility and acceptability.

Methods: Parents of 50 autistic children were randomised to receive CUES© or enhanced services as usual.

Results: All children met the clinical threshold for at least one anxiety disorder. Of the 26 participants randomised to CUES©, 72% attended 4-8 sessions. Parents and therapists reported they found CUES© useful and acceptable.

Conclusions: Families were willing to be recruited and randomised, the format/content was feasible to deliver, and the outcome measures were acceptable. CUES© should be evaluated in a clinical and cost effectiveness randomised controlled trial.

Keywords: ASD; Anxiety; Autism; Intervention; Intolerance of uncertainty; Parent group; Treatment.

Publication types

  • Randomized Controlled Trial

MeSH terms

  • Adaptation, Psychological
  • Autism Spectrum Disorder*
  • Autistic Disorder*
  • Child
  • Feasibility Studies
  • Humans
  • Pilot Projects
  • Uncertainty

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