Daily living skill deficits commonly co-occur in individuals with autism spectrum disorder (ASD). These deficits in adolescence are associated with poor outcomes, in both employment and independent living skills as adults. Currently, there are no interventions that directly target daily living skill acquisition in adolescents with ASD without an intellectual disability to facilitate a successful transition to adulthood. In this paper, we discuss the development, refinement, and initial efficacy studies of Surviving and Thriving in the Real World (STRW), a 14-session group treatment for both adolescents with ASD and their parent/caregiver that promotes attainment of critical daily living skills. We summarize initial feasibility studies that have been instrumental in the iterative development of STRW. The structure, core treatment elements, and content of STRW are described in detail. Lastly, we discuss the transition of the in-person STRW intervention to STRW-telehealth, which allows for adolescents with ASD to work on daily living skills in their own home with support from a therapist.

自闭症谱系障碍 (ASD) 患者通常会同时出现日常生活技能缺陷。青春期的这些缺陷与成年后就业和独立生活技能方面的不良后果有关。目前，尚无直接针对无智力障碍的自闭症谱系障碍青少年日常生活技能获取的干预措施，以促进他们成功过渡到成年。在本文中，我们讨论了“现实世界中的生存与繁荣”(STRW) 的开发、完善和初步疗效研究，这是一种针对自闭症谱系障碍青少年及其父母/照顾者的 14 次小组治疗，可促进关键日常生活的实现技能。我们总结了在 STRW 迭代开发中发挥重要作用的初步可行性研究。详细描述了STRW的结构、核心治疗要素和内容。最后，我们讨论了面对面 STRW 干预向 STRW 远程医疗的过渡，这使得患有自闭症谱系障碍的青少年能够在治疗师的支持下在自己家里练习日常生活技能。