A Toolkit to Improve Mental Health Treatment for Autistic Individuals

Официальное название

A Transdiagnostic Toolkit to Improve Mental Health Treatment for Autistic Individuals

Обзор

This pilot study is funded by the Organization for Autism Research (OAR). We are conducting a pilot study to improve mental health treatment for autistic individuals. First, we will conduct remote focus groups to identify barriers to mental health treatment and methods to improve treatment. Based on results, we will develop a prototype of a resource for therapists. This resource will be pilot tested in a community clinic.

Подробное описание

Research Design: During Phase I of the study, the investigators propose to conduct remote focus groups with autistic individuals (n=15) and with licensed therapists (n=15) in order to identify barriers to mental health treatment for autistic individuals, as well as ways to improve mental health treatment. Based on this information, the study team will develop a prototype of a therapist-facing toolkit that will include strategies for adapting evidence-based treatments when working with autistic individuals. In Phase II of the study, 6 therapists treating autistic clients (n=12) in a community clinic will be randomized to continue treatment as usual or to receive access to the toolkit. Study investigators will collect pilot data to explore whether the toolkit (1) improves therapist knowledge of autism and confidence treating mental health conditions in autistic people, (2) is acceptable to therapists, and (3) improves the acceptability and efficacy of mental health care for autistic adolescents.

Вмешательства

• Поведенческое Enhanced Psychotherapy
  Clients randomized to the Enhanced Psychotherapy group will receive psychotherapy from therapists who have access to a toolkit that reviews strategies for tailoring evidence-based therapy to improve mental health treatment for autistic individuals.
• Поведенческое Treatment as Usual (TAU)
  Clients randomized to this condition will continue to receive psychotherapy in a community clinic

Первичные конечные точки

• Acceptability of Intervention Measure [Срок оценки: Baseline and 1 month]
• Feasibility of Intervention Measure [Срок оценки: Baseline and 1 month]
• Intervention Appropriateness Measure [Срок оценки: Baseline and 1 month]

Вторичные конечные точки (5)

• Autism Spectrum Knowledge Scale Professional Version - Revised [Срок оценки: Baseline and 1 month]
• Therapist Confidence Scale (TCS) - adapted for autism [Срок оценки: Baseline and 1 month]
• Client Satisfaction Questionnaire [Срок оценки: Baseline and 4 months]
• Goal Attainment Scaling [Срок оценки: Baseline and 4 months]
• Clinical Global Impressions [Срок оценки: Baseline and 4 months]

Критерии участия

The following describes Phase II (the clinical trial):

Inclusion Criteria for clients:

• A confirmed diagnosis of autism
• Between 13 and 17 years old
• Fluent in English
• Have a co-occurring mental health condition that is appropriate for treatment at the community clinic participating in the proposed study

Критерии исключения

N/A

All therapists working at the community clinic at which this study takes place will be eligible to participate.

Критерии приведены из реестра в оригинале (на английском). Окончательную оценку соответствия проводит исследовательский центр.

Здоровые добровольцы: Нет

Дизайн исследования

Распределение

Рандомизированное

Модель

Параллельные группы

Маскирование

Простое слепое

Основная цель

Лечение

Центры проведения

США · 2 центра

• Florida International University — Miami
• Florida International University — Miami

Идентификаторы

NCT: NCT07539519 · AWD000000019067

Первоисточники (государственные реестры)

• ClinicalTrials.gov (NIH, США)

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