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Adaption and pilot implementation of an autism executive functioning intervention in children’s mental health services: a mixed-methods study protocol
BACKGROUND: Youth with autism spectrum disorder (ASD) represent a growing population with significant service needs. Prominent among these needs are high rates of co-occurring psychiatric conditions that contribute to increased functional impairments and often necessitate mental health services. Exe...
Autores principales: | , , , , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
BioMed Central
2020
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Materias: | |
Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371471/ https://www.ncbi.nlm.nih.gov/pubmed/32699642 http://dx.doi.org/10.1186/s40814-020-00593-2 |
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author | Dickson, Kelsey S. Aarons, Gregory A. Anthony, Laura Gutermuth Kenworthy, Lauren Crandal, Brent R. Williams, Katherine Brookman-Frazee, Lauren |
author_facet | Dickson, Kelsey S. Aarons, Gregory A. Anthony, Laura Gutermuth Kenworthy, Lauren Crandal, Brent R. Williams, Katherine Brookman-Frazee, Lauren |
author_sort | Dickson, Kelsey S. |
collection | PubMed |
description | BACKGROUND: Youth with autism spectrum disorder (ASD) represent a growing population with significant service needs. Prominent among these needs are high rates of co-occurring psychiatric conditions that contribute to increased functional impairments and often necessitate mental health services. Executive functioning deficits are associated with ASD as well as common co-occurring conditions (e.g., attention-deficit/hyperactivity disorder) and an evidence-based intervention has been developed and tested to address executive functioning within the school context. There is an urgent need to implement indicated evidence-based interventions for youth with ASD receiving care in community mental health settings. Interventions that optimally “fit” the mental health services context as well as the complex and co-occurring mental health needs of these youth have the potential to improve key clinical outcomes for this high priority population. METHODS: This mixed-methods developmental study will apply the Exploration, Preparation, Implementation, Sustainment implementation framework and a community-academic partnership approach to systematically adapt and test an evidence-based executive functioning intervention for youth with ASD for delivery in community mental health settings. Specific aims are to (1) conduct a need and context assessment to inform the systematic adaptation an executive functioning evidence-based intervention; (2) systematically adapt the clinical intervention and develop a corresponding implementation plan, together entitled “Executive Functioning for Enhancing Community-based Treatment for ASD,” (EFFECT for ASD); and (3) conduct a feasibility pilot test of EFFECT for ASD in community mental health settings. DISCUSSION: Tailoring evidence-based interventions for delivery in community-based mental health services for youth with ASD has the potential to increase quality of care and improve child outcomes. Results from the current study will serve as the foundation for large-scale hybrid implementation and effectiveness trials and a generalizable approach for different service systems of care and clinical populations. TRIAL REGISTRATION: Clinicaltrials.gov, NCT04295512. |
format | Online Article Text |
id | pubmed-7371471 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2020 |
publisher | BioMed Central |
record_format | MEDLINE/PubMed |
spelling | pubmed-73714712020-07-21 Adaption and pilot implementation of an autism executive functioning intervention in children’s mental health services: a mixed-methods study protocol Dickson, Kelsey S. Aarons, Gregory A. Anthony, Laura Gutermuth Kenworthy, Lauren Crandal, Brent R. Williams, Katherine Brookman-Frazee, Lauren Pilot Feasibility Stud Study Protocol BACKGROUND: Youth with autism spectrum disorder (ASD) represent a growing population with significant service needs. Prominent among these needs are high rates of co-occurring psychiatric conditions that contribute to increased functional impairments and often necessitate mental health services. Executive functioning deficits are associated with ASD as well as common co-occurring conditions (e.g., attention-deficit/hyperactivity disorder) and an evidence-based intervention has been developed and tested to address executive functioning within the school context. There is an urgent need to implement indicated evidence-based interventions for youth with ASD receiving care in community mental health settings. Interventions that optimally “fit” the mental health services context as well as the complex and co-occurring mental health needs of these youth have the potential to improve key clinical outcomes for this high priority population. METHODS: This mixed-methods developmental study will apply the Exploration, Preparation, Implementation, Sustainment implementation framework and a community-academic partnership approach to systematically adapt and test an evidence-based executive functioning intervention for youth with ASD for delivery in community mental health settings. Specific aims are to (1) conduct a need and context assessment to inform the systematic adaptation an executive functioning evidence-based intervention; (2) systematically adapt the clinical intervention and develop a corresponding implementation plan, together entitled “Executive Functioning for Enhancing Community-based Treatment for ASD,” (EFFECT for ASD); and (3) conduct a feasibility pilot test of EFFECT for ASD in community mental health settings. DISCUSSION: Tailoring evidence-based interventions for delivery in community-based mental health services for youth with ASD has the potential to increase quality of care and improve child outcomes. Results from the current study will serve as the foundation for large-scale hybrid implementation and effectiveness trials and a generalizable approach for different service systems of care and clinical populations. TRIAL REGISTRATION: Clinicaltrials.gov, NCT04295512. BioMed Central 2020-04-27 /pmc/articles/PMC7371471/ /pubmed/32699642 http://dx.doi.org/10.1186/s40814-020-00593-2 Text en © The Author(s) 2020 Open AccessThis article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data. |
spellingShingle | Study Protocol Dickson, Kelsey S. Aarons, Gregory A. Anthony, Laura Gutermuth Kenworthy, Lauren Crandal, Brent R. Williams, Katherine Brookman-Frazee, Lauren Adaption and pilot implementation of an autism executive functioning intervention in children’s mental health services: a mixed-methods study protocol |
title | Adaption and pilot implementation of an autism executive functioning intervention in children’s mental health services: a mixed-methods study protocol |
title_full | Adaption and pilot implementation of an autism executive functioning intervention in children’s mental health services: a mixed-methods study protocol |
title_fullStr | Adaption and pilot implementation of an autism executive functioning intervention in children’s mental health services: a mixed-methods study protocol |
title_full_unstemmed | Adaption and pilot implementation of an autism executive functioning intervention in children’s mental health services: a mixed-methods study protocol |
title_short | Adaption and pilot implementation of an autism executive functioning intervention in children’s mental health services: a mixed-methods study protocol |
title_sort | adaption and pilot implementation of an autism executive functioning intervention in children’s mental health services: a mixed-methods study protocol |
topic | Study Protocol |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7371471/ https://www.ncbi.nlm.nih.gov/pubmed/32699642 http://dx.doi.org/10.1186/s40814-020-00593-2 |
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