Evidence map›Paper›PMID 41299783›Full record

ArticleImplementation science communications2025

Study protocol for a hybrid type 2 effectiveness-implementation trial of two interventions for autistic and non-autistic youth in children's mental health settings: one tailored for neurodivergence and one universal.

Kelsey S Dickson, Sarah M Kennedy, Jonathan Safer, Lauren Brookman-Frazee, Scott Roesch, Laura G Anthony

Registry-linked trialAbstract read
In one paragraph

Article in Implementation science communications, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT06651086 (Hybrid Effectiveness-Implementation Trial of an Executive Functioning Intervention for Children's Mental Health Services), which is not on this map. Not yet cited in PubMed.

0numbers the graph read from it
0cells of the map it votes in
0citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

NCT06651086 narecruitingnot on this map

Hybrid Effectiveness-Implementation Trial of an Executive Functioning Intervention for Children's Mental Health Services

TypeinterventionalSponsorSan Diego State UniversityRan2024 to 2029Enrolled672ConditionsAutism Spectrum Disorder, Executive FunctioningArmsUnstuck and On Target, Unified Protocol for Children
3 · Its place in the literature

Who cites it

0 citing papers in PubMed.

No citing paper in PubMed yet.

4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Kelsey S DicksonSan Diego State University, San Diego, CA, USA. kdickson@sdsu.edu.ORCID http://orcid.org/0000-0003-2295-4377
Sarah M KennedyUniversity of Colorado School of Medicine, Denver, CO, USA.
Jonathan SaferUniversity of Colorado School of Medicine, Denver, CO, USA.
Lauren Brookman-FrazeeChild and Adolescent Services Research Center, San Diego, CA, USA.
Scott RoeschSan Diego State University, San Diego, CA, USA.
Laura G AnthonyUniversity of Colorado School of Medicine, Denver, CO, USA.

Funding

Hybrid Effectiveness-Implementation Trial of an Executive Functioning Intervention for Children's Mental Health ServicesR01MH137179 · NIMH · UNIVERSITY OF OREGON · PI Kelsey S Dickson · 2024 to 2026
$2.9M
NIMH NIH HHS R01 MH137179NIMH NIH HHS R01MH137179
6 · The paper itself

Abstract

backgroundMental health services play a key role in caring for autistic youth given the common and often unmet mental health needs in this population. There is a pressing need to enhance the uptake and use of evidence-based interventions (EBIs) that improve mental health services for autism and optimize outcomes. EBIs targeting transdiagnostic or key factors relevant across autism and mental health conditions exist and have the potential to enhance mental health services for autism. Yet, these interventions have not been widely tested. Similarly, autism EBI training is an implementation strategy with the potential to enhance mental health service quality broadly given specific components and strategies incorporated into the EBI to enhance its impact and fit. This protocol paper describes a multisite study that examines the clinical and implementation effectiveness of a transdiagnostic EBI developed for autistic children compared to a non-autism transdiagnostic EBI in children's mental health settings (Aim 1), confirms engaged clinical and implementation mechanisms (Aim 2), and examines the generalized and expanded effects of EBI training beyond autism (Aim 3).

methodsThis study will employ a hybrid type 2 effectiveness-implementation design to test Unstuck and On Target, an executive functioning EBI adapted for mental health services (autism EBI) and Unified Protocol for Children (non-autism EBI). Twenty-eight mental health programs will be randomized to an EBI condition and 224 therapists across these programs will be recruited and receive EBI training. Additionally, 224 autistic children and 224 non-autistic children, yoked to participating therapists, will be recruited as EBI recipients. This study will measure clinical (mental health symptom change) and implementation outcomes (EBI fidelity, training engagement, psychotherapy quality, reach) and clinical (executive functioning skills, emotion regulation skills) and implementation (autism self-efficacy and knowledge, perception of fit) mechanisms. DISCUSSION: This study will confirm the effectiveness of a promising executive functioning EBI in mental health settings as well as generate clinical knowledge about the potential of transdiagnostic interventions improve mental health outcomes for autistic children. Findings also have immense potential to demonstrate the ability of autism EBIs to enhance mental health services for autistic and non-autistic children more broadly.

trial registrationThis study is registered with Clinicaltrials.gov (NCT06651086). Registered on October 18, 2024.

Indexed as

AutismChildren’s Mental Health ServicesEffectivenessImplementationTransdiagnostic

Identifiers

PMID41299783
PMCPMC12659129

What Socratic holds

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LicenceCC BY-NC-ND
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Registered trials

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.