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ERIC Number: EJ1442343
Record Type: Journal
Publication Date: 2024-Sep
Pages: 17
Abstractor: As Provided
ISBN: N/A
ISSN: ISSN-1866-2625
EISSN: EISSN-1866-2633
Available Date: N/A
Development of a High School-Based Executive Function Intervention for Transition-Age Autistic Youth: Leveraging Multi-Level Community Partnerships
Cara E. Pugliese; Monica A. Werner; Katie C. Alexander; Lynn Cannon; John F. Strang; Reid Caplan; Laura Klinger; David Mandell; Mary Dieckhaus; Rebecca Handsman; Lauren Kenworthy; Laura G. Anthony
School Mental Health, v16 n3 p862-878 2024
Every year, an increasing number of autistic youth enter a complex and underfunded adult service system after graduating from high school. Executive function (EF) challenges commonly co-occur with autism, especially related to flexible problem-solving and planning, and are linked to poor outcomes in post-secondary education and employment. The educational system is the primary service access point for autistic youth; however, evidence-based practices are rarely used to support them, and none exist to support pivotal EF skills in transition-age autistic youth. To meet this need, we developed "Unstuck & On Target: Ages 14-22," a school-based curriculum designed to increase independent, flexible problem-solving, planning, and self-advocacy skills in transition-age youth. We describe the iterative development of the "Unstuck: 14-22" curriculum and present implementation outcomes from a school-based trial. Ten schools, from which we enrolled 55 autistic 9th-12th graders with IQ [greater than or equal to] 80 were randomized to treatment as usual (TAU) or "Unstuck: 14-22" delivered by school staff. Teachers taught 25 lessons over a school year and provided implementation-related feedback on each lesson, which we used to revise curriculum content and materials. All "Unstuck: 14-22" schools taught the curriculum in its entirety, and teachers delivered it with high fidelity. Feasibility, acceptability, and satisfaction were similarly high. Findings indicate that "Unstuck: 14-22" could help build educators' capacity to provide targeted treatment to autistic youth in schools, which could be more widely accessed than clinic-based care. Trial registration NCT03199937, https://clinicaltrials.gov
Springer. Available from: Springer Nature. One New York Plaza, Suite 4600, New York, NY 10004. Tel: 800-777-4643; Tel: 212-460-1500; Fax: 212-460-1700; e-mail: customerservice@springernature.com; Web site: https://bibliotheek.ehb.be:2123/
Publication Type: Journal Articles; Reports - Research
Education Level: High Schools; Secondary Education
Audience: N/A
Language: English
Sponsor: Eunice Kennedy Shriver National Institute of Child Health and Human Development (NICHD) (DHHS/NIH); National Institute of Mental Health (NIMH) (DHHS/NIH)
Authoring Institution: N/A
Grant or Contract Numbers: T32HD04638801A2; K23MH110612
Author Affiliations: N/A