RecruitingNot ApplicableNCT07216196

The Feasibility of a Remote Problem-Solving Intervention for Autistic Adolescents or Young Adults and a Caregiver

The Effect of Dyadic Metacognitive Strategy Training in Autistic Youth or Young Adults and a Primary Caregiver

Sponsor

University of Missouri-Columbia

Enrollment

24 participants

Start Date

Apr 8, 2026

Study Type

INTERVENTIONAL

Conditions

Autism

Summary

This project seeks to evaluate the feasibility and acceptability of a remote metacognitive strategy training intervention in transition-age autistic adolescents and young adults and a primary caregiver. We will also conduct limited efficacy testing.

Eligibility

Min Age: 13 YearsMax Age: 21 Years

Inclusion Criteria4

Autistic adolescents aged 13-21 AND one primary parent, guardian, or caregiver aged 18 or older
At least one year remaining in high school
Ability to engage in reciprocal conversation
Ability to provide informed consent/assent as part of an adapted procedure designed to prevent coercion and protect the rights of autistic adolescents with or without intellectual disability

Exclusion Criteria3

Severe or profound intellectual disability (IQ<35)
Severe mental health conditions that interfere with ability to participate in the intervention
Currently enrolled in community-based transition services redundant with remote PREP

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Interventions

BEHAVIORALPathways and Resources for Engagement and Participation (PREP)

Pathways and Resources for Engagement and Participation (PREP) is a collaborative problem-solving intervention that targets environmental barriers-physical, social, attitudinal, familial, and institutional-while leveraging adolescent and family strengths. Caregivers are integrated as key supports. The five-step process includes: (1) make goals, (2) map out a plan, (3) make it happen, (4) measure outcomes, and (5) move forward. We will set four activity-based transition goals using the Transition Planning Inventory-2nd Edition and Goal Attainment Scaling. Providers will use guided discovery to help adolescents and caregivers identify strategies that modify activities or environments to support participation in transition activities. Adolescents and caregivers will implement strategies between sessions and revise strategies with the provider in future sessions if unsuccessful. Participants will complete 12 weekly 60-min remote PREP sessions over 12-16 weeks.