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Related Experiment Video

Updated: Jan 18, 2026

Practical Methodology of Cognitive Tasks Within a Navigational Assessment
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Multi-Method, Partner-Engaged Process to Document Adaptations for ATTAIN NAV: Family Navigation for Autism and Mental

Isaac Bouchard1, Kassandra Martinez2,3, Pollyanna Gomez-Patino3,4

  • 1Department of Psychology, California State University Northridge, Northridge, CA, USA. isaac.bouchard.551@my.csun.edu.

Administration and Policy in Mental Health
|June 9, 2025
PubMed
Summary

Autistic youth face barriers to mental health care. The ATTAIN NAV intervention, using family navigation, was adapted through co-design and longitudinal tracking to improve access and engagement for autistic youth.

Keywords:
AdaptationsFamily navigationHealth equityHybrid trialsImplementation

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Area of Science:

  • Implementation Science
  • Autism Spectrum Disorder Research
  • Mental Health Services Research

Background:

  • Autistic youth frequently experience co-occurring mental health conditions, facing significant access barriers to care.
  • Existing healthcare systems often struggle to meet the complex needs of autistic individuals.
  • Family navigation models show promise in bridging care gaps.

Purpose of the Study:

  • To describe the co-design and longitudinal adaptation process of the ATTAIN NAV (Access to Tailored Autism Integrated Care through Family Navigation) intervention.
  • To refine intervention content and implementation strategies for autistic youth with mental health needs.
  • To document adaptations made during a hybrid trial and their impact on study outcomes.

Main Methods:

  • Employed a multi-method, partner-engaged approach, including qualitative co-design with diverse stakeholders (caregivers, clinicians, informatics staff).
  • Utilized the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies for data collection and evaluation.
  • Conducted longitudinal tracking of adaptations throughout the implementation trial.

Main Results:

  • Co-design activities led to pre-trial intervention content and implementation refinements.
  • A total of 19 adaptations were documented during the trial, primarily focused on feasibility, acceptability, and recruitment/engagement.
  • Key adaptation drivers included enhancing study procedures, family and physician engagement, and intervention component acceptability.

Conclusions:

  • The ATTAIN NAV intervention demonstrated a structured and replicable adaptation process.
  • This approach can be adopted by non-traditional mental health and implementation research settings.
  • Partner-engaged adaptation is crucial for optimizing interventions for autistic youth.