Stadnick Nicole A, Martinez Kassandra, Navarro Felice, Gomez-Patino Pollyanna, Holmquist Kimberly, Negriff Sonya, Roesch Scott, Bouchard Isaac, Walpole Sara, Espinosa Romina, Broder-Fingert Sarabeth, Barnett Miya, Brookman-Frazee Lauren
Department of Psychiatry, University of California San Diego, La Jolla, CA, USA.
Altman Clinical and Translational Research Institute Dissemination and Implementation Science Center, University of California San Diego, La Jolla, CA, USA.
J Autism Dev Disord. 2025 May 8. doi: 10.1007/s10803-025-06851-7.
ATTAIN NAV (Access to Tailored Autism Integrated Care through Family Navigation) was delivered by family navigators to promote access to and engagement with mental health services for school-age autistic youth. This study used a mixed method, stepped wedge design to test the effects of family navigation on service and clinical outcomes while gathering information on implementation. Primary care providers from six clinics in California and 56 caregiver-child dyads enrolled in and completed the study. Clinics were randomized to either a technology-enhanced or standard family navigation condition. Caregivers completed assessments at baseline and post about child, family and services outcomes, and a subset participated in a post qualitative interview. Quantitative findings demonstrated improvements in child challenging behavior and parent activation across conditions although these improvements were more pronounced for families in the standard FN condition. At post-intervention, families in the standard FN condition reported higher levels of navigation satisfaction, a shorter time to attend their first mental health appointment, and higher engagement with their navigator. Qualitative findings complemented and expanded the quantitative survey findings. The ATTAIN NAV model of family navigation for autistic children with co-occurring mental health needs demonstrates promising implementation, service, and clinical benefits. Clinical Trials Registration. NCT05344378.
ATTAIN NAV（通过家庭导航获得量身定制的自闭症综合护理）由家庭导航员提供，以促进学龄期自闭症青少年获得心理健康服务并参与其中。本研究采用混合方法、阶梯楔形设计，在收集实施信息的同时，测试家庭导航对服务和临床结果的影响。来自加利福尼亚州六家诊所的初级保健提供者以及56对照顾者-儿童二元组参与并完成了该研究。诊所被随机分配到技术增强型或标准家庭导航条件。照顾者在基线和后期完成了关于儿童、家庭和服务结果的评估，并且一部分人参与了后期定性访谈。定量研究结果表明，尽管标准家庭导航条件下的家庭这些改善更为明显，但各条件下儿童的挑战行为和家长的积极性均有所改善。干预后，标准家庭导航条件下的家庭报告了更高的导航满意度、更短的首次心理健康预约时间以及与导航员更高的参与度。定性研究结果补充并扩展了定量调查结果。针对有心理健康需求的自闭症儿童的ATTAIN NAV家庭导航模式显示出有前景的实施、服务和临床效益。临床试验注册。NCT05344378。
