Evidence map›Paper›PMID 32755632›Full record

Trial reportJournal of the American Academy of Child and Adolescent Psychiatry2021

Training Community Therapists to Deliver an Individualized Mental Health Intervention for Autism Spectrum Disorder: Changes in Caregiver Outcomes and Mediating Role on Child Outcomes.

Lauren Brookman-Frazee, Colby Chlebowski, Miguel Villodas, Scott Roesch, Kassandra Martinez

Registry-linked trialOpen access · greenAbstract readRandomized Controlled Trial
In one paragraph

Trial report in Journal of the American Academy of Child and Adolescent Psychiatry, 2021. The graph could read no effect estimate from its abstract, so it casts no vote on the map. It is linked to trial NCT02416323 (Effectiveness and Implementation of a Mental Health Intervention for ASD), which is not on this map. Cited by 17 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 2 pooled it
1.5field-weighted citation impact, top 10% of its field
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.

NCT02416323 nacompletednot on this map

Effectiveness and Implementation of a Mental Health Intervention for ASD

TypeinterventionalSponsorUniversity of California, San DiegoRan2012 to 2018Enrolled609ConditionsAutism Spectrum DisorderArmsAIM HI Training
3 · Its place in the literature

Who cites it

17 citing papers in PubMed, 2 syntheses or guidelines pooled it, 28 citations in OpenAlex.

  1. Pooled it
  2. Pooled it
  3. Trial
  4. Trial
  5. Training Community Therapists in AIM HI: Individual Family and Neighborhood Factors and Child/Caregiver Outcomes.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Trial
  6. A Mixed Methods Exploration of Emergency Service Use Among Autistic Youth.Journal of autism and developmental disorders · 2026
    Article
  7. Article
  8. Article
  9. Evidence-based practice in child and adolescent mental health · 2024
    Article
  10. Article
  11. Article
  12. Article
  13. Article
  14. Article
  15. Article
  16. Article
  17. Impact of Therapist Training on Parent Attendance in Mental Health Services for Children with ASD.Journal of clinical child and adolescent psychology : the official journal for the Society of Clinical Child and Adolescent Psychology, American Psychological Association, Division 53
    Article
4 · The record

Corrections and comments

5 · Who and what money

Authors and funding

5 authors at 3 institutions in 1 country.

Lauren Brookman-FrazeeChild and Adolescent Services Research Center, San Diego, California; University of California, San Diego; Rady Children's Hospital, San Diego, California.
Colby ChlebowskiChild and Adolescent Services Research Center, San Diego, California; University of California, San Diego. Electronic address: cchlebowski@health.ucsd.edu.
Miguel VillodasChild and Adolescent Services Research Center, San Diego, California; San Diego State University, California.
Scott RoeschSan Diego State University, California.
Kassandra MartinezChild and Adolescent Services Research Center, San Diego, California; University of California, San Diego; San Diego State University, California.
San Diego State University · USUC San Diego Health System · USUniversity of California San Diego · US

Funding

Effectiveness and Implementation of a Mental Health Intervention for ASDR01MH094317 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI BROOKMAN-FRAZEE, LAUREN · 2012 to 2016
$3.5M
NIMH NIH HHS R01 MH094317
6 · The paper itself

Abstract

objectiveThis study examines the impact of training therapists to deliver "An Individualized Mental Health Intervention for Autism Spectrum Disorder (ASD)" (AIM HI) for children with autism spectrum disorder on caregiver outcomes and the mediating role of changes in caregiver outcomes on child outcomes.

methodData were drawn from a cluster randomized trial conducted in 29 publicly funded mental health programs randomized to receive AIM HI training or usual care. Therapists were recruited from enrolled programs and child/caregiver participants enrolled from therapists' caseloads. Participants included 202 caregivers of children 5 to 13 years of age with autism spectrum disorder. Caregiver strain and sense of competence were assessed at baseline and 6 month postbaseline. Child behaviors were assessed at baseline and 6, 12, and 18 months postbaseline. Therapist delivery of evidence-based intervention strategies were assessed between baseline and 6 months.

resultsA significant training effect was observed for caregiver sense of competence, with AIM HI caregivers reporting significantly greater improvement relative to usual care. There was no significant training effect for caregiver strain. Observer-rated therapist delivery of evidence-based interventions strategies over 6 months mediated training effects for sense of competence at 6 months. Changes in sense of competence from baseline to 6 months was associated with reduced child challenging behaviors at 6 months and mediated child outcomes at 12 and 18 months.

conclusionCombined with research demonstrating effectiveness of therapist AIM HI training on child outcomes, this study provides further evidence of the positive impact of training community therapists in the AIM HI intervention. CLINICAL TRIAL REGISTRATION INFORMATION: Effectiveness and Implementation of a Mental Health Intervention for ASD (AIM HI); https://clinicaltrials.gov/; NCT02416323.

Indexed as

Autism Spectrum DisorderCaregiversChildFamilyHumansMental Healthautism spectrum disordercaregiver outcomeschildren’s mental health servicescommunity effectiveness trial

Identifiers

PMID32755632
PMCPMC12333665
OpenAlexW3047590336

What OpenQuestion holds

Textmetadata
LicenceTDM
Read underepoch 390

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 OpenQuestion graph.