Evidence map›Paper›PMID 40488794›Full record

ArticleAdministration and policy in mental health2025

Multi-Method, Partner-Engaged Process to Document Adaptations for ATTAIN NAV: Family Navigation for Autism and Mental Health.

Isaac Bouchard, Kassandra Martinez, Pollyanna Gomez-Patino, Felice Navarro, Lauren Brookman-Frazee, Kimberly J Holmquist, Sonya Negriff, Miya Barnett, Sarabeth Broder-Fingert, Nicole A Stadnick

Abstract read
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In one paragraph

Article in Administration and policy in mental health, 2025. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 1 paper.

0numbers the graph read from it
0cells of the map it votes in
1citing papers in PubMed
–field-weighted citation impact
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.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

1 citing paper in PubMed.

  1. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

10 authors.

Isaac BouchardDepartment of Psychology, California State University Northridge, Northridge, CA, USA. isaac.bouchard.551@my.csun.edu.
Kassandra MartinezDoctoral Program in Clinical Psychology, San Diego State University, University of California San Diego Joint, San Diego, CA, USA.
Pollyanna Gomez-PatinoChild and Adolescent Services Research Center, San Diego, CA, USA.
Felice NavarroChild and Adolescent Services Research Center, San Diego, CA, USA.
Lauren Brookman-FrazeeChild and Adolescent Services Research Center, San Diego, CA, USA.
Kimberly J HolmquistDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Sonya NegriffDepartment of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.
Miya BarnettDepartment of Counseling, Clinical, and School Psychology, University of California Santa Barbara, Santa Barbara, CA, USA.
Sarabeth Broder-FingertDepartment of Pediatrics, University of Massachusetts Chan Medical School, Worcester, MA, USA.
Nicole A StadnickChild and Adolescent Services Research Center, San Diego, CA, USA.

Funding

Refining and Implementing Technology-Enhanced Family Navigation to Promote Early Access and Engagement with Mental Health Services for Youth with AutismR34MH120190 · NIMH · UNIVERSITY OF CALIFORNIA, SAN DIEGO · PI STADNICK, NICOLE A · 2020 to 2022
$710k
NIMH NIH HHS R34 MH120190NIMH NIH HHS R34MH120190
6 · The paper itself

Abstract

Autistic youth often experience co-occurring mental health needs, yet they have multi-level barriers to accessing needed care. To address these barriers, the ATTAIN NAV (Access to Tailored Autism Integrated Care through Family Navigation) intervention was co-designed with caregiver and healthcare partners and delivered by lay health navigators to facilitate access to and engagement with mental health services for school-age autistic youth. This manuscript describes the multi-method, partner-engaged, longitudinal adaptation process to (1) identify intervention content and implementation refinements prior to the hybrid trial and (2) track ongoing research, intervention, and implementation adaptations during the trial and their impacts on study outcomes. The adaptation processes used the Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (Miller et al., 2021) to guide data collection and evaluation approaches. From the qualitative co-design activities with caregivers (n = 5), primary care providers (n = 6), developmental care clinicians (n = 4), and health informatics staff (n = 3), several intervention content and implementation adaptations were identified and integrated prior to the trial. From the longitudinal adaptation tracking process during the trial, a total of 19 adaptations were documented throughout the implementation trial. The adaptations were related to maintaining the feasibility and acceptability of the study procedures (32%), increasing family recruitment/engagement (26%), increasing the acceptability of the intervention components (16%), increasing physician recruitment/engagement (11%), expanding mental health resources (5%), complying with partnered healthcare organization policy (5%), and increasing navigator workflow efficiency (5%). Findings offer a structured and replicable approach adoptable by non-traditional mental health intervention and implementation research.

Indexed as

Autistic DisorderDelivery of Health Care, IntegratedHealth Services AccessibilityMental Health ServicesPatient NavigationAdolescentCaregiversChildFamilyFemaleHumansMaleAdaptationsFamily navigationHealth equityHybrid trialsImplementation

Identifiers

PMID40488794
PMCPMC12628410

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Registered trials

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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.