TY - JOUR
AU - N. A. Stadnick
AU - K. Martinez
AU - F. Navarro
AU - P. Gomez-Patino
AU - K. Holmquist
AU - S. Negriff
AU - S. Roesch
AU - I. Bouchard
AU - S. Walpole
AU - R. Espinosa
AU - S. Broder-Fingert
AU - M. Barnett
AU - L. Brookman-Frazee
A1 - 
AB - 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.
AD - Department of Psychiatry, University of California San Diego, La Jolla, CA, USA. nstadnic@health.ucsd.edu.; Altman Clinical and Translational Research Institute Dissemination and Implementation Science Center, University of California San Diego, La Jolla, CA, USA. nstadnic@health.ucsd.edu.; Child and Adolescent Services Research Center, San Diego, CA, USA. nstadnic@health.ucsd.edu.; Child and Adolescent Services Research Center, San Diego, CA, USA.; San Diego State University/University of California San Diego Joint Doctoral Program in Clinical Psychology, San Diego, CA, USA.; Department of Psychiatry, University of California San Diego, La Jolla, CA, USA.; Department of Research and Evaluation, Kaiser Permanente Southern California, Pasadena, CA, USA.; Department of Psychology, San Diego State University, San Diego, CA, USA.; Department of Psychology, California State Northridge, Northridge, CA, USA.; Kaiser Permanente Southern California, San Diego, CA, USA.; Department of Pediatrics, University of Massachusetts Chan Medical School, Worcester, MA, USA.; Department of Counseling, Clinical, and School Psychology, University of California Santa Barbara, Santa Barbara, CA, USA.; Altman Clinical and Translational Research Institute Dissemination and Implementation Science Center, University of California San Diego, La Jolla, CA, USA.
AN - 40338511
BT - J Autism Dev Disord
C5 - Healthcare Disparities; Education & Workforce
DA - May 8
DO - 10.1007/s10803-025-06851-7
DP - NLM
ET - 20250508
JF - J Autism Dev Disord
LA - eng
N2 - 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.
PY - 2025
SN - 0162-3257
ST - Mixed Methods Findings from a Stepped Wedge Hybrid Implementation Trial of ATTAIN NAV: A Mental Health Family Navigation Intervention for Autistic Youth
T1 - Mixed Methods Findings from a Stepped Wedge Hybrid Implementation Trial of ATTAIN NAV: A Mental Health Family Navigation Intervention for Autistic Youth
T2 - J Autism Dev Disord
TI - Mixed Methods Findings from a Stepped Wedge Hybrid Implementation Trial of ATTAIN NAV: A Mental Health Family Navigation Intervention for Autistic Youth
U1 - Healthcare Disparities; Education & Workforce
U3 - 10.1007/s10803-025-06851-7
VO - 0162-3257
Y1 - 2025
ER -