Executive Function Intervention for Autism and ADHD
What You Need to Know Before You Apply
What is the purpose of this trial?
This trial aims to determine if a Spanish-language program called SL-Unstuck can enhance executive function skills, such as planning and problem-solving, in Spanish-speaking families with children who have autism or ADHD. The program includes weekly sessions where children and their caregivers learn strategies together. Researchers will compare families who begin the program immediately with those who wait, assessing improvements in managing daily challenges. Families with children aged 8-11 who have autism or ADHD and experience frequent meltdowns or difficulty starting tasks are well-suited for participation. As an unphased trial, this study offers families the chance to contribute to valuable research that could lead to better support strategies for children with autism or ADHD.
Do I have to stop taking my current medications for this trial?
The trial information does not specify whether you need to stop taking your current medications. It seems focused on behavioral interventions, so it's likely you can continue your medications, but you should confirm with the trial organizers.
What prior data suggests that the SL-Unstuck intervention is safe for children and caregivers?
Studies have shown that the English version of Unstuck and On Target is effective and well-liked by children with autism and ADHD, helping improve skills like planning and flexibility. The Spanish version, SL-Unstuck, has been tested in various locations. Research indicates that Spanish-speaking caregivers find this version even more acceptable and effective than the English one.
In a trial in Ecuador, the Spanish-language program produced positive results for children with different learning needs. Caregivers observed improvements in their child's ability to plan and adapt. These studies reported no major side effects, suggesting the treatment is well-tolerated.
This treatment does not involve medication and is supported by data showing its safety and effectiveness in different cultural settings, which should reassure potential participants about its safety.12345Why are researchers excited about this trial?
"Unstuck and On Target" is unique because it focuses on improving executive function skills, which are crucial for managing tasks and behavior, in children with Autism and ADHD. Unlike standard treatments that often rely on medication, this intervention uses a structured program of group sessions for both children and their caregivers, promoting skills like flexibility and goal-setting. Delivered in Spanish, it also broadens accessibility, addressing a gap for Spanish-speaking communities. Researchers are excited about its potential to provide a non-medication-based approach that empowers families and enhances daily functioning.
What evidence suggests that SL-Unstuck is effective for improving executive function in children with autism and ADHD?
Research has shown that the Unstuck and On Target program improves skills like problem-solving and flexibility in children with autism and ADHD. Children who participated in the program demonstrated better classroom behavior and adaptability. In this trial, some participants will immediately receive the Spanish version, SL-Unstuck. Spanish-speaking caregivers found SL-Unstuck very helpful and effective. Additionally, research suggests that the program supports families by providing a shared approach to discussing and managing everyday challenges. These findings indicate that SL-Unstuck can enhance skills and family life for Spanish-speaking participants.13467
Are You a Good Fit for This Trial?
This trial is for Spanish-speaking families in the U.S. with children aged 8-11 who have autism and/or ADHD, can speak at a 7-year-old level or higher, and struggle with things like frustration, meltdowns, or handling criticism. Caregivers must be at least 18 years old.Inclusion Criteria
Timeline for a Trial Participant
Screening
Participants are screened for eligibility to participate in the trial
Treatment
Participants attend 8 weekly SL-Unstuck sessions at a clinic with parallel groups for children and caregivers
Follow-up
Participants complete post-intervention assessments and participate in a focus group to share feedback
What Are the Treatments Tested in This Trial?
Interventions
- Unstuck and On Target
Trial Overview
The study tests an executive function training program called SL-Unstuck for both children and their caregivers. Families are randomly assigned to start right away or after a wait period. The program includes eight weekly group sessions plus assessments before and after.
How Is the Trial Designed?
2
Treatment groups
Experimental Treatment
Active Control
Participants in this arm will receive SL-Unstuck immediately. The intervention includes 8 weekly 90-minute clinic-based group sessions with parallel groups for children and caregivers.
Find a Clinic Near You
Who Is Running the Clinical Trial?
University of Colorado, Denver
Lead Sponsor
National Institute of Mental Health (NIMH)
Collaborator
Citations
NCT07571434 | Pilot of Unstuck and On Target in Ecuador
The goal of this clinical trial is to learn about the effects of the Spanish-language intervention, Unstuck and On Target (SL-Unstuck), in ...
2.
medschool.cuanschutz.edu
medschool.cuanschutz.edu/docs/librariesprovider94/conf-ws/assessing-the-implementation-impact-of-an-online-training-for-a-school-based-executive-functioning-intervention96c2a76a-8518-41de-8073-b7bb02627042.pdf?sfvrsn=d25d3cb4_1Background Methods Results Discussion
Spanish-speaking caregivers of neurodivergent children rated Unstuck and On. Target videos as even MORE acceptable and effective than their English-speaking ...
Randomized Controlled Effectiveness Trial of Executive ... - PMC
This study investigates whether Unstuck and On Target (UOT; Cannon, Kenworthy, Alexander, Werner, & Anthony, 2011) reduces insistence on sameness, improves ...
Unstuck and On Target: Homepage
“Unstuck works for clients with all kinds of challenges, including anxiety, ADHD, and autism. More importantly, kids and families have fun and can do it ...
Unstuck and On Target: An Executive Function Curriculum ...
Research shows that Unstuck helps children with autism or ADHD become more flexible problem solvers, with better abilities to follow directions, make ...
“In our language”: Acceptability and impact of executive ... - PMC
One of the most widely studied non-pharmacological EF interventions is Unstuck and On Target (Unstuck, 2024; Cannon et al., 2021), a manualized ...
Grants
Addressing Disparities: Evaluating an Executive Functioning Intervention with Spanish-Speaking Neurodivergent Children and Their Families in Mexico and Colorado ...
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