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Therapist-Reported Adaptations to an Autism Intervention: Family-Level Predictors and Associations with Fidelity.

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Title: Therapist-Reported Adaptations to an Autism Intervention: Family-Level Predictors and Associations with Fidelity.
Authors: Caplan, Barbara (AUTHOR), Chlebowski, Colby (AUTHOR), Lind, Teresa (AUTHOR), Rangel, Elizabeth (AUTHOR), Brookman-Frazee, Lauren (AUTHOR)
Source: Journal of Autism & Developmental Disorders. Mar2026, Vol. 56 Issue 3, p933-944. 12p.
Subjects: Psychotherapy, Occupational adaptation, Professional practice, Research funding, Autism, Statistical sampling, Questionnaires, Descriptive statistics, White people, Family attitudes, Burden of care, Attitudes of medical personnel, Statistics, Asperger's syndrome, Evidence-based medicine, Factor analysis, Video recording
Abstract: The purpose of this study was to: (1) confirm the factor structure of a therapist-report measure of adaptations to an autism evidence-based intervention (EBI), (2) identify predictors of adaptation types, and (3) examine associations of adaptation types with observed therapist fidelity. Participants included a subset of therapists (N = 70; 31.4% Hispanic), autistic children (N = 79; ages 5–13 years; 57.0% Hispanic), and their caregivers (N = 77; 54.5% Hispanic), who participated in the training condition of a community effectiveness trial of An Individualized Mental Health Intervention for Autism (AIM HI). Families reported demographics and completed assessments of child functioning and caregiver strain at baseline. Therapists submitted video recordings of psychotherapy sessions during EBI training, which were later coded for fidelity by independent raters. Therapists completed the Adaptations to Evidence-Based Practices Scale at the end of the 6-month training period. Multi-level confirmatory factor analysis yielded two adaptation types consistent with prior research: Augmenting and Reducing/Reordering adaptations. In multi-level models, higher Augmenting adaptations were associated with lower child cognitive functioning (B= -0.01, p <.05), higher child autism characteristics (B = 0.01, p <.05), and Non-Hispanic White caregiver ethnicity (B = − 0.17, p <.01). Higher Reducing/Reordering adaptations were associated with Non-Hispanic White caregiver race/ethnicity only (B = − 0.33, p <.01). There were no significant associations between therapist-reported adaptations and observed fidelity. This study further supports Augmenting and Reducing/Reordering as distinct subtypes of adaptations with unique predictors. Therapists likely adapt AIM HI to tailor the EBI to individual client needs and do so in ways that do not appear to interfere with fidelity. Trial Registration ClinicalTrials.gov identifier NCT02416323. [ABSTRACT FROM AUTHOR]
Copyright of Journal of Autism & Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder's express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)
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  Data: Therapist-Reported Adaptations to an Autism Intervention: Family-Level Predictors and Associations with Fidelity.
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  Data: The purpose of this study was to: (1) confirm the factor structure of a therapist-report measure of adaptations to an autism evidence-based intervention (EBI), (2) identify predictors of adaptation types, and (3) examine associations of adaptation types with observed therapist fidelity. Participants included a subset of therapists (N = 70; 31.4% Hispanic), autistic children (N = 79; ages 5–13 years; 57.0% Hispanic), and their caregivers (N = 77; 54.5% Hispanic), who participated in the training condition of a community effectiveness trial of An Individualized Mental Health Intervention for Autism (AIM HI). Families reported demographics and completed assessments of child functioning and caregiver strain at baseline. Therapists submitted video recordings of psychotherapy sessions during EBI training, which were later coded for fidelity by independent raters. Therapists completed the Adaptations to Evidence-Based Practices Scale at the end of the 6-month training period. Multi-level confirmatory factor analysis yielded two adaptation types consistent with prior research: Augmenting and Reducing/Reordering adaptations. In multi-level models, higher Augmenting adaptations were associated with lower child cognitive functioning (B= -0.01, p &lt;.05), higher child autism characteristics (B = 0.01, p &lt;.05), and Non-Hispanic White caregiver ethnicity (B = − 0.17, p &lt;.01). Higher Reducing/Reordering adaptations were associated with Non-Hispanic White caregiver race/ethnicity only (B = − 0.33, p &lt;.01). There were no significant associations between therapist-reported adaptations and observed fidelity. This study further supports Augmenting and Reducing/Reordering as distinct subtypes of adaptations with unique predictors. Therapists likely adapt AIM HI to tailor the EBI to individual client needs and do so in ways that do not appear to interfere with fidelity. Trial Registration ClinicalTrials.gov identifier NCT02416323. [ABSTRACT FROM AUTHOR]
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  Data: &lt;i&gt;Copyright of Journal of Autism &amp; Developmental Disorders is the property of Springer Nature and its content may not be copied or emailed to multiple sites without the copyright holder&#39;s express written permission. Additionally, content may not be used with any artificial intelligence tools or machine learning technologies. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract.&lt;/i&gt; (Copyright applies to all Abstracts.)
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RecordInfo BibRecord:
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    Identifiers:
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        Value: 10.1007/s10803-024-06603-z
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      – Code: eng
        Text: English
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      Pagination:
        PageCount: 12
        StartPage: 933
    Subjects:
      – SubjectFull: Psychotherapy
        Type: general
      – SubjectFull: Occupational adaptation
        Type: general
      – SubjectFull: Professional practice
        Type: general
      – SubjectFull: Research funding
        Type: general
      – SubjectFull: Autism
        Type: general
      – SubjectFull: Statistical sampling
        Type: general
      – SubjectFull: Questionnaires
        Type: general
      – SubjectFull: Descriptive statistics
        Type: general
      – SubjectFull: White people
        Type: general
      – SubjectFull: Family attitudes
        Type: general
      – SubjectFull: Burden of care
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      – SubjectFull: Attitudes of medical personnel
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      – SubjectFull: Statistics
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      – SubjectFull: Asperger's syndrome
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      – SubjectFull: Evidence-based medicine
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      – SubjectFull: Factor analysis
        Type: general
      – SubjectFull: Video recording
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      – TitleFull: Therapist-Reported Adaptations to an Autism Intervention: Family-Level Predictors and Associations with Fidelity.
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              Text: Mar2026
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              Y: 2026
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