The Relationship Between Treatment Acceptability and Youth Outcome in Group CBT for Youth with ASD and Anxiety

Walsh, Caitlin E.; Moody, Eric J.; Blakeley‐Smith, Audrey; Duncan, Amie; Hepburn, Susan; Keefer, Amy; Klinger, Laura Grofer; Meyer, Allison; O’Kelley, Sarah; Reaven, Judy

doi:10.1007/s10879-018-9380-4

Cited by 7 publications

(24 citation statements)

References 23 publications

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“…Reaven et al, 2015J. Reaven, Blakeley-Smith, Culhane-Shelburne, et al, 2012;;Solish et al, 2020;Walsh et al, 2018) Acceptability, feasibility, and effectiveness of strategies used to improve mental health care for autistic CYP…”

Section: Bespoke Interventionsmentioning

confidence: 99%

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Approaches to improve mental health care for autistic children and young people: a systematic review and meta-analysis

Pemovska,

Loizou,

Appleton

et al. 2023

Preprint

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Autistic children and young people (CYP) experience mental health difficulties but face many barriers to accessing and benefiting from mental health care. There is a need to explore strategies in mental health care for autistic CYP to guide clinical practice and future research and support their mental health needs. Our aim was to identify strategies used to improve mental health care for autistic CYP and examine evidence on their acceptability, feasibility, and effectiveness. A systematic review and meta-analysis were carried out. All study designs reporting acceptability/feasibility outcomes and empirical quantitative studies reporting effectiveness outcomes for strategies tested within mental health care were eligible. We conducted a narrative synthesis and separate meta-analyses by informant (self, parent, clinician). Fifty-seven papers were included, with most investigating cognitive behavioural therapy (CBT)-based interventions for anxiety and several exploring service-level strategies, such as autism screening tools, clinician training, adaptations regarding organisation of services. Most papers described caregiver involvement in therapy and reported adaptations to communication and intervention content; a few reported environmental adjustments. In the meta-analyses, parent- and clinician-reported outcomes, but not self-reported outcomes, showed with moderate certainty that CBT for anxiety was an effective treatment compared to any comparison condition in reducing anxiety symptoms in autistic individuals. The certainty of evidence for effectiveness, synthesised narratively, ranged from low to moderate. Evidence for feasibility and acceptability tended to be positive. Many identified strategies are simple, reasonable adjustments that can be implemented in services to enhance mental health care for autistic individuals. Notable research gaps persist, however.

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Section: Bespoke Interventionsmentioning

confidence: 99%

“…Reaven, Blakeley-Smith, Leuthe, et al, 2012;A. J. Russell et al, 2013;Sofronoff et al, 2005;Solish et al, 2020;Walsh et al, 2018;White et al, 2013;Wood et al, 2015).…”

Section: Cbt For Anxiety (N=38)mentioning

confidence: 99%

Approaches to improve mental health care for autistic children and young people: a systematic review and meta-analysis

Pemovska,

Loizou,

Appleton

et al. 2023

Preprint

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show abstract

“…Four studies had participants provide ratings of treatment satisfaction following each session, and five studies included a single satisfaction rating provided at the end of treatment. Treatment satisfaction was rated by youth, parents, and/or therapists, with four studies involving a single informant (Backman et al, 2018;Gordon et al, 2015;Pahnke et al, 2014;Swain et al, 2019), and six studies involving multiple informants (Hillier et al, 2012;Jassi et al, 2021;Thomson et al, 2015;Walsh et al, 2018;Weiss et al, 2018;White et al, 2013). Measures were typically developed to assess satisfaction for the specific intervention program being delivered, and thus tended to vary across studies.…”

Section: Treatment Satisfactionmentioning

confidence: 99%

“…Only two studies measured the relation between treatment satisfaction and mental health outcomes. Walsh et al (2018) examined the association between youth and parent ratings of treatment acceptability, and improvements in anxiety following participation in CBT. The authors found that for sessions focused on exposure to anxiety-provoking stimuli, acceptability ratings from both parent and youth respondents negatively predicted anxiety severity following treatment.…”

Section: Treatment Satisfactionmentioning

confidence: 99%

“…Satisfaction was often analyzed descriptively, with various studies reporting high ratings of satisfaction from both parents and youth. Only two studies reported on relations between treatment satisfaction and symptom improvement (Swain et al, 2019;Walsh et al, 2018), with mixed results. Researchers who are evaluating interventions and choose to include measures of treatment satisfaction should consider exploring shifts in satisfaction that may occur throughout treatment, and possible interactions with other key therapeutic processes (e.g., compliance, adherence) that may contribute to variation in treatment effectiveness.…”

Section: Expectations Readiness and Satisfactionmentioning

confidence: 99%

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A Systematic Review of Therapeutic Process Factors in Mental Health Treatment for Autistic Youth

Albaum

Vashi

Bohr

et al. 2022

Clin Child Fam Psychol Rev

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Understanding the role of therapeutic process factors in treatment change may prove useful for discerning why some autistic youth benefit from psychosocial interventions that target emotional and psychological aspects of mental health, while others do not. The aim of the current study was to synthesize what is currently known about therapeutic process factors in mental health treatment of emotional and psychological challenges for autistic youth, regarding how process factors have been measured in past research, and the relation between process factors and treatment outcome. A systematic review of the literature was conducted to narratively synthesize all articles published up until June 2021. Methodological quality of included studies was appraised. Twenty-five studies met inclusion criteria. Process factors assessed across studies included relational factors; treatment expectations, readiness, and satisfaction; and treatment engagement from youth and their parents. Process-outcome associations were reported for a limited number of constructs. There is a limited, albeit growing, body of high-quality research evaluating the role of process factors in the treatment of mental health issues for autistic youth. Future research should continue to examine process factors in relation to treatment outcome, and validate measures to accurately capture process-related constructs in mental health treatment for this population. Greater understanding of therapy processes can lead to developing evidence-informed strategies that clinicians can implement to promote positive expectations, relationships, and engagement.

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A Systematic Review of Mental Health Interventions for ASD: Characterizing Interventions, Intervention Adaptations, and Implementation Outcomes

Dickson

Lind

Jobin

et al. 2021

Adm Policy Ment Health

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The Relationship Between Treatment Acceptability and Youth Outcome in Group CBT for Youth with ASD and Anxiety

Cited by 7 publications

References 23 publications

Approaches to improve mental health care for autistic children and young people: a systematic review and meta-analysis

Approaches to improve mental health care for autistic children and young people: a systematic review and meta-analysis

A Systematic Review of Therapeutic Process Factors in Mental Health Treatment for Autistic Youth

A Systematic Review of Mental Health Interventions for ASD: Characterizing Interventions, Intervention Adaptations, and Implementation Outcomes

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