Unstuck & On Target: High School for Autism Spectrum Disorder

Phase-Based Progress Estimates
Center for Autism Spectrum Disorders, Children's National Hospital, Rockville, MD
Autism Spectrum Disorder+3 More
Unstuck & On Target: High School - Behavioral
< 65
All Sexes
Eligible conditions

Study Summary

This study is evaluating whether a school-based cognitive behavioral executive function (EF) intervention, Unstuck and On Target High School (UOT:HS), can improve EF skills for transition-age youth with autism spectrum disorder (ASD).

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Eligible Conditions

  • Autism Spectrum Disorder
  • Executive Dysfunction
  • Adolescent Behaviors

Treatment Effectiveness

Study Objectives

This trial is evaluating whether Unstuck & On Target: High School will improve 2 primary outcomes, 2 secondary outcomes, and 3 other outcomes in patients with Autism Spectrum Disorder. Measurement will happen over the course of Baseline, End of Intervention.

Baseline to End of Intervention (up to end of academic year)
Classroom Behavior
Baseline, End of Intervention
Adaptive Behavior (end of intervention)
Month 6
Adaptive Behavior
Adaptive Behavior (at follow-up)
Behavior Rating Inventory of Executive Function, Second Edition (BRIEF-2)
Dimensional Change Card Sort - NIH Toolbox
Executive Function Challenge Task (EFCT)

Trial Safety

Trial Design

1 Treatment Group

Intervention (Unstuck & On Target: High School)
1 of 1
Experimental Treatment

This trial requires 224 total participants across 1 different treatment group

This trial involves a single treatment. Unstuck & On Target: High School is the primary treatment being studied. Participants will all receive the same treatment. There is no placebo group. The treatments being tested are not being studied for commercial purposes.

Intervention (Unstuck & On Target: High School)
School staff will receive training on the Unstuck and On Target: High School (UOT:HS) curriculum, and deliver lessons to students during the school day. Interventionists will have the option to participate in ongoing check-ins with study staff. Parents are provided home extensions for each lesson and have the option to participate in trainings delivered by study staff to support generalization of skills to the home environment.

Trial Logistics

Trial Timeline

Approximate Timeline
Screening: ~3 weeks
Treatment: Varies
Reporting: baseline to end of intervention (up to end of academic year)
This trial has the following approximate timeline: 3 weeks for initial screening, variable treatment timelines, and roughly baseline to end of intervention (up to end of academic year) for reporting.

Who is running the study

Principal Investigator
C. P.
Cara Pugliese, Clinical Psychologist
Children's National Research Institute

Closest Location

Center for Autism Spectrum Disorders, Children's National Hospital - Rockville, MD

Eligibility Criteria

This trial is for patients born any sex aged 65 and younger. There are 4 eligibility criteria to participate in this trial as listed below.

Mark “yes” if the following statements are true for you:
The student spends at least 20% of their time in mainstream educational services, as identified in their IEP or through teacher report. show original
Someone who is considered to have a full scale IQ of 80 or higher is considered to have an above-average intelligence show original
Someone who has been diagnosed with autism by a qualified professional. show original
A score of ≥11 on the Social Communication Questionnaire means that the child is identified as having a social communication disorder via parent and/or teacher report. show original

Patient Q&A Section

How many people get adolescent behaviors a year in the United States?

"Between 15.5 and 43.1 million US residents aged 11 to 17 will develop at least one unhealthy lifestyle characteristic in a 10-year period. The prevalence of overweight/obesity was high." - Anonymous Online Contributor

Unverified Answer

What are common treatments for adolescent behaviors?

"Adolescent-focused treatments have been the most commonly used, followed by brief general-purpose treatments. The most commonly used treatment in all four domains combined is intensive specialty behavioral medicine." - Anonymous Online Contributor

Unverified Answer

What causes adolescent behaviors?

"The causes of adolescent behavior are diverse. Many underlying influences and causal influences have not been identified. The causes of adolescent behavior need to be studied comprehensively in order to better understand the mental health needs of the adolescent population." - Anonymous Online Contributor

Unverified Answer

What are the signs of adolescent behaviors?

"Signs of adolescent psychosocial distress include depression and substance use. In children, behaviors of self-injury, truancy, and bullying are commonly reported. Parental attitudes and perceptions of adolescents also play an important role in the occurrence of adolescent behaviors." - Anonymous Online Contributor

Unverified Answer

Can adolescent behaviors be cured?

"Atypical psychopharmacologic treatments have shown varying degrees of success, with a lack of consensus as to how to define and characterize successful treatment. Further research is necessary to find the most effective means of curing pathological adolescent behavior." - Anonymous Online Contributor

Unverified Answer

What is adolescent behaviors?

"adolescent behavior is a combination of many factors that vary across various subpopulations including race, age, and sexual orientation. It is crucial to view the factors influencing each adolescent's behavior through an interdisciplinary lens in order to formulate effective solutions to behavior problems." - Anonymous Online Contributor

Unverified Answer

What is unstuck & on target: high school?

"[School is a hard place. A good place to start is to help youth build their resilience. Here at Harvard University we offer a range of resilience-building programs at every level of schooling, from high school all the way to postgraduate training, to help youth succeed in life. Students get to explore what motivates them and what's important to them so they can learn resilience skills from mentors in the classroom, on the basketball courts, and through other community-based programs. Unstuck & on target: High School." - Anonymous Online Contributor

Unverified Answer

Does adolescent behaviors run in families?

"More adolescent boys are having risky sex and engaging in multiple sex partners during their adolescence compared with girls. The differences appear to continue into young adulthood. We cannot determine the causal factors behind the different sexual behavior patterns of boys and girls. Further research should explore whether these gender-specific patterns are attributable to environmental or biological factors." - Anonymous Online Contributor

Unverified Answer

What is the latest research for adolescent behaviors?

"This review of the literature was limited to the last 5 years. There are many reasons behind the limitations of this review, including time and money constraints and the fact that the literature tends to concentrate on adolescent psychosocial issues, and less on research in adolescent behaviors. However, the most recent reviews on adolescent behaviors do exist and future reviews should seek to include them because adolescent behavior research appears to be pertinent in light of the needs and experiences of emerging adolescent populations." - Anonymous Online Contributor

Unverified Answer

What are the common side effects of unstuck & on target: high school?

"The most common side effects of stucks and on target show the same types of problems we expect from other high school years. These problems (e.g., self-harm, drinking, drug use) occur throughout all year groups and vary little between the two groups." - Anonymous Online Contributor

Unverified Answer

Is unstuck & on target: high school safe for people?

"Students are making healthy decisions: physical activity, diet and sleep quality, and avoiding alcohol. Higher SES and greater family function can make healthier lifestyles for teenagers." - Anonymous Online Contributor

Unverified Answer

Who should consider clinical trials for adolescent behaviors?

"A clinical trial was more effective at impacting the adolescent behavior at baseline than the parent treatment. Adolescents are more likely to be willing to participate in the treatment than parents, and as such, adolescent behavioral health can be a stronger motivator for adolescents compared to parents in adolescent clinical trials." - Anonymous Online Contributor

Unverified Answer
Please Note: These questions and answers are submitted by anonymous patients, and have not been verified by our internal team.
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