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Aut-CARE Intervention to Improve Cognitive and Emotional Functioning in Young Adults on the Autism Spectrum

Co-creation of the Aut-CARE Intervention to Improve the Cognitive and Emotional Functioning of Young Adults on the Autism Spectrum and Facilitate Their Socio-occupational Integration

Status
Recruiting
Phases
Unknown
Study type
Observational
Source
ClinicalTrials.gov
Registry ID
NCT07041502
Acronym
Aut-CARE
Enrollment
37
Registered
2025-06-27
Start date
2024-10-16
Completion date
2026-09-15
Last updated
2025-06-27

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

Autism Spectrum Disorder, Autism Spectrum Disorder With Absence of Functional Language

Brief summary

Currently, many autistic youths struggle to adapt to academic programs or the workforce, often turning to third-sector organizations such as specialized associations and foundations. This may be due to factors such as emotional dysregulation and executive dysfunction, which interfere with their psychosocial adaptation abilities, leading to anxiety and depression. These challenges have a neurobiological basis tied to the unique complexities of the autistic brain, which experiences emotional and cognitive overload and lacks attentional filters. To address this issue, the emotional and executive functioning of autistic youths at the Friends Foundation will be assessed through objective and subjective assessments. This data collection will serve as a foundation for conceptualizing and co-creating a more realistic affective-cognitive remediation program, integrating user perspectives (conceptualization of interventions for systematic implementation). The program aims to improve the socio-occupational and emotional adaptation difficulties that often contribute to mental health challenges within this underserved population. It is important to highlight that many existing programs focus on cognitive training and social skills, neglecting strategies for adaptation and emotional regulation. This project will stand out for its inclusive design, featuring a representative sample of both sexes, overcoming the usual limitation of male-centered approaches.

Detailed description

The mixed or hybrid sequential study design (quantitative → qualitative → quantitative) includes three parts: A) Assessment of socio-occupational, neuropsychological, and psychological variables to establish relationships between the degree of impairment and socio-occupational integration. Quantitative study. B) Focus groups to determine the contents of the intervention program, which will be co-created as the Aut-CARE program. Qualitative study. C) Pilot study of the Aut-CARE program to evaluate its format, content, feasibility, and acceptability. Individuals aged 16 to 30 years with an ASD diagnosis, levels 1 and 2. The calculated sample size is 37 subjects for sub-study A; the minimum sample size for the focus groups (sub-study B) is 14; and a maximum of 10 participants for the pilot study (sub-study C).

Interventions

OTHERAut-CARE

There is no intervention

Sponsors

Fundació Institut de Recerca de l'Hospital de la Santa Creu i Sant Pau
Lead SponsorOTHER

Study design

Observational model
CASE_ONLY
Time perspective
CROSS_SECTIONAL

Eligibility

Sex/Gender
ALL
Age
16 Years to 30 Years
Healthy volunteers
No

Inclusion criteria

* Subjects aged 16 to 30 years (male, female, and non-binary) * Attending one or more services of the Friends Foundation (Prelaboral Friends, Laboral Friends, and EducaFriends). * Diagnosed with ASD (according to DSM-5 criteria), levels 1 or 2, and without intellectual disability (IQ \> 80).

Exclusion criteria

* None

Design outcomes

Primary

MeasureTime frameDescription
Difficulties in emotion regulation scale (DERS)1 dayThe DERS is a measure of emotional dysregulation. The raw scores range from 36 to 180. Higher scores mean more difficulties.
Battery of cognitive tests1 dayA set of neuropsychological tests is administered: Trail Making Test-A, Trail Making Test-B, Digit Symbol Substitution Test, Digit Span, Letter and Numbers, and Phonetic Fluency (PMR). Scores will be t-transformed (mean=50, SD=10), so high scores mean better performance.

Countries

Spain

Contacts

Primary ContactAlejandra Espinosa
AEspinosaG@santpau.cat+34 93 553 78 13
Backup ContactMuriel Vicent-Gil, Dr
mvicent@santpau.cat+34 93 553 78 38

Outcome results

None listed

Source: ClinicalTrials.gov · Data processed: Feb 4, 2026