Dissemination & Implementation Science
Kaitlyn Ahlers, Ph.D. (she/her/hers)
Dartmouth Health
Lebanon, New Hampshire, United States
Jill Locke, Ph.D. (she/her/hers)
Associate Professor
University of Washington School of Medicine
Seattle, Washington, United States
Jessica Tschida, M.A. (she/her/hers)
Graduate Student
Michigan State University
East Lansing, Michigan, United States
Kelsey Dickson, Ph.D. (she/her/hers)
Assistant Professor
San Diego State University
San Diego, California, United States
Kaitlyn Ahlers, Ph.D. (she/her/hers)
Dartmouth Health
Lebanon, New Hampshire, United States
Jessica Schwartzman, Ph.D. (she/her/hers)
University of Southern California
Los Angeles, California, United States
Alana McVey, Ph.D. (she/her/hers)
University of Washington School of Medicine
Seattle, Washington, United States
To optimize the likelihood that evidence-based practices (EBPs) are adopted in community settings, EBPs must be feasible, appropriate, and acceptable for diverse service settings, providers, and those they are intending to support. Thus, when implementing EBPs in real world settings, it is important to modify or adapt EBPs to ensure optimal “fit” to the environment (e.g., schools, community mental health) and client characteristics (e.g., sensory sensitivities). EBP adaptation may be especially important for autistic individuals to enhance intervention effectiveness (e.g., Wood et al., 2020) and to ensure that the practices are tailored to autistic individuals’ needs, which is a leading priority in the autistic community (Crane et al., 2019). Importantly, fidelity to implementation of an intervention (i.e., the extent to which the intervention is implemented as designed) is predictive of client outcomes, such that some modifications may enhance outcomes whereas others may not. Thus, there is a clear need for systematic approaches to the modification and adaptation of EBPs for autistic individuals to balance flexibility with fidelity. Community engagement is considered key to successful EBP adaptation, such that the inclusion of community partners (e.g., autistic individuals, clinicians) can increase the fit with client and clinician needs and characteristics. Moreover, research has historically been conducted without the input of autistic people, which has contributed to research that is not aligned with the priorities of the autistic community. Thus, the inclusion of autistic individuals and other community partners who work with autistic people via community-engaged research is crucial for ensuring more equitable and meaningful practices that support the health and well-being of the autistic community. The aim of the symposium is to describe community-partnered methodologies for EBP adaptation to enhance their translation and effectiveness in community settings for autistic individuals across the lifespan. The symposium will showcase four examples of community-partnered methodologies to EBP development and testing across diverse settings and mental health needs. Given that EBPs often are adapted for autistic people, but without clear guidelines for the most effective and feasible approaches to community-engaged adaptations, the first project (Tschida et al.) is a scoping review of community-engaged approaches to adaptation for autistic youth served in community settings. Then, we will highlight four unique community-engaged approaches to EBP adaptation. The second project (Dickson et al.) offers an example of a multi-step community-engaged process to translate an implementation toolkit targeting EBP selection designed from community settings to schools, a primary service setting for autistic youth. The remaining projects center on methods to tailor evidence-based interventions for autistic people with trauma (Ahlers et al.), depression (Schwartzman et al.), and suicidal thoughts and behaviors (McVey et al.) from adolescence to adulthood. We will offer lessons learned and recommendations for using community-engaged research methods to improve the relevance and fit of EBPs for autistic people.
Speaker: Jessica Tschida, M.A. (she/her/hers) – Michigan State University
Co-author: Kent Key, Ph.D., MPH (he/him/his) – Michigan State University
Co-author: Abby Stanley, - (she/her/hers) – Michigan State University
Co-author: Amy Drahota, Ph.D. (she/her/hers) – Michigan State University
Speaker: Kelsey Dickson, Ph.D. (she/her/hers) – San Diego State University
Co-author: Olivia Michael, B.S. (she/her/hers) – University of Washington
Co-author: Amy Drahota, Ph.D. (she/her/hers) – Michigan State University
Speaker: Kaitlyn Ahlers, Ph.D. (she/her/hers) – Dartmouth Health
Co-author: Haley Banta, Undergraduate Student (she/her/hers) – Dartmouth Health
Co-author: Mary K. Jankowski, PhD (she/her/hers) – Dartmouth Health
Co-author: Kelly Aschbrenner, PhD (she/her/hers) – Dartmouth Health
Speaker: Jessica Schwartzman, Ph.D. (she/her/hers) – University of Southern California
Co-author: Marissa Roth, M.S. – Vanderbilt University
Co-author: Ann Paterson, PhD (she/her/hers) – Williams Baptist University
Co-author: Alexandra X. Jacobs, B.A. – Independent
Co-author: Zachary J. Williams, Ph.D. – Vanderbilt University
Speaker: Alana J. McVey, Ph.D. (she/her/hers) – University of Washington School of Medicine
Co-author: Adora Du, BS (she/her/hers) – University of Washington
Co-author: Samantha Seaver, BA (she/her/hers) – Seattle Children's Autism Center
Co-author: Rene Niessner, MS (she/her/hers) – Purdue University
Co-author: Henry Boeh, PhD (he/him/his) – Center for Behavioral medicine
Co-author: Casey Wilson, MS (she/her/hers) – University of Washington
Co-author: Shannon Schoonover, LMHC (she/her/hers) – Wise Mind Academy
Co-author: Jill Locke, Ph.D. (she/her/hers) – University of Washington School of Medicine