Overview
The goal of this clinical trial is to learn whether the Spanish-language version of Unstuck and On Target (SL-Unstuck), an executive functioning (EF) intervention, is feasible, acceptable, and effective for Spanish-speaking caregivers and their neurodivergent children (ages 8-11) in the U.S.. The main questions it aims to answer are:
- Is SL-Unstuck acceptable to Spanish-speaking caregivers and children?
- Does SL-Unstuck improve child EF, caregiver EF knowledge, and caregiver strain?
Researchers will compare families randomly assigned to immediate SL-Unstuck versus waitlist control to see if participating in the intervention improves EF and family outcomes.
Participants will:
- Attend 8 weekly SL-Unstuck sessions at a clinic (parallel child and caregiver groups)
- Complete pre- and post-intervention assessments on child EF, caregiver strain, and satisfaction
- Participate in a focus group to share feedback on the intervention
Eligibility
Inclusion Criteria:
- Child is 8-11 years old.
- Child meets DSM-5 criteria for Autism Spectrum Disorder and/or ADHD
- Child has verbal skills at a 7-year-old level or greater (as measured by WASI Vocabulary and Similarities subtests)
- Caregiver endorses at least one of the following executive functioning problems:
- Difficulty accepting feedback or criticism.
- Difficulty handling frustration.
- Difficulty starting non-preferred activities.
- Frequent meltdowns.
- Not stopping a behavior after being told to stop.
- Shutting down in the face of a challenge.
- Caregiver is at least 18 years old.
- Caregiver identifies Spanish as their preferred or primary language.
Exclusion Criteria:
\- Individuals will be excluded only if they do not meet one or more of the inclusion criteria listed above.
