Navigating the Transition to Adulthood: A Dual Language Mobile App for Latino Youth With ASD and Their Families

July 8, 2026 updated by: Antonio Pagan, The University of Texas Health Science Center, Houston
The purpose of this study is to determine useability and satisfaction characteristics,product usage data,methodological feasibility parameters and feasibility metrics of the mHealth app adapted intervention on the mental health, quality of life, and adaptive functioning of Latino transition aged young adults with ASD and their parents.

Study Overview

Status

Not yet recruiting

Conditions

Intervention / Treatment

Study Type

Interventional

Enrollment (Estimated)

30

Phase

  • Not Applicable

Contacts and Locations

This section provides the contact details for those conducting the study, and information on where this study is being conducted.

Study Contact

Study Contact Backup

Study Locations

Participation Criteria

Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.

Eligibility Criteria

Ages Eligible for Study

  • Adult

Accepts Healthy Volunteers

No

Description

Inclusion Criteria:

  • Latino young adults with ASD ASD with a score of 15 or greater on the Social Communication Questionnaire-Lifetime (SCQ-L)
  • meets Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR), criteria for ASD based on a DSM-5-TR ASD symptom checklist
  • previous diagnosis of ASD from a licensed mental health or medical professional(f they have not been diagnosed by a licensed mental health or medical professional, a complete a diagnostic evaluation will be conducted, using semi-structured interviews, questionnaires, the autism diagnostic interview-revised (ADI-R), and the Autism Diagnostic Observation Schedule, Second Edition (ADOS-2) to confirm ASD diagnosis)
  • above the "moderate" cut off for symptoms of anxiety or depression( Depression and anxiety symptoms will be assessed via the Patient Health Questionnaire-9 (PHQ-9) and the Generalized Anxiety Disorder-7 (GAD-7)
  • Spanish-speaking parents

Exclusion Criteria:

  • low intelligence quotient (IQ) score (Verbal IQ < 70) on the verbal IQ on Kaufman Brief Intelligence Test Second Edition (KBIT-2)
  • psychotic as determined by the Structured clinical interview for Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM5): Research Version (SCID-5-RV), or are actively suicidal with an active plan.
  • substance abuse

Study Plan

This section provides details of the study plan, including how the study is designed and what the study is measuring.

How is the study designed?

Design Details

  • Primary Purpose: Treatment
  • Allocation: N/A
  • Interventional Model: Single Group Assignment
  • Masking: None (Open Label)

Arms and Interventions

Participant Group / Arm
Intervention / Treatment
Experimental: ¡Iniciando! mHealth App
Participants will undergo 12 weekly, 1-hour virtual group sessions (separate for young adults and parents) and weekly, 30-minute individual virtual coaching sessions for young adults (which parents may attend as appropriate). Participants will also engage with the ¡Iniciando! app modules before and after their virtual group meetings. Throughout the approximately three-month study period, participants will complete (e.g., usability, satisfaction, adherence, app usage data).

What is the study measuring?

Primary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Number of participants recruited
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Source of participants
Time Frame: end of study (about 3 months after baseline)

Participants maybe recruited from the following :

UTHealth Houston Community Health Workers Social Media advertisements Private clinics

end of study (about 3 months after baseline)
Time taken for recruitment of participants
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Number of participants that completed the study
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Usability as measured by the User Version of the Mobile Application Rating Scale (uMARS)
Time Frame: end of study (about 3 months after baseline)
This is a 20 item questionnaire and each item is rated on a 5-point Likert scale, scores range from 1(inadequate) to 5(excellent) with higher scores indicating better usability.
end of study (about 3 months after baseline)
Usability as Measured by the System Usability Scale (SUS)
Time Frame: end of study (about 3 months after baseline)
The System Usability Scale (SUS) is a validated 10-item questionnaire . Each item is rated on a 5-point Likert scale (1 = strongly disagree to 5 = strongly agree). Scores are converted to a total SUS score ranging from 0 to 100, with higher scores indicating better usability. A score above 68 is generally considered above average usability.
end of study (about 3 months after baseline)
Differences in outcome expectancy as assessed by the treatment credibility scales
Time Frame: end of study (about 3 months after baseline)
this is a 6 item questionnaire and each is scored from 1-9, maximum score would be 54, higher score indicating better outcome
end of study (about 3 months after baseline)
Treatment Adherence as assessed by the number of completed sessions
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Treatment Adherence as assessed by the homework completion rate
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Treatment Adherence as assessed by the number of participants that drop out
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Treatment Adherence as assessed by the time spent on homework
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Time-used on the mHealth app
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Percentage of modules completed on the mHealth app
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Frequencies of goal setting on the mHealth app
Time Frame: end of study (about 3 months after baseline)
end of study (about 3 months after baseline)
Acceptability of Intervention as assessed by the Acceptability of Intervention Measure (AIM
Time Frame: end of study (about 3 months after baseline)
This is a 4 item questionnaire and each is scored form 1( completely disagree) to 5 (completely agree) for a maximum score of 20, higher score indicating better outcome
end of study (about 3 months after baseline)
Intervention Appropriateness as assessed by the Intervention Appropriateness Measure (IAM)
Time Frame: end of study (about 3 months after baseline)
This is a 4 item questionnaire and each is scored form 1( completely disagree) to 5 (completely agree) for a maximum score of 20, higher score indicating better outcome
end of study (about 3 months after baseline)
Feasibility of Intervention as assessed by the Feasibility of Intervention Measure (FIM)
Time Frame: end of study (about 3 months after baseline)
This is a 4 item questionnaire and each is scored form 1( completely disagree) to 5 (completely agree) for a maximum score of 20, higher score indicating better outcome
end of study (about 3 months after baseline)

Secondary Outcome Measures

Outcome Measure
Measure Description
Time Frame
Change in depression as assessed by the Patient Health Questionnaire-9 (PHQ-9) for depressive symptoms
Time Frame: baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)
This is a 9 item questionnaire and each is scored from 0(not at all) to 3(nearly every day) for a maximum score of 27, higher number indicating worse outcome
baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)
Change in anxiety as assessed by the Generalized Anxiety Disorder-7 (GAD-7) for anxiety symptoms
Time Frame: baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)
This is a 7 item questionnaire and each is scored from 0(not at all) to 4(nearly every day) for a maximum score of 21 , higher score indicating more anxiety
baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)
Change in adaptive functioning as assessed by the Adaptive Behavior Assessment System, Third Edition (ABAS-3)
Time Frame: baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)
This is a 239 item questionnaire and each is scored from 0(is not able to do this behavior) to 3 [(always able to do this behavior)(or almost always)] a higher number indicating better outcome
baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)
Change in quality of life as assessed by the Autism Spectrum Quality of Life (ASQoL) questionnaire
Time Frame: baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)
This is a 9 item questionnaire. Each is scored on a 4-point Likert scale from 1(not at all) to 5(totally) ,questions 6,7 and 8 are reverse scored for a maximum score range of 9-36 and higher score indicating better quality of life
baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)
Change in quality of life as assessed by the Spanish World Health Organization Quality of Life Brief Version (WHOQOL-BREF)
Time Frame: baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)
This is a 26 item questionnaire ,with 4 domains. Each is scored from 1(very poor) to 5(very good) ,questions 3,4 and 26 are reverse scored for a maximum raw score of 120 and higher score indicating better quality of life
baseline (+/-1 month), 6 weeks later (+/-1 month), and 12 weeks later ((+/-1 month)

Collaborators and Investigators

This is where you will find people and organizations involved with this study.

Sponsor

Collaborators

Investigators

  • Principal Investigator: Antonio Pagán, PhD, The University of Texas Health Science Center, Houston

Study record dates

These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.

Study Major Dates

Study Start (Estimated)

August 1, 2026

Primary Completion (Estimated)

March 31, 2027

Study Completion (Estimated)

June 30, 2027

Study Registration Dates

First Submitted

September 5, 2025

First Submitted That Met QC Criteria

September 5, 2025

First Posted (Actual)

September 12, 2025

Study Record Updates

Last Update Posted (Actual)

July 10, 2026

Last Update Submitted That Met QC Criteria

July 8, 2026

Last Verified

July 1, 2026

More Information

Terms related to this study

Keywords

Other Study ID Numbers

  • HSC-MS-25-0519
  • 1R03HD119485 (U.S. NIH Grant/Contract)

Drug and device information, study documents

Studies a U.S. FDA-regulated drug product

No

Studies a U.S. FDA-regulated device product

No

product manufactured in and exported from the U.S.

No

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