{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,7]],"date-time":"2026-07-07T23:35:45Z","timestamp":1783467345499,"version":"3.55.0"},"reference-count":33,"publisher":"Wiley","issue":"2","license":[{"start":{"date-parts":[[2024,2,6]],"date-time":"2024-02-06T00:00:00Z","timestamp":1707177600000},"content-version":"vor","delay-in-days":5,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"funder":[{"DOI":"10.13039\/100005098","name":"Organization for Autism Research","doi-asserted-by":"publisher","award":["2020A03"],"award-info":[{"award-number":["2020A03"]}],"id":[{"id":"10.13039\/100005098","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Autism Research"],"published-print":{"date-parts":[[2024,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>Initial studies of the emotional safety plan (ESP), a new, brief telehealth and mobile intervention to support autistic adults to cope with periods of distress, have reported feasibility and acceptability (Bal et al., 2023, Autism, 1\u201313). Herein we report the preliminary clinical outcomes of thirty\u2010six autistic adults who developed a personalized ESP, with a specific interest in comparing \u201coutcomes\u201d demonstrated by different instruments and assessment frequencies in order to inform outcome measurement in future clinical trials. Comparison of pre\u2010intervention baseline to post\u2010monitoring outcome (pre\u2013post) anxiety symptoms (Generalized Anxiety Disorder\u20107 [GAD\u20107]) and depressive symptoms (Patient Health Questionnaire\u20109 [PHQ\u20109]) revealed medium effect sizes for reduction in symptoms, though, low effect sizes were observed for pre\u2013post Adult Self\u2010report Anxiety and Depressive Problems scales and the Emotion Dysregulation Inventory Reactivity and Dysphoria scales. Weekly assessments showed an initial decrease in GAD\u20107 anxiety symptoms but no effect on weekly PHQ\u20109 depressive ratings. Ecological momentary assessment (EMA) data suggested that, when participants reported feeling sad or agitated and used the ESP, reduced negative feelings and increased positive states were reported in subsequent EMA. Perhaps not surprisingly, preliminary outcomes of these feasibility trials differed depending on measure chosen. Implications for the design of clinical trials are discussed.<\/jats:p>","DOI":"10.1002\/aur.3095","type":"journal-article","created":{"date-parts":[[2024,2,7]],"date-time":"2024-02-07T06:45:16Z","timestamp":1707288316000},"page":"432-442","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":4,"title":["The impact of measurement on clinical trials: Comparison of preliminary outcomes of a brief mobile intervention for autistic adults using multiple measurement approaches"],"prefix":"10.1002","volume":"17","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0213-4112","authenticated-orcid":false,"given":"Annabelle M.","family":"Mournet","sequence":"first","affiliation":[{"name":"Department of Psychology Rutgers, The State University of New Jersey  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gabrielle","family":"Gunin","sequence":"additional","affiliation":[{"name":"Department of Psychology Rutgers, The State University of New Jersey  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Jacqueline","family":"Shinall","sequence":"additional","affiliation":[{"name":"Department of Psychology Rutgers, The State University of New Jersey  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Brennan","sequence":"additional","affiliation":[{"name":"Department of Psychology Rutgers, The State University of New Jersey  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Nikita","family":"Jadav","sequence":"additional","affiliation":[{"name":"Department of Psychology Rutgers, The State University of New Jersey  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Emily","family":"Istvan","sequence":"additional","affiliation":[{"name":"Department of Psychology Rutgers, The State University of New Jersey  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Evan M.","family":"Kleiman","sequence":"additional","affiliation":[{"name":"Department of Psychology Rutgers, The State University of New Jersey  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-0750-823X","authenticated-orcid":false,"given":"Vanessa H.","family":"Bal","sequence":"additional","affiliation":[{"name":"Department of Psychology Rutgers, The State University of New Jersey  Piscataway New Jersey USA"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2024,2,6]]},"reference":[{"key":"e_1_2_7_2_1","volume-title":"Manual for the ASEBA adult forms & profiles","author":"Achenbach T. 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