{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,26]],"date-time":"2026-07-26T00:53:48Z","timestamp":1785027228752,"version":"3.55.0"},"reference-count":73,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T00:00:00Z","timestamp":1765670400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2025,12,14]],"date-time":"2025-12-14T00:00:00Z","timestamp":1765670400000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100000265","name":"Medical Research Council","doi-asserted-by":"publisher","award":["1118148"],"award-info":[{"award-number":["1118148"]}],"id":[{"id":"10.13039\/501100000265","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Autism Research"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:p>\n                    At least 50% of autistic people experience clinically relevant anxiety symptoms. However, reasons for elevated rates of anxiety in autism remain poorly understood and there is a high unmet need for novel and adapted therapies for anxiety that are accessible to autistic people. This study aimed to establish the feasibility of a novel app\u2010based anxiety management tool (\u201cMolehill Mountain\u201d) that has been developed with, and adapted for, autistic people. A single\u2010centre, single\u2010arm feasibility study design was employed, whereby autistic people (\u2265\u200916\u2009years) with mild\u2010to\u2010severe symptoms of anxiety were recruited to a 13\u2010week intervention period (King's College London, UK;\n                    <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">clinicaltrials.gov<\/jats:ext-link>\n                    identifier NCT05302167). Of 123 prospective participants screened, 100 (81%) participants aged 16\u201374\u2009years (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200969 female) were enrolled within approximately 15 months.\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200976 (76%) completed an anxiety measure at ~15\u2009weeks (Generalized Anxiety Disorder\u20147 Item Scale; GAD\u20107). Most adhered to the full intervention duration: 65% (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200947), with most using the app weekly (1\u20136\u2009days per week; 58%). 73% of participants agreed that they found the app easy to use overall and that an app is a good format for offering anxiety support to autistic people. There was a significant reduction in self\u2010reported anxiety symptom severity with mean difference 2.88 (95% CI 1.88, 3.89;\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001; Cohen's\n                    <jats:italic>d<\/jats:italic>\n                    \u2009=\u20090.45). We found that an autism\u2010adapted app\u2010based anxiety management tool is acceptable to the community and associated with reduced anxiety symptom severity in autistic adults, on average. Following optimization to further enhance usability, the efficacy of the Molehill Mountain app for reducing anxiety must now be tested under randomized controlled conditions in a full\u2010scale clinical trial.\n                  <\/jats:p>","DOI":"10.1002\/aur.70153","type":"journal-article","created":{"date-parts":[[2025,12,15]],"date-time":"2025-12-15T07:23:35Z","timestamp":1765783415000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Feasibility Study of a Novel App\u2010Based Anxiety Intervention for Autistic People"],"prefix":"10.1002","volume":"19","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-1968-134X","authenticated-orcid":false,"given":"Bethany","family":"Oakley","sequence":"first","affiliation":[{"name":"Department of Forensic and Neurodevelopmental Sciences Institute of Psychiatry, Psychology and Neuroscience, King's College London, Camberwell  London 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London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ann","family":"Ozsivadjian","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust  London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sophie","family":"Doswell","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust  London UK"},{"name":"National Adult ADHD and ASD Psychology Service (NAAAPS), Behavioural &amp; Developmental Psychiatry, Monks Orchard House Bethlem Royal Hospital  Kent UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Antonia","family":"Dittner","sequence":"additional","affiliation":[{"name":"South London and Maudsley NHS Foundation Trust  London UK"},{"name":"National Adult ADHD and ASD Psychology Service (NAAAPS), Behavioural &amp; Developmental Psychiatry, Monks Orchard House Bethlem Royal Hospital  Kent 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