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Single\u2011arm, non\u2011randomised feasibility study aligned with CONSORT pilot\/feasibility guidance. Thirty\u2011six families of adolescents (11\u201319\u00a0years) with moderate\u2013severe learning disabilities (many also autistic) were recruited via three special schools. Individually tailored OT\/SLT sessions focussed on parent\u2011nominated goals in self\u2011care\/daily living, communication, and behaviour. Hybrid delivery (home visits\u2009+\u2009secure video); feasibility and acceptability were primary outcomes; exploratory secondary outcomes included DBC, HSQ, APSI, COPM, and GAS. Recruitment via schools was via a convenience sample (36 families). Attendance was high (159\/190 sessions; 83.7%) with 99 home and 59 video sessions. Endpoint data were obtained for 22 families. Parents reported strong alliance (WAI median 89.5, IQR 73.0\u201391.0). Exploratory signals suggested improvement: DBC\n                    <jats:italic>T<\/jats:italic>\n                    \u2011score\u2009\u2212\u20093.90 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.004;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200919); HSQ mean severity\u2009\u2212\u20090.71 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.018;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200919); APSI total\u2009\u2212\u20096.80 (\n                    <jats:italic>p<\/jats:italic>\n                    \u2009=\u20090.046;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200920). COPM median change\u2009+\u20093.0 (performance) and\u2009+\u20094.0 (satisfaction) (both\n                    <jats:italic>p<\/jats:italic>\n                    \u2009&lt;\u20090.001;\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200917). GAS modelling suggested dose effects:\u2009~\u20097 sessions linked to\u2009~\u200980% probability of achieving expected goals, and\u2009~\u200910 to exceeding them (\n                    <jats:italic>n<\/jats:italic>\n                    \u2009=\u200931).\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:italic>Conclusion<\/jats:italic>\n                    : ACHIEVE was feasible and acceptable in UK practice with high engagement and manageable data collection. Dose\u2013response signals and alliance strength support a minimum session count and continued coaching emphasis. Findings inform outcome selection, dose, and schedules for a definitive trial; clinical changes remain exploratory.\n                  <\/jats:p>\n                  <jats:p>\n                    <jats:table-wrap>\n                      <jats:table>\n                        <jats:tbody>\n                          <jats:tr>\n                            <jats:td align=\"left\" colspan=\"2\">\n                              <jats:bold>What is Known:<\/jats:bold>\n                              \u2022\n                              <jats:italic>Adolescents with learning disabilities (often with co-occurring autism) and their families struggle to access practical home\u2011based support; robust evidence is limited<\/jats:italic>\n                              .\u2022\n                              <jats:italic>Family\u2011centred, parent\u2011coached allied\u2011health interventions are promising but under\u2011studied for adolescents and in home\/hybrid formats<\/jats:italic>\n                              .\n                            <\/jats:td>\n                          <\/jats:tr>\n                          <jats:tr>\n                            <jats:td align=\"left\" colspan=\"2\">\n                              <jats:bold>What is New:<\/jats:bold>\n                              \u2022\n                              <jats:italic>ACHIEVE\u2014a home\u2011based Occupational therapy\/Speech &amp; Language Therapy, parent\u2011nominated goal programme\u2014proved feasible and acceptable with strong therapeutic alliance for families of adolescents with learning disabilities with or without autism<\/jats:italic>\n                              .\u2022\n                              <jats:italic>Exploratory improvements and a dose signal (~7\u201310 sessions) guide scheduling and outcomes for a future comparative trial<\/jats:italic>\n                              .\n                            <\/jats:td>\n                          <\/jats:tr>\n                        <\/jats:tbody>\n                      <\/jats:table>\n                    <\/jats:table-wrap>\n                  <\/jats:p>","DOI":"10.1007\/s00431-026-07246-1","type":"journal-article","created":{"date-parts":[[2026,7,17]],"date-time":"2026-07-17T18:08:55Z","timestamp":1784311735000},"update-policy":"https:\/\/doi.org\/10.1007\/springer_crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["A nonrandomised feasibility evaluation of a home\u2011based intervention for parents of adolescents with learning disabilities, with or without autism"],"prefix":"10.1007","volume":"185","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0577-1897","authenticated-orcid":false,"given":"Michael","family":"Absoud","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Carla","family":"Rush","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lisa","family":"Mackey","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Amy","family":"Waters","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Gordon","family":"Forbes","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Karen","family":"Pratt","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Ashley","family":"Liew","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Katy","family":"Strudwick","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Vicky","family":"Slonims","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"297","published-online":{"date-parts":[[2026,7,17]]},"reference":[{"key":"7246_CR1","unstructured":"(2026) MENCAP: https:\/\/www.mencap.org.uk\/learning-disability-explained\/research-and-statistics\/how-common-learning-disability. 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