Cognitive-behavioral family therapy as psychoeducation for adolescents with high-functioning autism spectrum disorders:

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Cognitive-behavioral family therapy as psychoeducation for adolescents with highfunctioning autism spectrum disorders: Aware and Care for my Autistic Traits (ACAT) program study protocol for a pragmatic multisite randomized controlled trial Fumiyo Oshima1*, Mandy William2, Noriko Takahashi3, Aki Tsuchiyagaito1,4, Hitoshi Kuwabara5, Akihiro Shiina6, Mikuko Seto1, Minako Hongo1, Yui Iwama1, Yoshiyuki Hirano1, Chihiro Sutoh1, Kayoko Taguchi1, Tokiko Yoshida1, Yohei Kawasaki7, Yoshihito Ozawa7, Jiro Masuya3,8, Noriyuki Sato3, Shizuka Nakamura3, Masaru Kuno1, Jumpei Takahashi1, Toshiyuki Ohtani1, Daisuke Matsuzawa1, Naoko Inada9, Miho Kuroda10, Mika Ando11, Arinobu Hori12, Akiko Nakagawa1 and Eiji Shimizu1

Abstract Background: One aim of an autism spectrum disorder (ASD) diagnosis is to obtain special support for the disorder, though this does not guarantee practical support. We developed a psychoeducational program using cognitivebehavioral therapy (CBT) and Aware and Care for my Autistic Traits (ACAT) for Japanese adolescents with highfunctioning ASD and their parents. (Continued on next page)

* Correspondence: [email protected] 1 Research Center for Child Mental Development, Chiba University, 1-8-1 Inohana Chuouku, Chiba 260-8670, Japan Full list of author information is available at the end of the article © The Author(s). 2020 Open Access This article is licensed under a Creative Commons Attribution 4.0 International License, which permits use, sharing, adaptation, distribution and reproduction in any medium or format, as long as you give appropriate credit to the original author(s) and the source, provide a link to the Creative Commons licence, and indicate if changes were made. The images or other third party material in this article are included in the article's Creative Commons licence, unless indicated otherwise in a credit line to the material. If material is not included in the article's Creative Commons licence and your intended use is not permitted by statutory regulation or exceeds the permitted use, you will need to obtain permission directly from the copyright holder. To view a copy of this licence, visit http://creativecommons.org/licenses/by/4.0/. The Creative Commons Public Domain Dedication waiver (http://creativecommons.org/publicdomain/zero/1.0/) applies to the data made available in this article, unless otherwise stated in a credit line to the data.

Oshima et al. Trials

(2020) 21:814

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Methods: This multisite study is a randomized controlled trial. In total, 24 participants will be assigned to the ACAT group and 24 to the treatment-as-usual (TAU) group. The ACAT group will receive a weekly 100-min session for 6 weeks, regular medical care, and one follow-up session. In this ongoing clinical trial, we will compare the scores of the measures recorded in the pre- and post-intervention stages between the ACAT and TAU groups. A total of 41 patients out of a target of 48 have participated in the trial to date. The primar