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Embedding immediate performance feedback in consultation models for autism interventions in community mental health settings

Award Number: K23MH144209
ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH
OPDIV: NIH
AWARD CLASS: DISCRETIONARY
AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP
PERIOD OF PERFORMANCE START DATE: 09/04/2026
PERIOD OF PERFORMANCE END DATE: 08/31/2030

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Embedding immediate performance feedback in consultation models for autism interventions in community mental health settings - PROJECT SUMMARY/ABSTRACT The purpose of this K23 Career Development Award is to support the applicant in developing an independent research career in optimizing implementation strategies to improve the delivery of evidence-based autism interventions in publicly funded settings. The award will build upon the applicant's foundational training in implementation science from a NIMH-funded F31 award (MH127814) through structured training and mentorship in human-centered design, community-engaged autism research, and clinical trial management. Caregiver coaching interventions for young autistic children are an evidence-based practice, but are infrequently implemented with fidelity in public mental health settings. Traditional consultation models used to support clinician behavior change infrequently include immediate performance feedback, limiting their impact on clinician learning. This results in sub-optimal clinician fidelity and child outcomes. This project will address these gaps by embedding immediate performance feedback in two optimized consultation models—behavioral rehearsal and bug-in-the-ear coaching—using human-centered design to ensure feasibility, acceptability, and scalability in community settings. Under the primary mentorship of David Mandell, Sc.D. (human-centered design expert and autism clinical trials expert), co-mentorship from Melanie Pellecchia, Ph.D. (community-engaged autism research expert) as well as mentorship from advisors Alison Buttenheim, Ph.D. (human-centered design expert), Steve Marcus, Ph.D. (expert in large clinical trials and statistics), and Shannon Dorsey, Ph.D. (co-developer of the human-centered design method used in the project), the applicant will pursue training in three key areas: 1) integrating implementation science with human-centered design; 2) community-engaged autism research; and 3) clinical trial design and management. Research aims are to: 1) characterize current consultation and supervision practices in the service system; 2) develop and optimize behavioral rehearsal and bug-in-the-ear coaching models to be scalable for implementation within the existing supervision infrastructure; and 3) conduct a pilot trial comparing optimized models to traditional consultation. This proposal aligns with NIMH Strategic Objectives to expedite adoption, sustained implementation, and continuous improvement of evidence-based mental health services [4.2], strengthen partnerships with key end users and address workforce training challenges [4.2.A], and develop innovative service delivery models to improve outcomes in community settings [4.3]. The proposed training and research will position the applicant to become an independent, NIH-funded scientist focused on optimizing implementation strategies to improve autism services in publicly funded behavioral health settings.


Issue Date FY	Funding FY	Legal Entity Name	Legal Entity Address	Legal Entity City	Legal Entity State	Legal Entity Zip Code	Legal Entity COUNTY	Legal Entity COUNTRY	Assistance Listing	Award Code	Budget Year	Action Date	Action Type	Action Amount

Issue Date FY: 2026 ( Subtotal = $186,300 )
2026	2026	UNIVERSITY OF MIAMI	1320 SOUTH DIXIE HIGHWAY STE 650	CORAL GABLES	FL	33146	MIAMI-DADE	USA	Mental Health Research Grants	000	1	9/8/2026	NEW	$186,300
														Subtotal = $186,300

Grand Total All Awards = $186,300

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Embedding immediate performance feedback in consultation models for autism interventions in community mental health settings

Award Number: K23MH144209

ORGANIZATION: NATIONAL INSTITUTE OF MENTAL HEALTH

OPDIV: NIH

AWARD CLASS: DISCRETIONARY

AWARD ACTIVITY TYPE: TRAINING/TRAINEESHIP

PERIOD OF PERFORMANCE START DATE: 09/04/2026

PERIOD OF PERFORMANCE END DATE: 08/31/2030

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