Testing Design Thinking Methodology to Engage Hispanic and Latino Families of Autistic Children in Research.

The goal of this study is to compare two methods of engagement in research that include autistic individuals, Hispanic and Latino parents of autistic children, occupational therapy clinicians, teachers, and to use the information collected in the sessions to culturally adapt the occupational therapy Ayres Sensory Integration intervention to improve participation and health outcomes. The main questions it aims to answer are: Does the Design Thinking process result in higher stakeholder engagement and satisfaction in the research process in comparison to Focus Groups? Secondary question: Do cultural adaptations using DT data yield higher acceptability and implementation feasibility scores than FG methods? Participants will: * Be randomized into two groups of engagement (focus groups and design thinking) * Be blinded (clinicians, selected caregivers, autistic persons, and cultural experts) and will rate the culturally adapted manualized protocol and evaluate the acceptability, feasibility, and cultural appropriateness of each protocol based on DT data, higher than the protocol based on FG data.

Inclusion Criteria: * Autistic person: * confirmed diagnosis of autism spectrum disorder * Hispanic/Latino * received therapeutic services as a child; and * willing and able (with i.e., language and cognitive skills) to participate in the design thinking or focus group session designed to learn about the facilitator and barriers to receipt of therapeutic services. * Parent/caregiver: * Hispanic/Latino caregiver of an autistic child who receives or received therapeutic services such as occupational, physical, speech and language therapy * willing to participate in the design thinking or focus group session designed to learn about the facilitator and barriers to receipt of therapeutic services. * Exclusion Criteria: * Do not meet age for autistic individual or diagnostic criteria