Feasibility and Acceptability of MEYA, a Free Online Platform Providing Personalized Guidance in Evidence-Supported Practices to Clinicians Working with Autistic Youth: A Mixed-Methods Evaluation

Autistic youth experience high rates of co-occurring mental health concerns, yet empirically supported practices (ESPs) are rarely implemented with fidelity in community care due to barriers in training, scalability, and workflow integration. The Modular Evidence-Based Practices for Youth on the Autism Spectrum (MEYA) platform was developed as a free, open-access digital tool that provides just-in-time therapist training, modular cognitive-behavioral therapy (CBT) strategies, and caregiver-supported goal monitoring. Methods: In this mixed-methods study, seven community clinicians implemented MEYA following a baseline phase of usual care. Platform use was tracked through analytics, and six clinicians participated in qualitative exit interviews. Results: Directed content analysis revealed five overarching themes: MEYA was perceived as useful, flexible, and clinically relevant; therapists valued the CBT content and caregiver goal charts; feasibility was supported by its accessibility but limited by workflow demands; underutilization of measurement-based care (MBC) features and a resulting impact on the personalization of care were noted barriers. Engagement data showed moderate-to-high uptake across modules. Conclusion: Overall, MEYA was feasible and acceptable across diverse providers, with strengths in usability and fidelity support. Findings identify priorities for refinement, particularly in automating measurement-based care features and creating push-out guidance via email to clinicians who need to conserve time and effort. These results provide preliminary evidence for MEYA as a scalable platform to increase access to ESPs for autistic youth.