Abstract
Adults who do not work, pursue higher education, or live independently from their parents despite the absence of a diagnosed physical, neurodevelopmental, or intellectual disability are often referred to as having ‘failure to launch’ (FTL). This preliminary randomized controlled trial evaluated a new parent-based intervention for FTL: Supportive Parenting for Anxious Childhood Emotions for FTL (SPACE-FTL). Parents of adults with FTL were assigned to SPACE-FTL or a waitlist. Primary outcomes included feasibility, acceptability, treatment satisfaction, and the change in FTL status and symptoms. Secondary and exploratory assessments included parental burden, family accommodation, cost-of-illness, and the adult child’s anxiety and depression symptom severity. Trial completers’ satisfaction score was 28 (87.5% of the maximal score). Post-treatment, FTL was absent in 60% of cases; no change was noted in the waitlist. Symptom severity, parental burden, and family accommodation were significantly reduced. The study provides preliminary evidence that SPACE-FTL can address FTL.
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