Metacognitive Strategy Training Intervention for Transition-Age Youth With Cerebral Palsy

This exploratory randomized controlled trial will examine the feasibility and preliminary effects of a remote PREP intervention compared to an attention control for transition-age youth with cerebral palsy and their caregivers. Youth-caregiver dyads will complete remote baseline assessments and be randomized to a 12-week intervention or attention control, with weekly virtual sessions. Feasibility outcomes will be primary, with secondary outcomes exploring preliminary efficacy. Post-intervention assessments and optional interviews will be conducted remotely to capture outcomes and participant experiences.

Inclusion Criteria: * Youth aged 13 -17 with CP and one primary parent, guardian, or caregiver aged 18 or older * Youth ability to self-mobilize with or without adaptive equipment measured by the Gross Motor Function Scale-Expanded \& Revised (GMFCS-E\&R) Levels I - III * Effective youth communication measured by Communication Function Classification System (CFCS) Levels I - III * Ability to read, speak, and write English * Willingness to participate in all aspects of the proposed study. Exclusion Criteria: * Youth with profound intellectual disability * Youth with severe mental health conditions * Youth who engage in community-based transition services redundant with remote PREP