- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03323931
The Efficacy of Robot-enhanced Therapy for Children With Autism Spectrum Disorders (DREAM-RCT)
May 12, 2019 updated by: Daniel David, Babes-Bolyai University
DREAM Project Trial: Testing the Efficacy of Robot-enhanced Therapy for Children With Autism Spectrum Disorders in a Randomised Clinical Trial
This trial will test the efficacy of robot-enhanced interventions for developing social skills in children with Autism Spectrum Disorders (ASD).
The study will compare, in an equivalence design, an innovative intervention delivered by a semi-autonomous robotic agent with standard behavioral intervention.
The target group is children between 3 and 6 years old which will be randomly allocated to one of the two treatments.
Each treatment will be delivered over 8 bi-weekly sessions of 45 minutes each.
Study Overview
Status
Completed
Conditions
Detailed Description
Autism Spectrum Disorders (ASD) is characterized by a pattern of persistent deficits in communication and abnormal behaviors (i.e., repetitive and restrictive).
Previous research has shown promising results for the use of social robots to develop social skills in ASD children.
However, most of the research is based on case studies and single case experiments.
Rigorous clinical data comparing robot--enhanced therapy with standard therapy is needed to establish the efficacy of this innovative intervention.
The present study is an equivalence randomised clinical trial which plans to include children with a diagnosis of ASD between 3 to 6 years old.
Eligible children are randomly allocated in one of two groups: (1) standard therapy, derived from applied behavior analysis (ABA) and (2) a robot--enhanced intervention in which the same treatment is delivered by a semi--autonomous robotic mediator agent (the robot acts as a mediator while the therapist is supervising the session).
Both interventions are delivered over 8 bi-weekly sessions of about 45 minutes each.
The present study will provide some of the first rigorous data regarding the efficacy of robot--enhanced therapy delivered by an intelligent robotic agent which require less direct input from an operator to deliver the intervention, as compared to previous research.
If the results demonstrate the equivalence of the two interventions, this could open the door for the dissemination of evidence--based interventions for ASD children through the use of robotic agents.
Study Type
Interventional
Enrollment (Actual)
70
Phase
- Not Applicable
Contacts and Locations
This section provides the contact details for those conducting the study, and information on where this study is being conducted.
Study Locations
-
-
-
Cluj-Napoca, Romania, 400015
- Babes-Bolyai University Psychological Clinic
-
-
Participation Criteria
Researchers look for people who fit a certain description, called eligibility criteria. Some examples of these criteria are a person's general health condition or prior treatments.
Eligibility Criteria
Ages Eligible for Study
1 year to 4 years (Child)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- to be diagnosed using DSM-V criteria by a psychiatrist;
- the diagnostic is confirmed by the Autism Diagnostic Observation Scale (ADOS; scores are in the clinical range).
Study Plan
This section provides details of the study plan, including how the study is designed and what the study is measuring.
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Factorial Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Active Comparator: (1) standard therapy
Standard therapy based on Applied Behavioral Analysis (ABA) and Cognitive-Behavior-Therapy (CBT).
It implies structured activities in which the therapist reinforces the adaptive behavior of the child.
|
The tasks included in the treatment follow a structured behavioral approach, called the discrete trial training (DTT).
The learning process is guided by an interaction partner (human), under the supervision of the therapist.
All activities follow a gameplay scenario and they take place at a table, which in the case of joint attention and turn taking tasks incorporates a large touchscreen.
Each behavior presented to the child is preceded by instructions and followed by a contingent reinforcement.
The contingent reinforcement and prompting are used to train each targeted behavior/action.
The behaviors are presented over multiple and successive trials and explicit prompting is giving when the child doesn't succeed to accomplish the targeted behavior.
Each action is repeated three times.
For every child, the intervention for each ability starts from the level determined in the first two sessions, but as the child's performance improves, the task moves to a more complex level.
Other Names:
|
Experimental: (2) robot--enhanced intervention
A treatment developed on the same principles as standard therapy, based on Applied Behavioral Analysis (ABA) and Cognitive-Behavior-Therapy (CBT).
It implies structured activities in which the robotic agent reinforces the adaptive behaviors of the child, under the supervision of the therapist.
|
The tasks included in the treatment follow a structured behavioral approach, called the discrete trial training (DTT).
The learning process is guided by the robotic agent (Softbank Robotics Nao robot).
All activities follow a gameplay scenario and they take place at a table, which in the case of joint attention and turn taking tasks incorporates a large touchscreen.
Each behavior presented to the child is preceded by instructions and followed by a contingent reinforcement.
The contingent reinforcement and prompting are used to train each targeted behavior/action.
The behaviors are presented over multiple and successive trials and explicit prompting is giving when the child doesn't succeed to accomplish the targeted behavior.
Each action is repeated three times.
For every child, the intervention for each ability starts from the level determined in the first two sessions, but as the child's performance improves, the task moves to a more complex level.
Other Names:
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Imitation skills ratings
Time Frame: The measurement of Imitation skills will be conducted before the intervention and after the intervention (after 8 sessions / after 4 weeks). The outcome will be represented by change scores on this measure.
|
Imitation skills will be assessed trough a clinician's rating of the child performance in imitating the behavior of the play partner (robotic or human agent), based on an observation grid.
|
The measurement of Imitation skills will be conducted before the intervention and after the intervention (after 8 sessions / after 4 weeks). The outcome will be represented by change scores on this measure.
|
Changes in Joint-attention skills ratings
Time Frame: The measurement of Joint-attention skills will be conducted before the intervention and after the intervention (after 8 sessions / after 4 weeks). The outcome will be represented by change scores on this measure.
|
This measure is a clinician rating of the child performance in demonstrating and initiating joint attention with the play partner (robotic or human agent), based on an observation grid.
|
The measurement of Joint-attention skills will be conducted before the intervention and after the intervention (after 8 sessions / after 4 weeks). The outcome will be represented by change scores on this measure.
|
Changes in Turn-taking skills ratings
Time Frame: The measurement of Turn-taking skills will be conducted before the intervention and after the intervention (after 8 sessions / after 4 weeks). The outcome will be represented by change scores on this measure.
|
This measure is a clinician rating of the child performance in demonstrating turn taking skills in the gameplay with the partner (robotic or human agent), based on an observation grid.
|
The measurement of Turn-taking skills will be conducted before the intervention and after the intervention (after 8 sessions / after 4 weeks). The outcome will be represented by change scores on this measure.
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Changes in Engagement in the task ratings
Time Frame: This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
This measure is a clinician rating of the child engagement in the game play with the partner (robotic or human agent), based on an observation grid.
|
This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
Changes in Verbal utterances ratings
Time Frame: This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
This measure is a clinician rating of the child child expression of verbal utterances in relation to the gameplay with the partner (robotic or human agent).
The frequency of verbal utterances is recorded for this outcome.
|
This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
Changes in Performance in sharing information task
Time Frame: This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
Performance in a task where the child is asked to share some personal information regarding own preferences by choosing a picture on the touchscreen.
|
This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
Changes in Performance in sorting in categories task
Time Frame: This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
Performance in a task where the child is asked to categorize some objects by moving a picture on the touchscreen over another picture depicting and object that belongs to the same category.
|
This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
Performance in continuing repetitive patterns task
Time Frame: This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
Performance in a task where the child is asked to chose an object from several others that match the pattern of a pre-existing series of objects (e.g., based on geometrical shape or color).
|
This measure will be assessed 10 times: once, one week before the intervention; 8 times in 4 weeks (twice every week) during the intervention; once, one week, after the intervention.
|
Other Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Autism Diagnostic Observation Schedule (ADOS)
Time Frame: The test will be applied twice: one week before the intervention and one week after the intervention.
|
ADOS (Lord, Rutter, DiLavore, & Risi, 2008) is a clinician rated semi-structured set of activities designed for observing behaviors that are relevant to judge presence of the diagnostic criteria for autism spectrum disorder.
|
The test will be applied twice: one week before the intervention and one week after the intervention.
|
Social Communication Questionnaire (SCQ)
Time Frame: The test will be applied twice: one week before the intervention and one week after the intervention.
|
SCQ (Rutter, Bailey & Lord) is a other-report questionnaire used for autism spectrum disorders screening and assessment.
The questionnaire is filled by the parents or another tutor in relation to the social skills and social functioning of the child.
|
The test will be applied twice: one week before the intervention and one week after the intervention.
|
Collaborators and Investigators
This is where you will find people and organizations involved with this study.
Publications and helpful links
The person responsible for entering information about the study voluntarily provides these publications. These may be about anything related to the study.
General Publications
- Lord, C, Rutter, M, DiLavore, PC, Risi, Sl. Autism diagnostic observation schedule: ADOS manual. Los Angeles: Western Psychological Services, 2008.
- Rutter, R, Bailey, A, Lord, C. Social Communication Questionnaire. Los Angeles: Western Psychological Services, 2003.
Study record dates
These dates track the progress of study record and summary results submissions to ClinicalTrials.gov. Study records and reported results are reviewed by the National Library of Medicine (NLM) to make sure they meet specific quality control standards before being posted on the public website.
Study Major Dates
Study Start (Actual)
March 1, 2017
Primary Completion (Actual)
December 31, 2018
Study Completion (Actual)
December 31, 2018
Study Registration Dates
First Submitted
September 5, 2017
First Submitted That Met QC Criteria
October 26, 2017
First Posted (Actual)
October 27, 2017
Study Record Updates
Last Update Posted (Actual)
May 14, 2019
Last Update Submitted That Met QC Criteria
May 12, 2019
Last Verified
May 1, 2019
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 30664/10.02.2017
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
No
Studies a U.S. FDA-regulated device product
No
This information was retrieved directly from the website clinicaltrials.gov without any changes. If you have any requests to change, remove or update your study details, please contact register@clinicaltrials.gov. As soon as a change is implemented on clinicaltrials.gov, this will be updated automatically on our website as well.
Clinical Trials on Autistic Disorders Spectrum
-
Stanford UniversityCalifornia Department of Developmental ServicesRecruitingAutism Spectrum Disorder | Autistic Disorder | Autism | Autism Spectrum Disorders | Autistic Disorders Spectrum | Autistic Spectrum Disorder | Autistic Spectrum DisordersUnited States
-
Mahidol UniversityCompleted
-
Hadassah Medical OrganizationTerminated
-
Hospital Parc Taulí, SabadellUnknownSexual Behavior | Adolescent Development | Autistic Disorders Spectrum | Sexual InadequacySpain
-
Federal University of ParaíbaUnknownAutistic Disorders SpectrumBrazil
-
Fundatia Bio-ForumSpitalul AngiomedicaCompletedAutistic Spectrum DisorderRomania
-
University of JazanCompletedAutistic Spectrum DisorderSaudi Arabia
-
Assistance Publique - Hôpitaux de ParisHopital Universitaire Robert-Debre; Henri Mondor University Hospital; Fondation... and other collaboratorsCompleted
-
Sutter Medical FoundationCompleted
-
Université de Reims Champagne-ArdenneNot yet recruitingImpact of Mixed Reality Training on Motor Skills in Children With Autistic Spectrum Disorder (RAMAu)Autistic Spectrum Disorder
Clinical Trials on (1) discrete trial training / cognitive-behavior therapy
-
Stanford UniversityCompletedDevelopmental Disabilities | Fragile X SyndromeUnited States
-
University of California, Los AngelesRecruiting
-
University of California, Los AngelesNational Institute of Mental Health (NIMH)Completed
-
University of PennsylvaniaNational Institute of Mental Health (NIMH); The School District of PhiladelphiaCompletedAutism Spectrum Disorder
-
Laval UniversityUniversity of California, BerkeleyCompleted
-
The University of Texas Health Science Center at...CompletedSchizophrenia | Schizoaffective Disorder
-
Vanderbilt UniversityNational Institute of Mental Health (NIMH)Completed
-
University of Texas at AustinNational Institute of Mental Health (NIMH)CompletedDepression
-
Center for Psychological ConsultationCompletedObsessive Compulsive DisorderUnited States
-
Stockholm UniversityKarolinska InstitutetCompleted