- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT03957993
OT Intervention Via Telehealth for Children With ASD and ADHD
July 14, 2020 updated by: Children's Hospital Medical Center, Cincinnati
Pilot Study: Addressing Home-Based Functional Challenges Via Telehealth-Based Occupational Therapy
This study aims to measure the impact of a telehealth-based model of occupational therapy (OT) treatment on clinical outcomes for children with autism spectrum disorder (ASD) and/or attention deficit hyperactivity disorder (ADHD).
Half of the participants will receive clinic-based, in-person services and half of the participants will receive video-based, Telehealth services.
Study Overview
Status
Completed
Intervention / Treatment
Detailed Description
Children with autism spectrum disorder (ASD) and/or attention deficit hyperactivity disorder (ADHD) often receive occupational therapy (OT), which traditionally takes place in a clinical setting.
This setting may present barriers and distractors that make it hard for children to achieve their OT goals.
Telehealth-based sessions provide an alternative, allowing the therapist to be virtually present within the home.Once enrolled, children will randomly be assigned to be in one of two groups: (1) Standard, in which children will receive clinic-based services as per standard of care OR (2) Telehealth, in which children will receive in-home services on a video-based platform on a timeline identical to what they would receive if they were in the Standard group.
Children in both groups will participate for the duration of the episode of care, estimated to last 10-12 weeks.
Assessments will be completed at initial evaluation, discharge, and three months following discharge.
Study Type
Interventional
Enrollment (Actual)
44
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
-
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Ohio
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Cincinnati, Ohio, United States, 45229
- Cincinnati Children's Hospital Medical Center
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-
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
4 years to 18 years (Child, Adult)
Accepts Healthy Volunteers
No
Genders Eligible for Study
All
Description
Inclusion Criteria:
- Has a Autism Spectrum Disorder and/or Attention Deficit Hyperactivity Disorder
- Has an active occupational therapy referral
- Has occupational therapy goals that are directly related to performance of activities of daily living that might reasonably be affected by the environment (as determined by an evaluating therapist)
Exclusion Criteria:
- Does not have Autism Spectrum Disorder or Attention Deficit Hyperactivity Disorder
- Does not have an active occupational therapy referral
- Does not have occupational therapy goals that are directly related to performance of activities of daily living that might reasonably be affected by the environment (as determined by an evaluating therapist)
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: Parallel Assignment
- Masking: Single
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Occupational Therapy via Telehealth
Participants in the telehealth-based model will undergo occupational therapy treatment via a telehealth-based video chat platform for the entire episode of care (generally 10-12 weeks in duration).
The patient will use the video chat client to connect to his/her occupational therapist, and the therapist will conduct the session over this virtual connection.
|
The caregiver will be with the participant in their home environment receiving occupational therapy via Telehealth (video-calling) with the occupational therapist.
|
Active Comparator: Standard of Care Occupational Therapy
Participants in the standard of care model will undergo occupational therapy treatment via traditional in- person encounters in an outpatient clinic setting for the entire episode of care (generally 10-12 weeks).
These children will receive routine occupational treatment via in-person sessions with an occupational therapist conducted in an outpatient clinic setting.
|
The caregiver and participant will be in the clinic receiving occupational therapy in-person with the occupational therapist.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change in Goal Attainment Scale
Time Frame: Baseline and approximately 2 weeks after treatment (approximately 14 weeks after baseline measurement)
|
The Goal Attainment Scale is a criterion-referenced, individualized outcome measure used to assess progress on goals that are important to the child and their family.
The Goal Attainment Scale is reliable, valid and responsive to change.
The status of goal attainment is rated on a scale of +2 to -2 (+2 is much more than expected, -2 is much less than expected)
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Baseline and approximately 2 weeks after treatment (approximately 14 weeks after baseline measurement)
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Change in Canadian Occupational Performance Measure
Time Frame: Baseline and approximately 2 weeks after treatment (approximately 14 weeks after baseline measurement)
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The Canadian Occupational Performance Measure is a valid, reliable, and sensitive assessment tool that measures the caregiver/patient's perception of the participant's performance and satisfaction on goals that are important to the child and his/her caregiver.
The performance and satisfaction are rated on a scale from 1-10 (1 is low performance/satisfaction, 10 is high performance/satisfaction).
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Baseline and approximately 2 weeks after treatment (approximately 14 weeks after baseline measurement)
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Collaborators and Investigators
This is where you will find people and organizations involved with this study.
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)
August 6, 2018
Primary Completion (Actual)
December 30, 2019
Study Completion (Actual)
December 30, 2019
Study Registration Dates
First Submitted
May 10, 2019
First Submitted That Met QC Criteria
May 20, 2019
First Posted (Actual)
May 21, 2019
Study Record Updates
Last Update Posted (Actual)
July 16, 2020
Last Update Submitted That Met QC Criteria
July 14, 2020
Last Verified
June 1, 2020
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2017-5623
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
No
IPD Plan Description
There is not a plan to make individual participant data available to other researchers.
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.
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