- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT04467073
Stepped-care Telehealth for Young Children With ASD
Examining a Stepped-care Telehealth Program for Parents of Young Children With Autism: a Proof of Concept Trial
Study Overview
Status
Conditions
Intervention / Treatment
Study Type
Enrollment (Actual)
Phase
- Not Applicable
Contacts and Locations
Study Locations
-
-
Illinois
-
Chicago, Illinois, United States, 60657
- Rush University Medical Center
-
-
Participation Criteria
Eligibility Criteria
Ages Eligible for Study
Accepts Healthy Volunteers
Genders Eligible for Study
Description
Inclusion Criteria:
- Have a diagnosis of ASD or significant concerns of ASD
- Parent reported imitation deficits
Exclusion Criteria:
- Children of parents who are non-English speaking
- Actively participating in other parent training programs
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Treatment
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
Experimental: Stepped-Care Online Reciprocal Imitation Training (Online RIT)
Participants completed four telehealth modules over a period of 5 weeks (~1 per week, 1 week to practice). Two variables were selected as tailoring variables for this stepped-care model. Fidelity (RIT-PFF) and self-efficacy (EIPSES) at 5 weeks were used to determine which participants were in need of a "step up" in care, in the form of remote parent coaching. Parents who demonstrated ≥80% on the RIT-PFF, and who reported gains on the EIPSES continued to have access to Online RIT and practiced on their own for the next 5 weeks, but did not receive any remote coaching. Parents who demonstrated <80% fidelity on the RIT-PFF and/or who didn't report increases in the EIPSES were directed into coaching. Coaching involved videoconferences once per week (wks. 6-10) with a parent coach (PI), and followed the occupational performance coaching model. Sessions included review of successes and challenges, parent practice with feedback, problem solving, and planning. |
Online RIT presents RIT techniques in four sequential learning modules: (1) Setting Up For Success (2) Imitating your Child (3) Describing Play (4) Teaching Object Imitation.
Each learning module includes an instructional video, quiz, interactive exercises, and at-home planning and reflection.
The website also includes a video library, Frequently Asked Questions, downloadable visual aids, links to relevant external resources, and a customizable "dashboard" that allows users to track their individualized goals and the amount of time they have spent working on their goals (e.g., practice log).
|
No Intervention: Wait List Control
Participants provided with information about available community resources after randomization.
These participants were given the opportunity to engage in the stepped-care format of Online RIT after the post-intervention data collection time point; however their data was included exclusively in control group analyses.
|
What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from Baseline RIT Parent Fidelity Form (RIT-PFF) Score at 15 weeks
Time Frame: Baseline and 15 weeks
|
Trained observers scored the parent-child interactions for parent fidelity of the RIT intervention techniques.
|
Baseline and 15 weeks
|
Change from Baseline Unstructured Imitation Assessment (UIA) Score at 15 weeks
Time Frame: Baseline and 15 weeks
|
The UIA was used to measure child social imitation.
It is a standardized assessment that evaluates spontaneous imitation of actions with objects and gestures during play.
|
Baseline and 15 weeks
|
Change from Baseline Early Intervention Parenting Self-Efficacy Scale (EIPSES) Score at 15 weeks
Time Frame: Baseline and 15 weeks
|
The EIPSES is a 20-item parent questionnaire designed to measure parenting efficacy within the context of early intervention.
|
Baseline and 15 weeks
|
Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Change from Baseline Social Communication Checklist (SCC) Score at 15 weeks
Time Frame: Baseline and 15 weeks
|
The SCC is a 47-item checklist completed by parents to indicate if a child uses a specific social communication skill.
|
Baseline and 15 weeks
|
Change from Baseline Beach Center Family Quality of Life Scale (FQOL) Score at 15 weeks
Time Frame: Baseline and 15 weeks
|
The FQOL Scale is a 25-item self-report measure designed to assess family interaction, parenting, emotional well-being, physical/maternal well-being, and disability-related supports.
|
Baseline and 15 weeks
|
Collaborators and Investigators
Sponsor
Publications and helpful links
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Actual)
Study Completion (Actual)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Actual)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 15100203
Drug and device information, study documents
Studies a U.S. FDA-regulated drug product
Studies a U.S. FDA-regulated device product
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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