- ICH GCP
- US Clinical Trials Registry
- Clinical Trial NCT05927116
RCT of a Mobile Phone App-based Intervention for Parents of Children With Autism Spectrum Disorder (ASD)
A Mobile Phone App-based Intervention for Supporting and Empowering Parents of Children With Autism Spectrum Disorder (ASD): a Randomised Waitlist-controlled Trial
Study Overview
Status
Conditions
Detailed Description
Parents of autism spectrum disorder (ASD) children are often stressed about challenges in raising their children with multifaceted needs, and their stress could undermine the child's development. With the ever-increasing demand in clinical services and disruptions by coronavirus pandemic (COVID-19), we aim to investigate the clinical efficacy of a mobile app-based intervention in reducing stress and mood symptoms, and enhancing mindfulness and competence in parents of children with ASD. The 6-week mobile app-based intervention programme is a structured course of mindfulness training, and knowledge and skills transfer of parenting ASD children with specific content personalised to the participant's needs, which was developed as an accessible and scalable primary-level care platform to improve the well-being of parents.
In this study, a pragmatic, randomized waitlist-controlled trial will be conducted. 700 parents of ASD children who are ≤12 years of age and either 1. waiting for, or 2. actively receiving treatment from a regional children psychiatric specialist clinic will be recruited. Parents will be randomized into an immediate intervention arm and a waitlist arm. Parental stress level, mood symptoms, competence, and level of mindfulness will be measured before, immediately after, and 2 months after the intervention with self-reported questionnaires. Outcome measurement of pre- and post-intervention from the two groups of participants will be analysed with a Mixed Factorial ANOVA. A treatment x time effect on the outcome measurement is expected.
The results of the proposed study will provide evidence to the real-life efficacy of a mobile app-based intervention service model to support parents of children with ASD in the era of digital mental health. As the impact of mental well-being of parents extends beyond the parents themselves, effective management of the elevated level of parental stress in ASD families is beneficial to the family functioning and long-term development of the child. The solid evidence from this sizable clinical trial can also inform clinicians and service-users in choosing the evidence-based intervention suitable to their context, among the range of commercially available products with claimed efficacy.
Study Type
Enrollment (Estimated)
Phase
- Not Applicable
Contacts and Locations
Study Contact
- Name: Oscar Wong, MBChB
- Phone Number: +85261129895
- Email: oscarwhwong@cuhk.edu.hk
Study Contact Backup
- Name: Karen Ma, MPhil
- Phone Number: +85294001865
- Email: kykma@link.cuhk.edu.hk
Study Locations
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Hong Kong, Hong Kong
- Recruiting
- The Chinese University of Hong Kong
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Contact:
- Wing Ho Wong, MBChB
- Phone Number: 85226076034
- Email: oscarwhwong@cuhk.edu.hk
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Participation Criteria
Eligibility Criteria
Ages Eligible for Study
- Child
- Adult
- Older Adult
Accepts Healthy Volunteers
Description
Inclusion Criteria:
- Chinese parents living in Hong Kong
- Parents caring for ASD children, diagnosed by clinicians according to the criteria of Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) criteria and aged ≤12
- Recruited from the Child and Adolescent Psychiatric clinic at the Alice Ho Miu Ling Nethersole Hospital, a regional hospital providing the sole public child and adolescent psychiatric service in the New-Territory East Cluster of the Hospital Authority in Hong Kong
- Able to read and understand Cantonese
- Have access to an internet-enabled mobile phone with a valid phone number for the duration of the trial
Exclusion Criteria:
- Parents who are not the main carer of their ASD children
- Currently receiving psychological interventions
- Undergoing mindfulness training will be excluded
Study Plan
How is the study designed?
Design Details
- Primary Purpose: Supportive Care
- Allocation: Randomized
- Interventional Model: Parallel Assignment
- Masking: None (Open Label)
Arms and Interventions
Participant Group / Arm |
Intervention / Treatment |
---|---|
No Intervention: Waitlist control
Both groups will be assessed at baseline on the outcome measurements, after which the the waitlist control group will receive usual care in the following six weeks.
Afterwards, the waitlist control group will complete outcome assessment once again, before receiving the 6-week intervention
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Experimental: Immediate intervention
Both groups will be assessed at baseline on the outcome measurements, after which the immediate intervention group will begin the 6-week intervention
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TRIP is a mobile app-based intervention comprises of a 6-week structured training on mindfulness and educational modules on ASD parenting skills.
Other Names:
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What is the study measuring?
Primary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
Parental anxiety
Time Frame: Pre-intervention
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Measured by the 7-item Generalised Anxiety Disorder scale (GAD-7; Spitzer et al., 2006) for anxiety symptoms.
GAD-7 scores range from 0 to 21, higher scores indicating greater levels of anxiety symptoms.
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Pre-intervention
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Parental anxiety
Time Frame: Immediately post-intervention
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Measured by the 7-item Generalised Anxiety Disorder scale (GAD-7; Spitzer et al., 2006) for anxiety symptoms.
GAD-7 scores range from 0 to 21, higher scores indicating greater levels of anxiety symptoms.
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Immediately post-intervention
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Parental anxiety
Time Frame: 2-months post-intervention
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Measured by the 7-item Generalised Anxiety Disorder scale (GAD-7; Spitzer et al., 2006) for anxiety symptoms.
GAD-7 scores range from 0 to 21, higher scores indicating greater levels of anxiety symptoms.
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2-months post-intervention
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Parental depression
Time Frame: Pre-intervention
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Measured by the 9-item Patient Health Questionnaire (PHQ-9; Kroenke et al., 2001) for depressive symptoms.
PHQ-9 scores range from 0 to 27, higher scores indicating greater levels of depressive symptoms.
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Pre-intervention
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Parental depression
Time Frame: Immediately post-intervention
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Measured by the 9-item Patient Health Questionnaire (PHQ-9; Kroenke et al., 2001) for depressive symptoms.
PHQ-9 scores range from 0 to 27, higher scores indicating greater levels of depressive symptoms.
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Immediately post-intervention
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Parental depression
Time Frame: 2-months post-intervention
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Measured by the 9-item Patient Health Questionnaire (PHQ-9; Kroenke et al., 2001) for depressive symptoms.
PHQ-9 scores range from 0 to 27, higher scores indicating greater levels of depressive symptoms.
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2-months post-intervention
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Parenting stress
Time Frame: Pre-intervention
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Measured by the 36-item Parenting Stress Index-Short Form (PSI-SF), considering three domains of parenting distress, difficult child, and parent-child dysfunctional interaction.
Scores range from 36 to 180, with higher scores indicating greater levels of stress.
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Pre-intervention
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Parenting stress
Time Frame: Immediately post-intervention
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Measured by the 36-item Parenting Stress Index-Short Form (PSI-SF), considering three domains of parenting distress, difficult child, and parent-child dysfunctional interaction.
Scores range from 36 to 180, with higher scores indicating greater levels of stress.
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Immediately post-intervention
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Parenting stress
Time Frame: 2-months post-intervention
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Measured by the 36-item Parenting Stress Index-Short Form (PSI-SF), considering three domains of parenting distress, difficult child, and parent-child dysfunctional interaction.
Scores range from 36 to 180, with higher scores indicating greater levels of stress.
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2-months post-intervention
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Parenting competence
Time Frame: Pre-intervention
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Measured by the 17-item Parenting Sense of Competence scale (PSOC; Gibaud-Wallston & Wandersman, 1978).
Scores ranges between 17 to 102, with higher scores indicating a higher parenting sense of competency.
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Pre-intervention
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Parenting competence
Time Frame: Immediately post-intervention
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Measured by the 17-item Parenting Sense of Competence scale (PSOC; Gibaud-Wallston & Wandersman, 1978).
Scores ranges between 17 to 102, with higher scores indicating a higher parenting sense of competency.
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Immediately post-intervention
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Parenting efficacy
Time Frame: Pre-intervention
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Measured by the 6-item Parenting Efficacy subscale of the Parenting Self-Agency Measure (Dumka et al., 1996).
Scores ranges between 6-42, with higher scores indicating higher levels of parenting efficacy.
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Pre-intervention
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Parenting efficacy
Time Frame: Immediately post-intervention
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Measured by the 6-item Parenting Efficacy subscale of the Parenting Self-Agency Measure (Dumka et al., 1996).
Scores ranges between 6-42, with higher scores indicating higher levels of parenting efficacy.
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Immediately post-intervention
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Parenting efficacy
Time Frame: 2-months post-intervention
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Measured by the 6-item Parenting Efficacy subscale of the Parenting Self-Agency Measure (Dumka et al., 1996).
Scores ranges between 6-42, with higher scores indicating higher levels of parenting efficacy.
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2-months post-intervention
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Parenting competence
Time Frame: 2-months post-intervention
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Measured by the 17-item Parenting Sense of Competence scale (PSOC; Gibaud-Wallston & Wandersman, 1978).
Scores ranges between 17 to 102, with higher scores indicating a higher parenting sense of competency.
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2-months post-intervention
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Secondary Outcome Measures
Outcome Measure |
Measure Description |
Time Frame |
---|---|---|
App usability
Time Frame: Immediately post-intervention
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Measured by the 10-item System Usability Scale (SUS; Brooke, 1996) for assessing the usability of products and apps.
SUS scores have a range of 0 to 100, with a higher score means greater app usability.
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Immediately post-intervention
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App satisfaction
Time Frame: Immediately post-intervention
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App satisfaction will be measured by open-ended questions regarding suggestions for improvement of the app, for the purpose of refinement of the app.
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Immediately post-intervention
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Number of app usage days beyond the 6-week structured intervention
Time Frame: 6-months post-intervention
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Number of days with logins beyond the 6-week intervention period
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6-months post-intervention
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Average duration of app usage beyond the 6-week structured intervention
Time Frame: 6-months post-intervention
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Time spent in app per login beyond the 6-week intervention period
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6-months post-intervention
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Number of mindfulness practices completed beyond the 6-week structured intervention
Time Frame: 6-months post-intervention
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Number of guided mindfulness sessions beyond the 6-week intervention period
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6-months post-intervention
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Collaborators and Investigators
Sponsor
Investigators
- Principal Investigator: Oscar Wong, MBChB, Chinese University of Hong Kong
Study record dates
Study Major Dates
Study Start (Actual)
Primary Completion (Estimated)
Study Completion (Estimated)
Study Registration Dates
First Submitted
First Submitted That Met QC Criteria
First Posted (Actual)
Study Record Updates
Last Update Posted (Estimated)
Last Update Submitted That Met QC Criteria
Last Verified
More Information
Terms related to this study
Additional Relevant MeSH Terms
Other Study ID Numbers
- 2022.584
- 10210356 (Other Grant/Funding Number: Health and Medical Research Fund)
Plan for Individual participant data (IPD)
Plan to Share Individual Participant Data (IPD)?
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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