Promoting Development in Toddlers With Communication Delays
13 de junio de 2012 actualizado por: Autism Speaks
Eighty parent-child dyads will be recruited and randomly assigned to either the experimental intervention or an active control condition.
Subjects assigned to the experimental group will participate in 12 home-based intervention sessions.
Descripción general del estudio
Estado
Terminado
Condiciones
Intervención / Tratamiento
Descripción detallada
The experimental intervention is manualized, follows an illustrated workbook for parents, and uses individualized video-feedback, modeling, and coaching strategies to help parents establish play interactions that promote communication. All participants take part in comprehensive baseline and post-intervention/post-active control assessments, as well as 6- and 12-month follow up assessments. Families in the active control group will also be invited to participate in an oral feedback session to discuss the results from these assessments. Children's involvement in other forms of intervention will be monitored using a validated intervention log so that the moderating effects of these treatments can be examined.
By targeting parent-child interactions, the current intervention ensures that new child behaviors generalize beyond the immediate context of the intervention and are maintained over time (Schreibman, 2000). In addition, by involving parents in the treatment of their children (e.g., by establishing a daily playtime routine), the current intervention ensures that the intervention strategies are implemented with sufficient intensity for causing developmental change (National Research Council, 2001).
Tipo de estudio
Intervencionista
Inscripción (Actual)
60
Fase
- No aplica
Contactos y Ubicaciones
Esta sección proporciona los datos de contacto de quienes realizan el estudio e información sobre dónde se lleva a cabo este estudio.
Ubicaciones de estudio
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California
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Los Angeles, California, Estados Unidos
- University of California, Los Angeles
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New York
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New York, New York, Estados Unidos
- Hunter College
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Criterios de participación
Los investigadores buscan personas que se ajusten a una determinada descripción, denominada criterio de elegibilidad. Algunos ejemplos de estos criterios son el estado de salud general de una persona o tratamientos previos.
Criterio de elegibilidad
Edades elegibles para estudiar
1 año a 2 años (Niño)
Acepta Voluntarios Saludables
No
Géneros elegibles para el estudio
Todos
Descripción
Inclusion Criteria:
- The child is between 15 and 30 months of age;
- The child scores at least one standard deviation below average on the Social Composite Score of the CSBS DP.
Exclusion Criteria:
- The child has been diagnosed with a known medical condition that has been linked to either autism or mental retardation (e.g., Fragile X, Tuberous Sclerosis, Cerebral Palsy, Hydrocephalus).
- The child has a severe visual, hearing, or motor impairment or fragile health condition that would prevent him/her from validly participating in the assessment procedures.
Plan de estudios
Esta sección proporciona detalles del plan de estudio, incluido cómo está diseñado el estudio y qué mide el estudio.
¿Cómo está diseñado el estudio?
Detalles de diseño
- Propósito principal: Tratamiento
- Asignación: Aleatorizado
- Modelo Intervencionista: Asignación paralela
- Enmascaramiento: Doble
Armas e Intervenciones
Grupo de participantes/brazo |
Intervención / Tratamiento |
|---|---|
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Comparador activo: Active Control
The active control involves three 90 minute in-home training sessions.
These training sessions will be administered by trained graduate students or a postdoctoral student in a developmental psychology or related field.
The active control will follow a standardized treatment manual (Kasari, 2008).
This treatment manual was based upon the teacher training workshops created by the Center on the Social and Emotional Foundations for Early Learning.
Over the course of the intervention, parent and interventionist cover a hierarchy of intervention topics, aiming to improve the parent's ability to successfully promote the child's social and emotional competency.
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The parent education program involves 12 in-home training sessions (90 minutes each), is administered by trained graduate and postdoctoral students in developmental psychology or a related field, and follows a standardized treatment manual (Siller, 2005).
The active control involves three 90 minute in-home training sessions.
These training sessions will be administered by trained graduate students or a postdoctoral student in a developmental psychology or related field.
The active control will follow a standardized treatment manual (Kasari, 2008).
This treatment manual was based upon the teacher training workshops created by the Center on the Social and Emotional Foundations for Early Learning.
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Experimental: Experimental Treatment
The parent education program involves 12 in-home training sessions (90 minutes each), is administered by trained graduate and postdoctoral students in developmental psychology or a related field, and follows a standardized treatment manual (Siller, 2005).
Over the course of the intervention, parent and interventionist cover a hierarchy of intervention topics, aiming to promote the ability of the parent-child dyad to successfully manage shared toy play.
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The parent education program involves 12 in-home training sessions (90 minutes each), is administered by trained graduate and postdoctoral students in developmental psychology or a related field, and follows a standardized treatment manual (Siller, 2005).
The active control involves three 90 minute in-home training sessions.
These training sessions will be administered by trained graduate students or a postdoctoral student in a developmental psychology or related field.
The active control will follow a standardized treatment manual (Kasari, 2008).
This treatment manual was based upon the teacher training workshops created by the Center on the Social and Emotional Foundations for Early Learning.
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¿Qué mide el estudio?
Medidas de resultado primarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Maternal Synchronization
Periodo de tiempo: 3 months
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Maternal Synchronization will be measured at exit of study.
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3 months
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Maternal Synchronization
Periodo de tiempo: 6 months
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Maternal Synchronization will be measured at 6 month follow up of study.
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6 months
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Maternal Synchronization
Periodo de tiempo: 12 months
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Maternal Synchronization will be measured at 12 month follow up of study.
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12 months
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Medidas de resultado secundarias
Medida de resultado |
Medida Descripción |
Periodo de tiempo |
|---|---|---|
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Early Social Communication Scale
Periodo de tiempo: 3 months
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Early Social Communication Scale will be used to measure joint attention behaviors at exit of study.
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3 months
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Early Social Communication Scale
Periodo de tiempo: 6 months
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Early Social Communication Scale will be used to measure joint attention at 6 month follow up.
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6 months
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Early Social Communication Scale
Periodo de tiempo: 12 months
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Early Social Communication Scale will be used to measure joint attention at 12 month follow up.
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12 months
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Colaboradores e Investigadores
Aquí es donde encontrará personas y organizaciones involucradas en este estudio.
Patrocinador
Investigadores
- Investigador principal: Connie Kasari, Ph.D., University of California, Los Angeles
Publicaciones y enlaces útiles
La persona responsable de ingresar información sobre el estudio proporciona voluntariamente estas publicaciones. Estos pueden ser sobre cualquier cosa relacionada con el estudio.
Publicaciones Generales
- Siller M, Sigman M. The behaviors of parents of children with autism predict the subsequent development of their children's communication. J Autism Dev Disord. 2002 Apr;32(2):77-89. doi: 10.1023/a:1014884404276.
- Tomasello M, Carpenter M, Call J, Behne T, Moll H. Understanding and sharing intentions: the origins of cultural cognition. Behav Brain Sci. 2005 Oct;28(5):675-91; discussion 691-735. doi: 10.1017/S0140525X05000129.
- Siller M, Sigman M. Modeling longitudinal change in the language abilities of children with autism: parent behaviors and child characteristics as predictors of change. Dev Psychol. 2008 Nov;44(6):1691-704. doi: 10.1037/a0013771.
- Kasari C, Siller M, Huynh LN, Shih W, Swanson M, Hellemann GS, Sugar CA. Randomized controlled trial of parental responsiveness intervention for toddlers at high risk for autism. Infant Behav Dev. 2014 Nov;37(4):711-21. doi: 10.1016/j.infbeh.2014.08.007. Epub 2014 Sep 26.
Fechas de registro del estudio
Estas fechas rastrean el progreso del registro del estudio y los envíos de resultados resumidos a ClinicalTrials.gov. Los registros del estudio y los resultados informados son revisados por la Biblioteca Nacional de Medicina (NLM) para asegurarse de que cumplan con los estándares de control de calidad específicos antes de publicarlos en el sitio web público.
Fechas importantes del estudio
Inicio del estudio
1 de abril de 2007
Finalización primaria (Actual)
1 de octubre de 2011
Finalización del estudio (Actual)
1 de octubre de 2011
Fechas de registro del estudio
Enviado por primera vez
10 de noviembre de 2009
Primero enviado que cumplió con los criterios de control de calidad
10 de noviembre de 2009
Publicado por primera vez (Estimar)
11 de noviembre de 2009
Actualizaciones de registros de estudio
Última actualización publicada (Estimar)
14 de junio de 2012
Última actualización enviada que cumplió con los criterios de control de calidad
13 de junio de 2012
Última verificación
1 de junio de 2012
Más información
Términos relacionados con este estudio
Palabras clave
Términos MeSH relevantes adicionales
Otros números de identificación del estudio
- G07-02-055-03
Esta información se obtuvo directamente del sitio web clinicaltrials.gov sin cambios. Si tiene alguna solicitud para cambiar, eliminar o actualizar los detalles de su estudio, comuníquese con register@clinicaltrials.gov. Tan pronto como se implemente un cambio en clinicaltrials.gov, también se actualizará automáticamente en nuestro sitio web. .