Effectiveness of Modified Interaction Guidance as an Intervention Tool for Caregivers and Their Child With Autism

Effectiveness of Modified Interaction Guidance as an Intervention Tool for Caregivers and Their Child With Autism


Lead sponsor: University of Manitoba

Source University of Manitoba
Brief Summary

The purpose of this mixed methods single subject study is to test the Modified Interaction Guidance (MIG) as an intervention to improve attachment for children with autism and their primary caregiver.

Detailed Description

This study aims to answer the following research questions and hypotheses:

1. Does the use of MIG with a child with autism, result in changes in attachment such as alterations in sensitivity and attunement, in a child-caregiver relationship? H1: A change in the rating on the GAS will demonstrate effectiveness of goal setting as a means of detecting changes in dyad relationship goals, as well as result in increased attunement and parental sensitivity as evidence by maintained or improved score in the AMBIANCE, PICCOLO and SAIAS following a 2-month period.

2. Do caregivers feel more competent in their caregiving skills through the use of MIG? H2: Caregivers will demonstrate increased feelings of competency through the use of MIG as evidenced by scores on the Parenting Sense of Competency Scale.

3. Do caregivers feel less stress in their role as a caregiver through the use of MIG? H3: Caregivers will demonstrate less feelings of stress through the use of the MIG as evidenced by scores on the Parent Stress Index.

Overall Status Not yet recruiting
Start Date May 1, 2020
Completion Date December 1, 2020
Primary Completion Date September 1, 2020
Phase N/A
Study Type Interventional
Primary Outcome
Measure Time Frame
Parenting Interactions with Children Checklist of Observations Linked to Outcomes (PICCOLO) 11 weeks
Secondary Outcome
Measure Time Frame
Atypical Maternal Behaviour Instrument for Assessment and Classification (AMBIANCE) Week 1, week 7 and week 11.
Sensoriaffective Interactional Attunement Scale (SAIAS) Week 1, week 7 and week 11.
Enrollment 12

Intervention type: Behavioral

Intervention name: Modified Interaction Guidance

Description: The main steps in the procedure are to have the family identify the primary concern they are facing, highlight the strengths that the family already has in place and expand on those strengths, convey/impart caregiving and societal norms, and offer other perspectives (McDonough, 2004). The goal of this therapy is to engage the family to take an active role in the construction of their overall treatment. The individualized treatment approach focuses and builds on existing strengths.

Arm group label: Intervention



Inclusion Criteria:

1. Diagnosis of autism spectrum disorder

2. Child between the ages of 24-60 months

3. First born child

4. No physical or medical conditions that affect the child's ability to participate in the activities that are part of the intervention process

5. Ability to follow simple verbal directions in English

6. No current plan to initiate any treatment alternatives during the study period

7. Willingness to participate in a 11-week intervention with a frequency of once a week

8. Adults are primary caregiver

9. Under age of 35

10. Speak English

11. Minimum grade 5 schooling

Exclusion Criteria:

- Participants (both child and adult) will be excluded from the present study if they were deemed low functioning

- child is not the first-born child

- child already receiving ABA treatment

- parents have a history of mental illness

Gender: All

Minimum age: 10 Months

Maximum age: 35 Years

Healthy volunteers: Accepts Healthy Volunteers

Overall Official
Last Name Role Affiliation
Megan Land McCarthy, Bsc OT Principal Investigator University of Manitoba
Overall Contact

Last name: Megan Land McCarthy, Bsc OT

Phone: 204-293-7043

Email: [email protected]

Verification Date

May 2019

Responsible Party

Responsible party type: Sponsor

Has Expanded Access No
Condition Browse
Number Of Arms 1
Arm Group

Arm group label: Intervention

Arm group type: Experimental

Description: Caregivers and their child will interact for 10 minutes while being observed and videotaped. Psychoeducation will be provided and goal setting will occur to ensure dyad specific relationship gains are made.

Patient Data No
Study Design Info

Allocation: N/A

Intervention model: Single Group Assignment

Intervention model description: This study is an explanatory sequential mixed methods study in which the quantitative complement (concurrent multiple baseline single case study) will be completed first, followed by qualitative interviews that build on and further explain the quantitative data.

Primary purpose: Treatment

Masking: None (Open Label)

Source: ClinicalTrials.gov