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FMS - CrossFit Trainingsprogramma (FCTP) om de Schoolsgereedheid te Verbeteren bij Kleuters met Autisme Spectrum Stoornis
Een gerandomiseerde gecontroleerde studie van het FMS - CrossFit Trainingsprogramma (FCTP) om de schoolrijpheid te verbeteren bij kleuters met autismespectrumstoornis
Studie Overzicht
Toestand
Conditie
Interventie / Behandeling
Gedetailleerde beschrijving
Autism spectrum disorder (ASD) is a major public health concern, and increasing prevalence underscores the need for evidence-based interventions that improve functional outcomes. While school readiness is a critical developmental milestone, deficits remain pervasive among preschoolers with ASD, yet targeted interventions remain scarce. Exercise interventions grounded in Fundamental Movement Skills (FMS) are promising, but many existing approaches lack systematic progression and do not adequately address the multidimensional nature of school readiness.
This randomized controlled trial will evaluate the effectiveness of a novel Fundamental Movement Skills-CrossFit Training Program (FCTP) in 184 preschool children with ASD aged 3-6 years. Participants will be randomly assigned to the FCTP intervention group or a Treatment As Usual (TAU) control group using a computer-generated randomization. The FCTP is a 12-week structured program integrating FMS development through CrossFit-style circuit training, designed to enhance motor competence, social interaction, and self-regulation skills essential for school readiness. Primary outcomes will include school readiness measures assessed using the Strengths and Difficulties Questionnaire (SDQ). Secondary outcomes will encompass motor development, executive function, social responsiveness, and biomarker analyses. Assessments will be conducted at baseline, 8 weeks (mid-intervention), 12 weeks (end-of-intervention), and 20 weeks (8 weeks post-intervention).
Discussion: This study will address a critical gap in early intervention research by targeting school readiness through a systematic, theory-driven approach combining motor skill development with social learning opportunities. The FCTP will offer several advantages over traditional interventions: systematic FMS progression, group-based social interaction, cost-effectiveness, and high implementation feasibility. By integrating neuroplasticity principles with contextual learning, this intervention will provide a comprehensive approach to preparing children with ASD for successful educational transitions.
Studietype
Inschrijving (Geschat)
Fase
- Niet toepasbaar
Contacten en locaties
Studiecontact
- Naam: Yuelong Ji, PHD
- Telefoonnummer: (+86)13161989008
- E-mail: yuelong.ji@pku.edu.cn
Studie Locaties
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Fujian
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Fuzhou, Fujian, China, 350001
- Werving
- Fujian Provincial Maternity and Children's Hospital
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Contact:
- Yanzheng Pan, PhD candidate
- Telefoonnummer: (+86)13161439008
- E-mail: panyanzheng@stu.pku.edu.cn
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Hoofdonderzoeker:
- Xinxin Huang, master
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Deelname Criteria
Geschiktheidscriteria
Leeftijden die in aanmerking komen voor studie
- Kind
Accepteert gezonde vrijwilligers
Beschrijving
Insluitingscriteria:
- leeftijd 3-6 jaar;
- bevestigde ASS-diagnose volgens de criteria van de Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5) of de Autism Diagnostic Observation Schedule-Second Edition (ADOS-2);
- vermogen om eenvoudige verbale instructies te begrijpen;
- schriftelijke geïnformeerde toestemming van ouder/verzorger.
Uitsluitingscriteria:
- deelname aan gestructureerde bewegingsprogramma's in de voorafgaande 6 maanden;
- comorbide ernstige neurologische aandoeningen (bijv. epilepsie, fenylketonurie, fragiele X-syndroom, tubereuze sclerose) of ernstige psychiatrische aandoeningen (bijv. schizofrenie, bipolaire stoornis);
- visuele, auditieve of verstandelijke beperkingen die de deelname zouden belemmeren;
- geschiedenis van significant hoofdletsel of hersenletsel;
- medische contra-indicaties voor fysieke activiteit;
- andere factoren die door het onderzoeksteam ongeschikt worden geacht voor deelname aan het programma.
Studie plan
Hoe is de studie opgezet?
Ontwerpdetails
- Primair doel: Behandeling
- Toewijzing: Gerandomiseerd
- Interventioneel model: Parallelle opdracht
- Masker: Enkel
Wapens en interventies
Deelnemersgroep / Arm |
Interventie / Behandeling |
|---|---|
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Experimenteel: FCTP-interventiegroep
Deelnemers in de FCTP-interventiegroep zullen twee begeleide sessies per week ontvangen van het nieuwe Fundamental Movement Skills-CrossFit Training Program (FCTP), in plaats van traditionele sensorische integratietherapie.
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Each session consists of three parts: warm up (5 minutes), basic motor skills training (25 minutes) and cool-down with stretching (5 minutes). The program combines physical, social, linguistic and communication skills training aspects, and can be divided into three phases (about 2 to 4 weeks for each phase) to achieve different targets. Stage 1: Basic Motor Skills Learning Stages: This stage primarily focuses on low-intensity activities over a period of 1 to 3 weeks. Stage 2: Basic Motor Skills Proficiency Stage: This stage is characterized by low to moderate intensity and typically lasts for 4 to 7 weeks. Stage 3: Basic Motor Skills Enhancement stage: This stage is conducted at a moderate intensity and focuses on the intensive development of motor skills over a period from 8 to 12 weeks.
Andere namen:
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Actieve vergelijker: control group
The control group receives treatment as usual (TAU), allowing participants to engage in routine services of their choice, including sensory integration therapy, social skills training, language intervention, transcranial magnetic stimulation (TMS), etc.
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The control group receives treatment as usual (TAU), allowing participants to engage in routine services of their choice, including sensory integration therapy, social skills training, language intervention, Transcranial Magnetic Stimulation (TMS), etc.
Andere namen:
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Wat meet het onderzoek?
Primaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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School readiness
Tijdsspanne: baseline, 8 weeks post-baseline, post-intervention (12 weeks), follow-up (20 weeks)
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The Strengths and Difficulties Questionnaire (SDQ) was used to assess school readiness.
The Total Difficulties Score ranges from 0 to 40, with higher scores indicating more severe difficulties in the child.
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baseline, 8 weeks post-baseline, post-intervention (12 weeks), follow-up (20 weeks)
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Gross Motor Development
Tijdsspanne: baseline, post-intervention (12 weeks)
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The Test of Gross Motor Development - 3rd edition (TGMD-3) is a measure of fundamental motor skills.
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baseline, post-intervention (12 weeks)
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Secundaire uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Neuropsychological assessment
Tijdsspanne: baseline, post-intervention (12 weeks)
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The Early Years Toolbox (EYT) is a low-cost iPad software to assess young children's expressive language, executive function, and social development.
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baseline, post-intervention (12 weeks)
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Severity of autism
Tijdsspanne: baseline, post-intervetion (12 weeks)
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The Autism Behavior Checklist (ABC) is a widely used screening instrument comprising 57 items that characterize behavioral features of children with autism.
The scores range from 0 to 228, with higher scores indicating greater symptom severity in the child.
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baseline, post-intervetion (12 weeks)
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Executive function
Tijdsspanne: baseline, 8 weeks post-baseline, post-intervention (12 weeks), follow-up (20 weeeks)
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The Behavior Rating Inventory of Executive Function (BRIEF) is an 86-item in five subscales screening for executive function impairment in ages 5-18 years.
The Behavior Rating Inventory of Executive Function-Preschool Version (BRIEF-P) is a validated tool for assessing executive function in children aged 2-5 based on daily behaviors.
The scores range from 0 to 189, with higher scores indicating greater symptom severity in the child.
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baseline, 8 weeks post-baseline, post-intervention (12 weeks), follow-up (20 weeeks)
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Caregiver burden
Tijdsspanne: baseline, 8 weeks post-baseline, post intervention(12 weeks), follow up(20 weeks)
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Zarit Caregiver Burden Interview is a widely used tool for measuring caregiver burden.
The scores range from 0 to 16, with higher scores indicating greater burden.
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baseline, 8 weeks post-baseline, post intervention(12 weeks), follow up(20 weeks)
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Sleeping conditions
Tijdsspanne: baseline, 8 weeks post-baseline, post-intervention (12 weeks)
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The Children's Sleep Habits Questionnaire (CSHQ) comprises eight subscales that assess different aspects of sleep behaviors.
The scores range from 0 to 99, with higher scores indicating greater symptom severity in the child.
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baseline, 8 weeks post-baseline, post-intervention (12 weeks)
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Appetite status
Tijdsspanne: baseline, 8 weeks post-baseline, post-intervention (12 weeks)
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The initiative eating subscale of the Chinese Preschoolers' Eating Behavior Questionnaire (CPEBQ-IE) has 7 questions that assess the active eating behaviors of preschool children.
The scores range from 0 to 20, with lower scores indicating greater symptom severity in the child.
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baseline, 8 weeks post-baseline, post-intervention (12 weeks)
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Social responsiveness
Tijdsspanne: baseline, 8 weeks post-baseline, post-intervention (12 weeks)
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The social responsiveness scale-2 (SRS-2) is a 65-item parent-reported questionnaire designed to measure the severity of autism symptoms as a quantitative trait.
The scores range from 0 to 195, with higher scores indicating more severe problems in the child.
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baseline, 8 weeks post-baseline, post-intervention (12 weeks)
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Gastrointestinal issues
Tijdsspanne: baseline, 8 weeks post-baseline, post-intervention (12 weeks)
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The 6-item Gastrointestinal Severity Index (6-GSI) is employed for evaluating gastrointestinal symptoms.
The scores range from 0 to 12, with higher scores indicating greater symptom severity in the child.
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baseline, 8 weeks post-baseline, post-intervention (12 weeks)
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Andere uitkomstmaten
Uitkomstmaat |
Maatregel Beschrijving |
Tijdsspanne |
|---|---|---|
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Bio samples
Tijdsspanne: baseline, post-intervention(12 weeks)
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an additional 10 ml of urine will be collected for transcriptomic and metabolomic analyses, aiming to identify key biomarkers associated with screening outcomes and intervention efficacy.
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baseline, post-intervention(12 weeks)
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Semi-structured interviews
Tijdsspanne: baseline, post-intervetion (12 weeks)
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Semi-structured interviews will explore economic indicators such as time and financial costs, as well as parents' and rehabilitation therapists' suggestions and reflections on the intervention process.
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baseline, post-intervetion (12 weeks)
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Medewerkers en onderzoekers
Sponsor
Onderzoekers
- Hoofdonderzoeker: Yuelong Ji, PHD, Peking University
Publicaties en nuttige links
Studie record data
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Primaire voltooiing (Geschat)
Studie voltooiing (Geschat)
Studieregistratiedata
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Meer informatie
Termen gerelateerd aan deze studie
Trefwoorden
Aanvullende relevante MeSH-voorwaarden
Andere studie-ID-nummers
- IRB00001052-25110-A01
Plan Individuele Deelnemersgegevens (IPD)
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