Improving Hospitalizations for Children With ASD
- Conditions
- Autistic DisorderAutism Spectrum Disorder
- Interventions
- Other: No Brief AFABehavioral: Brief Analogue Functional Analysis
- Registration Number
- NCT02339935
- Lead Sponsor
- Vanderbilt University
- Brief Summary
This study aims to implement and test a specific brief Applied Behavior Analysis model for assessing and responding to severe challenging behavior during acute medical and behavioral hospitalization for children with ASD. The investigators will evaluate the impact of this program by conducting a randomized trial across both medical and psychiatric hospital settings.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- COMPLETED
- Sex
- All
- Target Recruitment
- 36
- documented diagnosis of an ASD based on clinical DSM-5 diagnostic criteria assessed by attending psychiatrist
- the presence of a significant challenging behaviors (e.g., aggression, property destruction, self-injury, elopement)
- admission to the VPH or medical floors
- individual and caregiver agreement to participate and ability to provide informed consent (and assent).
- None
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description Control Group No Brief AFA 20 Children - 10 hospitalized at Vanderbilt Children's Hospital and 10 hospitalized at Vanderbilt Psychiatric hospital - will receive all typical standard of care procedures while hospitalized, but will not receive Brief AFA ABA Treatment Group Brief Analogue Functional Analysis 20 Children - 10 hospitalized at Vanderbilt Children's Hospital and 10 hospitalized at Vanderbilt Psychiatric hospital - will receive Brief Analogue Functional Analysis (Brief AFA) targeted to their most problematic behavior(s) while hospitalized
- Primary Outcome Measures
Name Time Method Aberrant Behavior Checklist Change from Baseline ABC at Hospital Discharge (an expected average of 42 days) and 3-Months Post-Discharge The ABC is a well-validated measure designed to assess for the presence of clinically significant challenging behavior in the areas of irritability and agitation, lethargy and social withdrawal, stereotypic behavior, hyperactivity and noncompliance, and inappropriate speech.
Decrease in Length of Hospitalization Participants will be followed from admission to discharge, an expected average of 42 days Reduction in the days hospitalized past medical clearance).
- Secondary Outcome Measures
Name Time Method Clinical Global Impression Scales of Severity Baseline and Day of Patient's Discharge (an expected average of 42 days from admission) Attending physician's impressions of participant's clinical impairment and improvement.
Blinded Observational Ratings Participants will be followed for duration of hospital stay, an expected average of 42 days Blinded coding of the challenging behaviors targeted in the treatment arm
Physician/Nurse/Family Perception of Care Day of Patient's Discharge (an expected average of 42 days from admission) The primary medical attending, lead discharge nurse staff member, and the child's primary parent will also be asked at discharge to provide both quantitative and qualitative ratings of challenges and successes during hospitalization. Caregivers will be contacted to complete a simple interview/questionnaire 3- months post-hospitalization regarding changes in the patient's medication, medical conditions, residential/classroom placement, emergency room visits or psychiatric hospitalizations since the discharge date, as well as ratings of successes implementing components of the behavioral strategies plan utilized during the hospitalization (if applicable).
Trial Locations
- Locations (1)
Vanderbilt University Medical Center - MEND Clinic
🇺🇸Nashville, Tennessee, United States