Improving Hospitalizations for Children With ASD: Testing the Cost and Clinical Efficacy of Integrated Behavioral Intervention
Overview
- Phase
- Not Applicable
- Intervention
- Not specified
- Conditions
- Autism Spectrum Disorder
- Sponsor
- Vanderbilt University
- Enrollment
- 36
- Locations
- 1
- Primary Endpoint
- Aberrant Behavior Checklist
- Status
- Completed
- Last Updated
- 10 years ago
Overview
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.
Investigators
Kevin Sanders
Principal Investigator
Vanderbilt University
Eligibility Criteria
Inclusion Criteria
- •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).
Exclusion Criteria
- Not provided
Outcomes
Primary Outcomes
Aberrant Behavior Checklist
Time Frame: 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
Time Frame: Participants will be followed from admission to discharge, an expected average of 42 days
Reduction in the days hospitalized past medical clearance).
Secondary Outcomes
- Clinical Global Impression Scales of Severity(Baseline and Day of Patient's Discharge (an expected average of 42 days from admission))
- Blinded Observational Ratings(Participants will be followed for duration of hospital stay, an expected average of 42 days)
- Physician/Nurse/Family Perception of Care(Day of Patient's Discharge (an expected average of 42 days from admission))