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AUT-MENU: Improving Meal Experience of Subjects With Autism Spectrum Disorder

Not Applicable
Not yet recruiting
Conditions
Autism Spectrum Disorder
Interventions
Other: Administration of menus of collective catering adapted to the sensory and nutritional needs of subjects with Autism Spectrum Disorder
Other: Nutrition education course aimed at caregivers of individuals with Autism Spectrum Disorder
Registration Number
NCT06266377
Lead Sponsor
University of Pavia
Brief Summary

The main goal of this multi-center interventional study is to improve the meal experience of children and adolescents with autism spectrum disorder trough the development of menus for collective catering targeted to their nutritional and sensory needs and the drafting of nutritional indications that can be a reference for collective catering nationwide. After an initial assessment of participants' consumption of meals in the collective service, menus adapted to their nutritional and sensory needs will be administered, and consumption between the initial and adapted menus will be compared. A population subgroup will also be selected whose caregivers will be invited to participate in a nutrition education course with the aim of providing parents of subjects with ASD, with knowledge tools to learn how to identify, manage and reduce their children's attitudes of food selectivity.

Detailed Description

The AUT MENU project is a multi-center interventional study conducted on children and adolescents with Autism Spectrum Disorder (ASD) in Milan and Rome.

The main objective of the AUT-MENU project is to improve the meal experience of individuals with Autism Spectrum Disorder (ASD) by developing and disseminating customized menus based on specific dietary recommendations, via collective catering services in schools. The dietary recommendations consider the nutritional and sensory food needs of this population (10.1007/s40519-023-01590-z).

As secondary objective the researchers will evaluate the effect of a nutrition education intervention to the caregivers of the individuals with ASD participating in the study, on reducing their food selectivity. The feasibility of the nutrition education intervention will also be evaluated.

The AUT MENU study deliverable are 1) the development of targeted canteen menus for adults with ASD, according to the nutritional and sensory needs; 2) the elaboration of dietary recommendations to customize canteen menus nutritional and sensory needs for individuals with ASD 3) the development of a nutrition education course aimed at caregivers of a subgroup of the participants.

A total of 16 meal evaluation forms for each participant will be collected on 2 non-consecutive weekly days (for a total of 8 weeks). Both the qualitative and quantitative forms will be filled out by qualified operators, previously trained who assist the participants on a daily basis during lunches eaten at school. For the quantitative evaluation of food consumption, a score will be assigned to the four possible amounts of dish consumed: zero consumption, ¼ of the plate, ½ of the plate, ¾ of the plate, the whole dish.

The nutrition education course aimed at caregivers will be developed in 6 modules. Before and after the course, caregivers will be asked to fill out:

* a questionnaire regarding their children's adherence to the Mediterranean diet

* a validated questionnaire to evaluate their children food selectivity

* a Nutrition Knowledge Questionnaire

* a Satisfaction Questionnaire (of the course)

Recruitment & Eligibility

Status
NOT_YET_RECRUITING
Sex
All
Target Recruitment
200
Inclusion Criteria
  • age 5-19 years
  • Diagnosis of autism spectrum disorder (grade 1-2 or grade 3)
  • Informed consent signed by their caregivers
Exclusion Criteria
  • Subjects who are not autonomous in feeding themselves;
  • Presence of neurodevelopmental disorders and/or pathological conditions that require the use of special diets;

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Intervention groupAdministration of menus of collective catering adapted to the sensory and nutritional needs of subjects with Autism Spectrum DisorderChildren afferent to the elementary school where Milano Ristorazione delivers meals and adolescents and young adults enrolled in the State Agricultural Technical Institute Giuseppe Garibaldi (Rome) and Institute I.P.S.E.O.A. "Tor Carbone - A. Narducci."
Intervention groupNutrition education course aimed at caregivers of individuals with Autism Spectrum DisorderChildren afferent to the elementary school where Milano Ristorazione delivers meals and adolescents and young adults enrolled in the State Agricultural Technical Institute Giuseppe Garibaldi (Rome) and Institute I.P.S.E.O.A. "Tor Carbone - A. Narducci."
Primary Outcome Measures
NameTimeMethod
Food acceptance of canteen menus by individuals enrolled in the study8 weeks (T0); 8 weeks (T1)

Meal evaluation forms (score range for each item: 0-1; the score number is directly proportional to the amount of the dish consumed)

Secondary Outcome Measures
NameTimeMethod
Reduction in food selectivity as a result of the targeted nutrition education course8 weeks

Caregivers of a subgroup of the enrolled subjects will undergo a nutrition education course adapted to the needs of individuals with autism spectrum disorder. Caregivers will be asked to fill out questionnaires assessing food selectivity and adherence to the Mediterranean diet before and after the intervention.

Trial Locations

Locations (3)

Istituto I.P.S.E.O.A. "Tor Carbone - A. Narducci".

🇮🇹

Roma, Italy

Istituto Tecnico Agrario Statale "Giuseppe Garibaldi"

🇮🇹

Roma, Italy

Milano Ristorazione S.p.A.

🇮🇹

Milano, Italy

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