Telehealth Parent Coaching to Improve Activity Participation for Young Children With ASD and SPD
- Conditions
- Sensory Processing DisorderAutism Spectrum Disorder
- Interventions
- Behavioral: parent coaching via telehealthBehavioral: weekly self-learning materials and group discussion session
- Registration Number
- NCT06079632
- Lead Sponsor
- National Taiwan University Hospital
- Brief Summary
This clinical trial aims to develop parent-child interaction strategy coaching and sensory processing strategy coaching via Telehealth and examine the feasibility and efficacy of the interventions in young children with autism spectrum disorder who have sensory processing disorder.
In the first experiment, the investigators will apply a single-subject research design and one-group pre-post test design to explore the feasibility of the coaching interventions. In the second experiment, RCT design will be used to examine the effectiveness of parent coaching. Sixty-five children with ASD and their parents will be randomly assigned to the intervention or control group. The intervention group will receive weekly parent-child interaction and sensory processing strategy coaching for 12 weeks. The control group will be provided with weekly self-learning materials and group discussion session for 12 weeks. Additionally, the follow-up test will be administered three months after the intervention.
- Detailed Description
Not available
Recruitment & Eligibility
- Status
- NOT_YET_RECRUITING
- Sex
- All
- Target Recruitment
- 68
- The child is 3 to 5 years old
- The child is diagnosed with ASD by a child psychiatrist or specialist in psychology based on the DSM-5's diagnostic criteria
- The child's score falls within the category of dysfunction in one or more sensory processing functions in the Sensory Profile (3-10 years old version)
- Children diagnosed with major neuromuscular dysfunction or other disease diagnoses, such as epilepsy or other genetic diseases
- Children whose parents could not speak Hokkenese or Chinese and read in Chinese
- Individuals who have participated in the first year of this study
Study & Design
- Study Type
- INTERVENTIONAL
- Study Design
- PARALLEL
- Arm && Interventions
Group Intervention Description RCT, Treatment group parent coaching via telehealth Participant receive 12 weeks of sensory processing strategy coaching and parent-child interaction strategy coaching intervention. Single subject experiment parent coaching via telehealth Each participant will first receive one-hour, one-on-one parent-child interaction strategy coaching every week via Telehealth until the parent's parent-child interaction skills and the child's social communication abilities reach a stable or upward trend, and the parent's sensory processing strategy utilization ability and the child's daily life participation scores that are continuously collected shows a stable or downward trend. After which, the one-hour, one-on-one sensory processing strategy coaching (C1) will be provided every week via Telehealth until the parent's sensory processing strategy utilization ability and the child's activity participation level reaches a stable trend. RCT, Active Comparator weekly self-learning materials and group discussion session Participant will be provided with weekly self-learning materials and group discussion session for 12 weeks.
- Primary Outcome Measures
Name Time Method The child's social communication ability through study completion, an average of 4 months Measured by the self-developed measurement - the Social Communication Rating Scale for young children in the single subject experiment. The score could range from 0 to 38, with higher scores implied greater social communication ability.
The performance and satisfaction with the child's daily participation up to 25 weeks Measured by the Canadian Occupational Performance Measure in the RCT experiment. The score could range from 1 to 10, with higher scores implied greater performance and higher satisfaction with the child's daily participation.
The parent's parent-child interaction strategy utilization through study completion, an average of 4 months Measured by the self-developed measurement - the Parental Parent-Child Interaction Strategy Rating Scale in the single subject experiment. The score could range from 20 to 80, with higher scores implied greater parent-child interaction strategy utilization.
- Secondary Outcome Measures
Name Time Method The social functioning and adaptive behavior of the child up to 25 weeks Measured by the Vineland Adaptive Behavior Scales - Third Edition in the RCT experiment. The score could range from 20 to 160, with higher scores implied greater social functioning and adaptive behavior.
The child's performance in social communication up to 25 weeks Measured by the Brief Observation of Social Communication Change in the RCT experiment. The score could range from 0 to 85, with higher scores implied greater social communication performance.
The parent's self-perceived parental competence through study completion, an average of 4 months Measured by the Parenting Sense of Competence Scale in the single subject experiment. The score could range from 17 to 102, with higher scores implied greater self-perceived parental competence.
The child's social communication ability up to 25 weeks Measured by the self-developed measurement - the Social Communication Rating Scale for young children in the RCT experiment. The score could range from 0 to 38, with higher scores implied greater social communication ability
The attainment of the selected goal related to issues with the child's sensory processing disorder through study completion, an average of 4 months Measured by the Goal Attainment Scale in the single subject experiment. The score could range from -2 to 2, with higher scores implied greater attainment of the selected goal related to issues with the child's sensory processing disorder.
The parent's self-perceived stress within the family system up to 25 weeks Measured by the Parenting Stress Index - Short Form in the RCT experiment. The score could range from 35 to 175, with higher scores implied greater self-perceived stress within the family system
The parent's self-perceived life quality within the last two weeks up to 25 weeks Measured by the WHOQOL-BREF - Taiwan version in the RCT experiment. The score could range from 4 to 20 in each domain, with higher scores implied greater self-perceived life quality within the last two weeks
The parent's parent-child interaction strategy utilization up to 25 weeks Measured by the self-developed measurement - the Parental Parent-Child Interaction Strategy Rating Scale in the RCT experiment. The score could range from 20 to 80, with higher scores implied greater parent-child interaction strategy utilization.
The performance and satisfaction with the child's daily participation through study completion, an average of 4 months Measured by the Canadian Occupational Performance Measure in the single subject experiment. The score could range from 1 to 10, with higher scores implied greater performance or higher satisfaction with the child's daily participation.