Stepped-care Telehealth for Young Children With ASD

Not Applicable

Completed

• Conditions: Autism Spectrum Disorder

• Registration Number: NCT04467073
• Lead Sponsor: Rush University Medical Center

Brief Summary

This proof-of-concept study addresses the gap in the access to care literature by examining a stepped-care version of a telehealth naturalistic developmental behavioral intervention (NDBI), Online RIT. Online RIT is an interactive website introducing Reciprocal Imitation Training (RIT), an NDBI focused on enhancing social imitation. RIT uses a naturalistic behavioral approach to teach object and gesture imitation to young children with ASD within a play-based context. The efficacy of RIT has been demonstrated through a small randomized control trial, several single-subject design studies, as well as in independent replications. Prior research also suggests that parents can be taught to effectively use RIT with their children in person, and two single-subject design studies detail the development and feasibility testing of Online RIT plus therapist assistance. These preliminary data suggest Online RIT may serve as an ideal platform for examining the potential of individualized telehealth delivery formats, such as stepped-care. Therefore, the goal of this study was to compare a stepped-care format of Online RIT to a waitlist control condition to determine initial feasibility and effectiveness of this innovative intervention and service delivery model.

Detailed Description

Not available

Study Timeline

• Study Start: 2016-01-10
• Primary Completion: 2017-08-30
• Study Completion: 2017-08-30
• Study First Submitted: 2020-06-26
• Status Verified: 2020-07
• Study First Submitted QC: 2020-07-07
• Last Update Submitted: 2020-07-07
• Study First Posted: 2020-07-10
• Last Update Posted: 2020-07-10

Recruitment & Eligibility

• Status: COMPLETED
• Sex: All
• Target Recruitment: 20

Inclusion Criteria

• Have a diagnosis of ASD or significant concerns of ASD
• Parent reported imitation deficits

Exclusion Criteria

• Children of parents who are non-English speaking
• Actively participating in other parent training programs

Study & Design

• Study Type: INTERVENTIONAL
• Study Design: PARALLEL

Primary Outcome Measures

Name	Time	Method
Change from Baseline RIT Parent Fidelity Form (RIT-PFF) Score at 15 weeks	Baseline and 15 weeks	Trained observers scored the parent-child interactions for parent fidelity of the RIT intervention techniques.
Change from Baseline Unstructured Imitation Assessment (UIA) Score at 15 weeks	Baseline and 15 weeks	The UIA was used to measure child social imitation. It is a standardized assessment that evaluates spontaneous imitation of actions with objects and gestures during play.
Change from Baseline Early Intervention Parenting Self-Efficacy Scale (EIPSES) Score at 15 weeks	Baseline and 15 weeks	The EIPSES is a 20-item parent questionnaire designed to measure parenting efficacy within the context of early intervention.

Secondary Outcome Measures

Name	Time	Method
Change from Baseline Social Communication Checklist (SCC) Score at 15 weeks	Baseline and 15 weeks	The SCC is a 47-item checklist completed by parents to indicate if a child uses a specific social communication skill.
Change from Baseline Beach Center Family Quality of Life Scale (FQOL) Score at 15 weeks	Baseline and 15 weeks	The FQOL Scale is a 25-item self-report measure designed to assess family interaction, parenting, emotional well-being, physical/maternal well-being, and disability-related supports.

Trial Locations

Locations (1)

Rush University Medical Center; 🇺🇸 Chicago, Illinois, United States