Parents Taking Action to Improve Autism Services Access for Navajo Families in Northern Arizona: Intervention Adaptation and Pilot Trial
试验速览
- 阶段
- 不适用
- 状态
- 进行中（未招募）
- 入组人数
- 29
- 试验地点
- 1
- 主要终点
- Parent Knowledge of Evidence-Based Strategies
研究概览
简要总结
The goal of this clinical trial is to learn if a family support program helps Navajo parents and guardians of children with autism spectrum disorder (ASD) or other developmental concerns. The main questions it aims to answer are:
- Is the program something families find useful and easy to take part in?
- Does the program raise parents' knowledge and confidence in using strategies that support their child's development?
- Does the program help children improve in areas such as social communication?
Researchers will compare two groups:
- One group of parents will join the program right away.
- The other group will join the program after waiting.
Participants will:
- Be randomly placed into the "immediate" or "waitlist control" group using simple randomization.
- Take part in sessions led by trained Navajo Family Advisors, who are parents of children with ASD.
- Learn and practice strategies they can use at home to support their child
- Answer surveys about their experience, knowledge, and their child's progress
研究设计
- 研究类型
- Interventional
- 分配方式
- Randomized
- 干预模型
- Parallel
- 主要目的
- Treatment
- 盲法
- None
入排标准
- 年龄范围
- 18 Years 至 —（Adult, Older Adult）
- 性别
- All
- 接受健康志愿者
- 是
入选标准
- •Parent/legal guardian of a child between 2 and 12 years of age.
- •Child received a diagnosis of autism spectrum disorder (ASD) OR a developmental disability.
- •Parent/guardian identifies as Navajo/Diné.
排除标准
- •Parent/guardian is 17 years or younger.
- •Child is 13 years or older.
- •Child did not receive an ASD diagnosis or a developmental disability diagnosis.
- •Parent/guardian does not identify as Navajo/Diné.
研究组 & 干预措施
Immediate Group
Participants in this arm will begin the adapted parent training program right away. The program is delivered by trained Navajo Family Advisors who are parents of older children with autism spectrum disorder (ASD). Parents/guardians of children ages 2-12 years with ASD or related developmental concerns will take part in group sessions that focus on learning and practicing evidence-based strategies to support their child's development and family well-being.
干预措施: Diné Parents Taking Action Program (Behavioral)
Waitlist Control Group
Participants in this arm will be placed on a waitlist and will not begin the program during the initial study period. After the waiting period, they will be offered the adapted parent training program delivered by trained Navajo Family Advisors.
结局指标
主要结局
Parent Knowledge of Evidence-Based Strategies
时间窗: Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment.
Mean score on a parent-report survey assessing comprehension and confidence using strategies taught in the program.
Child Social Communication
时间窗: Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment.
Mean score on the Social Communication Questionnaire (Rutter, Bailey, \& Lord, 2003), a parent-report survey assessing their child's social communication skills.
Frequency Using Intervention Strategies
时间窗: Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment.
Mean score on a parent-report survey assessing the frequency of use of the learned intervention strategies.
Family Outcomes
时间窗: Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment.
Mean score on the Family Outcomes Survey-Revised, a parent-reported measure of their child's strengths, needs, and abilities (Waschl et al., 2021).
次要结局
- Child problem behavior(Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment.)
- Service Use(Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment.)
- Autism Parenting Stress(Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment.)
- Parent Health Literacy(Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment.)
- Parent Depression(Immediate intervention group: Baseline, immediate post-intervention, and 2-months post-intervention. Waitlist intervention group: Baseline, 2-months after baseline, and 2-months after second assessment.)
研究者
Olivia Lindly
Associate Professor - Department of Health Sciences
Northern Arizona University