Development and Evaluation of "Period Kits" for Adolescents With Intellectual and Developmental Disabilities
Trial Snapshot
- Phase
- Not Applicable
- Status
- Completed
- Sponsor
- Tufts Medical Center
- Enrollment
- 50
- Locations
- 2
- Primary Endpoint
- Number of participants who report feeling more comfortable and/or prepared for menstruation after period kit exploration
Study Overview
Brief Summary
This study will involve the development, distribution, and evaluation of "period kits" for pre-menarchal adolescents with intellectual and cognitive disabilities (IDD) (e.g., autism spectrum disorder and Down syndrome) in relieving stress and augmenting sense of preparedness regarding imminent pubertal changes.
Detailed Description
Overview of procedures:
- Screening phone call with parent/guardian (10-15 minutes)
- Initial study visit and pre-study survey, on Zoom with parent/guardian and minor (60 minutes)
- In-person period kit distribution at the Center for Children with Special Needs with parent/guardian and minor (5-10 minutes)
- Two-week interlude for participants to experiment with kit components
- Final study visit and post-study survey, on Zoom with parent/guardian and minor (60 minutes)
This study will involve distributing and evaluating the efficacy of "period kits" for approximately 15-25 pre-menarchal participants and parent/guardian pairs. Study participants will be selected by convenience sampling for adolescents under 18 years of age with imminent medical appointments at the Center for Children with Special Needs (CCSN) at Tufts; if more participants are needed, Dr. Crehan will assist in recruitment from other networks (e.g., through social media posts on Facebook and Instagram, and posting on the Crehan lab website at https://sites.tufts.edu/crehanlab/).
If contacted participants express interest to participate, the study team will engage with them in a screening phone call to further discuss the study, as well as verify eligibility and CCSN appointment date and time so that the initial Zoom study visit may be scheduled on a date preceding the CCSN appointment. After this phone call, participants will be sent a Visit 1 invitation email with Zoom information for this first study visit.
At the initial study visit, members of the study team will meet prospective on Zoom at the time scheduled in the screening phone call. Team members will explain the study design, reinforce that participation is optional, and obtain consent/assent from each adolescent participant and respective parent/guardian. Study team members will briefly interview the participating minor and parent/guardian and receive verbal responses. Then, study team members will administer a brief Qualtrics pre-study survey (15 minutes) for completion by each participant's parent/guardian on their own device. Finally, during the same visit, study team members will go over all contents of the period kit, ensuring to answer any questions that may arise. The study team will then confirm the time of the participant's upcoming CCSN appointment, reiterate that the participant will be given a period kit at the CCSN immediately following the appointment, and arrange a visit after a two-week trial period to discuss kit efficacy in mitigating any puberty- and menstruation-related concerns and anxieties.
Study Design
- Study Type
- Interventional
- Allocation
- Na
- Intervention Model
- Single Group
- Primary Purpose
- Other
- Masking
- None
Eligibility Criteria
- Ages
- 5 Years to 17 Years (Child)
- Sex
- Female
- Accepts Healthy Volunteers
- Yes
Inclusion Criteria
- •Minors from 5 to 17 years of age
- •Those with the capacity to eventually menstruate but who have not yet had a menstrual period
- •Those with an Intellectual and Developmental Disability (IDD), defined here using DSM diagnostic labels: autism spectrum disorder, Global Developmental Delay, Unspecified Neurodevelopmental Disorder (which includes Down Syndrome and fragile-X)
Exclusion Criteria
- •Those that do not meet any of the aforementioned criteria
- •Minors who are:
- •i) married, widowed, divorced; or ii) the parent of a child; or iii) a member of any of the armed forces; or iv) pregnant or believes herself to be pregnant; or v) living separate and apart from his/her parent or legal guardian, and is managing his/her own financial affairs
- •Wards of the state and/or children at risk of becoming wards of the state
- •Non-English speakers
Outcomes
Primary Outcomes
Number of participants who report feeling more comfortable and/or prepared for menstruation after period kit exploration
Time Frame: 12 months
The aim of the study is to develop, optimize, and evaluate the efficacy of a "period kit" for adolescents with cognitive disability and their families. The purpose of the kit is to familiarize and educate this population about menstruation and other puberty-related changes, ideally prior to the first menstrual period. Response to this kits will inform future work on whether these materials are helpful for medical care teams to provide education and resources for patients with intellectual and developmental disabilities. The study outcome will be measured by the number of subjects who report feeling more comfortable and/or prepared for menstruation after period kit exploration, based on questionnaire responses.
Secondary Outcomes
No secondary outcomes reported